I was trained (as a social worker) to use "pt./client denies..." when
confronted with a discrepancy between what the client says and what I'm
seeing.  For example, "client denies alcohol use."  What I'm smelling is
alcohol, what the client is telling me is that he's sober.  I use this in
lactation as well.  "Pt. denies discomfort while breastfeeding."  What
I'm seeing is a cracked, bleeding nipple.  Another example, "pt. denies
scheduling feeds."  What I'm seeing is an "ezzofied" household and
"Babywise" on the coffee table.

I guess this phrase can be construed to be negative.  It's just an easy,
shorthand method of noting a discrepancy and giving the client the
benefit of the doubt, instead of saying the pt. is lying to my face.


Johanna Berger, LSW
Breastfeeding Counselor
Bala Cynwyd, PA
(my 5.12 lb, 35 weeker is now 6 months old and ways a whopping 17.6
lbs.!!!  Must be from my husband's side :-) (maybe all that breastmilk)

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