i always make a written list of what i want to talk about so i do not forget. i do not know if my doc likes it or not, but, i am paying him so i do not worry about if he likes it or not. i'd guess he accually likes it, but i have not ask him about that.
--- On Tue, 9/2/08, [log in to unmask] <[log in to unmask]> wrote:
> From: [log in to unmask] <[log in to unmask]>
> Subject: Re: managed care
> To: [log in to unmask]
> Date: Tuesday, September 2, 2008, 1:38 PM
> MK,
>
> I agree with you in essence but please remember that
> communication efforts
> should be universal, not just those who have difficulty
> speaking.
> Communication is a two-way street and patients need to tell
> their doctors
> to stop and listen. I do and my doctor appreciates it.
> It's not just the
> speech-impaired who have problems, it's also those who
> are nervous, those
> who are elderly, those who don't want to "waste
> the doctor's time," etc.,
> etc. I think everyone needs to come in with a list of
> questions at the
> very least.
>
> My sister helps train local medical students the importance
> of listening to
> their patients, and I understand more medical schools and
> teaching
> hospitals are training their interns and residents the art
> of
> communication. So all is not lost! And if you're
> wondeirng, my sister is a
> teaching professor at a local university.
>
>
> Kat
>
> Original Message:
> -----------------
> From: Mary Powers [log in to unmask]
> Date: Tue, 2 Sep 2008 13:08:03 -0400
> To: [log in to unmask]
> Subject: Re: managed care
>
>
> Hello,
>
> I actually agree with you about all of the other sources of
> blame. I
> know insurance companies are very powerful as well. It is
> hard for
> doctors to fight this.
>
> I do think though, that b/c doctors have stopped listening,
> that that
> has particularly bad effects on anyone who cannot speak
> quickly,
> clearly, or comprehensibly. and that includes a lot of
> people with
> disabilities but it also includes most of us with mental
> illness,
> severe.
>
> I am much better/in remission but the problem for me was
> lack of
> insight. that plus speech problems related to CP meant I
> would go into
> doctors' offices and sit in frozen silence or talk in a
> way that was
> very difficult to understand.
>
> through a combination of talk therapy, medication, a couple
> of
> hospitalizations, and a lot of work on my own on
> communicating, I have
> insight and much improved speech capacity.
>
>
> one thing that might help is training people how to talk to
> doctors.
> this is something I am working on.
>
> library science has a concept called 'health
> literacy' and it involves
> the concept that when doctors provide information, patients
> need to be
> able to understand it.
>
> but then there is also talking to the doctor, and that is a
> skill.
> what do I say and how many issues do I bring up and etc? I
> have
> learned to write things out in advance and try to list a
> couple of
> issues and prioritize.
>
> I can't do anything about all of the abuses and etc.
> that go on but I
> think teaching doctors and patients to talk more
> effectively,
> developing principles and sharing them *in a way that does
> not blame
> either patients or doctors* would really help.
>
> as for the rest of it, I hope for reform. the doctors I am
> working
> with say that there are a lot of people working on this in
> different
> ways.
>
> take care,
>
> Mary Katherine
>
>
> -----Original Message-----
> From: [log in to unmask] <[log in to unmask]>
> To: [log in to unmask]
> Sent: Tue, 2 Sep 2008 12:57 pm
> Subject: Re: managed care (was Re: Pajamas Media >
> Sarah Palin's Baby
> and the Rights of the Disabled ?)
>
>
> You can blame several sources for this:
>
> 1) An insurance paradigm that emphasizes costs over
> benefits
> 2) A government that shifts funds away from health care
> towards other
> needs
> such as war
> 3) A government that isn't willing to increase taxes so
> we can take
> care of
> our own
> 4) Doctors who have less time to listen to their patients
> and are
> encouraged by lower reimbursement rates to maximise their
> patient loads
> at
> the cost of attentiveness to their patients
> and 5) Businesses who can't afford to provide adequate
> coverage in their
> medical plans to their employees and families
>
> The shift to not listening is everywhere, not just with the
> disabled.
>
> Kat
>
> Original Message:
>
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