Kate wrote:
> questionnaires, even quantitative (measured by quantity, rather
> than quality) questionnaires, are notoriously unreliable for hard
> science analysis--after all, even as "dr. house" says (and it is
> a prevalent belief among doctors; so much so that it is taught in
> med schools), "patients lie".
We discussed this in CPa (a.s.c.p) within the past month.
Patients will lie even face-to-face with doctors.
Doctor, "How many (post-op Depends) pads do you use daily?"
Patient, "2 or 3." When in reality it's 5 or 6, or more.
Doctor, "How many times do you get up during the night?
Patient, "Once or twice." When in reality it's 4, 5, 6 times.
Maybe it's a macho thing with male (CPa) patients, but it's
a proven thing that they "fudge" the numbers quite ofter. <g>
that could well be the case. but i know i couldn't tell you how many times,
averaged, i get up during the night (for whatever reason and generally i
have two different kinds of reasons), though i know i do get up.
personally, i'd have to guess and that's not lying. that's trying to be
helpful.<g>
now, if the doc suggested i keep track on paper, i'd give him/her a much
better guesstimate. for some questions that are asked by doctors (without
having the patient prepare for the question)--keeping track, of whatever it
is that would be pertinent to the answer, never occurs to the patient.
kate
... I tried switching to gum but couldn't keep it lit.
___ Blue Wave/QWK v2.12
Donna G. - 13 Mar 2008 03:56 GMT
Another issue that can be a problem with patients giving correct info is
memory. I have to say, since I had my stroke, my short term memory is
really not to great and I can talk about something and then 5 minutes
later forgot that we talked about it. Likewise, I may think of
something I want to tell the doctor and by the time I get a piece of
paper and pen, I have forgotten what I wanted to write down to discuss.
Or, I may write it down, but by the time I see the doctor, I may not
remember what the notes I scribbled down in haste means any more. Most
frustrating, but then you have people who just forget because they have
too much on their minds, may be in the beginning of dementia of some
sort, etc. There are just a million reasons out there.
Also, sometimes you do mention something accurately and for what ever
reason, the doctor wasn't really paying attention or had his/her focus
on something else and didn't really hear what you told them.
Kate, I get up every two hours to use the bathroom at night. It's
almost like clockwork how regularly I get up, but if a doctor ask me how
many times I get up at night, I would really have to stop and think
about it and count up in my head the numbers. I just know I get up
about every two hours.
It's really quite mind boggling how many factors play into what we do
and don't tell the doctors, including fatigue, fear, memory, time
constraints, etc
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Donna
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1.) ANGELS EXIST, but some times, since they don't all have wings, we
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