Shelley WB, Shelley ED
The Shelleys state in their July 1994 entries, “Although physicians’ medical decisions are becoming more and more standardized and codified, many have to reflect the patient’s preferences. . . Many times it is the physician’s and not the patient’s aversion to risk that defines treatment.” They recount the triumph of successfully treating a patient with generalized hyperhidrosis of 12 years' duration. The Shelleys also describe an interesting case of good side effects in a 68-year-old man whose treatment with ketoconazole for tinea pedis and tinea unguium also had inadvertently cleared his chronic cough and asthma of 10 years’ duration! The Shelleys also report that patients are not as compliant when medicine is supposed to be taken on an empty stomach. An anecdote from the Shelleys: "Peripheral vision in diagnosis comes from knowing more about your patient than his complaints."