Tests are increasingly common, visits are increasingly short, and doctors now commonly forego thorough physical examination. Put bluntly, in the exam room we are already doing less talking and touching, and more testing.
When I started my training in psychiatry 45 years ago, the prevailing model for understanding mental disorders was broadly bio/psycho/social in the grand tradition of Pinel. When psychiatry is practiced well, it integrates insights from all the different ways of understanding human nature.
Physicians need to lose the paternal attitude, embrace the new doctor/patient paradigm and gain some new partners who can help us prevent disease, manage big health global concerns (heart disease, cancer, hypertension) and shape a healthier world.
Going into surgery soon? Make sure you know about the "five little pearls" -- bits of practical wisdom that won't be in that fancy color pamphlet that the surgeon gives you or the packet of loose papers that the nurse shoves into your hands as you're hurried out the door after surgery.
The difficulty accepting uncertainty is just as strong today as it ever has been. It leads now to excessive testing, quack treatments, and blaming the patient. We need to expand our frontiers of knowledge, but also to recognize our limitations and do the best we can within them.
We crave real portrayals of people like ourselves: people who can be confused, get angry, celebrate joyous moments and sometimes feel rejected and unloved. James Gandolfini made Tony Soprano, the Jersey mob boss, one of us.
Being aware of what's happening in the room -- paying attention to the process -- requires an intention, a willingness to be present, to show up and engage with our patients in a way that is mutually respectful.
With more consumers turning to the Internet to search for health information, the process can be labor intensive, leaving consumers confused and wondering if the information presented is accurate or just hype.
This is an important kind of accessibility that is severely lacking in the medical world. My doctor should be as accessible to me as her front office is. She should be as accessible as a designer is to his clients, as owners are to their dogs, as a manager is to her employees.
Needless to say, I was very relieved when I left the office of Dr. #4. I loved hearing that I wouldn't need a hysterectomy and that I no longer had pre-cancerous cells on my cervix. But I couldn't help being shocked at how little curiosity he'd shown over a promising new treatment for his patients.
We often equate knowledge with power: The more we know, the better we are able to make decisions. Unfortunately, there are cases where ignorance really may be bliss, and Alzheimer's isn't the only one.
You may be dissatisfied and frustrated by the way your medical care is today, but there is a way to make it better. You hold the key to transforming your health, beginning with establishing a solid partnership with your doctor.
Patients like Robert make clear that the very personal meaning patients find in their illnesses can be profoundly empowering. All too often, however, health care does not allow patients to explore the personal significance of their diseases.
Has this ever happened to you? You are at an appointment with your doctor. She asks you for something, say, the dosage of your cholesterol medication or the results of your recent blood draw you had. You think to yourself, shoot, if only I brought that with me!
Brian Goldman makes an impassioned personal case for changing the culture of medicine by admitting errors of judgment. I think that the most important step in making that change is recognizing the relationship between physician and patient for what it really is: a partnership.
Does race or gender influence decision-making among members of the most respected professions? Several recent, high-profile studies conclude that, yes, even scientists, doctors, and judges are vulnerable to such unconscious bias.
In health care, the world breaks down into two types: those who "believe" in alternative medicine and those who think it is quackery. This is unfortunate. New ideas are always alternative until they become well accepted.