Posted by: menotmd | October 9, 2009

What’s up with doc’s deciding what I am comfortable with?

So The Partnership for Healthcare Excellence sponsored a talk on Sept 24th, 2009 at the Mount Auburn Hospital in Cambridge, MA and one of the points brought up was this:

“#hctr dr.miller – shift among dr/ paradigm shift/will involve patient to the level that *he* thinks they are comfortable. 8:03 PM Sep 24th from TweetDeck”

Okay, so the tweet isn’t as clear (i gotta get better at tweeting)– what I walked away with, is the doctor will engage the patient to the level the doctor thinks the patient is comfortable.

Now, I don’t know about you — but I have a huge problem with this statement — especially, when the doctor followed the comment with his experience with a particular ethnic community. An informed patient has a hard enough time negotiating a doc-patient relationship, I can’t even begin to imagine when a patient isn’t informed. I know it’s hard for me to be engaged, especially when I get shut down because docs make their own decisions about what I should or shouldn’t know. I know lots of people who walk out of doctor’s office having NOT asked the questions they needed answered because their doctor’s gives them attitude or doc feels we won’t understand. As far as I am concerned, a doc should stop talking when I tell him/her to stop talking or when I need a question answered. And, let’s talk about this whole question thing. The panelists also stated that a smart patient ask questions. So, my mom and dad don’t ask questions — does that mean that they ain’t smart? or perhaps folks ASSUME that they ain’t comfortable with the information and therefore, DO NOT inform them. And if no one is talking to you, then everything must be okay — so why ask questions? (Just think STDS: when you get an STD exam, the doc’s office will tell you if anything is wrong they will call you)

So finish this analogy for me: questions:smart::no questions: ___________


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