Patient protocol

American Fitness, Nov-Dec, 2003 by D.K. Howe

Frank Boehm, M.D., author of Doctors Cry, Too, is concerned about the declining state of doctor/patient relationships. "The legendary doctor/patient trust relationship has become an endangered species," he says. "I'm tired of hearing patients' cries of, 'My doctor always seems so rushed and doesn't appear to take an interest in me or my health concerns.'" To help patients receive the care they expect, Boehm offers the following guidelines.

1. Since an informed patient is easier to care for, learn as much as you can about your medical condition. Go to the library, Internet or ask your doctor for articles that can help you understand the complicated issues surrounding your health.

2. Write the questions and issues you want to discuss related to your diagnosis, treatment, side effects or prognosis. During the hectic pace of a doctor's visit, you can easily forget. Remember, there are no stupid questions.

3. If possible, take a relative or friend to your appointment. Patients often block out or misinterpret medical information, especially if it's distressing. Having a less nervous pair of ears present may prove helpful. If this is not possible, take notes. Don't be afraid to ask your doctor to repeat what he or she said.

4. Patients are usually more comfortable and attentive discussing their medical problems when fully clothed, so ask your doctor to talk to you before you get undressed. For the same reason, it is best to put your clothes back on before discussing your medical condition and course of action.

5. Don't assume your doctor has the best answer. Ask about alternative treatments.

6. You don't have to accept your doctor's opinion if you are uncomfortable with it. Get a second opinion. If it concurs with your doctor's diagnosis, you'll have more confidence in your doctor. If your doctor has a problem with this, find a new doctor.

7. Don't be afraid to call your doctor with questions. If any problems develop once you begin treatment, call immediately. Also, call when you're improving and treatment is going well. Like everyone else, doctors enjoy hearing good news.

8. Exercise patient autonomy. You have the right to reject your doctor's treatment plan or suggest another form of treatment. Your doctor should explain the risks and benefits of a course of action versus any treatment you suggest. Be sure you fully understand the risks involved in your decisions.

9. If you feel rushed, confused or brushed off, speak up. Simply say, "Doctor, can you go over this again," "I don't understand" or "I am feeling rushed."