Thursday, 04 September 2008

  • Does Your Doctor Listen to You?

    Nurse Jenna by Nurse Jenna

    I’m sure many of you may wonder what happens when the doctor and nurse leave your room and the door closes. Are we conspiring to keep you waiting for your epidural? Or perhaps figuring out a way to force Pitocin upon you against your will? Certainly we are looking for the largest needle possible to start your IV, right? I know this is how it often seems. I too have been a patient and mumbled to myself, “These labs can’t possibly be taking this long to come back,” or “What are they doing back there in that pharmacy?!” And of course when you ask these things out loud, you get some canned response in an overly placating voice where somehow you become the child and “they” (we) become the adult. It is insulting and infuriating.

    While this is how it may feel, I’d like to tell you about what does actually happen behind those closed doors. The doctors and nurses DO sit in a room and talk about you, only it is to try and figure out if you are getting the best possible care.  We meet every morning to discuss how the patients are doing. We do not do things willy-nilly. Care is not determined by what one particular doctor feels like doing; it is determined by evidenced-based medicine. This means there is proven rationale for the way things are done, not someone’s whim, or because of old wives’ tales, or what seems like a good idea at the time.

    However, as a doctor this morning pointed out, evidence-based medicine is generated on patient populations, not on individual patients. What works overall, does not necessarily work for a given person. He rightly said, “We cannot forget the art of medicine in our attempts to use science to guide our care.” Very wise, I thought.

    Do you think your medical care has been individualized to your needs and what will work for you, or do you think you have been a victim of the system and your concerns have gone unheard? What have been your experiences?

Comments (22)

  • averyswife@xanga

    I had a pretty negative experience with the birth of my daughter, so I'm a bit biased.  I just saw a whole lot of "CYA behavior" from the doctors and it ended up making me deliver early, let them keep my daughter in NICU longer than necessary, and it cost us a small fortune.  I know doctors are scared of lawsuits, but please don't think everyone is going to jump on you all the time!  Next time I'll be better prepared to put my foot down when necessary.

  • XbabyK@xanga

    I generally have good experiences with my doctors and nurses cooperating with me and my wishes while still providing excellent care.  I don't settle for a care provider who doesn't seem to be paying attention to what I'm saying.  If I don't get the right vibe from a doctor or nurse, I get another one until I feel comfortable.  I think this is a problem that a lot of people have and end up having negative experiences.  It's hard for your care provider to personalize your treatment if you don't speak up about you.

    I also wanted to add that I don't have unrealistic expectations about things.  Giving birth, for example, I went into it knowing that there were concerns about my baby being large and about the possibilities that could arise.  Fortunately I was able to deliver vaginally, but if I had ended up having a c-section, I wouldn't have been surprised and I wouldn't have held it against my midwife.

  • mamabutterfly

    I have an excellent family doctor, who I go to for everything, as do my children. My doctor delivered both of my babies, and I am so thankful for her. We are also blessed with an awesome local hospital, and a womens & babies hospital. The only time I've been in the hospital was to have my babies and I had great experiences both times. I like having the personal relationship with my family doctor - she knows me and every member of my family quite well. I know that she "hears me" when I voice concerns and because she is familiar with me and my lifestyle I feel like I get very personalized care.

  • WonderGirlExtraordinaire@xanga

    I hate my doctor...in fact being in my very early 20's and a college student, I think doctors really don't listen to my concerns or think I know anything about my health.

    My doctor always assumes I'm out partying and thats why I come in with Strep Throat often when in reality I get Strep so much because she (my doc) refused to remove my tonsils after 4 cases of strep in 9 months and a developed allergic reaction to Penicillin.

    Every time I come in for a refill on my birth control she wants to go through the process as if I've never taken it or like I'm some prostitute who needs to be lectured on the practices of safe sex. I got to the point where I was so frustrated trying to take care of myself that I dropped my doctor and go to the clinic now. At least there, I know the crappy care is due to high volumes of people, not ignorance or bias from a holier-than-thou doctor.

  • took_it_for_granted@xanga

    what happens when i go see my doctor is.. i get put in a room, the nurse asks me questions.. she leaves.. i wait for about 20 mins.. the doctor comes in and sees me for about 1 min. the doctor doesn't care about what im saying and if i tell her i disagree with her, she doesn't care.. its really annoying and i can't stand putting up with the people.

  • took_it_for_granted@xanga

    @WonderGirlExtraordinaire@xanga - they won't let me have my tonsils removed either.. its ridiculous.

  • WonderGirlExtraordinaire@xanga

    @took_it_for_granted@xanga - here they won't do it unless you get like 6 cases of strep in a year or you stop responding to antibiotics. I thought my random allergic reaction would have been enough of an issue to do something about but instead of just cutting the things outta me, they give me 'alternative' antibiotics that are the size of horse pills. Tell me, who can swallow anything let alone a freaking horse pill when your tonsils are the size of walnuts?

  • Luchando_x_seguir_en_su_gloria@xanga

    Well when I HAD a doctor, she was awesome... now I don't have health insurance. So there isn't a doctor to listen to me.

  • filtered_sunlight
    I am very quick to switch doctors if I do not feel like they're listening to my concerns or are dismissing my concerns due to my age. Perhaps that's why I hate hospitals so much; it's been my experience that it takes an act of congress to get a disgruntled nurse replaced and nearly impossible to get a staff doctor replaced. I've also learned that some hospitals in our general area are better for certain things than others and some should be avoided like the plague.

    There's an ER in the down town hospital where their morning meetings should include a reminder that their "walls" are all just cloth curtains and when the patients are lying straped to a backboard for hours (unable to get up and use the bathroom) whilst being pumped full of IV fluids (fluids which = having to pee), the last thing we want to hear on the otherside of that hideous print fabric is, "Do have her X-rays back yet?" ... "Oh! Shoot! I forgot! I was supposed to call them back when Dr. So-and-so came back from lunch at [an hour and a half ago]." Mean while, they've been chattering about their personal lives with each other to the extent that I could tell you that one of the nurses no longer spoke to his family because his sister-in-law was offended by his homosexuality and that the older, female nurse had just lost her beloved poodle two weeks before. No, possible spinal injuries do not equal deafness. Interesting the things that they don't teach in med school...  The final straw was when they sent the male nurse to tell me that another nurse would be by to remove my IV and then another person would be by with my discharge papers. 'No, thanks...I can remove my own IV...please just send the person with paperwork...or, better yet, mail it to me! Peace! Oh, and I'd really stop worrying about what some uptight conservative from Baltimore has to say about you and just enjoy your life, man!' --  I really don't care if my arm is dangling by a single vein...DO NOT take me there ever again, I would rather bleed to death...in which case? Please don't even take my body there!
  • wewong@xanga

    my mom's also a nurse so i seldom visit the hospital.  now my dentist, that's a different story.

  • ElizabethDNB@xanga

    I have an awesome Dr. and a great pediatrician.  The nurses are totally great too, which is the even more important thing, because that is who you see the most.


    Our Pediatrician has 4 kids himself and has a very "mom knows best attitude".  My dr. is a woman a few years younger than I am and very in tune with me.


    They are both a blessing.

  • orchestra3241@xanga

    i can't afford health ins yet, so i haven't been to a PCP in a while...(over a year), but i've gone to the ER and the rapid response here in town, and the er you sit in the waiting room FOREVER (even if you're bleeding) and then after about 5 hours you go to the back, and sit in another room for a few hours, someone comes to see you, ask a few questions, get vitals, etc, and then in about an hour and a half the dr comes in for a few min, and about half an hour later, the nurse comes in, cleans you up, you get a work excuse, and then you go home after about another hour and a half.  the rapid response was about an hour and 15 min in the waiting room (i brought a book...:P), about 20 min waiting for nurse to come back, 20 min waiting for strep culture to be taken, 20 min waiting for results and then discharged. :)  much shorter time, and cheaper too!  (only $97 instead of a couple hundred!)

  • MiSS__InSomnia@xanga

    At the moment, i feel like dr's are deciding things for me that I dont want them to be deciding. Its ok to get an oppinion from a dr, but sometimes it seems like if you dont go along with that they suggest, that they wont help you at all.

  • wolfpack

    I must say that healthcare is a tough profession. Patients expect you to know everything like you are God, and yet if you tell them what is best for them they they tend to treat you like garbage. It is definately a tightrope walk! My husband is a resident at the state hospital. The hospital covers from Baton Rouge to Little Rock and from Jackson to nearly Dallas. The ER has nearly a 24 hr waiting time (honestly people DON'T go to the ER for something you can go to a clinic or quick care for! SERIOUSLY!) Many of the patients that they see don't do what they tell them to. (ie that they can't treat certain issues unless others are dealt with first, not filling prescriptions and then coming back and complaining of the same issues, etc) and then chew them out. It is hard to deal with. But, he enjoys it none the less. He loves being able to help people and researching what might work better for them. He is in Family Practice.

    My docs are awesome. They listen to me and take into account what I think. I don't have insurance as we can't afford it yet. Being a first year resident we are above the medicaid line and yet still make too little to afford insurance for me. So I am on a sliding pay scale. I tend to see residents and med students. It takes longer sometimes, but I enjoy helping them in their training. My ob is awesome! He is at a different hospital, but I enjoy him too much to switch. He, too, listens to his patients.

    As for the tonsils, many docs now a days don't like taking out tonsils. It isn't a routine surgery now. They have found that they are much better for your immune system if you can keep them in. They work their way up the antibiotic scale to make sure that you are getting the right doses as well as not using too high of an antibiotic so that the infections don't become resistant to the higher powered ones. If you want a smaller pill, ask for the brand name antibiotics, they are more likely to be smaller than the generic ones. Or you can always ask for the liquid versions of the antibiotics. And the whole b/c spiel and questions. Many docs are required to ask those questions and make those speeches by their insurance companies, especially in younger patients (ie 13-25). I am a monogamous, married woman, and I still get the sex/relationship questions and the "remember the safe sex practices" speeches. It is part of proper health care. STD's are just too rampant today. If your clinic isn't talking to you about that, I would be concerned!

  • eclectic_eccentric@xanga

    I have vowed never to go to a doctor again unless I'm bleeding. Or, If I get this elusive magical thing called "health Insurance" which will enable me to actually choose a doctor based on treatment.
    I visited both an emergency room and a few days later a GP for heart palpitations. In addition to this very troubling symptom (which both my husband and my sis-in law felt, it was not just in my head), I had literally every possible symptom of thyroid disease including an extensive family history of it. (Palpitations are also a symptom) Unfortunately, my heart symptoms were intermittent. Both the ER doc (who spoke to me for less that one minute of the 4 hours I was there) and the GP (Who spoke to me for less than 10 minutes total in two visits) told me there was nothing at all wrong with me and that my hormone levels are "within normal range." The GP then had the gall to prescribe me an "anti-anxiety" pill. (read, "extremely powerful anti-depressant".) The only anxiety I had is to try to restrain myself from beating him with his clipboard! Now I have a $2500 bill and occasional heart palpitations.

    I will say, though, the only consolation was the very kind and helpful nurses in both instances.

  • mynewlife1126@xanga

    @WonderGirlExtraordinaire@xanga - I have found now that it takes 7 times in a year to get your tonsils out.  I have just been through this same exact thing! Stinks, doesn't it?!?!?!  My doctor never listens to me either as I develop strep often and am not out partying either.  I have an allergic reaction to pencillin as well. haha we sound like we're in the same boat!!!

  • attercop@xanga

    I love my family doctor. She always schedules LOTS of time for appts because she wants to talk with her patients/patients' parents.  I have been seeing her since I was a baby and she is so funny and wonderful.

    I find that it really helps to KNOW your doctor really well so you will be able to bring up concerns with him or her without feeling stupid about it.  I trust my doctor and feel as though I could talk to her about anything.

    Recently, I had been gaining weight for no real reason and feeling really tired and really cold all the time.  I told her my concerns and I said I felt that my thyroid wasn't working right, that it was just off somehow.  Instead of telling me that it was rare to have an underactive thyroid, she asked me more questions and realized that that was probably the best diagnosis. 

    She sent me out for bloodwork and it turned out I did have that.

    At my school--the university health service would have just called me ridiculous, or accused me of being pregnant. 

  • MEluvCH@xanga

    I feel my doctors don't listen to me the majority of the time.  I had so many cases of strep throat/tonsillitis that it got to the point that I became immune to amoxicillin.  As soon at the script ran out, the strep/ tonsillitis came back.  They prescribed something stronger, and I was finally able to kick it.  In the almost 10 years since then, each time I go, they prescribe amoxicillin, to which I explain that I'm pretty much immune to it, but they prescribe it anyway.  Then about two weeks later when the script runs out, they have to call in for something stronger for me to take.


    There is one doctor at the group practice I go to that I vehemently refuse to see.  She irritated me to the point of tears the last time I saw her because her simple solution was to shove unnecessary medication at me and I refused to take it.  She yelled at me, threw the door open, and walked out of the room.  I will never go to her again.

  • TakingxOverxMe@xanga

    I can't really say how I feel about this.  I don't go to the doctor that often and I've never had health issues.

  • Botolf@xanga

    I just recently called my Doctors office with the intent of asking a question and giving them time to get back to me with an answer.  The phone was answered by a damn computer.  I was assured that when I first decided to go to this doctor, she would limit the number of her patients and we could always get through in case of emergency.  Now I find she doesn't even read my file before or during my visits and Hippa code is constantly violated by the receptionist who yell out across the waiting room the reasons for my visit.  The sad part is it is the same no matter where you go.  The medical industry has lost its good name nation wide.  If you are the exception to this rule, God bless you but your comtemporaries are not doing you any favors.

  • WonderGirlExtraordinaire@xanga

    @mynewlife1126@xanga - Isn't it just frustrating when your trying to be an adult and take responsibility for your health but your doctor treats you like a prepubecent 12 year old still. I bet if we went with our mommies the doctor would direct everything at them and ignore us...

  • venomxcupcake@xanga

    My doctors never listen to me. They told me I was pregnant twice even though I'd told them I was a virgin. They then got me an ultrasound and discovered I wasn't pregnant and I had ovarian cysts. I told them I thought it was cysts the first time round. But obviously they'd decided I was an irresponsible teenage slut who'd gone and got herself pregnant... *sigh*

  • Choose Identity

  • Give eProps (?)

  • New! You can now edit your comments for 15 minutes after submitting.