Dr. Patel examines a frail 82-year-old man, Mr. Garcia, who has a history of heart disease and anxiety. Recent blood tests reveal early signs of kidney disease, but a biopsy, the most definitive diagnostic tool, carries a small risk of bleeding for Mr. Garcia, given his age and weakened condition. Dr. Patel worries that even the possibility of a biopsy of his kidney would cause Mr. Garcia significant anxiety and stress, which could also impact his cardiac health. He decides to hold off on mentioning the biopsy and instead chooses to order another blood test that will give more specific information on Mr. Garcia’s kidney function. It isn’t as accurate as a biopsy, but it does provide some information that could be helpful in assessing Mr. Garcia’s kidney function. In this scenario, Dr. Patel valued over
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