The Medical Information Age - Talking To Your Doctor About The Latest Medical Advances

These days we're living in what is being called the "information age." People are booking their own flights from home and downloading music and video from all over the world.

Well, the "information age" applies to the world of medicine too. Cutting-edge medical information, if you know how to search for it, is now only a click away as you sit in front of your computer.

But, medicine is an intimidating arena and the stakes are incredibly high. Plus, the relationship between patient and doctor has traditionally been based on a high degree of trust.

What I'm saying is that I think that it's uncomfortable for most people to aggressively question their doctors. Because of this discomfort, patients may not feel as inclined to do their own research. They fear that they might upset their doctor if they walk into the medical office with research they've done themselves.

But, in my opinion, this unprecedented access to medical information will ultimately lead to revolutionary changes in the way patients and doctors interact.

I learned first-hand a few short years ago that researching an illness on the internet can be a daunting task.

A close family friend was diagnosed with breast cancer and asked me to do some research. Even though I was an emergency physician at a university hospital, I quickly learned that using the internet to get the most current information on published studies, new treatments, and clinical trials was not as easy a task as I had thought.

Ultimately I figured out how to navigate the "medical internet jungle". I found the information I needed and learned a lot along the way.

If you plan to research cutting-edge medical information on the internet, you'll need to find your own smart way.

In the end, after gathering all the information, you'll become an informed patient.

And There Are Lots Of Benefits In Being An Informed Patient

Some of the benefits are obvious. Like making sure that your doctor is aware of all potential cutting-edge treatments and available clinical trials. You need to know that "no stone has been left unturned" in the search for your best treatment option.

Knowing that you're receiving state-of-the-art care should be an enormous comfort to you.

But there are other benefits as well.

An informed and involved patient becomes a partner in his or her health care.

Too often a lack of real understanding leads patients to stop, skip, or otherwise not fully comply with their treatment. But, an informed and involved patient is much more likely to follow through with all the aspects of a treatment regimen.

In the end, it just makes good sense to be as informed as possible.

There's A Critical Second Part Of The Process

This second part involves talking to your doctors about the cutting-edge treatment options you've discovered in your research.

This is the part of the process that I believe frightens patients the most. Let me restate here what I believe will take place in the interactions between doctors and patients.

Just as patients will get more and more used to questioning their doctors in the next few years, doctors will get more and more used to being questioned by their patients.

Patients Can Now Access The Latest Medical Information.

When Their Lives Are At Stake, They're Going To Do The Research.

In the final analysis, doctors want to help their patients. And, as patients become more and more informed, doctors and patients will become accustomed to having educated, thoughtful conversations on the medical literature and what the best treatment options might be.

This doesn't mean however that there will be never be a conflict between what the patient wants and what the doctor is recommending.

For example, there might be a new surgical procedure which is being used in the treatment of certain cancers. There may be recent published studies suggesting that the new procedure might result in fewer side effects or a quicker recovery time while having the same cure rate.

But, it's possible that this procedure is only being done by a few surgeons in your area as it's new and takes some specialized training.

You might discuss this with your doctor who admits that he or she does not perform the new procedure.

At that point, you may have to make a decision about whether or not investigating the new procedure is really worthwhile.

The most common sense approach to this dilemma would be to consult with a physician specializing in the new procedure as well.

Imagine That You're An Investigative Detective

Ask straightforward but tough questions to all your doctors including questions about their results, their experience level, side effects of any proposed treatments, and the published data.

You may want to ask if you may speak to other patients that have already undergone treatment by these doctors. If you are able to do this, ask these patients how they decided on a particular treatment or even a particular doctor. Ask them how they're doing.

Continue investigating until you feel you have all the information you need to make your decision.

Many pieces of information may come up in your research. For example, there might be certain technological advances being used in certain centers which help in the accurate staging and planning of treatment. Maybe the center that you're being treated at doesn't offer these services and your research has led you to believe that there is benefit to them.

Again, you may have to make a decision about where you want to be treated.

Or, your doctor may recommend a treatment regimen to you and not mention that there are clinical trials which may be available. Or, he or she might recommend a certain clinical trial without mentioning that there are other clinical trials taking place at other medical centers.

As you do your own research, you need to be very aware that the cutting-edge treatments may not be offered everywhere.

Frank discussions with your doctors may be unavoidable. But, it's very important for you to remember that you're dealing with a serious illness and the most important thing is that you get the best possible care.

Don't Allow Your Fear Of Creating Conflict With Your Doctor Stop You From Aggressively Pursuing The Best Possible Care.

The conversations you'll have with your doctors will ultimately become quite different. Being aware of all the options allows you, if you choose, to take more responsibility for the decisions that have to be made.

Ultimately, in today's rapidly changing universe, patients are taking on more of the responsibility for making treatment decisions.

Dr. Glenn Sheiner is a medical doctor with diplomas in Emergency Medicine, Sports Medicine, and Family Medicine. Dr. Sheiner is the author of the medical multimedia digital product called Cancer Research Online Made Easy.

Dr. Sheiner created this product to help patients research cutting-edge medical information in hours not days. The product contains 5 videos illustrating exactly what to do. To learn more go to Cancer Research Online Made Easy

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What is it About Going to the Doctor That Can Be So Anxiety Producing?

Part 1-Reasons for doctor-visit anxiety

Although some women can go to the doctor without trepidation, many feel varying degrees of anxiety. Here are some reasons:

1. You fear having a disease-the mind is a powerful suggestible receptor and there is so much medical information online that your mind can get carried away with stories about your body that are usually not true. Some doctors are forceful in their discussion of what might be wrong, and this can be scary, especially if you are "suggestible"--that is think what the doctor says is probably true even before it is tested.

2. You fear facing symptoms, especially if they are intermittent. You would rather not think about it or have anxiety about getting a diagnosis. You fear the unknown-and desire to avoid what is scary.

3. You have a friend or family member who has a serious disease (contagion effect). Someone you know just died of a disease and you worry about having the same thing.

4. You have physical discomfort or embarrassment during exams.

5. You have had a bad experience in the past, if a doctor yelled at you, scared you, or embarrassed you at some time.

6. You have low self-esteem causing you to feel you are not worth getting medical care.

7. The doctor is too rushed, cold, or uses a one-size-fits all approach.

8. You may not have had parents who took you to the doctor routinely so you are not used to regular check ups.

You may want to ignore getting checked if you feel fine even though some problems are easy to catch and treat early and have no symptoms for a long time.

9. You don't have medical insurance and can't afford to go to the doctor.

10. You have a secret like an eating disorder or alcohol/drug problem. You might feel on edge about withholding information from the doctor and fear he/she will catch you up and put you on the spot. You might not be ready to face your problem within yourself especially if you feel out of control and afraid you will be forced to stop your self-harming behavior. And there is shame about having the problem in the first place.

Part 2-Things you can do if you have doctor-visit anxiety

There are many great doctors out there but sometimes it's hard to find the best fit. In an article about anxiety and going to the gynecologist, Tracee Cornforth of About.com says most women would rather have a female doctor, especially for their gynecologist. Even with a woman, style and personality can be very important in addition to knowledge and skill. Sometimes your friends will have good recommendations, but sometimes even those aren't the right fit. Try to think about what is important to you in the doctor-patient relationship. Sometimes it helps to write down for yourself what is important to you. And keep looking until you find the right match.

Unfortunately many doctors are not trained to deal with addictions or eating disorders.

The somethingfishy.org website (about eating disorders) has sections on things doctors should not have said and guidelines for doctors. Even if eating disorders aren't your issue, I think there's useful information there. Anyone who has ever had a doctor comment on their weight inappropriately will know what I mean here. And sadly, doctors seem to be trained to think that weight is something they need to mention. Since most women are not generally comfortable with their body size, this kind of scrutiny can be very difficult to take. On the flip side, women who know their weight is too low will often get praise and misunderstanding at doctor visits.

Sometimes a hard truth is that more than one try is needed to find the help you need. A really hard part of problems that are "secret" (such as eating disorders or alcoholism) is the isolation and shame you feel about them. However, there can be a turning point, a moment of resolve or readiness that connects you to the right person in the right place. If you are feeling open to trying, calling a local psychotherapist or organization that works with these types of problems can be a good way to find the right medical practitioner with an understanding about your special problem.

Other things you can do for doctor visit anxiety:

Get support if you can, such as asking a friend to go with you, or online support, where you can express yourself anonymously. Knowing you are not alone is a really big deal.

Doctors can try to accommodate your needs if you let them know up front what they are. This is where your own reflection on what you want from your doctor is helpful. You can try an initial meeting with a doctor before you let them become your physician. Usually doctors who are willing to do this are more interested in working with you as a team than doctors who won't do this.

Advice nurses, or other people who can help you navigate your healthcare system can be invaluable. Tracee Cornforth recommends educating yourself about your symptoms and your questions, and then speaking up to have your own individual input considered. If this is important to you, then try to find a doctor who wants to listen and communicate with you. Also, writing out your specific questions and taking notes or having someone else with you to take notes is a good way to remember important information that is given quickly or easy to forget later.

Remember that if you do have a medical problem, the sooner it gets found and treated, the better. A good example of this is the common vaginal yeast infection. The symptoms can be truly scary, yet it is a common and easily treated problem for most women, especially if tackled early. And getting information, like reducing sugary foods when you have yeast, is so very helpful in clearing it up.

If you do not have medical insurance at the moment, there are still low cost clinics with good care. Check online or network with others to get information.

Finally, remember that anxiety is real and not made up-it is important to be gentle with yourself and try not to beat yourself up if you are having a hard time getting to the doctor's office. Give yourself support for making the appointments and keeping them. And if you are reading this and have not been able to go to the doctor yet, keep trying.

Phyllis Klein is a Licensed Clinical Social Worker with private practices in San Francisco and Palo Alto, CA. She specializes in working with eating disorders and recovering from childhood abuse. In addition, Phyllis is a Certified Poetry Therapist with the ability to use writing and poetry for healing in the therapeutic process. You can reach Phyllis through her website: http://www.womenstherapyservices.com or through email staff@womenstherapyservices.com or by phone 415-281-0828.

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How to Complain About a Doctor and Report to the General Medical Council

The General Medical Council (GMC) is responsible for ensuring that Doctors in the England and Wales meet the standards required of good medical practise. The role of the General Medical Council is to:-

1. To keep an up to date register of qualified doctors/ consultants

2. To foster good standards of medical practice

3. To promote high standards of medical education

4. To deal fairly and firmly with Doctors or Consultants whose Fitness to Practise is in doubt.

The GMC does not deal with complaints against nurses, pharmacists, dentists, ophticians, physiotherapists or administration staff. These professions have their own governing body whom concerns should be reported to.

The law gives the GMC the authority to enforce their functions under the Medical Act 1983 and Fitness to Practise Rules 2004. All Doctors and Consultants within the UK are required to be registered with the GMC. This includes foreign doctors who trained and qualified abroad. There are currently 225,000 doctors registered on the GMC.

If a patient has concerns over medical treatment provided by a doctor such as:-

A. Serious or repeated mistakes in carrying our medical procedures

B. Prescribing drugs in a dangerous way

C. Failing to examine a patient properly

D. Fraud/ dishonesty

E. Breach of patient confidentiality

F. The Dr has committed a Criminal offence

they can report the doctor to the GMC for investigation.

Upon receiving the complaint the GMC will undertake an investigation which will include speaking to patients, witnesses and the doctor. Medical records and other documents will be reviewed. The findings will then be reviewed by two case workers (one medically qualified and one non-medically qualified). If the case workers believe there has been inappropriate action by the doctor they have the power to order:-

1. The doctor be given a warning

2. Conditions be placed on the Doctors registration so they are only allowed to work under supervision or in certain practise areas.

3. The doctor receive training

4. The doctor be suspended from the register for a period of time

5. The doctor be removed from the registrar (struck off) and thereby making it unlawful for them to practise as a doctor.

If you have concerns regarding a doctors record a search can be undertaken online at the GMC website to check the registration status of the doctor. If the Doctor has been investigated by the GMC it will show any current or historical warnings, restrictions or undertakings on the Doctor's registration.

If you have concerns about treatment provided by a doctor or consultant which has resulted in you suffering an injury, you may be entitled to compensation. The GMC cannot order a doctor to pay you compensation. Head injury UK have a specialist medical accidents department which advises client effected by head or brain injuries that are caused by medical error or neglect. Contact us on 0800 073 0988 for a free consultation as to whether you may be entitled to compensation.

Head Injury UK are Specilist lawyers who offer free advice where there are concerns over medical treatment provided by a Doctor or Consultant. We will explain the legal process on what can be done to investigate the Doctor. We will assess free of charge whether you may be entitled to compensation. Contact us to for a free consultation with one of our lawyers to see if we can help you - free of charge and with no obligation http://headinjuryuk.com/contact.html or call 0800 073 0988.

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How May Doctor Bullies Have You Encountered? All About Doctor Bullies!

Out of thousands and thousands of doctors, there are a few, yes, a very small handful, of doctors who are bullies, doctors who act like bullies and doctors who are not doing the job that you are paying them to do.

You have searched and searched and so far, until you have reached here, you have not come up with any articles that you were looking for. This is your pay-dirt, your home-run, your totally successful search. Right here in this article, you are going to read about the bird called the Doctor Bully. So what exactly this this ? What is a Doctor Bully? - The worse kinds of doctor bullies are those in large city hospitals or in large nursing homes or rehab centers. Once a doctor bully gets hold of a hospital, he literally can take over most of the unit that he is working in . And that is a beginning of his reign of terror among patients and staff.

If you are a patient, do you feel like your doctor does not listen to your questions and or never has time to answer any of your questions but has time to bill you? When you speak with your doctor, do you feel like you are being bullied? What you are feeling most likely is the truth. But know this, most times, the doctor's personal nurse or assistant will back up the bully doctor BECAUSE the doctor is the one controlling the salary of the nurse or assistant. So, if you feel like you are being bullied, do not let the doctor's assistant or doctor's nurse convince you otherwise. Never discount your own feelings. Usually, your own feelings are correct. Most times, your own feelings are correct. After all, you are an adult. You have experience going to many other doctors in your lifetime and those other doctors were professional, polite and did not seem like they were bullying you. Now, this first time, you get the feeling that you are being bullied. Listen to your own inner instincts and listen to your own feelings.

Personally, during times when I was a patient, I was not bullied, but I have been present in hospitals and in other medical facilities (as visitor and or observer) where some doctors were bullying other patients. And they got away with this bullying because the patient was made to feel like the doctor was correct and the patient was wrong. So, if you are being bullied, know that what you are feeling is most likely exactly what is happening.

Normally, most doctors demand respect and they usually act as if they are above patients and other people (at least most act like that when they are in the hospital). Now, the Doctor Bully acts as if he is God and no one has the right answer except him. I will call him, DB for now So DB feels that just because he went to medical school and graduated that he is boss of everything. He puts himself on a pedestal and insists that everyone(patients, contractors and staff) listen to his every word and act as if they have no minds of their own. When it comes to making decisions, DB is it and everyone else is out.

Doctor Bullys will do things like this:

They will not listen to anyone else speaking but will be concentrating on what they will say since what they say is the only important part of any conversation that he will have with anybody.

They give orders and IF they are making an obvious mistake (a medical mistake), they refuse to listen to the nurse who might correct the doctor. (If you think that doctors do not make mistakes, do a search for the doctors that have operated on the brain at the wrong site, and read about all the other major medical errors that caused great sickness and even death. The Doctor Bully will put his ego above all else and even above safety, life or death. That is a genuine Doctor Bully.

They come in to work when they feel like it. And that means that some even leave the hospital when they are supposed to remain on hospital grounds.

Some doctors will arrange to have three babies delivered simultaneously --in three different boroughs, and not tell their patients that they will not be there for the birth of their babies, but interns, instead will wind up delivering.

Doctor Bullies do not respect other human beings but demand full respect for themselves.

Doctor Bullies threaten nurses and aids and other staff with insinuated firing or trouble if these staff members disagree with them.

Doctor Bullies are those doctors who have built a reputation and a name for themselves but refuse to step down when they become negligent in their own practices.

Doctor Bullies are doctors who tell patients what to do and they neglect, purposely to tell the patient of ALL the options that are available to that patient's health.

Doctor Bullies will raise their voice in authority in the hopes that you will raise your voice back to them.

Do not play into this sucker game. When and or if a doctor raises his voice, speak back to the doctor in calm, normal tones but make your voice effective. Tell the doctor that you can hear him but that you would like to express your opinion or that you still have a question that he needs to answer. Do not play into the doctor bully game by raising your voice to be heard over the doctor's raise voice. If you have not experienced this yet, you are a lucky patient, and you have been dealing with reputable doctors who hear and listen to you. But do not be distracted--if the day comes--if you are approached or being treated by a bully doctor. Most times, doctors do not raise their voices to the nurses because the nurses understand that the doctor controls their paycheck or their career or future, so most times, in order for a bully doctor to get what he wants from a nurse all he has to do is tell the nurse what is what and most times, whether the doctor is correct or not, the nurse will try and follow the doctor's instructions.

Now, I am not saying that all doctors are wrong or incorrect. I am saying that there are some doctors out there who are still practicing medicine who use their power and their authority over patients and sometimes they are wrong. When they see that the patient does not want to follow their incorrect instructions or when they see that the patient has questions that they do not want to answer, then they go into their bully doctor stance where they use their power, their influence and their loud voices to make the patient bow to submission. This does happen and if you live long enough, you might come across a bully doctor. Know you know about it and when and if you come across such a person, you will not be surprised.

If you doubt this, then remember all the news articles that you have read in the past about doctors who have operated on the wrong side of people's bodies and about doctors who have been guilty of major malpractice on patients and doctors who have had their licenses suspended. Most of these doctors, not all, but most of them have had periods of demonstrating themselves to be bully doctors at one time or another. Read the news articles or do a Google search about bad doctors and you will see that what I am saying is true.

There are hundreds of other ways to recognize Doctor Bullies, those are just a few of them. Keep reading my articles and I may come up with some more at a future date.

Now, note, I am not speaking about all doctors, but speaking ONLY about those Doctor Bullies.

And there are some with attitudes like those mentioned above. There are even some Doctor Bullies who cheat on their own wives and families and they get away with it because their money from their professions permit them to hide the cheating from their families.

ANY resemblance to real human beings is just a coincidence. This article is for entertainment, education and reading pleasure. Though I am not a medical doctor or medical personnel, I have extensive experience speaking with and dealing with doctors, surgeons, nurses and other medical personnel. I have hours and hours and possibly weeks and months of having access to medical centers, hospitals, doctors, nurses and other medical personnel. I have seen all types of doctors, both good and bad, both professional and non-professional. And my experience, observations and other people's experiences is what brings me to write about these topics. If you have experiences that you would like to share, anonymously or not, kindly write to me at your earliest convenience. All information will be confidential, unless you give direct written approval for me to reveal your information.

Any reference or resemblance to any real human beings, in this article, is purely coincidental. No real names have been mentioned in this or any of my other articles.

Melinda Thomas is presently touring the United States of America in search for information, true stories, inside data on what is happening around the world inside of nursing homes and physical rehabilitation and care centers. The material that she has come across, both through personal inspection, investigation, research and organization, is remarkable in length, content and tear-jerking memories. She hopes that you share your ideas with her as soon as possible. While her subject topics vary from radical consumerism, computers, teamwork and others, she hunts for the truth and the truth is forthcoming.While her subject topics vary from radical consumerism, computers, teamwork and others, she hunts for the truth and the truth is forthcoming. Meanwhile read all the articles and connect with her through her agent at onenewbeginning@yahoo.com

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How to Make Your Doctor Feel Good About You

Meeting one's family doctor is a stressful event to many...Some dread it ....Most resent it...And yet a minority look forward to it. How do I know? ...The answer lies in my upbringing. I frequented a doctor like no other child did. It was almost like going to play school. As a child I used to dread the injections that were synonymous with visiting a physician...As I grew up and became bolder to the repeated onslaught of injections,something else pained me every time I visited our doctor..Intimidation ....By the doctor ..To the patient(read yours truly)and for his benefit . This was borne out of my ignorance because there were others who could impress this same doctor while I fumbled desperately for words. I knew something was grossly amiss but couldn't put a finger on it. I guess part of my motivation to join medical school was to find an answer. It has been many years now since I graduated. Today I am a family physician to many. Its my sincere wish that those who read this may never have to fumble and grumble when it comes to seeing a doctor. Here are a few tips...

Make a note

It may sound silly ...But I have seen patients come out with complaints just as they are finished with a consultation. I can assure you that nothing can irritate a doctor more than this. Why? Because usually by this time the doctor has formulated a working diagnosis in his mind..And has probably ordered few tests. This last minute complaint suddenly may turn things topsy turvy for the doctor and his working diagnosis. This necessitates a new chain of thoughts...Repeat examination and probably an altered array of tests. It is embarrassing for anyone ,let alone a doctor!!

Impress your doctor ....

When the doctor lets you speak ...Speak your mind ...Let him know what is troubling you. But when he has examined you and has written out a prescription, grant him the courtesy of accepting his advice rather than bombard him now with a new set of complaints. A greeting would surely help.

Sequence of events

What occurred first....Was it the fever or was it that nagging headache? Totally irrelevant to you maybe..But could be the essential clue to clinch a diagnosis for your doctor.Gp will surely ask for the chronology of complaints in one way or the other..Some do it upfront while others do it in a subtle way. Its taught in the medical school...History taking is an art....Surely art involves time....And your doctor is seriously short of it..Now and everytime. Believe me on this one!!

Impress your doctor

Ask your self as to when was the last time that I was feeling totally alright. At what point in time day or month did my problems start. An opening statement like " doctor, I was feeling very well till 17 of mar or till last Monday" can work wonders for you.

Technical terms

"Doctor I think I have serious palpitations" or " I suffer from acute gastritis" is a surefire way of putting off your doctor. Medical students are grilled again and again on the exact definition of a technical term. They spend considerable time of their medical education mugging up thousands of such tongue twister names. To hear such terms being loosely applied by patients for their problems irritates almost any doctor that I know of.

Impress your doctor

Try "I my feel that my heart beats faster at times while at rest ,which makes me quite uncomfortable".He will have your attention. " I have thing nagging pain in the abdomen all the time" is more useful to a doctor than saying that " I think I have gastritis". When you say "doctor I think I have gastritis ...He unconsciously assumes that you are forcing a diagnosis on him. That spurs a dislike that lurks at the subconscious level of your gp. Avoid the urge.

Internet based knowledge

Internet has been the source of such tremendous information that it has touched almost all aspects of modern life. The world of medicine is no exception. I am not surprised when some of my patients come and tell me " doctor why shouldn't I go for this investigation or that modality of treatment". Though some patients say it to impress their doctor about their knowledge in the medical field...I can assure the listening doctor is anything but impressed.

Impress your doctor

While the doctor is taking your history or examining you don't break his chain of thoughts with an internet revelation, you have had recently. He will not like it. Keep it for the end . Though unpleasant to the doctor a statement like..' Doctor, I know that my source is not reliable but I have heard that this illness causes so and so...." "Could you please allay may anxiety..." Might elicit some sympathetic response....Remember doctors have a soft corner for those seeking help...

Maintain a diary/ file

I find that some of my patients carry their medical documents as loose sheets of paper. Going through a maze of these documents is the biggest nightmare for any busy practising physician. I sometimes frantically search through the documents to find the value of last blood sugar test performed or the findings of the last ct scan.

Impress your doctor

Regularly file all investigation reports alternatively paste them onto a diary for ready reference. Always take photocopy of ekgs( electrocardiograms) because they tend to fade away with time.Similarly paste ct scan/mri reports on the diary. Consultations become a breeze thereafter.

Doctors are late!!

When doctors are late, try to avoid getting upset and angry. There is often a good reason for this. It's so easy to get behind when trying to take care of every patient's needs (not everyone has problems that will fit into a 10 or 15 minute slot). So, think about how you would want the doctor to take care of you if you were having a very serious/life-threatening condition. Would you want him to rush through so that he wouldn't get behind for your appointment? The other possibility is that he was held up at the hospital that morning making rounds. He has no control over who gets admitted to the hospital and what their needs are. Again, would you want him to hurry through seeing you in the hospital to make sure he gets to his appointments on time?

Impress your doctor

Don't lose temper..Instead give him a sympathetic smile!(I know this is difficult!!)

Doctors are human too!

We are healers...Healing is divine...Yet we are as much flesh and blood as you are...The emotions of pride, desolation, happiness, gratitude, grief and anger storm our minds as much as yours...Treat us like humans. Send a greeting or say hello on the streets...And your doctor will be the most impressed of all.

Vinny

http://tipsandhealth.blogspot.com

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