Doctor, Your Patient Will See You Now: Gaining the Upper Hand in Your Medical Care

Doctor, Your Patient Will See You Now: Gaining the Upper Hand in Your Medical Care

Steven Z. Kussin

Language: English

Pages: 329

ISBN: 1442210591

Format: PDF / Kindle (mobi) / ePub


The state of health care in this country is routinely discussed in the media, at the office, and around the kitchen table. Yet as consumers of medical care, Americans often blindly accept medical advice that may or may not be relevant or even appropriate. Doctor, Your Patient Will See You Now is meant to turn on its head the old notion that medical care is dictated by the doctors who offer advice. Today, it's all about the patients who receive it. Bias, financial incentives, and preventable medical error are common to the point of inevitability and have proven resistant to reform. Patients increasingly and correctly feel that they are on their own in a large, bewildering, impersonal, and dangerous medical system.

Offering an insider's perspective, Dr. Kussin provides the tools readers need to make informed decisions about their care, as well as the confidence to question their doctor's advice, seek out additional information, and discern the best path for their care. With this book, readers learn how to maintain a professional approach that, rather than straining the doctor-patient relationship, makes it stronger and more cooperative.

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best position to make a referral to the nearest national cancer center. The local oncologist is best suited to refer you to the physician qualified to serve your needs. But it’s not smart to go to a national cancer center, no matter how renowned, unless the doctor who practices there is renowned as well. The quality of these institutions in large part redounds upon their doctors’ abilities, not vice versa. The name and address of a world-famous hospital on a doctor’s letterhead can confer false

Shibboleth: What’s a boy to do? The public not only accepts the need for PSA blood tests, they expect it. PSAs have become a de facto rite of passage for men over forty. Despite this, the ability of PSAs to prolong life through the early detection of prostate cancer has been questioned for years. When it comes to PSAs, the American Cancer Society, the American Urologic Association, the US Preventive Services Task Force and the National Comprehensive Cancer Network agree on only one thing—doctors

performs this function as effectively. She is positioned at the crossroads of decision making and cost containment. She knows the language and the players. You need a doctor who is an advocate. When the day comes and medicalcare rationing is the rule (and that day will come) there will be no need for 9781442210592_Print.indb 57 4/14/11 7:17 AM 58 Chapter 2 a doctor’s passion. The care you receive will be dictated by comparative effectiveness studies that determine the best and most

keep a log that records the names of everyone coming into your room, their duties, and the times of their comings and goings. It means distributing gloves and making gentle but firm admonitions to visitors regarding the necessity of hand washing (always!) and protective clothing when needed (see chapter 18). Rather than seeming rude, this can, in fact, personalize your care and encourage a subtle but discernible layer of accountability. If people don’t like this, and there will be some who don’t,

yourself that courtly etiquette, although also a veneer, acknowledges your status by providing the kind of good manners that are often lacking in your exchanges with doctors. Call it style or bedside manner, we will discuss a doctor’s carriage and expand on the concept of etiquette-based medicine in the “Style” chapter that follows. Schmooze ’em or lose ’em. Stressing any similarities between you and your care providers reinforces native empathy. It builds social capital. It sustains long-term

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