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Medical Forum / Diseases and Disorders / Cancer / July 2006

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How to Get Your Doctor to Listen to You!

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J - 15 Jul 2006 00:30 GMT
http://thecheerfuloncologist.blogspot.com/2004/10/how-to-get-your-doctor-to-list
en-to.html


I've skipped (most of) the foreword, maybe some of these will be helpful
and/or amusing.

Have you ever been diagnosed with a serious illness, or known someone
facing such a health crisis? Do you recall how anxious you were to get the
true facts about the situation? At such a time we all rely on our doctor
to communicate clearly the details of the illness and the plan to treat
it. Unfortunately, many doctors possess meager skills in counseling;
others are talented speakers but poor listeners, and all doctors are
rushed for time. This often leads to an unsatisfying visit.

The Practical Tips

1. At the beginning of the visit, tell the doctor you have questions -
this warns him or her that counseling will be a part of the visit.

2. Write down your questions, and give a copy to the doctor so you both
can go through the list together.

3. Do not be shy about asking the doctor to repeat the answer, or phrase
it in more easily understandable language. A good doctor does not assume
patients understand esoteric medical terms.

4. Invite the doctor to sit down, which brings all to eye level, and
creates a less hurried setting.

The Psychological Tips (which create leverage - use with caution!)

1. Bring lots of family to the visit - the more the merrier. We docs tend
to spend less time counseling the solitary patient.

2. Don't hesitate to announce any relatives in the room who are attorneys,
whether they litigate or not. Attorneys get the doctor's rapt attention!
If you don't have a lawyer in the family, dress all males in suits - looks
impressive, if not intimidating.

3. If any family member is a doctor - sibling, offspring, nephew, niece -
let it be known at once, whether they are in the room, or live nine states
away. Rare it is to find the physician who would disappoint a physician's
family member.

4. Produce a tape recorder, and say, "You don't mind if I record this,
doctor? My family will want to hear what you have to say." This is the
ultimate weapon against the lackadaisical counselor!

Now go, and be an advocate with confidence!
AM - 15 Jul 2006 01:38 GMT
> http://thecheerfuloncologist.blogspot.com/2004/10/how-to-get-your-doctor-to-list
en-to.html

>
[quoted text clipped - 23 lines]
> 4. Invite the doctor to sit down, which brings all to eye level, and
> creates a less hurried setting.

A year ago I had a doctor that would talk to you with closed eyes,
without exaggeration, and would look everywhere except
to me when was talking to me.

> The Psychological Tips (which create leverage - use with caution!)
>
[quoted text clipped - 14 lines]
> doctor? My family will want to hear what you have to say." This is the
> ultimate weapon against the lackadaisical counselor!

A year ago an ENT doctor who just met me was insisting me to do
biopsy right on the spot, with cocaine based anesthesia. Isn't it
surprising? Then when I had fully understandable hesitation, he immediately
"pushed" me to emergency counseling and empathazing on his
papers something about "paranoya", putting second about the cancer issues.

Then when I went to the councel  and just for fun I asked if I can record
our
conversation? She said .... no she will not feel comfortable (!!!).
It's funny, how can be explained such  things by serious proffesionals.

> Now go, and be an advocate with confidence!

Signature

Regards,
Araik Margarian
http://journals.aol.com/aramargar1/MyAmericanDream/

46erjoe - 15 Jul 2006 14:12 GMT
>> http://thecheerfuloncologist.blogspot.com/2004/10/how-to-get-your-doctor-to-list
en-to.html

>>
[quoted text clipped - 59 lines]
>
>> Now go, and be an advocate with confidence!

Not sure about the taping ... that could be intimidating (considering
the paranoia about malpractice suits) and thus be counter-productive
by keeping the doc from being too detailed. Better I think to take
notes and ask the doctor to slow down or repeat if needed.

Also I would add: Become an expert on your illness. Learn everything
medical you can about your condition. Learn the non-generic names of
the medications typically prescribed.

Be friendly with your doctor. S/he is on your side. Find something to
compliment her/him. I like to compliment mine on how he always gives
me the personal touch and allows me as much time as is necessary for
the visit. Send a thank-you card. Everybody likes to be appreciated.
Pen - 15 Jul 2006 15:20 GMT
> >"J" <macyinno@nospam.inv> wrote in message

> >> 4. Produce a tape recorder, and say, "You don't mind if I record this,
> >> doctor? My family will want to hear what you have to say." This is the
[quoted text clipped - 11 lines]
> by keeping the doc from being too detailed. Better I think to take
> notes and ask the doctor to slow down or repeat if needed.

Tape Recorders are loaned out at the cancer institute that I go to so
they are used to having the conversations recorded. They say it's
easier for the patients to listen to later and remember things that
they might of forgotten otherwise.

Penny
alex - 15 Jul 2006 17:03 GMT
> Tape Recorders are loaned out at the cancer institute that I go to so
> they are used to having the conversations recorded. They say it's
> easier for the patients to listen to later and remember things that
> they might of forgotten otherwise.
>
> Penny

Unfortunately doctors in the US are very concerned about being sued.  I
think that is what Joe is referring to.  Glad to hear that is an option for
you. Alex
alex - 15 Jul 2006 16:59 GMT
> Not sure about the taping ... that could be intimidating (considering
> the paranoia about malpractice suits) and thus be counter-productive
> by keeping the doc from being too detailed. Better I think to take
> notes and ask the doctor to slow down or repeat if needed.

I agree about the taping.

> Also I would add: Become an expert on your illness. Learn everything
> medical you can about your condition. Learn the non-generic names of
[quoted text clipped - 4 lines]
> me the personal touch and allows me as much time as is necessary for
> the visit. Send a thank-you card. Everybody likes to be appreciated.

Also if I have many questions, I will either fax them in ahead of time to
allow my doctor to process them and ask for an appointment when the doctor
isn't rushed.
Janet Wilder - 15 Jul 2006 21:56 GMT
> Also if I have many questions, I will either fax them in ahead of time to
> allow my doctor to process them and ask for an appointment when the doctor
> isn't rushed.

I made a list on the computer and printed it out. Handed it to the
doctors. There was no way they could tactfully ignore it. One doctor
kept the list and had a staff member call me later in the day,
presumably after patient hours, to respond to every single concern.

The MDA doctors have been made completely aware of my claustrophobia and
fears of radiation effects. I believe it is better for all of us to have
these things out in the open. I already have my prescription for Ativan
and filled it at WalMart today. I was told to take it before the
simulation. Better I should have the drugs in advance and the team
should know about my fears before something unexpected happens to screw
up the whole process.

Janet

Signature

-----------
Janet Wilder
The Road Princess
http://janetwilder.blogspot.com

Tanada - 16 Jul 2006 02:56 GMT
> 4. Produce a tape recorder, and say, "You don't mind if I record this,
> doctor? My family will want to hear what you have to say." This is the
> ultimate weapon against the lackadaisical counselor!

I'm taking a tape recorder to any further VA exams, hearings, etc. for
Rob.  Maybe they'd see reason, finally.

Pam S.
 
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