Should you bring that list of questions to your doctor?

by Carolyn Thomas  ♥  @HeartSisters

In a recent essay published in the New England Journal of Medicine, Dr. Suzanne Koven* recalls many conversations she had with her father (like her, a physician) in which he loved to reminisce about his own long career in medicine. But there’s one reminiscence she still bristles at, as she explains(1):

“The story was about ladies – always they were ‘ladies’ – and something he called la maladie du petit papier: ‘the disease of the little paper.’

“They would come to his office and withdraw from their purses tiny pieces of paper that unfolded into large sheets on which they’d written long lists of medical complaints. ‘You know what I did then?’ Dad asked. I did, but I let him tell me again anyway. ‘I’d listen to each symptom carefully, and say ‘yes’ or ‘I see’. 

“That’s all. And when a lady finally reached the end of her list, she would say: ‘Oh doctor, I feel so much better!’

“The point is, all those ladies needed was someone to listen.”

The notion that whatever was bothering these silly ladies was all in their heads was once a long held truism within the medical profession.  Continue reading “Should you bring that list of questions to your doctor?”

Words matter when we describe our heart attack symptoms

by Carolyn Thomas     @HeartSisters

When I interviewed Dr. Catherine Kreatsoulas* about the research paper she presented last month in Vancouver at the Canadian Cardiovascular Congress(1), her previous heart studies caught my attention, too.

I was surprised by her explanation from earlier research on how some women describe their chest pain during a heart attack (2), as she told me:  .   .
Continue reading “Words matter when we describe our heart attack symptoms”

The hospital discharge race: is sooner always better?

by Carolyn Thomas   ♥  @HeartSisters  ♥   Heart Sisters on Blue Sky

wheelchairThey say that if you can remember the 1960s, you weren’t there. I do remember this about 1966, however:  I spent my birthday that year in a hospital bed, where I’d been a patient for a full month recuperating from a ruptured appendix and a nasty case of peritonitis.  Back then during the dawn of civilization, it was common for patients to spend far longer in hospital than we ever would now. For example:
Continue reading “The hospital discharge race: is sooner always better?”

Why patient stories actually matter

Most of our medical visits start with some variation of this opening question: “Why are you here today?” Connecting with and understanding patients thus requires doctors to listen to what’s called the patient narrative.  The importance of really hearing this narrative is beautifully described by U.K. physician Dr. Jeff Clark, writing in the British Journal of General PracticeBut the problem, as Dr. Clark reminds his peers, is that patients and doctors see the world in very different ways.  He also warns that the stories patients tell their physicians about why they’re seeking medical care may all too often be seen by doctors as merely a time-wasting distraction from “getting to the bottom of things.

The urge to get to the bottom of things may also help to explain what’s known as “The 18-Second Rule”.
Continue reading “Why patient stories actually matter”