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6 Reasons We Ignore The Doctor's Advice (And Why We Shouldn't)

Doctor Advice

First Posted: 02/20/2012 7:36 am Updated: 02/20/2012 7:36 am

By Jené Luciani for Shape.com

Exercise more, eat less, don't smoke, stay out of the sun -- we're inundated with dozens of messages like these on a daily basis. But, do we listen? According to a recent study by healthcare-based software company TeleVox, one in five women say they are "struggling" to be healthy, largely due to the fact that generally, we tend to focus more on others, than we do ourselves.

"Women tend to identify with the caretaker role," according to Dr. Melanie Greenberg, a clinical psychologist specializing in women's health. "They are more likely than men to provide support for other family members, take on volunteer activities, do 'second-shift' work like housework after a day at the office, and neglect their own health in the process."

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We reached out to top experts in the medical field to get to the bottom of why we ignore the doctor's advice (and why we shouldn't!)

Reason 1: We don't like what we're hearing
As bad as puffing on that cigarette, baking in that tanning bed or having that extra piece of chocolate cake is for you, many women with unhealthy habits will say they can't stop simply because it feels good. So, naturally, when someone tells us to stop doing something we enjoy, we're hesitant to comply.

In some instances, the woman could also be embarrassed of her behavior or perceived lack of willpower. "A big reason women ignore a doctor's advice is because they were not honest with them in the first place," says L.A. psychiatrist Dr. Soroya Bacchus. "Lying is often a less painful solution. The problem is I cannot identify the correct course of action if I'm operating on faulty information. As a result, she is not as likely to act on my recommendation if she knows it was based on lies and is therefore useless."

Reason 2: We think we know more than an M.D.
Mom tells you to just take an aspirin and apply a heating pad, while Mrs. Smith next door hands you a Band-aid and says to stay off your feet. The point is everyone thinks they're an M.D. these days, except without the degree. Dr. Frederick Strobl, a Minneapolis-based neurologist, says people would rather listen to their friends or neighbor's medical advice because it's coming from someone they trust.

"Women tend to read medical articles online and listen to other's advice. I always tell them that even the most 'reliable' sources can be confusing. They don't have the background a medical professional has to evaluate other's claims so if they don't want to follow my advice, they should really seek a second opinion from another doctor, not a friend or neighbor."

Reason 3: We have given up
If a woman doesn't value her own health and well-being, the doctor's orders will fall on deaf ears. "Sometimes, a woman who is depressed becomes self-destructive and decides she won't bother following the doctor's advice," says Beverly Hills psychiatrist Dr. Carole Lieberman.

Women are more than twice as likely as men to experience clinical depression, and are at a greater risk for anxiety disorders, Greenberg says. "Lack of self-care and exercise, unhealthy relationships and chronic stress can make a woman more prone to mental health issues," she adds. If you think the brain isn't connected with the body, think again. "Untreated depression can cause heart disease," Greenberg says.

Reason 4: We are just too busy
We're all trying to be superwoman and, therefore, simply don't have time to take care of ourselves (or at least, that's what we tell ourselves). "This is really silly," says New York OB/GYN and co-author of "V is for Vagina", Dr. Alyssa Dweck. "If you don't take care of yourself, you won't be able to care for your spouse, your kids or even maintain such a busy lifestyle."

Reason 5: It's a sign of weakness
So many women are raised to put other's needs before their own and when they do put themselves first, they feel guilty about it. "Some women confuse healthy self-care with being selfish," Greenberg says, "and are not assertive enough to say otherwise." This leads to getting stressed out and resentful.

Reason 6: Fear of a serious diagnosis
Catching diseases like cancer, diabetes and heart disease in the early stages are imperative to survival. Yet so many women experience symptoms early on and choose to ignore them. "Perhaps the most pervasive reason women ignore their doctors is the belief that if they ignore a medical problem, it will just go away," Bacchus says. "Women take on this mindset in many situations, including bad relationships, body image issues and also health problems. Ignoring the problem may seem like the easier solution, but in actuality, it usually ends up getting worse."

Other women feel like a doctor's visit is the equivalent of a death sentence. "This is also silly," Dweck says, "because most of the time your doctor will reassure you and even help prevent a problem before it becomes serious." So many conditions that used to be deadly can now be cured with early diagnosis and intervention, says Dr. Marina Peredo, a Long Island, New York med spa owner. "Diseases like breast, colon and skin cancer can be identified easily and treated successfully before advancing to the later stages if women listened to their doctors about self-exams, yearly mammography, regular colonoscopy, sunblock use and yearly skin cancer screenings," Peredo says.

For more on personal health, click here.

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By Jené Luciani for Shape.com Exercise more, eat less, don't smoke, stay out of the sun -- we're inundated with dozens of messages like these on a daily basis. But, do we listen? According to a re...
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12:41 PM on 02/28/2012
I can think of several other reasons that I don't follow a medical doctor's advise. "Take statin drugs to lower cholesterol". Absolutely not. I've never met anyone who is "statin deficient", and I don't buy into the claim that high cholesterol contributes to coronary heart disease. Recent research shows inflammation is much more likely to cause heart disease than serum cholesterol levels.

"Take HRT" my Mother's doctor actually made her sign a waiver because she refused this treatment many years ago. Just recently is the truth coming out about the damaging effects of HRT. And bio-identical hormones are no better.

Find me a doctor who does not prescribe pharmaceutical drugs to alleviate symptoms, one who promotes nutrition and a healthy lifestyle as a means to prevent illness and disease, and one whose primary concern is my good health rather than incentives from the pharmaceutical industry and I will be much more open to their advise.
Kali03
Obama/Biden 2012
07:21 AM on 02/22/2012
I would ignore the doctor in the accompanying stock photo's advice because he looks like a frat boy.
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HUFFPOST SUPER USER
Sharon Hanson
Skeptical of the *pseudo-skeptics*
10:31 PM on 02/22/2012
I like your bio.
Kali03
Obama/Biden 2012
06:38 AM on 02/23/2012
Thank you!

It's certainly heartfelt.
02:45 AM on 02/22/2012
You missed one: The doctor is WRONG. This happens quite a lot.
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PhoenixLady
11:07 AM on 02/22/2012
That often falls under the category of "we think we know more than the doctor". But I agree to a point, physicians are not infallible.
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Sharon Hanson
Skeptical of the *pseudo-skeptics*
08:01 PM on 02/22/2012
No they are wrong in my experience 90% of the time or just willfully ignorant.
11:47 AM on 02/21/2012
I don't listen to my Dr. if they don't listen to me. I won't go to a male doctor because they usually don't have a clue about women's issues, (I have had good male doctors but they are few and far between). I also don't listen because I'm treated like a number and not a person. I can't trust someone that won't listen and is just trying to get to the next patient so they can make their quota for the day.
10:48 PM on 02/20/2012
How about medication make you sick as hell and they want you too keep taking it even when you don't want it! There are times when the patient knows their body better then the doctors do. I refused to take hormone replacement and it turns out it was the best decision I have ever made.
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Sharon Hanson
Skeptical of the *pseudo-skeptics*
10:35 PM on 02/20/2012
Ever try to get a doctor to help you with disability, especially if you have an ERISA plan? They can't be bothered to help you if you are disabled because LTD insurers are ruthless in denying claims.

Employers come on and wake up. You save nothing when the LTD insurers deny valid claims. In fact you do is impoverish another consumer that now won't be able to purchase products because they are too poor; you allowed your once valuable employee to be railroaded by the corrupt doctors that lie and say the claimant isn't disabled.

Employers, when you conceal a disability due to product liability you allow the faulty product to stay on the market. Your other healthy employees or family members on your health insurance plan end up getting sick from these faulty products. And years and thousands of healthcare dollars later your other employees go out on disability. If you self-insure for healthcare guess what? You have just paid thousands more dollars in healthcare that you might have avoided if you had only figured out and stuck by that first injured employee. This is about money and profits....yours. Wake up to what is being done to your industry. You save nothing on the LTD side and allow companies like Unum, Liberty Mutual and Met Life to ruin the lives of the disabled. For that privilege you pay more in healthcare and you take another potential consumer out of the mix.
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08:28 PM on 02/20/2012
Most just don't want to give up the unhealthy comfort foods and unhealthy lifestyle, just use these other excuses as a cover.
06:50 PM on 02/20/2012
Passive man hating right here.
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PhoenixLady
11:09 AM on 02/22/2012
How is that?
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Sharon Hanson
Skeptical of the *pseudo-skeptics*
08:01 PM on 02/22/2012
I'd like to know too.
04:37 PM on 02/20/2012
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noahmarder
Exposing the regressive lies, one by one
04:28 PM on 02/20/2012
7. The doctor doesn't spend enough time to know what is really wrong
8. The doctor has financial incentives to recommend certain treatments over others
9. The doctor can't provide evidence that his suggested treatment is effective and safe
10. The doctor is not up to date on the latest research
11. The doctor hasn't fully answered my questions, so I don't feel comfortable with his advice

People who ignore the advice of lawyers and financial advisers may be viewed as risk-takers, but there isn't the negative connotation of irresponsibility that is applied to those who ignore the advice of doctors. In the end, the choice of treatment plan is the PATIENT'S RESPONSIBILITY, as he will have to live with results. The doctor is a paid consultant, who's advice can be taken or not.
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08:30 PM on 02/20/2012
That is an excellent post. Fanned.

After all what is the medical professions worst nightmare? A healthy population that doesn't need them or their obscenely expensive treatments and medications.
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Sharon Hanson
Skeptical of the *pseudo-skeptics*
10:00 PM on 02/20/2012
Fanned and faved.
11:33 AM on 02/21/2012
A: Obscenely expensive treatments and medications.

Pharmaceuticals and insurance plans largely dictate cost of services and it's outrageous. This argument is lengthy itself. Moving on, I'm happy to say the majority of my patient base is healthy or on their way. Preventative care, as in my office, should be top priority as many long term pain conditions and disabilities can be avoided if one follows a healthy lifestyle. Accidents, however, do occur, people get older and the body will eventually fail. Only then should surgeries and high risk drug therapies be considered.

Find a doctor that treats you with the respect you deserve. Then their lifestyle advice won't be threatening, but an honest attempt to improve the quality of your life.
01:50 AM on 02/21/2012
As a doctor (nephrologist), I agree whole hardily with your assessment of my role as a paid consultant.
What I tell my patients all the time is that I'm just there to offer my advice, in the end they can choose to ignore it or not. Unlike many of my peers I openly welcome the patient who has been doing their own research on their health. Heck, I just spent two hours researching printers before buying one, why wouldn't someone find out as much as they possibly could before making a decision on something a bit more important than a printer.
I like to think that I do my best to keep up with the latest medical research as well, however it never ceases to amaze me how many physicians have lost touch with the current literature.
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MJinCanada
Safe from zombies until my 2nd cup of coffee
05:07 PM on 02/21/2012
Thank you. My doctor also appreciates it when patients take the time to list their symptoms and do a little internet research before coming in for a diagnosis.

As well, some doctors only read the one-sided literature that comes with the drug samples and are quite horrified by the side effects reported by their patients. My sister checked her weird flu-like symptoms on the internet and found she was having a bad reaction to a new arthritis medication. Her doctor couldn't believe it until he looked it up himself.
noahmarder
Exposing the regressive lies, one by one
12:56 AM on 02/22/2012
It's nice to hear from a reasonable doctor once in a while. I wish there were more like you.

My experience has been that I can usually come to an agreement with "consultant" type doctors regarding treatment, and things proceed relatively smoothly. I know my own body best, and can do internet research about my own medical problems, while the doctor has experience treating patients that no amount of research will give me, as well as a much broader base of medical research compared to my highly focused knowledge about my medical conditions. When doctor and patient recognize what each brings to the table, it is easy to work together.

Unfortunately, I have also found that when doctors are arrogant and authoritative, they are usually hiding something, be it economic incentives, incompetence, or just an inferiority complex. My experience has been that it is better to find another doctor rather than fight with one whom I feel isn't treating me with respect.
Konnie
PO'd PROGRESSIVE
04:28 PM on 02/20/2012
i'm fortunate to have a doctor i can say no to. i refuse to take the most commonly recommended perscription drugs. and guess what i am healthier than most of her other patients and many of my friends. you know those run on srolls and side effect voice overs on big pharma ads? well i don't have any of them. my friends are taking those drugs and then other drugs to counter act those
side effects. they are killing themselves to be healthier. makes perdect sense, not.
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08:31 PM on 02/20/2012
They are not getting healthier or curing any diseases, just hiding the symptoms with all the drugs.
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madcityy
03:42 PM on 02/20/2012
SADLY,,,,,,,,,,IT IAS ALL TRUEEEEEEEEEEEEEEEEEEEEEE
02:17 PM on 02/20/2012
I also think the medical system has come under much scrutiny, and we no longer accept the Doctor's word as Gods.
Lets face it, not all Doctors score 100% on their exams. They have weak and strong areas.
Medicine is very good at fixing 'broken' people, from accidents etc. But , personally, I think terrible at diseases. Medicine still has no idea on how 'life' works, or how cells do what they do.
It irks me, Doctor's don't provide us written reports on what they examine us for - everything is verbal, and soon forgotten or misinterpreted.
Remember when milk was bad for you, then salt, sugar, blah blah - all this nonsense is still voodoo, and guess work by people with long letters after their names; and who get proven wrong in time.
also, I wonder if cures are not being found, cause many people wouldn't profit f they were? Surely greed wouldn't ever enter into someones medical condition?
So, I do not have a lot of respect for some parts of the medical industry.
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sabelmouse
i love to tumble , ask me why .
01:51 PM on 02/20/2012
how can people who prescribe antibiotics for colds even be taken seriously?
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Ecoli
Enlightened
01:28 PM on 02/20/2012
by RNdiva505
Why do some doctors take their degree to their noggins! ....Us nurses are the ones who spend hours with the patient and have a sense of what the patient might need or want...We build that relationship! Then, here comes the doctor spending 2 mins with the patient then giving orders and don't care for our input! This frustrates me...

Why are some doctors knuckle heads who don't know what the heck they are doing! For example, my admit from the ER, chronic renal failure, came up with generalized pitting edema +2 running fluids at 125/hr...Asked doc to decrease fluid rate....He stated NO! What the hay day!
03:05 PM on 02/20/2012
Couldn't agree more. I totally prefer being seen by a nurse practitioner or PA. Most of my health issues are answered so much more thoughtfully and thoroughly.
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Sharon Hanson
Skeptical of the *pseudo-skeptics*
03:29 PM on 02/20/2012
ecoli, if you have anything going on with your kidneys avoid gadolinium based contrasting agents used with MRIs. I don't have renal disease by I got the disease they are calling nephrogenic systemic fibrosis and by others gadolinium induced systemic fibroisis. It's a serious and often times fatal. I'm totally disabled from MRIs with contrast that I didn't need but listened to my doctors because I'm high risk for breast cancer.