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The GP wo n't be able to tell the specialist the name of the patient , nor the patient the name of the specialist . However , when the therapist and other clinical staff feel they have exhausted their skills and efforts but the patient fails to progress , it is time for a referral . It seems to me that this critical process should be between the pharmicist & the doctor & the patient . This lets the operator see precisely where the beam will strike the patient and make necessary adjustments before treatment starts . 13:44 E-3.2 ( b ) , but neither the patient nor a third party payor can be billed for the test . The procedure required resection of the manubrium , but the patient recovered . Double blind : This is an experimental treatment in which neither the patient nor the professionals administering the test know who is in the experimental group or control group . Some patients die with monitors , catheters , and intensive care that neither the patient nor the family wants . The device is sold with a warning about pacemakers , but the patient ignored the warning . No incision is necessary , but the patient is asleep for the procedure . In a double-blind challenge , neither the patient nor the observer knows if the patient is given the food ( allergen ) or the placebo . Neither the dentist nor the patient can determine beforehand to which of the two groups a patient will belong . Neither the medical profession nor the patient population has been prepared to accept this automated medicine . Ideally , the treatments should be randomly allocated to patient groups and neither the administering physician nor the patient should know what treatment is given . Amputation or resection was advised , but the patient refused to be operated upon , and gradually became worse until July 11th , when he finally consented to an amputation .