Monday, October 3, 2011

Doctors, listen to your patients -

"There are clearly two very different ways of being a 21st-century physician in nations with advanced health care: In the first way, call it the old way, the patient's story (the history) is critically listened to and examined, because the diagnosis often lurks in that simple step. After that, the physical exam begins: here the actual body becomes the text, a text that is changing and must be frequently re-examined and read by the time-honored methods of inspection, palpation, percussion and auscultation (listening with a stethoscope).
"The other way of being a physician tends to pay less attention to the living patient — indeed, the patient can almost seem like a distraction, because it is the "iPatient", (the term I coined for the virtual construct of the patient in the computer) that is being treated and examined."
* * *
This is the problem with CFS/fibro -- instead of listening to the patient, the doctor becomes blinded by "all tests are normal".  He doesn't consider that maybe he hasn't yet done the right tests.  The tests are normal, therefore the patient must be lying.
After being called a liar by multiple doctors, it's no wonder we patients give up on the medical profession and go home to do our own voodoo with alternative practitioners (who listen) or stuff from the health food store.

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