Have you ever gone to the doctor and felt like he wasn't listening to you? Have you tried to tell your story, only to have him interrupt with a checklist of questions: do you have chest pain, shortness of breath, fevers, cough, and so forth? Have you ever felt ignored, and left thinking that your doctor never understood why came to him in the first place?
The New Year is the time to make changes in your health. If
you feel dissatisfied or frustrated by your care, now is the time to figure out
how to get better care.
Studies show that 80% of diagnoses can be made based on your
history alone. Yet, doctors these days spend less and less time listening.
“Cookbook medicine” is prevalent, with doctors resorting to checklists of
yes/no questions rather than really listening to what’s going on with you. You
have to make sure that your concerns are addressed—and even before that, to
make sure your story is heard. Here are 6
tips for getting your doctor to listen to you:
Tip #1: Answer
the doctor’s pressing questions first. Many doctors are so accustomed to relying on a checklist of questions
that they have to get these answers before they move on. Help them out and answer
these questions. If the doctor want you to describe the location of your chest
pain, describe it (“it’s in the middle of my chest, right here”). If she want
to know what you took to make it better, tell them (“I took an aspirin. It
didn’t help”).
Tip #2: Attach
a narrative response at the end of these close-ended questions. If your doctor persists on asking close-ended
questions, add a narrative response at the end that may not so easily fit into
a yes/no answer (“it’s in the middle of my chest, right here, and it started
after I really pushed myself in swimming tonight”). Pretend that you are being
asked “how” or “why” instead of “yes/no”, and add your own response. Look to
make sure your doctor registers this answer—does he ask you more questions to
follow-up on what you said, for example?
Tip #3: Ask
your own questions. If you
don’t understand why a particular question is relevant to your situation, ask
about it. You may be surprised to find that the doctor herself isn’t sure and
is only asking the question out of habit. On the other hand, you may find out
that issues you wouldn’t have thought were related might actually be very
important to discuss.
Tip #4:
Interrupt when interrupted. If
your doctor cuts you off when you try to explain your full answer, free to interrupt.
Pretend you’re having a conversation, even when it feels like you’re being
interrogated. For example, if you’re asked “when did headache start,” rather
than responding “10am,” go ahead and tell your story of how the pain started:
“I woke up this morning and I was fine, then I started walking to work and the
pain came on suddenly like a lightening bolt striking me.” This is not a new
tactic; lawyers will often coach clients in advance to answer yes/no questions
with a narrative so that answers can’t be taken out of context. Interrupting is
a way to ensure that your entire answer is heard, not just the part that the
doctor thinks he wants to hear.
Tip #5: Focus
on your concerns. If you get
the sense that your concerns are being brushed over, interject, “Excuse me,
doctor, I have tried to answer all your questions, but I am still not certain
my concerns have been addressed. Can you please help me understand why it is
that I have been feeling fatigued and short of breath for the last two weeks?”
and so on. You can take charge of the conversation at that point. It’s your
body and your duty to advocate for yourself if you don’t feel like your story
has been understood and your concerns have been addressed.
Tip #6: Make
sure you are courteous and respectful to your doctor. Your doctor is a professional, and is
probably trying her best to help you. Your story has to be heard and your
concerns addressed, but make sure you present your points in a respectful
manner. This will ensure that a solid doctor-patient relationship is present,
and is critical to the partnership you need to establish.
You
may be dissatisfied and frustrated by your medical care, but you can take
control of your health care and transform your health today. I discuss more in
my book, When Doctors Don't Listen: How to Avoid Misdiagnoses and
Unnecessary Tests. Try these tips on your next doctor’s visit,
and build your partnership for better care.
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