One of my biggest challenges is bridging the doctor patient divide. It’s the gap that separates the way doctors and patients see a problem. What parents under my care think is typically different from what I think. Their concerns and fears are often removed from the reality of my thinking. That’s not a judgment, it’s a recognition of differences of how we frame and ... Continue Reading about Bridging the Doctor Patient Divide to Improve Communication
Don’t Look at the Internet
Don’t look at the internet. No matter how few doctors tell their patients this, we talk like it’s everyone. We love the story. It fulfills the narrative of the stereotypical controlling doctor. But don’t look at the internet is a hangover from the early days of the Information Age. It marked the transition from physician as sole arbiter of information to patient ... Continue Reading about Don’t Look at the Internet
The Request for a Blood Test – Why More Testing May Not be Better
I’ve heard it a thousand times. 'The patient wanted testing done.' So the doctor ran a blood test. But few people really want a blood test. What they want is to know that they don’t have something horrible. I’ve seen it a thousand times with young parents. Anxiety competes with their trust in me as we discuss what could be going on with their child. I never ... Continue Reading about The Request for a Blood Test – Why More Testing May Not be Better
High-Deductible Insurance – 3 Consequences to Patient Care
Possibly the biggest change that I’ve seen in clinical practice is the rising burden of health care costs on patients. On a daily basis I have difficult conversations with families as they face the grim reality of health costs offset in their direction. It’s captured pretty nicely here in this Bloomberg piece, Doctors are Fed Up with Being Turned Into Debt Collectors. ... Continue Reading about High-Deductible Insurance – 3 Consequences to Patient Care
Patient Influencers: How Do We Protect Patients from Patients?
This article in Stat, As social media ‘influencers,’ patients are getting a voice. And pharma is ready to pay up, raises questions about pharmaceutical supported patient influencers. An entire industry has cropped up to link drug makers with the industry’s own version of an influencer — people, usually patients, who have small but devoted followings and who might be ... Continue Reading about Patient Influencers: How Do We Protect Patients from Patients?
Human Experience of Disease and Patient Expectations
Running an algorithm for the management of a well-typed tumor or a child with a septic joint is relatively easy. But managing the expectations of that cancer patient or nervous mother is something more involved. Expectations are how we imagine the future given what we currently know and understand. Patient expectations are part of the human experience of ... Continue Reading about Human Experience of Disease and Patient Expectations