This letter / PRIMER / blog is intended to Gynecologists , you Dr. dealing with endometriosis,
which we know has a busy life, serving in several places, dealing with
all kinds of people, and living much stress as well the continuing need
for continuing education, which is not always possible.
Many of you suffer from bad working conditions, are bound to a call that aims only productivity and quality and not like other mortals, err, tread on the ball and several times pass over ethics, including the medicine itself.
As a professional of Human and carrier endometriosis , want from my experiences help raise awareness, about the poor service to other women with the same problem, with the most mundane actions , lived not only for me but for all patients.
Dr. have any questions about it? Enter the search engine and searching forums, blogs and other spaces where women express exactly what I'm going to list. The topics presented here are accounts of actual experiences. Remember that I am only focusing on symptomatic patients with chronic pain and "disabling "like me.
The suggestions, although they focus on private consultations and health plan, I note that such posture change recommendations must be redoubled to the patients using the NHS and are forced to take the bus, can not time off work and other debilitating factors. Reason? They suffer MUCH more.
Anyway, even if understanding the complexity of the issue, the moral and social dilemmas involving in medical practice, I suggest to Dr .:
1. DO NOT TELL THE PATIENT PROBLEM IS EMOTIONAL OR PSYCHOLOGICAL.
If Dr. has the exams and diagnosis, should know that obviously endometriosis, hormonal and social factors leave the depressed patient. So the root of the problem is not psychological. It is this part of the gynecological and obstetrician decides, the rest psychiatrist and psychologist will realize and parallel preference. But that does not negate their responsibility. Saying this patient, she understands that in a sense it is her fault. While it is emotional she makes no effort to get well, it's crazy, but so she thinks. After all, nobody is denying here that the patient is emotionally shaken.
I've heard a medical advise me thinking about my pain as follows: "is it all even though I feel?". Ok, this question should be him who will never understand what a woman feels.
Dr. if your line of work is the traditional, leave this approach to diseases with emotional for the disciples of Louise Hay author who writes self-help books with claims to cure physical ailments. Including the latest released she writes with a doctor who confirms the effectiveness of positive affirmations and not discarding the traditional treatment. The work is called "IS OKAY."
2. SAY WHAT OTHER WOMEN ARE ALSO SUFFERING OR MORE.
Dr., of the importance of informing the patient already suffering, others are also suffering or else she?
I'll be happier to know that more people suffer? . NOT
that time, the patient wants to get rid of her problem and return to your life.
In a consultation, a doctor told me, "that's right You are already diagnosed endometriosis It has 16 year old girl who has ever imagined!. much worse? is not it? ".
Poor girl, but what is the doctor's role? Presenting statistical data of another's misfortune or solve MY problem? And the girl ??? Knowing the examples reduces my pain? Another detail: who ensures that at 16 I also did not?
3. NOT PET THE PATIENT
This stance was the same doctor above item, which took my hand, stroked, kissed (!!!) This invasive procedure and naughty, remove the implants? Chronic pain disappears? Or is it an attempt to humanize care that is more expensive sexual harassment? After all had never seen the man in life and not returned for review. I think that this topic does not deserve further comment because it would have more to say on the consultation. Poor girl of 16, again.
4. NOT derides OR GIVE TIME OUT giggles
Make a theater course for concentration if required. Irony, disdain and infamous jokes, only show a lack of professionalism. The patient feels humiliated, you feel nothing. Feels as if her problem did not matter. Ie Dr., when you do not control and treat their patient and client as an idiot, she feels much worse: Fully injured. Lost your time and raised expectations to be answered by a professional who should look after your health, but it behaves like a brat.
5. Why say you are "helping" the patient?
Your job is to volunteer? courtesy? You give the expensive medicines that recipe? You pay the taxi it? Gives off query? Meet outside the times? If not, we know how much it costs the life of a patient with endometriosis.
If Dr.'re getting the work, and just does the basics, do not play Mother Teresa. But do not worry, a patient is often out of the office without saying " thank you! "
I have heard this: "let's see how I can help you", "I will do this to try to help you." This doctor does not accept health plans and their consultation cost $ 500 and the worst, it does not "helped" anything!
6. Avoid controversial topics, discussion of policy, among others
I went through this with TWO DOCTORS, but I will tell the story of one who was ultrasound. As I was in character emergency , we were asked several tests. If it was an emergency I felt a lot of pain. And his colleague, found that this was the right moment to speak ill of Dilma and his government, as received in his work in the SUS. Think of the scene: you in pain, and the doctor making ultrasound transvaginal, breast, thyroid and abdomen and indicating readings See and talking about the robbery of the PT . revolted, making camapanha, without even knowing my opinion
makes it not Dr . endometriosis is confined that give cloth sleeve or else, speaks of the time. A better idea: keep quiet.
7. DO NOT PUT THE BLAME THE PAINS OF YOUR PATIENT IN PERIPHERAL PROBLEM.
Dr know that the patient has other problems, like a stone in the bladder, an ingrown toenail, or even myopia as soon as can not solve endometriosis, Dr . says "but you have a ingrown toenail" in another query "but you have a gall stone" ... and so on!
Dr., arranges not excuse you do not have mechanisms to relieve the pain of the patient. Endometriosis now and then appears in these lists the 10 diseases that cause more pain WORLDWIDE.
8. THROW AWAY YOUR MACHISMO
I believe that Part of that spent so far, due to the fact introduce me to the office alone. It seems that the gynecologist needs a man beside the woman, to validate what she says. This includes homosexuals doctors. In addition to the social and racial discrimination, the woman suffers from it: if it is not presented with a man, her care can be mouth half.
9. AVOID disdain FEAR AND THEIR CONCERNS THE PATIENT
Dr. the patient who is not a doctor, does not know how things unfold. As much as it informs, it is the patient who has the disease and feels pain and is emotionally shaken. So instead of insinuating an ironic chuckle when she afraid of having a cancer, for example, explain, instruct her. Oh and you can calm her down as well. Or be quiet.
10. YOU IS NOT THE OWNER OF THE TRUTH.
So do not close the diagnosis with your queries and A procedure performed by you. Extend the range. The doctor is not a mere technician but a researcher, investigator. And is not God.
11. Does not say ANYTHING.
If dealing with Dr. endometriosis, admit that you do not know much. We know that research in the area is recent and there is still much to discover. So do all the necessary tests and procedures, biopsies to be able to assume something. Perhaps the bearer of endometriosis suffer MORE by rainfall and lack of knowledge of professionals THAT THE DISEASE ITSELF. Several surveys, each says something. I've heard that I can have 500 children, who will have to take out the uterus, my ovary is great, which is not, that endometriosis is deep, that is NOTHING too. Anyway, before finalizing the appropriate treatment, it is silent. I heard it all in less than a year!
12. INDICATE IF A SPECIALIST KNOW NOT GIVE ACCOUNT.
For the sake of patient - and his - indicate someone who knows what will Dr. better treatment if you are not expert in the field. Do not do to waste time. Or feel more pain. Goes ahead as it is not their focus of study. He is expert in the field who do not realize ... imagine the other!
13. DO NOT LET THE FRAMEWORK OF PATIENT getting worse.
Yes Dr. is not God, but since it has enough data. but can send and control the problem. But for this, you need to follow the above. And bring your real patient. What is rare.
14. SOME THE TESTS, REPORTS, PICTURES MOST REPORTING OF PATIENT
Dr. there is no one better than the patient to guide their work. It has the most important data. Although the superficial tests do not correspond to what the patient says, believe in it. For more beautiful than the Dr. is, I guarantee: it does not want to be going to his office not keep running like crazy behind other professionals. Nor spend, fat with medications and be retired for disability.
15. ANALYSIS ALL EXAMINATION
Dr. need to surround himself with all possible data for treatment to be more effective. Or am I wrong? In addition to requesting the tests, consider the test that the patient already has, even if it has not been done by your trusted colleague.
16. Make laparoscopy!
Dr., you have all the data and imaging tests to confirm a diagnosis even if not fully in agreement. Dr. indicated a medication, the patient continues with the symptoms, chronic and disabling pain, indicated another and the patient does not have improvement. Dr. why not just do the exploratory laparoscopy? Will you wait the implants alastrarem by the patient's body, adhere to all organs? For surgery to be more complex and delicate? Dr. not sure what is and is medicating, stalling and life, Dr. passing!
17. IS YOUR OBLIGATION TO MORAL, SOCIAL AND POLITICAL streamline IMPROVES QUALITY OF ENDOMETRIOSIS OF CARRIER OF LIFE.
It is true that the fault is not yours Dr., but it's your job and get through it.
When the patient takes treatment and is coming and going and moves away from work, this implies costs for the government. In my case the Federal. Ie is general dissatisfaction with the corruption of the federal government by the doctors, but they themselves do not realize their crucial role in the system. What in my view, forgive me, it makes it a corrupt also.
18. NOT Prioritize PROCEDURES SPECIALTY YOUR FORGETTING THE MOST IMPORTANT
For what hysteroscopy for a patient with suspected deep endometriosis? Make hysteroscopy, biopsy and such, but more thorough examination is not Laparoscopy Exploratory? That in addition to diagnose, know what's really going on, remove adhesions, patient implants? Confirm?
19. DO YOUR GUINEA PIG PATIENT!
You prescription medicines that your research center created and is in testing. The patient spends more than R $ 2,000.00, properly use the medication, and Dr keeps worsening, arguing that the patient needs a psychiatrist, when it already has and their symptoms are the disease that Dr.'re not taking seriously, even though their area of training and expertise.
20. DO NOT TREAT YOUR PATIENT AS IDIOT
Dr. "you do not know who you're talking" . But it's true. Do not underestimate the intelligence of your patient. She is the bearer of endometriosis not problems that affect your intelligence and common sense. Despite Dr. insist your patient is not crazy fool and read more about it than you. Respect her knowledge.
21. DO NOT DISCRIMINATE YOUR PATIENT
Regardless of the level of education, status, dress, ethnicity, preferences, whether or not a man to respect. Their role is to solve the problem, seek these mechanisms. And do not judge. Be focused. You do not have to like people - should - but at least be professional.
22. BE EDUCATED
If not, pretend. The patient has no obligation to endure bad mood, irritation and impatience doctor. This is your role not hers. Not the reverse!
23. SAVE YOUR PATIENT, NOT MAKE HER GO AND COME!
She feels pain Dr. Sometimes can not walk. Feel severe pain, pangs, so avoid for example make it go running to another place that Dr. caters to hit the surgical procedure. It will Dr. because your desperation to improve, does it pay a taxi to a distant site of origin, and find that your type of health plan does not meet the site simply because you pushed her to do it at that moment it was urgent !!! Worse, after that, that this urgent call, only occurred more than 30 days after the same plan and authorized within less than 10 days.
24. DO NOT LEAVE THE WISH THE ASPECTS bureaucratic.
Send the invoice. Sign the attendance certificates and others. Make a decent report if required. Do not allow your patient go after anything else. Do your part. Hers is paying you and follow their guidelines to the letter, but it does not include any kind of paperwork, contacts with ombudsman etc. In addition to physician Dr. is an entrepreneur, albeit an employee. Good care involves all aspects. Not only in the particular context.
25. DO NOT STAY Inventing FASHION
Like, everyone knows that food influences the pain, improvement or worsening of symptoms of endometriosis carrier. And there physiotherapy specialist in case. But Dr. suggest yes, other professionals, a multidisciplinary team, but does not impose this as their treatment.
Who needs to work on that is you! Tests, laparoscopy, the patient's life history and all the data you may have. And do not slow down the process with palliative when we know that the correct positioning is another.
26. AND IF NOT Endometriosis?
Dr. if the medication has no effect if the quality of life of the patient did not return with any recommendations, consider other problems yes. For example, the cyst may be cancer, but ... "Ah, but it is very rare ovarian cancer." It is rare but not impossible. And when it manifests the patient is already terminally ill, it is no wonder that is one of the malignant tumors biggest killers and is considered a silent enemy. Dr. if you do an operation with biopsies of all will not know anything for sure.
27. SEEK TO KNOW YOUR LIFE STORY OF PATIENT
It seems out of fashion. The patient now enters the office shows the tests, most of the time NOT EXAMINED and the doctor knows nothing of its history. Disease of their close relatives, of his old diseases! Dr acts as if none of this was important.
It should be the new trend generated by a new cancer research, which says that environmental and hereditary issues does not affect the development of the disease. It's a matter of good or bad luck, like the lottery. Well ... the research caused fanfare around the world, including scientists recanted: http://www.bbc.co.uk/portuguese/noticias/2015/01/150108_cancer_azar_duvidas_mdb / and blamed the journalists for misleading disclosure. Just know that here it avenged.
28. IF YOU CAN NOT MAKE AN EMERGENCY PROCEDURE INDICATE A COLLEAGUE
Do not make the patient wait. If you travel, you can not attend is for what reason is, do not let her waiting. This is a tremendous irresponsibility. Do this only when it is the only professional performing service WORLDWIDE!
29. NOT REFUSE SERVICE
If the patient seeks to meet it's because she does not want to another doctor. But if you work in the same place it is normal that there is a malaise. But this is a problem of you.
The patient wants to discuss, perform the emergency procedure and Dr. NOT HAVE THE RIGHT TO DENY THE CALL with the excuse of not wanting to "cross the colleague." The life of the patient is more important than the corporatism of you. Forgot the oath?
30.The "DR. GOOGLE" It's YOUR PARTNER AND NOT THE ENEMY
Detach Dr.! Some years ago the knowledge and information are open to the world. And that's great. It is much more satisfying answer a patient who tries to inform, that one that puts the burden of all responsibilities on you, or even no access to information.
The fact that she read news, specialized sites (written by doctors !!!) and articles will not make it a scientific expert. She will not take your job - or want - but is entitled to know ALL that concerns the problem that afflicts him. Instead of being jealous of the internet, use it to your advantage. Also read!
31.Do not save consutas
If the patient does not authorize in writing, you have no right to record anything.
In fact this is unethical and crime. Your patient is not a mouse for you to experiment. Not to mention that it can come to the fore. Remember, the patient also has technological equipment and can shoot you recording.
32. If you are missing, please inform
gave himself no time, does not cover return visits. Or offer a free next time. If the review time has expired is your business that was not in the previous query. The carrier endometriosis already have many losses. Save it! Or at least be professional and compensate her for the mistake was yours.
33. TREAT YOUR PEOPLE AS PATIENT
It is like you. And it is their obligation to treat it well, and vice versa. Their knowledge should be used in favor of the carrier endometriosis not against it. After his role is to treat the patient's health, or am I mistaken?
finishing ...
Medicine is an area full of nuances, which deals directly with people, but does not present a significant respect for the human being.
Rooted with prejudices and values of the consumer society, treats the patient just as a customer and your problem as a product. And yet, it does not humanize this care.
Endometriosis is the new Cancer, a gold mine and better, because despite taking the woman's life, she does not kill, only in extreme cases. That is, you are alive suffering and spending.
Unfortunately, chronic pain of endometriosis and other problems it brings, sell much. Medicines thousand, pain clinic, nutritionist, physical therapy, unnecessary procedures and ways to maintain the continuity of its presence in consultations demonstrate a greater interest in PROFIT that in CURE .
Profiting from other people's pain. The person who entrusts his life, believing in his professionalism, qualification to practice.
There is more cowardly way to survive and destroy the medicine?
Many of you suffer from bad working conditions, are bound to a call that aims only productivity and quality and not like other mortals, err, tread on the ball and several times pass over ethics, including the medicine itself.
As a professional of Human and carrier endometriosis , want from my experiences help raise awareness, about the poor service to other women with the same problem, with the most mundane actions , lived not only for me but for all patients.
Dr. have any questions about it? Enter the search engine and searching forums, blogs and other spaces where women express exactly what I'm going to list. The topics presented here are accounts of actual experiences. Remember that I am only focusing on symptomatic patients with chronic pain and "disabling "like me.
The suggestions, although they focus on private consultations and health plan, I note that such posture change recommendations must be redoubled to the patients using the NHS and are forced to take the bus, can not time off work and other debilitating factors. Reason? They suffer MUCH more.
Anyway, even if understanding the complexity of the issue, the moral and social dilemmas involving in medical practice, I suggest to Dr .:
1. DO NOT TELL THE PATIENT PROBLEM IS EMOTIONAL OR PSYCHOLOGICAL.
If Dr. has the exams and diagnosis, should know that obviously endometriosis, hormonal and social factors leave the depressed patient. So the root of the problem is not psychological. It is this part of the gynecological and obstetrician decides, the rest psychiatrist and psychologist will realize and parallel preference. But that does not negate their responsibility. Saying this patient, she understands that in a sense it is her fault. While it is emotional she makes no effort to get well, it's crazy, but so she thinks. After all, nobody is denying here that the patient is emotionally shaken.
I've heard a medical advise me thinking about my pain as follows: "is it all even though I feel?". Ok, this question should be him who will never understand what a woman feels.
Dr. if your line of work is the traditional, leave this approach to diseases with emotional for the disciples of Louise Hay author who writes self-help books with claims to cure physical ailments. Including the latest released she writes with a doctor who confirms the effectiveness of positive affirmations and not discarding the traditional treatment. The work is called "IS OKAY."
2. SAY WHAT OTHER WOMEN ARE ALSO SUFFERING OR MORE.
Dr., of the importance of informing the patient already suffering, others are also suffering or else she?
I'll be happier to know that more people suffer? . NOT
that time, the patient wants to get rid of her problem and return to your life.
In a consultation, a doctor told me, "that's right You are already diagnosed endometriosis It has 16 year old girl who has ever imagined!. much worse? is not it? ".
Poor girl, but what is the doctor's role? Presenting statistical data of another's misfortune or solve MY problem? And the girl ??? Knowing the examples reduces my pain? Another detail: who ensures that at 16 I also did not?
3. NOT PET THE PATIENT
This stance was the same doctor above item, which took my hand, stroked, kissed (!!!) This invasive procedure and naughty, remove the implants? Chronic pain disappears? Or is it an attempt to humanize care that is more expensive sexual harassment? After all had never seen the man in life and not returned for review. I think that this topic does not deserve further comment because it would have more to say on the consultation. Poor girl of 16, again.
4. NOT derides OR GIVE TIME OUT giggles
Make a theater course for concentration if required. Irony, disdain and infamous jokes, only show a lack of professionalism. The patient feels humiliated, you feel nothing. Feels as if her problem did not matter. Ie Dr., when you do not control and treat their patient and client as an idiot, she feels much worse: Fully injured. Lost your time and raised expectations to be answered by a professional who should look after your health, but it behaves like a brat.
5. Why say you are "helping" the patient?
Your job is to volunteer? courtesy? You give the expensive medicines that recipe? You pay the taxi it? Gives off query? Meet outside the times? If not, we know how much it costs the life of a patient with endometriosis.
If Dr.'re getting the work, and just does the basics, do not play Mother Teresa. But do not worry, a patient is often out of the office without saying " thank you! "
I have heard this: "let's see how I can help you", "I will do this to try to help you." This doctor does not accept health plans and their consultation cost $ 500 and the worst, it does not "helped" anything!
6. Avoid controversial topics, discussion of policy, among others
I went through this with TWO DOCTORS, but I will tell the story of one who was ultrasound. As I was in character emergency , we were asked several tests. If it was an emergency I felt a lot of pain. And his colleague, found that this was the right moment to speak ill of Dilma and his government, as received in his work in the SUS. Think of the scene: you in pain, and the doctor making ultrasound transvaginal, breast, thyroid and abdomen and indicating readings See and talking about the robbery of the PT . revolted, making camapanha, without even knowing my opinion
makes it not Dr . endometriosis is confined that give cloth sleeve or else, speaks of the time. A better idea: keep quiet.
7. DO NOT PUT THE BLAME THE PAINS OF YOUR PATIENT IN PERIPHERAL PROBLEM.
Dr know that the patient has other problems, like a stone in the bladder, an ingrown toenail, or even myopia as soon as can not solve endometriosis, Dr . says "but you have a ingrown toenail" in another query "but you have a gall stone" ... and so on!
Dr., arranges not excuse you do not have mechanisms to relieve the pain of the patient. Endometriosis now and then appears in these lists the 10 diseases that cause more pain WORLDWIDE.
8. THROW AWAY YOUR MACHISMO
I believe that Part of that spent so far, due to the fact introduce me to the office alone. It seems that the gynecologist needs a man beside the woman, to validate what she says. This includes homosexuals doctors. In addition to the social and racial discrimination, the woman suffers from it: if it is not presented with a man, her care can be mouth half.
9. AVOID disdain FEAR AND THEIR CONCERNS THE PATIENT
Dr. the patient who is not a doctor, does not know how things unfold. As much as it informs, it is the patient who has the disease and feels pain and is emotionally shaken. So instead of insinuating an ironic chuckle when she afraid of having a cancer, for example, explain, instruct her. Oh and you can calm her down as well. Or be quiet.
10. YOU IS NOT THE OWNER OF THE TRUTH.
So do not close the diagnosis with your queries and A procedure performed by you. Extend the range. The doctor is not a mere technician but a researcher, investigator. And is not God.
11. Does not say ANYTHING.
If dealing with Dr. endometriosis, admit that you do not know much. We know that research in the area is recent and there is still much to discover. So do all the necessary tests and procedures, biopsies to be able to assume something. Perhaps the bearer of endometriosis suffer MORE by rainfall and lack of knowledge of professionals THAT THE DISEASE ITSELF. Several surveys, each says something. I've heard that I can have 500 children, who will have to take out the uterus, my ovary is great, which is not, that endometriosis is deep, that is NOTHING too. Anyway, before finalizing the appropriate treatment, it is silent. I heard it all in less than a year!
12. INDICATE IF A SPECIALIST KNOW NOT GIVE ACCOUNT.
For the sake of patient - and his - indicate someone who knows what will Dr. better treatment if you are not expert in the field. Do not do to waste time. Or feel more pain. Goes ahead as it is not their focus of study. He is expert in the field who do not realize ... imagine the other!
13. DO NOT LET THE FRAMEWORK OF PATIENT getting worse.
Yes Dr. is not God, but since it has enough data. but can send and control the problem. But for this, you need to follow the above. And bring your real patient. What is rare.
14. SOME THE TESTS, REPORTS, PICTURES MOST REPORTING OF PATIENT
Dr. there is no one better than the patient to guide their work. It has the most important data. Although the superficial tests do not correspond to what the patient says, believe in it. For more beautiful than the Dr. is, I guarantee: it does not want to be going to his office not keep running like crazy behind other professionals. Nor spend, fat with medications and be retired for disability.
15. ANALYSIS ALL EXAMINATION
Dr. need to surround himself with all possible data for treatment to be more effective. Or am I wrong? In addition to requesting the tests, consider the test that the patient already has, even if it has not been done by your trusted colleague.
16. Make laparoscopy!
Dr., you have all the data and imaging tests to confirm a diagnosis even if not fully in agreement. Dr. indicated a medication, the patient continues with the symptoms, chronic and disabling pain, indicated another and the patient does not have improvement. Dr. why not just do the exploratory laparoscopy? Will you wait the implants alastrarem by the patient's body, adhere to all organs? For surgery to be more complex and delicate? Dr. not sure what is and is medicating, stalling and life, Dr. passing!
17. IS YOUR OBLIGATION TO MORAL, SOCIAL AND POLITICAL streamline IMPROVES QUALITY OF ENDOMETRIOSIS OF CARRIER OF LIFE.
It is true that the fault is not yours Dr., but it's your job and get through it.
When the patient takes treatment and is coming and going and moves away from work, this implies costs for the government. In my case the Federal. Ie is general dissatisfaction with the corruption of the federal government by the doctors, but they themselves do not realize their crucial role in the system. What in my view, forgive me, it makes it a corrupt also.
18. NOT Prioritize PROCEDURES SPECIALTY YOUR FORGETTING THE MOST IMPORTANT
For what hysteroscopy for a patient with suspected deep endometriosis? Make hysteroscopy, biopsy and such, but more thorough examination is not Laparoscopy Exploratory? That in addition to diagnose, know what's really going on, remove adhesions, patient implants? Confirm?
19. DO YOUR GUINEA PIG PATIENT!
You prescription medicines that your research center created and is in testing. The patient spends more than R $ 2,000.00, properly use the medication, and Dr keeps worsening, arguing that the patient needs a psychiatrist, when it already has and their symptoms are the disease that Dr.'re not taking seriously, even though their area of training and expertise.
20. DO NOT TREAT YOUR PATIENT AS IDIOT
Dr. "you do not know who you're talking" . But it's true. Do not underestimate the intelligence of your patient. She is the bearer of endometriosis not problems that affect your intelligence and common sense. Despite Dr. insist your patient is not crazy fool and read more about it than you. Respect her knowledge.
21. DO NOT DISCRIMINATE YOUR PATIENT
Regardless of the level of education, status, dress, ethnicity, preferences, whether or not a man to respect. Their role is to solve the problem, seek these mechanisms. And do not judge. Be focused. You do not have to like people - should - but at least be professional.
22. BE EDUCATED
If not, pretend. The patient has no obligation to endure bad mood, irritation and impatience doctor. This is your role not hers. Not the reverse!
23. SAVE YOUR PATIENT, NOT MAKE HER GO AND COME!
She feels pain Dr. Sometimes can not walk. Feel severe pain, pangs, so avoid for example make it go running to another place that Dr. caters to hit the surgical procedure. It will Dr. because your desperation to improve, does it pay a taxi to a distant site of origin, and find that your type of health plan does not meet the site simply because you pushed her to do it at that moment it was urgent !!! Worse, after that, that this urgent call, only occurred more than 30 days after the same plan and authorized within less than 10 days.
24. DO NOT LEAVE THE WISH THE ASPECTS bureaucratic.
Send the invoice. Sign the attendance certificates and others. Make a decent report if required. Do not allow your patient go after anything else. Do your part. Hers is paying you and follow their guidelines to the letter, but it does not include any kind of paperwork, contacts with ombudsman etc. In addition to physician Dr. is an entrepreneur, albeit an employee. Good care involves all aspects. Not only in the particular context.
25. DO NOT STAY Inventing FASHION
Like, everyone knows that food influences the pain, improvement or worsening of symptoms of endometriosis carrier. And there physiotherapy specialist in case. But Dr. suggest yes, other professionals, a multidisciplinary team, but does not impose this as their treatment.
Who needs to work on that is you! Tests, laparoscopy, the patient's life history and all the data you may have. And do not slow down the process with palliative when we know that the correct positioning is another.
26. AND IF NOT Endometriosis?
Dr. if the medication has no effect if the quality of life of the patient did not return with any recommendations, consider other problems yes. For example, the cyst may be cancer, but ... "Ah, but it is very rare ovarian cancer." It is rare but not impossible. And when it manifests the patient is already terminally ill, it is no wonder that is one of the malignant tumors biggest killers and is considered a silent enemy. Dr. if you do an operation with biopsies of all will not know anything for sure.
27. SEEK TO KNOW YOUR LIFE STORY OF PATIENT
It seems out of fashion. The patient now enters the office shows the tests, most of the time NOT EXAMINED and the doctor knows nothing of its history. Disease of their close relatives, of his old diseases! Dr acts as if none of this was important.
It should be the new trend generated by a new cancer research, which says that environmental and hereditary issues does not affect the development of the disease. It's a matter of good or bad luck, like the lottery. Well ... the research caused fanfare around the world, including scientists recanted: http://www.bbc.co.uk/portuguese/noticias/2015/01/150108_cancer_azar_duvidas_mdb / and blamed the journalists for misleading disclosure. Just know that here it avenged.
28. IF YOU CAN NOT MAKE AN EMERGENCY PROCEDURE INDICATE A COLLEAGUE
Do not make the patient wait. If you travel, you can not attend is for what reason is, do not let her waiting. This is a tremendous irresponsibility. Do this only when it is the only professional performing service WORLDWIDE!
29. NOT REFUSE SERVICE
If the patient seeks to meet it's because she does not want to another doctor. But if you work in the same place it is normal that there is a malaise. But this is a problem of you.
The patient wants to discuss, perform the emergency procedure and Dr. NOT HAVE THE RIGHT TO DENY THE CALL with the excuse of not wanting to "cross the colleague." The life of the patient is more important than the corporatism of you. Forgot the oath?
30.The "DR. GOOGLE" It's YOUR PARTNER AND NOT THE ENEMY
Detach Dr.! Some years ago the knowledge and information are open to the world. And that's great. It is much more satisfying answer a patient who tries to inform, that one that puts the burden of all responsibilities on you, or even no access to information.
The fact that she read news, specialized sites (written by doctors !!!) and articles will not make it a scientific expert. She will not take your job - or want - but is entitled to know ALL that concerns the problem that afflicts him. Instead of being jealous of the internet, use it to your advantage. Also read!
31.Do not save consutas
If the patient does not authorize in writing, you have no right to record anything.
In fact this is unethical and crime. Your patient is not a mouse for you to experiment. Not to mention that it can come to the fore. Remember, the patient also has technological equipment and can shoot you recording.
32. If you are missing, please inform
gave himself no time, does not cover return visits. Or offer a free next time. If the review time has expired is your business that was not in the previous query. The carrier endometriosis already have many losses. Save it! Or at least be professional and compensate her for the mistake was yours.
33. TREAT YOUR PEOPLE AS PATIENT
It is like you. And it is their obligation to treat it well, and vice versa. Their knowledge should be used in favor of the carrier endometriosis not against it. After his role is to treat the patient's health, or am I mistaken?
finishing ...
Medicine is an area full of nuances, which deals directly with people, but does not present a significant respect for the human being.
Rooted with prejudices and values of the consumer society, treats the patient just as a customer and your problem as a product. And yet, it does not humanize this care.
Endometriosis is the new Cancer, a gold mine and better, because despite taking the woman's life, she does not kill, only in extreme cases. That is, you are alive suffering and spending.
Unfortunately, chronic pain of endometriosis and other problems it brings, sell much. Medicines thousand, pain clinic, nutritionist, physical therapy, unnecessary procedures and ways to maintain the continuity of its presence in consultations demonstrate a greater interest in PROFIT that in CURE .
Profiting from other people's pain. The person who entrusts his life, believing in his professionalism, qualification to practice.
There is more cowardly way to survive and destroy the medicine?
Translated by google
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