This article actually has nothing to do with my orthodontic treatment with the autumn hinge (mid-July it will be extended by 12 months) and do Multibrackets ( sapphire brackets ), and the interested reader it can safely skip to miss anything important without. He is also quite long, because I in bed and out of work in the last 5 days so much time to think it was - I therefore ask your indulgence. Who wants to read it yet: It's about the communication between Doctor and patient ...
Come now
The past week was hard. At the weekend I got a sudden high fever and severe chills. I had to tremble and shiver at times that I've been serious concerns about my autumn hinge. On Monday, I realized that I had better consult a doctor. And in what was then I realized the importance of communication between doctor and patient is and what it all might have gone wrong.
It started with the call. My old doctor retired and a new young and still unknown to me doctor, the practice adopted. I say that I need an appointment. The Office assistant replied that I always come may, for example, even now. That makes me suspicious already. Why are there no dates? I will not finally sit forever with almost 40 Splendor in the waiting room. So I wonder how long I would have to wait now. It is an evasive answer.
Cold Bibber
In the waiting room it is then for a Monday morning surprisingly empty and I quickly turn. The doctor is young, rather shy and does a very nice impression - but he speaks so softly that I barely understand him and ask several times. He wants to know where I work. I understand that he wants to know whether I smoke - and I'm not really deaf. I call him my employer, which he says nothing. Later, it turns out that he wanted to know if I work in the office or somewhere outside. Why did he not simply ask that?
He listens from me, then comes ultrasound. Shivering and shaking, I lie to him, tell him that I'm cold (although I have about 39 fever). Flatsch lands silently and without warning, a huge serving of cold gel on my fevered stomach. When he sees my face, he mumbles something unintelligible. A little later he wordlessly several paper towel-towels over me. I wonder what is the meaning of that now. Aha, ultrasound is probably too late and I want to wipe off the gel. Can not say? Would it not be polite if the polluter eliminates the goo? That's almost as if you would at the dentist again even collect the cotton balls from his mouth, or admit in the garage, even the tools from the engine.
The diagnosis seems complete. I am being told what it is not (Nirenstein), only the actual diagnosis, I do not know the doctor, but later taken my sick leave or the ICD-10 online. The young doctor tells me that he thought that I need penicillin (I would never have guessed). He looks at me quizzically. I nod quickly. He also wants to know (from me), how long it me to sick leave. He is from the recipe and the sick leave with the diagnosis. At the end (after the issue of prescription and sick leave), he would now like a urine sample. Oops, I think, this would not have to happen before. I do not care at the moment.
Retrying
After two and a half days with the antibiotic still no improvement. I call again in practice. They tell me I should come by again. I bring back with urine in the container, which was given me for it. The Office assistant looks at me. What, again urine. No, he is examined again when the treatment is over. Aha. This time
it is quite empty and I am the only patient. When the young doctor sees me, he asks first if I had brought urine. When I tell him what was said by his assistant hours, he stutters a 'yes' right'. He wants to know where I am in pain. I am considering a moment. Just as I will explain to him the pain, he calls on me to show where I am in pain. Am I a child? Does he believe that I have 40 years of problems, to name my body parts? I am slowly coming to ponder seriously. He tells me that there are now more treatment options. But somehow I get the impression that he expects me to decide should. Sorry, but you are the doctor, otherwise I would order the penicillin on the Internet.
I get new penicillin prescribed. The pharmacist says, determined to have my doctor explains how and how much should I take it. No, he did not. Just as little, as he imagined or mitgetewilt the diagnosis has. To penicillin can I get some good suggestions from the Pharmacist: drink at least 3 liter of water and kidney and bladder tea. Whether she realizes that my young doctor has a communication problem?
communication can be as simple
I will again go to this doctor? I do not know. He is young, friendly and has determined technically nothing wrong. But what does that help me if I do not understand him, I will not explain the diagnosis, and I will receive instructions for taking medication? This communication may yet be as easy for physicians. From my (patient's) point of view, he must follow only 5 things: first
Loud and clear
talk really so obvious that it need not be mentioned. If I do not understand a doctor, he can not help me too.
second Show appreciation and kindness
I want to feel at least a modicum of personal appreciation. This includes, for me that the doctor presents and maybe even leads a short personal conversation, so I can get to know him better. In the end I am pleased with friendly advice. Incidentally, it is often one of the first signs of burnout if people do not succeed, others to show respect to appreciation.
third How to explain
I want to understand what is being done to me, while I will fairly treated like a human. I will also have time to think and ask around. And afterwards I would not receive an invoice without knowing why.
4th Diagnosis and treatment explained
Do not many doctors and too erratic. But I want a patient to understand just what's going on. Above all, I would not ask the doctor what to do best.
5th Of confidence and courage to make
I think that is the crucial point. A friend once told me orthopedist that he could multiply the number of patients of his predecessor in the shortest possible time. His predecessor, the X-ray view of the often well too quickly shrugged his shoulders and said that they could not do anything more. My friend tried to make his patient courage to show them more opportunities and on alternative treatment options. He now has the largest and best practices that I know Sun
Only one episode to the dentist
Another episode at the dentist, which underscores why these tips are so important. When I moved to Berlin 10 years ago by Lake Constance, of course I had to find a new dentist. My first visit went something like this: After a short time I was led into the treatment room and greeted by a young dentist. I wondered about the young age because he was describing me actually different. On the chair declared the young doctor that actually everything is OK, but I soon gold inlays needed - especially for a tooth. Whether he will make me even a list of cost for it. As I say because of some tubes in his mouth could not, I nodded.
Then he recommended me another individual teething rail for 400 EUR, which I refused but little surprise. I was puzzled because I do not know this behavior of doctors in Berlin. In the district where I had lived, a doctor was happy when he did not have to treat scabies and not by his patients was robbed or bitten. Here on Lake Constance doctors tried apparently to sell their (dumb) patients a lot more expensive benefits.
A week later I received a healing plan and budget for an inlay, and a bill for the creation of treatment and cost plan. The cost of the inlay were so high that I have the same treatment and cost plan wegschmiss. On the other hand, he had also been enlightening, the now I read the name of the doctor: it was apparently 'only' a junior doctor - which I had not noticed, of course, because he had not presented (see point 2 above). The bill for the establishment of treatment and cost plan must be a joke, I thought. Who writes for a potential customer a bill for the creation of a proposal?
It was not intended as a joke! A few weeks later I received a letter from a debt collection attorney. The allerdins bit her off at my teeth, because some things just in Berlin but learn. I darauhin changed the dentist, I do not need more to mention. It is actually the same dentist who is here in the Kindergarten to recruit without asking little children as young customers. Interestingly, this is not considered as unfair competition among dentists, but is still supported by the kindergarten. Children are then marked with a yellow piece of paper and toys to home and want of course to the nice dentist who has given them that.
bottom line
it is a pity for this young, sympathetic doctor. He is wonder at his empty waiting room and may never know why. Maybe a psychologist would ever come up with the idea to offer a special communication training and coaching for physicians. The first measure that I would take as such a coach would be a systematic patient survey questionnaire with a suitable - especially for those who do not come back. As doctors are other feedback ever?
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