Tag Archives: the patient voice

Oneupmanship: you think YOU have pain?

6 Sep

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by Carolyn Thomas    @HeartSisters

Have you ever been in the middle of telling somebody something important to you, only to be interrupted because what you’ve just said has reminded them of their own (far more fascinating!) story that clearly outshines yours? It’s a scene-stealing moment of oneupmanship. Or as author Stephen Covey once lamented:

“Most people do not listen with the intent to understand; they listen with the intent to reply.”

Oneupmanship is perhaps most memorably represented in the iconic Monty Python Four Yorkshiremen skit (pictured above) in which the lads sit around and argue about which one of them had endured the worst poverty in childhood. “A house? You were lucky to live in a house! We lived in one room, all 26 of us!”
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Which patients does the “patient voice” represent?

9 Aug

by Carolyn Thomas  ♥  @HeartSisters

There are patients. And then there are patients. 

Let’s consider, for example, two friends of about the same age, same height, same size, same socioeconomic demographic – each one (in an amazingly freakish coincidence) a survivor of a similarly severe heart attack, admitted to the same hospital on the same day. Let’s call these two made-up examples Patient A and Patient B.

Patient A is diagnosed promptly in mid-heart attack, treated appropriately, recovers well, suffers very little if any lasting heart muscle damage, completes a program of supervised cardiac rehabilitation, is surrounded by supportive family and friends, and is happily back at work and hosting Sunday dinners within a few short weeks of recuperation.

Patient B, on the other hand, experiences complications during her hospitalization, recuperation takes far longer than expected, her physician fails to refer her to cardiac rehabilitation, she has little support at home from family, her cardiac symptoms worsen, repeat procedures are required, she suffers longterm debilitating consequences, and is never able to return to work.

Yet despite these profound differences, physicians would still describe both of these women with the same all-inclusive descriptor, “myocardial infarction” (heart attack).  Continue reading