Part of practicing medicine is telling patients 'no'. It’s never fun to do so and it can be a draining daily task. It doesn’t have to be that way! In this episode, we break down pitfalls and pearls in these situations as well as specific scripting to help the medicine go down, The Spock Retreat - falling back on logic to solve an emotional situation, what happens when we get pushback on our logical responses, when embracing logic is the right and wrong move, how to approach frustrating and illogical interactions, and saying 'no' in a positive way.  Awake + Aware | Our 2026 RetreatJoin us at Awake and Aware, our 3-day retreat in Scottsdale, AZ. March 1-4, 2026. Space is limited.Learn More Here🎓 P.S. This is a CME event.The Flameproof CourseThe hidden anti-burnout curriculum we all should have learned in training. Cohort 3 begins Sept 10, 2024. Get the deets For full show notes of this episode and all sorts of other goodies, visit our podcast websiteWe Discuss:What is the Spock Retreat?The scenario: a patient pushes for something that they think will help but will actually harm.A common response when we get pushback on our logic.You can’t please all the people all of the time.When embracing our inner Spock is the right move.When embracing our inner Spock could be the wrong move.Introducing Bones McCoy.Why scripting is important.How to approach a situation that is frustrating and illogical.What do you want to avoid? How to say “no” in a positive way: The Yes, No, Yes framework, compliments of the Harvard Program on Negotiation.What does Yes, No, Yes sound like in real-time?A script for pushback.

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