> head-down engagement in physical manipulation, might have distracted from patient communication and care management. No, a spade is a spade, the patient clea

> head-down engagement in physical manipulation, might have distracted from patient communication and care management. No, a spade is a spade, the patient clearly said the Doctor didn't _believe_ him. This isn't an in-the-zone 'tunnel vision' moment from the doctor, this isn't high stress shutting off the outside world, or CSR type reaction. This is someone _assuming_ a patient was telling a lie, who then lacked the duty-of-care to confirm it, before inflicting unnecessary pain. I am all for checklists, they are a big part of my work processes and they are desperately needed in many medical and nursing workflows, but this particular case is just lack of common sense and duty-of-care.