Thought-provoking CNN article - "obnoxious patients"

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Sarita
Veteran Member


Date Joined Mar 2005
Total Posts : 2486
   Posted 1/25/2008 6:43 AM (GMT -7)   
This is very interesting, especially if you go into it acknowledging how defensive you feel! Uh...anyone know how to hyperlink this?

http://www.cnn.com/2008/HEALTH/01/23/ep.obnoxious/index.html

 

I linked it, Kitt :)

Post Edited By Moderator (stkitt) : 1/25/2008 11:37:02 AM (GMT-7)


lady1012
Regular Member


Date Joined Nov 2006
Total Posts : 304
   Posted 1/25/2008 7:34 AM (GMT -7)   
that was a very good article.........lots of insite of how to go to the doctors thank you
I'm cute. Let's put me in charge.(happy bunny)
 
 
 anemia, b12 deficiancy, and malobsorption, moderate joint pain,severe weight loss, gastritis
 omega 3, digestive enzyme, calcium, vit d, flax oil, aloe vera juice, 9mg of entecort
 diagnosed with a CT scan september of 2007.


onebloodonelife
Veteran Member


Date Joined Feb 2006
Total Posts : 842
   Posted 1/25/2008 11:21 AM (GMT -7)   
Pretty interesting article. I think the most important thing is that you go into a discussion with your doctor with respect, and it's all about how you present the information you've found.
Crohn's Disease for a year and counting
Imuran: 150mg
Humira:finally got approval on 9/21, done with loading doses, starting biweekly schedule on 10/10
Dicyclomine and hyoscamine for intestinal cramping and spasms
www.myspace.com/onebloodonelife
http://studentwebs.winona.edu/catraun4902 <--This link will be changing, but for now it works!


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 1/25/2008 11:41 AM (GMT -7)   

Great article and I love the lady with the index cards as it never fails on the drive home you will remember.........oops I forgot to ask________? Thanks Sarita.


 
Kitt, Co-Moderator: Anxiety ~ Panic  ~ Crohn's
*~* http://www.healingwell.com/donate *~*
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
 


Illini
Regular Member


Date Joined Dec 2007
Total Posts : 298
   Posted 1/25/2008 11:59 AM (GMT -7)   
Thanks for posting that article, it brings up some points I'll have to remember, especially asking for more time, I wish I had done that before my last appointment. I know I'm guilty of over-investigating my own health problems, I suppose that happens when the doctors can't figure you out right away. I am also guilty of bringing stuff with me, though it's articles from medical journals.
 
I actually had an emergency room doctor give me an internet printout from eMedicine, so the tables do turn occasionally.

FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 1/25/2008 12:06 PM (GMT -7)   
I try to play dumb sometimes w/ my doctor so he doesn't think I am stepping on his shoes too much. Even if I know I am going to do something a certain way I will phrase it as a question. So for example instead of saying "my joint pain is from my crohns"... I will say "I have been having joint pain lately, isn't that another side effect of crohns?" That way he still gets to be the expert but he knows I know my stuff.

I always feel I take too much time when I am there but my doctor is always kind about it and says not to worry. Maybe if I have a lot of questions I will ask ahead for a longer appt. Good suggestion.

I however, disagree when they say they hate patients wanting to do things over the phone. My GI says he doesn't have Xray vision into my stomach. I can tell him how I am doing over the phone and he can make adjustments just as easily if I tell him in person. But if he thinks I need blood pressure or blood work checked he has me come in. I agree that there are some things that must be done in person but many can be done over the phone.
26 Year old married female.  Diagnosed w/ CD 3 years ago, IBS for over 10 years before that, which was probably the CD.  Currently on Pentasa 4 pills/4x day, hysociamine prn, nexium, and ortho evra.  Good times!!!
 
 


onebloodonelife
Veteran Member


Date Joined Feb 2006
Total Posts : 842
   Posted 1/25/2008 2:38 PM (GMT -7)   
FitzyK23 said...

I however, disagree when they say they hate patients wanting to do things over the phone. My GI says he doesn't have Xray vision into my stomach. I can tell him how I am doing over the phone and he can make adjustments just as easily if I tell him in person. But if he thinks I need blood pressure or blood work checked he has me come in. I agree that there are some things that must be done in person but many can be done over the phone.


I think in our specific cases (as people with Crohn's), this rule doesn't apply as much. Obviously, our GIs don't want to do a CT scan or colonoscopy every time something feels off, so adjusting over the phone becomes an option. My GI has done it many times with me. To me, it pertains more to other, more easily tested diseases or ailments.
Crohn's Disease for a year and counting
Imuran: 150mg
Humira:finally got approval on 9/21, done with loading doses, starting biweekly schedule on 10/10
Dicyclomine and hyoscamine for intestinal cramping and spasms
www.myspace.com/onebloodonelife
http://studentwebs.winona.edu/catraun4902 <--This link will be changing, but for now it works!


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 1/25/2008 2:43 PM (GMT -7)   

HI, My take on the phone call dx was patients that call and expect an antibiotic to be ordered over the phone as they have a really bad sore throat. Years ago physicians used to do this if they knew you and 90 % of the time you had a viral infection but it was easier to keep you happy and not make you come to the clinic.  After all you had a hx of nasty sore throats but strep tests were not done then. You got your antibiotic, you got better as you probably would have anyhow and everyone was happy, until the superinfections hit. 

You are an established Crohn's patient and you and your GI physician are working together, that is different from the cold calls ER physicians receive wanting  a med prescribed over the phone because their MD is not available at 11:00PM at night.

Just my 2 cents for what it is worth............  :)


 
Kitt, Co-Moderator: Anxiety ~ Panic  ~ Crohn's
*~* http://www.healingwell.com/donate *~*
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
 


gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4101
   Posted 1/25/2008 3:51 PM (GMT -7)   
It was a good article, but my only criticism is that it seems like patients have to work sooo hard to be heard, and put things just the right way...not step on toes, not second guess the doc, etc. With my last bout of illness, I called my doc when I first got very sick and he told me to go to the ER. When I asked for other options, he told me he "can't tell me what to do if I won't go." I took that to mean he was blowing me off, and went downstate searching for another doc. When I came back, we ended out having a 45 minute visit and talked everything out. He really thought I belonged in the ER...he wanted me to have IV's for dehydration, and immediate blood work etc. I didn't understand, and I think if he would have taken a few more minutes on the phone explaining his thoughts I would have listened to him, and I wouldn't have had to get so deathly ill. On the positive side, we had the best conversation at that prolonged visit, and I feel like we really understand each other. At the end he said, "You are new to Crohn's and I am new to getting to know and understand you. Together we'll figure this out." Since then he has been very responsive and understanding...I'm so glad I didn't switch doctors based on one miscommunication!
49 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007
currently taking Pentasa 2750 mg- 9pills/day and on and off Prednisone for flares


EricaM
Regular Member


Date Joined Jan 2007
Total Posts : 184
   Posted 1/25/2008 5:20 PM (GMT -7)   
oh my god....I think they're describing me! Just kidding-although I do have a good relationship with my doctor and we work together on non-for-profit events so we do email each other a lot and our business emails tend to turn into silly banters back and fourth. I am tempted to email him and ask him if another bullet point shoul be added for patients like me!

sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 1/25/2008 5:43 PM (GMT -7)   
Hmm..
It's funny I treat my rhuemy with a lot of respect. She is the expert and I trust her totally.
On the other hand I believe any twelve year old with a prescription pad can treat a sinus infection so I don't treat my primary quite as well and often bypass her entirely and go to the minute clinic across the street. I think I must be an obnoxious patient in the mind of my primary.
Sj

Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 1/25/2008 7:48 PM (GMT -7)   
Good Article
I am one that is lucky to have a great doc that I can call and talk to on the phone or just talk about anything with at appoinments
he is definitely one with much empathy and understanding

I dont think I am an obnoxious patient BUT I do not take Docs for God's as some of them think .......
I will ask questions and want answers ..........arent we all allowed to do that .I think so In all honesty

Thanks for posting the article and thanks Kitt for making it a link

Big sis
LYN
Contribute Today ..Click On         
Moderator,Anxiety/Panic, Alzheimers,Co Mod for Crohns                     
 


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 1/25/2008 9:33 PM (GMT -7)   

Hmmmm. So lets stick to a chronic disease such as Crohn's disease, and a busy specialty profession like gastroenterology. You are starting into a Crohn's flare. You've waited long enough to be pretty sure it is a flare and not just an immediate and short reaction to eating the wrong thing or getting over stressed. You call your gastro, explain as best you can to the desk dragon and you can have an appointment w/the gastro 2 months out, or you can have an appointment w/the NP or PA - in two weeks. No chance one or the other could return your call and suggest a tweaking of your current meds dose(s)? Nope. They won't script over the phone.

So off we go to our family doctor. Who, thank heavens, will see us that very day or the next at the latest. And who will go over what meds you are on and the two of you decide what dose changes might help.

Or we accept that appointment 2 weeks away w/the NP or PA - and suffer for two weeks so the flare gets a good foothold. Or you get into such bad shape you end up going into ER for IV fluids, nausea and pain treatment.

And the antibiotic script over the phone problem? Understandable - to a degree. The thing is the BIGGEST contributor to antibiotic resistant strains is the amount of unused antibiotics being flushed down the drain daily by hospitals, pharmacies and patients instructed to do so. By agribusiness pumping them into our meat animals.

 


Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


Sarita
Veteran Member


Date Joined Mar 2005
Total Posts : 2486
   Posted 1/26/2008 12:57 AM (GMT -7)   
I think ALL doctors, not just PCPs, need to have at least an hour every day to devote to urgent patients. Unfortunately, then people would never make appointments; they'd all just show up at the same time. I don't know the right answer. But I understand the frustration about the desk dragons. I want to eat them alive sometimes (during my less-than-admirable moments). The one thing that our PCPs should be able to do is at least call your GI the day you go in for an urgent exam. My PCP will sometimes do this, or he'll fast-track me through the local ER, or give me something to tide me over, or whatever. I know that I'm lucky in this regard.

No doc should EVER prescribe antibiotics over the phone. I am vehement about this issue. Antibiotics are not to be taken lightly, not in this day in age. We need a MASSIVE overhaul in our approach to antibiotic treatment; I personally think there should be entire courses devoted to it in medical, nursing, and pharmacy schools. And, as C2 so astutely ascertained, food science/agricultural schools as well!
Co-moderator - IBS Forum


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 1/26/2008 8:54 AM (GMT -7)   
I agree Sarita - I had antibiotics for more sinus infections than I could count until the crohns diagnosis... Then my doc tried steroid nasal sprays for them instead, and they worked!!! All those antibiotics I had taken for no reason. And my school health clinic scripted me amoxicillin too many times in too short a period so I became immune. Now it causes me secondary infections instead of killing the first. When I really do need an antibiotic the Z-pac works for me but luckily I haven't needed one (knock on wood) in a long time.
26 Year old married female.  Diagnosed w/ CD 3 years ago, IBS for over 10 years before that, which was probably the CD.  Currently on Pentasa 4 pills/4x day, hysociamine prn, nexium, and ortho evra.  Good times!!!
 
 

New Topic Post Reply Printable Version
Forum Information
Currently it is Saturday, December 10, 2016 11:01 PM (GMT -7)
There are a total of 2,736,219 posts in 301,362 threads.
View Active Threads


Who's Online
This forum has 151452 registered members. Please welcome our newest member, sarajseri.
206 Guest(s), 9 Registered Member(s) are currently online.  Details
c130j, NM12, orchid_rain, OptimisTick, Stetsonva, Chrissysoul, Mokes, Broncofan18, julymorning


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2016 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer