Comments on Health Management Rx: Twin Post Day: Why n=1 Really Matters - A Conversa...

Great post... my experience with doctors has shown...

2009-01-13T20:32:00.000-05:00

Great post... my experience with doctors has shown that about less than 1/10 really do listen. I'm afraid those who conversed on twitter are in the minority. I think we have on rose-colored glasses when we believe otherwise.
It really boils down to listening. The patient will provide the clues...we need to recognize them It's a great idea on the surface

Jen - great post -- as I get on my relationship ce...

2008-12-28T22:54:00.000-05:00

Jen - great post -- as I get on my relationship centered care podium, I was glad to read your thoughts on this as well as your twitter conversations around the issue....my question is - how can we build this into health 2.0 more strongly -- I sometimes feel it is reduced to either patient or tech centric arguments.... where is the collaboration? the partnership? the mutual learning as Kitt points out? After all, isn't that why we are in this game, on all sides??

Kirsti

Well, I'm pleasantly suprised to be quoted in such...

2008-12-22T13:40:00.000-05:00

Well, I'm pleasantly suprised to be quoted in such thoughtful blog! I've been seeing things from the provider side of the scale most of my life: my father worked for a Community Health Center when I was a kid, I got a Nat. Health Service Corps scholarship in med school, and came to a Community Health Center in rural Alabama 12 years ago. One thing I like about being in Family Practice in one place for a long time is that the learning goes both ways - I learn about the diseases and what works with communicating from patients, and as they keep coming to me, they (mostly) seem to learn to be better able to communicate to me what I need to help them. There is a lot to be said for continuity of care. I appreciate you listening to us.
Kitt Klaiss, D.O.

Interesting post, especially the twitter dialogue....

2008-12-22T12:39:00.000-05:00

Interesting post, especially the twitter dialogue. The problem I've found with doctor-patient communication is that the doctor thinks s/he is asking one thing when the patient hears another. It's not necessarily a lack of effort/trying, it's a matter of really understanding what the other is hearing as well as what s/he is saying.

A recent visit with an urologist ended with "I'm going to order an IVP..." and my response was, "I'm allergic to the dye...". His response, "Why have you had IVP's before?" Mine: "I had kidney stones several years ago."

Him: "Why didn't you tell me that?"

Me: "You didn't ask, nor could I get a word in edgewise. You allowed me brief answers and on you went." (Honesty...sometimes not the best policy but I'm pretty much gonna say it anyhow.)

Him: With a smile and nod, "Is there anything else I need to know?"

And I did give him a very succinct, 2-minute-or-less, rundown of pertinent info. He listened and did not say one word 'til I was done, probably because I was succinct.

Having said that, my experience with doctors has shown that about less than 1/10 really do listen. I'm afraid those who conversed on twitter are in the minority. I think we have on rose-colored glasses when we believe otherwise.

Great post... It really boils down to listening. ...

2008-12-22T10:14:00.000-05:00

Great post... It really boils down to listening. The patient will provide the clues...we need to recognize them. High Tech, high cost studies useful only when necessary to confirm diagnostic suspicion, not necessarily to make the diagnosis for a doc who is simply not taking the time to hear what his/her patient is trying to tell them.