Recently, there was an intense discussion on a friend’s Facebook page about medical expectations. Providers and patients weighed in with both sides expressed very strong feelings and within their respective groups, voicing significant differences.
On the flip side I
hear from patients who are frustrated that their provider isn’t listening to
them, doesn’t seem to respect their opinion about their situation, rushes them
through visits, and maybe worst of all, they have difficulty reaching them,
even if it’s an emergency. Some are dealing with medical bills and debt brought
about by tests and treatments that they view as unnecessary. Others just do
without medications, supplies and recommended office visits simply because they
can’t afford it.
Add to this, the
media touts a new treatment and at the same time, talks about the recent
medical research that no longer supports current medical practices. Television spots, as well as full page ads in print media, constantly alert the public to their right to legal action if they had side effects from a particular drug or had a surgical procedure. Rounding it out is the deluge of information available to patient and provider alike thanks to the Internet.
When doctors have one of the highest suicide rates in
the country and patients are frustrated by their provider, something is very
wrong. Where to begin?
We’re spiraling out of control on both sides of the
aisle and we need to start finding ways to stop, get a better handle on the
situation and ultimately steer a new course in health care. One way to start is by identifying some basic
assumptions that providers and patients can agree to. Below is a list to
consider:
• We’re all mortal. Death is not a failure. It is
part of the life process.
• There is no “cure” for life. Rather the focus
is healing and living a life of well-being.
• How to heal is up to the patient. Providers can
be extremely knowledgeable, helpful and supportive in the process but it is the
individual, or their designee’s, responsibly to make the choices. Providers
must recognize that the patient has to live with the decision they make, which
is why it’s their choice in the first place. Patients need to understand that
the provider is advocating for what they truly believe is in your best interest.
They want you to be healthy.
• Providers spend many years in school and
continuing education learning to assist someone in healing. They appreciate it
when patients recognized this. Patients have lived a life time in their body.
Consequently, sometimes they do have a better idea of what will work for them
and sometimes they don’t. Frustrating isn’t it?
• Healing involves the mind, body and spirit.
• There isn’t a pill, effective treatment or
quick fix for everything. It is unrealistic to expect that. Often the best
“medicine” can be found in how we eat, exercise, manage our stress and live our
daily lives.
• Depending on finances, side effects and other factors,
choices around treatments, tests etc. need to be carefully considered. Not
every treatment/test works for every patient and every patient can’t afford
every treatment/test.
• We are responsible for the consequences of our
actions and need to take responsibility accordingly.
• Even if we all made the right choices (exercise,
organic fruits & vegetables, don’t do drugs, etc.) stuff happens and
medical care is needed.
• Health insurance does not equal good health.
• Providers are people who cannot and should not
be expected to act in that capacity 24/7/365 (24 hours a day, 7 days a week,
365 days a year). They need vacations, their privacy, time to enjoy family and
friends, and to recognize that seeing too much pain and suffering and not
enough joy is unhealthy. They also need to be paid for their time and
expertise.
• Everyone makes mistakes including patients and
providers. No one gets it right all the time. That said, both groups can help
reduce mistakes by being honest, listening, and adhering to accepted standards
of care.
• Medications, treatments and even tests can and
do have side effects.
• Medicine is an art form. Instead of being shocked
that medical research can not be replicated and that many of the treatments
recommended today will be found to be useless or even worse weeks, months or
years from now, choices and decisions for care need to be based on experience, the
understanding of our body and on the most reliable research possible.
• The more litigious are society, the higher the
cost of care and the more providers are pushed into “defensive medicine.”
• It’s a provider patient relationship, with an
emphasis on relationship. Sometimes it works and sometimes it’s not a good
match. Both parties have the responsibility to recognize that it doesn’t work
and make changes. If it’s not possible to change providers, use third parties,
such as an advocate, to help where possible.
• No one has all the answers. Patients and
providers don’t always listen to one another. Providers don’t know everything
and no one wants to think this is the way things are.
• Patents and
providers both deserve to be treated with respect and honesty, recognizing that
neither is the enemy.
So what would you
add or change to this list?
There are providers
who are trying to work on this. One is Lissa Rankin, MD. You might find her 12Ways You Can Help Heal Health Care to be of interest.
Further Reading
What is your expectation when you visit a physician? By Paul Dorio MD
This is Why DoctorsPractice Cover Your Ass Medicine by Shirie Leng MD
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