BRLA
Joined: 08 Nov 2003
Posts: 22
Posted: Sat Dec 20, 2003 3:55 am Post subject: HEED TO NEPHROLOGISTS AND DIALYSIS TEAM MEMBERS
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The following says it all! Patients, their families, their advocates are NO DUMMIES! Treat us with respect and you will reap the same! When we ask questions, answer them truthfully -- in language we understand. And, if you do not know the answer, say so. (We know you, too, are human and know not everything.) Simply, treat us as you would wish to be treated if you were the patient. NEVER UNDERESTIMATE A PATIENT, THE FAMILY, THE ADVOCATE!!!!!! <
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>Medical Economics? Archive<
>Dec. 19, 2003 <
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>LAST WORD<
>Never underestimate a patient <
>By Terry J. True, MD <
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>For one week, I had dreaded this day. I was told that Mr. W had made an appointment for a complete physical exam. <
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>Six weeks earlier, I'd met Mr. W when he
ought his wife to my clinic for her initial visit. The W's were in their 70s, and he still worked full time. Mrs. W had significant stasis dermatitis on both lower legs and arrived wearing Unna boots. The sores were weeping through the boots. She was quiet and pleasant. He was loud, obnoxious, and demanding. Mr. W answered every question I posed to Mrs. W before she could speak. I wondered if she was mute?but I knew the answer. <
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>They were a study in contrast. Mrs. W was neatly attired, clean, and soft-spoken. Mr. W wore old, dirty overalls and his hands were stained with a week's worth of grease. She wore cologne while he wore the fragrance of the day's work. <
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>Mr. W proclaimed loudly that he had a lot of questions he wanted answered. I responded softly, hoping my quietness would evoke a similar response. He didn't get it. <
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>I changed Mrs. W's antibiotics and removed the soiled Unna boots. I instructed them on her care and made a one-week follow-up appointment. <
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>She improved significantly over the next four weeks, but each visit was a replay of the first. Until last week?that's when he announced that he wanted me to be his new doctor. I feigned satisfaction with his choice. I dreaded his visit. <
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>Today is the day. <
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>The nurse told me he was ready. With a deep
eath, I walked into the room to discover a clean, well-groomed, soft-spoken Mr. W. I quickly took control of the conversation, knowing that he was bound to erupt at any moment. But no?he succinctly answered each question and was delightful in his demeanor. I examined his well-scrubbed body and found every wrinkle to be spotless. <
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>At the end of the exam he said, "Dr. True, the wife and I love you. You don't treat us like we're too dumb to understand. You talk to us like real people." With that, he jumped off the examining table and em
aced me in a bear hug. I was speechless. <
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>This taught me a lesson. Too often, I'd rather lecture than teach. Teaching takes time, effort, and investment. Lecturing is clean, cold, and factual. But today, Mr. W reminded me of why I became a doctor: my desire to teach people how to help themselves. Not to judge, not to reprimand, but to teach. <
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>As I thought about that visit, I realized that whenever Mr. W was unkempt, it was because he had left work to
ing Mrs. W to the clinic. When he was loud and demanding, he was trying to get information about his wife's condition and how to properly care for her. The day before her specialist's appointment, he drove to the hospital to find the office so that she wouldn't have to walk farther than necessary when they went together the next day. His entire being revolved around Mrs. W's well-being. <
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>Mr. W taught me something, although he probably wasn't aware of it. Or maybe he was; he just didn't think I was too dumb to understand. <
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>I look forward to his two-month follow-up. <
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>The author is a family physician in Pelham, AL. <
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>Terry True. Last Word: Never underestimate a patient. Medical Economics Dec. 19, 2003;80:92. <
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observation
Joined: 23 Jan 2003
Posts: 5
Posted: Sat Dec 20, 2003 11:58 pm Post subject: Doctors
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Its amazing that doctors are smart enough to make it all the way through medical school and then suddenly become too dumb to know how to treat patients.
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SHIRTS
Joined: 13 Jan 2003
Posts: 39
Posted: Sun Dec 21, 2003 10:01 am Post subject: HEED TO DR'S
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DRS NEVER "TREAT" PTS<
>THEY JUST BILL US<
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>STAY WELL
