Wednesday, April 12, 2006

Top Ten Reasons to Fire your Doctor

Posted by cj on April 11, 2006 at 14:58:28:
Top 10 Reasons To Fire Your DoctorGuide Picks
Doctors have strengths and weaknesses. How does your doctor's "bedside manner" match up with your personality?
Are you confident in your doctor's ability? Do you feel that you understand the directives and decisions made by your doctor? Are you encouraged to ask questions? Is the overall experience at your doctor's office positive?
The relationship between a doctor and patient is very important. If you're answering no to most of the questions it may be time for a change.
1) Lack Of Confidence In Doctor's AbilityA patient must trust their doctor. Patients are more likely to be compliant with their treatment plan if they have confidence in their doctor's ability. A patient consults with a doctor for their expertise as a diagnostician and ability to problem-solve. A patient should not routinely leave the doctor's office feeling uneasy about decisions and recommendations which are made by the doctor. If you find yourself doing that, it may be time to fire your doctor.
2) Lack Of Continuity Between VisitsThe nature of chronic illness implies you will be seeing a doctor many times to help you manage your condition. With copious notes in your medical chart, your doctor should be able to recall your prior visit and gauge your progress. Doctors are busy and they see many patients, so it's not always perfect. If you constantly have to repeat yourself and if you feel that your doctor isn't following along, it may be time to fire your doctor.
3) Questions Are Not WelcomePatients go to doctors in search of answers. Patients want answers to:
what's wrong with me? how are we going to treat the condition? what can I expect? what are my options?
Some doctors allow a reasonable amount of time for patient questions. Other doctors are unapproachable and discourage questions. If it's difficult to have a dialogue with your doctor about your health care, it may be time to fire your doctor.
4) Doctor Is Not Forthcoming Does your doctor share all pertinent diagnostic test results with you? Does your doctor share why a specific test is being ordered or why a specific treatment plan has been chosen over another? For example:
Your doctor may give you an order for an MRI. Your doctor may tell you why you need to have an MRI and explain what he is trying to rule out, and then give you the order for the MRI.
If you feel uninformed more often than not, it may be time to fire your doctor.
5) Doctor Is Cold And UnsympatheticIt's important that you understand your doctor, but it is equally important that you be understood by your doctor. Does your doctor understand how your medical condition impacts various aspects of your life? Is your doctor sympathetic about your problem or is your doctor's demeanor cold and abrupt? You must feel that your doctor truly cares about your well-being, otherwise it may be time to fire your doctor.
6) Excessively Long Wait To Get An AppointmentYou may encounter a long waiting period when you try to set up a doctor appointment. Doctors have very busy schedules, especially specialists and surgeons. As the joke goes - I wouldn't want to go to a doctor who will see you the next day. A busy doctor is often a popular doctor with a great reputation. However, by waiting too long for an appointment, you may be compromising your health. If the wait seems unreasonable, find another doctor.
7) Doctor Is Always Rushed Do you have your doctor's full attention during your appointments, or do you sense that your doctor's mind is cluttered by other matters unrelated to you? Do you feel that you're being hurried? Has your doctor ever backed out of the room before you were able to ask all of your questions? If you are left feeling that not enough time is devoted to you during your appointments, it may be time to fire your doctor.
8) Inconvenient LocationIt can be stressful and inconvenient to have to drive a long distance to see your doctor, especially if you have mobility problems. Some patients who live in rural areas have fewer options, but convenience is a factor to be considered. Where will the doctor send you for blood tests, x-rays, and other tests? What are your doctor's hospital affiliations? Be sure your situation is either convenient or agreeable to you, otherwise you may want to find another doctor.
9) Cost / CoverageIf your insurance does not cover your doctor's fees, it is unlikely you would want to stay with that doctor. Know the details of your individual health plan and be certain that your doctor is available to you on the provider list. If not, you may want to find another doctor so your medical costs will be covered by your insurance.
10) Doctor Is Not RespectfulIs your doctor harsh when speaking to you? Does your doctor consider your fears and apprehension when making decisions, or are your feelings disregarded? Does your doctor respect that your time is as important as their own, or does your doctor leave you languishing in the waiting room for unreasonably long periods of time? Do you feel respected as a person by your doctor? If not, it may be time to fire your doctor.
Related ResourcesHow Would You Rate Your Doctor? Should You Change Your Doctor? How To Choose The Right Doctor Last update 4/1/06

Sunday, April 02, 2006

PAIN MYTHS

Myth #1: "It's only subjective." Pain is a subjective construct and each individual learns the meaning of pain through early life experiences (Merskey & Bogduk, 1994). In science, an objective phenomenon is one that is "perceptible to the external senses," (Dorland's, 1994, p. 1166) while a subjective phenomenon is one that pertains to or is "perceived only by the affected individual; not perceptible to the senses of another person" (Dorland's, 1994, p. 1595). Behavioral observations and patient self-report indirectly measure subjective phenomena; direct methods, e.g., laboratory tests or radiology films, can measure objective phenomena. Physicians treat about 70% of all patients for subjective complaints (Harsha, 1990), so chronic pain patients are hardly unusual. What makes chronic pain patients unique is that they generally do not get better spontaneously. Indeed, they often do not get better after considerable intervention, especially after incorrect treatment strategies...................

For the full article follow this site......Countering Chronic Pain Myths