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Doctors often seem to not
Submitted by birdman on Fri, 2018-08-24 - 21:02
Doctors often seem to not care or listen. I've been trying to figure out MD behavior for many years which has lead me to read many books on why they think and behave as they do. One of the first ones I read was, The Silent World of Doctor and Patient by Jay Katz. Katz has a degree in law and argues for informed consent. Then he writes why doctors behave as they do and may be reluctant to share all that they know. Katz writes that one reason for doctors' lack of listening and their misjudgments is because of "uncertainties in medicine". Medicine is full of uncertainties and science does not know all there is to know about medicine, illness, and especially epilepsy. Katz explains that to overcome this weakness students in medicine are trained to be more confident and certain than they really are. In one way this is good as most patients don't like a doctor who is uncertain; we expect doctors to know and be sure. But the truth is that doctors practice medicine which carries many uncertainties. I do appreciate a doctor who acknowledges that he or she does not know and is willing to put more effort into finding the answers and I'm sure you would have appreciated this also instead of one who makes mistakes and causes patients to suffer for their errors.A book I read more recently, How Doctors Think (Groopman, Jerome), is a good one for us patients to read. He writes about the rather high rate of misdiagnosis that occurs by doctors and much is due to flaws in doctors' thinking. But then Groopman gives suggestions on questions we as patients can ask to help doctors make sure doctors's thoughts don't get in the way of proper diagnosis. When a doctor seems too quick to diagnose a condition as "epilepsy" we are encouraged to ask, "is there anything else this could be?" Also Groopman encourages patients to not only discuss their medical condition but to express our feelings at visits like, "I sense we are not communicating well", or in your case you might express you might share that you don't feel doctor is making too quick of a diagnosis or doesn't care. I hope your message on this site gets out to the doctors who need to understand how we feel about the way they treat us, but go ahead and express it to your doctors directly.