Is the practice of medicine making doctors sick?

by Carolyn Thomas   @HeartSisters   

Sue Robins of Vancouver has an irresistible writing talent that’s somehow both quietly approachable and yet sneakily explosive. We see this talent in her book A Bird’s Eye View: Stories of  a Life Lived in Health Care. We also see it in her compelling blog essay, “We Are All In This Together” as she explores the “basic lack of humanity that ails health care – a lack of humanity for patients, families, staff, clinicians, physicians and administrators.”  As Sue says:

“We are all in this mess together.    .     . Continue reading “Is the practice of medicine making doctors sick?”

Six ways NOT to motivate patients to change

by Carolyn Thomas  @HeartSisters  July 15, 2018

In classic scientific understatement, U.K. researchers Drs. Michael Kelly and Mary Barker observed that “most efforts to change health behaviours have had limited success.”(1)

No kidding. Right now, even as you read this, academic researchers all over the globe are applying for (and getting) grant funding to embark on yet another new study examining smokers who don’t quit, couch potatoes who don’t get off the couch, or overweight people who don’t lose weight. I can’t be 100% certain, of course, but I’m betting my next squirt of nitro spray that these studies will no doubt conclude that, yes indeed, those people do need to change their behaviour, and “further study is required”. Continue reading “Six ways NOT to motivate patients to change”

First, there was compliance. Then, adherence. Now, concordance!

by Carolyn Thomas     @HeartSisters

Non-compliant patients who, for whatever reason, do not follow doctors’ orders are a pain in the neck to their physicians. But to me, the most problematic part of that statement is the use of the word non-compliant. Simon Davies of the U.K.’s Teenage Cancer Trust once described it as “a word that sounds like it has punishment at the end of it.”  Yet physicians are frustrated about why so many of us still refuse to take their expert medical advice. Continue reading “First, there was compliance. Then, adherence. Now, concordance!”

If you’re clueless and you know it . . .

I am clueless about many things. As in the definition: “Lacking understanding or knowledge.” As in the sentence: “I have no clue!” As in the 20+ years I spent living with a research scientist and enduring mind-numbingly torturous dinner party conversations about zinc and copper sediment in the Fraser River estuary.

That kind of clueless.
Continue reading “If you’re clueless and you know it . . .”

16 minutes that will change how you look at the “soul-crushing reality” of healthcare

Mayo Clinic's Dr. Victor Montori at TEDx Zumbro River
       Mayo Clinic’s Dr. Victor Montori

by Carolyn Thomas  ♥  @HeartSisters

I felt like weeping with joy and hope by the end of this TEDx talk by Mayo Clinic’s visionary physician, Dr. Victor Montori. It’s about healing healthcare with kindness and caring.  This is nothing less than a patient revolution to address what he calls the “soul-crushing reality of a healthcare industry that has corrupted its own mission.” Continue reading “16 minutes that will change how you look at the “soul-crushing reality” of healthcare”

Why patients hate the C-word

by Carolyn Thomas     @HeartSisters

Way back in 1847, the American Medical Association panel on ethics decreed that “the patient should obey the physician.” 

There may very well be physicians today – in the era of empowered patients and patient-centred care and those darned Medical Googlers – who glance nostalgically backwards at those good old days.

Let’s consider, for example, the simple clinical interaction of prescribing medication.  If you reliably take the daily meds that your doctor has prescribed for your high blood pressure, you’ll feel fine.  But if you stop taking your medication, you’ll still feel fine.  At least, until you suffer a stroke or heart attack or any number of consequences that have been linked to untreated hypertension.

Those who do obediently take their meds are what doctors call “compliant”.  And, oh. Have I mentioned how much many patients like me hate that word? 

Continue reading “Why patients hate the C-word”