How to tell the doctor about your illness
One day a sobbing woman came to my office. She talked about intolerable pains in her legs that prevent her from sleeping, living and talking. The examination and examinations did not confirm serious concerns: everything was fine with her legs, however, the woman’s subjective sensations did not at all coincide with what the doctors saw. She talked about how she woke up at night from cramps in her legs, her muscles were severely cramping and the pain gradually increased until the patient “lost consciousness”. The described symptoms could indicate a serious illness. Therefore, the woman received a welcome portion of sympathy, as well as referrals for further examination.
Two days later, the patient was again in the neurologist's office, angry. It turned out that she was going to go to a sanatorium in a week, but the therapist "would not let her." Of course, the patient was not going to undergo any examinations - she needed only the sympathy of the doctor, and she received it. The pain did not bother her anymore, and the fact that she lost consciousness was not remembered by the lady at all.However, the fact of fainting was recorded in her outpatient map, and therefore she could not go to a sanatorium until she passed all the examinations recommended by the neurologist. And this violated her plans: she was going to go shopping in search of a swimsuit and a sun hat, and she was forced to run around the hospitals and be examined.
The moral of the story is: emotions complicate the diagnostic search. Although the doctor has the skill to separate the patient's feelings from an objective picture of the disease, exaggeration and lies, which are used to increase the degree of sympathy, they still do not contribute to a quick diagnosis. But it can complicate the life of the patient.
Do not hide chronic diseases
There is a certain category of patients who adore playing a guessing game with doctors. Such patients come to the consultation with a mysterious face, and to the doctor's question “What is bothering you?” Answer indignantly: “You are a doctor, so you can determine what bothers me!”
Some are playing thinner. They honestly inform the doctor about their complaints, but they prefer to conceal the results of important studies.
For example, I had a patient with a tumor of the spinal cord that did not require surgery, but implied a constant observation of the doctor. He consistently bypassed all neurologists and neurosurgeons in the city in the hope that at least one specialist would "guess" his diagnosis on the move, without directing him to an MRI
Of course, none of the doctors guessed the tumor, because the symptoms were almost absent. The patient gloated and talked about the illiteracy of my colleagues - he chose me as a confessor just because I already knew his diagnosis.
"Medical Guess" - a fun and exciting game. But only as long as you do not want to receive adequate medical care. Therefore, it is better not to withhold information from your doctor about your chronic illnesses, medications that you regularly take, and other information that may be helpful in prescribing treatment.
Another reason for unnecessary silence is shame. However, for a doctor there can not be "inconvenient" information - professional ethics does not allow him to make judgments about certain behaviors of the patient. In addition, most of the stories that seem "unsightly" to the patient,from the point of view of the doctor appear typical - all the same the human mentality works under the same laws, that is why people make approximately the same set of errors which leads to illnesses.
The essence of an individual approach in treating a patient is that the doctor takes into account maximum information about the patient. Therefore, if you tell the doctor everything as it is and provide data from previous examinations, the chances of prescribing the right treatment for you will increase significantly.
Tell me what you are not being treated
Some patients do not dare to take a doctor-appointed treatment. The reasons may be different: for example, the fear that antidepressants cause irreversible personality changes and addiction; confidence in the terrible side effects that are indicated in the instructions (the doctor, I don’t know!), and sometimes the lack of financial opportunities to buy medicines.
Such patients continue to go to the doctor in the hope that he will prescribe another treatment. And the doctor, as a rule, realizes that the patient simply ignored his appointments. But getting the confession “I haven’t done anything from the appointed one” from him sometimes requires tremendous efforts.
For example, a patient with a tension headache that went through all circles of domestic medicine: she “dripped” in the hospital and received darsonval courses on the scalp, various currents on the neck, and used the services of massage therapists, osteopaths and chiropractors can cope with pain.
The doctor prescribes antidepressants - the standard effective treatment for this disease. The patient reads the instructions, is indignant at being “considered crazy”, and, of course, does not accept anything. The head continues to hurt. The patient comes again in the hope of getting directions to the next “procedure”. And there is no end to this story
The doctor guesses that the patient does not drink pills, convinces her that they are necessary - this is not about insanity, but about eliminating the causes of pain, which are hidden in the peculiarities of her reaction to stress ... But all is in vain. The head continues to hurt, useless "currents", "massages" and "dirt" continue to brighten up the life of the patient ...
Doubts, fear, anxiety, insecurity - this is a normal reaction to treatment prescribed by a doctor. You do not have to trust the specialist completely, especially if you see him for the first time and are excited by the manifestations of your own illness.However, expressing your doubts out loud is the most reasonable thing you can do in this situation. Perhaps the doctor will be able to dispel your doubts, and convince people to heal, and thereby reduce the time spent in communicating with “comrades in misfortune” on the Internet or in search of an “optimal” option for self-treatment.
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