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When Doctor Are Patients


ajcee

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“When Doctors Are Patients,”a book published in 1952, is the result of 33 doctors whose lives took a different direction after suffering a serious illness, thereby gaining insight as to what their patients are truly experiencing. Similar books have been written and are available through Amazon. They became better doctors after learning to identify with their patients, becoming better listeners and empathic with their plights. Perhaps, during their residency they should be injected with a virus causing serious illness for a limited period, to be repeated every five years. lol

 

To be fair, there are some doctors who haven't become jaded and are capable of maintaining objectivity and compassion simultaneously. Of the many I have seen throughout my years, they can only be counted on one hand. What they share in common is a continued excitement for their specialty and a willingness to share their knowledge with their patient in relation to the patient's concern..With the exception of one, they are in their sixties or seventies, love teaching other physicians,and give freely of their time without stealing glances at their wristwatch. The one mentioned, is a neurologist about 40, adverse to the growing trend of indifference to patient centered medicine.

 

I recently had to wear a heart monitor for 24 hours. When I picked up the device at my cardiologist's office,I explained to his nurse practitioner that I can't return it the next day as I rely on the county's paratransit bus which requires several days notice. She passed this information to the cardiologist and he stated he will pick it up at my house ( a distance of 25 miles) the next day. This is a man who heads a cardiologist group of several doctors with a very busy practice. The nurse insisted that she will pick it up, which she did. This doctor also reminds me, as I am sure he does others with mobility problems, that if snow or ice is present on a winter appointment, not to hesitate to cancel on the same day.

 

I use Healthgrades on the internet to screen doctors. It is excellent for schooling background, hospital affiliations, specialty areas, malpractice clearance and patient reviews and allows for comparison of other physicians in the same field and locality. I haven't always had luck though and use with caution.

 

One incident of choosing a neurologist with a hospital other than the nearby State university, which I became disillusioned with their staff of neurologists, proved to be a calamity. The neurologist is a Director of Neurophysiology,has Ivy league degrees, did his internship and residency in the country's finest hospital and authored two books and many scientific papers. Stroke was listed with his many specialties. I arranged an appointment stating that my visit is stroke related and was told the doctor only sees outpatients after 4 PM, and the appointment was arranged four weeks in advance.

 

I met with the doctor on the first floor level as he searched for an empty office where he took my history on his lap top and then told me his specialty is epilepsy and he is not too familiar with strokes and can't help me, but referred me to a neurologist well experienced. He billed me extra for after hours fee , which my insurance denied and $60.00 for a ten minute telephone call to the neurologist he referred me to. I refused to pay for after charges and the phone call, which made no sense to me since he had nothing to relate to the referred doctor. He was not included in my list of ten neurologists, but the referred neurologist is No.8 on my list. I sometimes wonder that some doctors should be patients...in an insane ward!.

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One of the lessons to draw from your posting is that all university medical centers are not alike nor are the doctors who work at them. My experience has been with Duke University, which operates one of the best medical centers in the world and which has somehow instilled a patient-first attitude throughout its vast facility, from parking lot attendants to department heads. The best and brightest doctors work there and even the busiest among them still find time to answer their email. They not only explain well, they listen too. I am sure there are exceptions to all of this at Duke but I have yet to encounter one. It is the easiest medical institution to deal with that I have ever encountered in more than 70 years of roaming around this old Earth and that includes my local doctors. So medicine need not be practiced poorly. 

I think too many doctors live in a bubble surrounded by fawning assistants, nurses and administrators. It gives them an inflated view of themselves and a warped view of most everyone else. Their way-above-ordinary income affords them a gated, upscale lifestyle that further isolates them. It is not a healthy arrangement.

The main skill a physician needs is the ability to memorize. That may require a fair amount of intelligence but it can be a very narrow kind of intelligence that can be woefully deficient in broader areas such as communication. You have documented several examples of the problems that arise from that.

--Ron

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I had a poor view of doctor's after my stroke. They all seemed so busy, and in the hospital they were writing notes and not listing to me.  My daughter got they attention by  speaking in they language she is studying   to be a researcher. .  Not all doctors are like that it just I got three  neurologists who see them selves  as Gods!   I have been told to go see one, but the one my family doctor said go see, is the one my daughter told off lol.  

 

My family doctor did say that when she got sick and rushed into hospital, it was an eye opener for her!

 

Yvonne

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Whew the nerve charging for any extras but then to send you to #8 REALLY!

Oliver Sacks wrote a fantismo book called "A Leg To Stand On"  and I love him anyway for all his books and my son met him at UCLA which is his alma mater, both my son's and his, anyway it was about his time in the hospital after falling and breaking a leg. I love this story because it is so real about how we become "patients" as an identity and how the system works to support this. I love his observations anyway and all of his books reveal an insight into not only how the brain works but how we are human. He is an example of a doctor interested in the whole person and their dignity as well as the illness or injury that they live with/suffer from. His books offer stories of his own childhood up bringing and that his parents were doctors and he used to blow up stuff with his basement chemistry lab, really amusing stories about how he became the curious neurologist.   I read one of his books that was a diary of when he went on a trip to see ferns because he is in some fern club thing and he took notes on the bus and at the hotel as he was people watching and  he drew the ferns he saw. I enjoyed the book because it was like being on the trip with him and I never noticed or thought about ferns much and that was interesting far more than I expected. I wish I had some ferns right now as we speak. In fact that was a todo list thing that has been on my list since I read the book way back when and I hadn't thought about it since right now. So yes there are some interesting and interested doctors out there but they may all be writing books or something because I imagine it is really difficult for the good hearted ones to deal with this new HMO world.

 

Well we know that we all get a turn being sick but not everyone learns the lessons we hope they do from the experience. Not all experiences of bad things make people empathetic sometimes they get mean. I respect the hard work that doctors put into their training but I never respect the title alone. The person matters and that is what they bring into the room. There is a saying "No one cares how much you know until they know how much you care."

AJ you are such a sweet person I can imagine the dr and nurse that wanted to help you out and isn't it so nice when kindness happens it just is healing in itself.

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