And she may have replied yes, even though she did not understand. where to buy viagra online uk Women (and iâ€™m one of them) often are reluctant to admit they donâ€™t understand health issues.
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Orac refers above to fat necrosis of the breast. This diagnosis,which was the cause of my first mammogram at age 30, sounds very scary. viagra cost us I was sure it was a form of breast cancer.
The internet (which was very young at the time) had little information, the medical librarians i sought out found little that reassured me.
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Mammograms, ultrasounds, the possibility of needing a biopsyâ€¦even as a nurse with an ob/gyn focus, i was not understanding and retaining information, although iâ€™m sure my doctors thought i was, since i said i understood.
Now, many years later, there has been no change and it shows up on my regular mammograms. But those months were some of the scariest of my life (i had 2 very young children) and if i did end up with a diagnosis of cancer, iâ€™m not sure how i would have understood the information any more than i did â€“ although i would have undergone conventional treatment over woo. Cervantesq june 22, 2010, 9:40 am the doctors may have spent a lot of time explaining things to her, and asked her if she understood, and she may have replied yes, even though she did not understand. You are likely correct â€” which would serve to prove my point.
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Doctors often do this â€” ask â€śdo you understand. viagra expiration brevet â€ť that is because they are not competent communicators. viagra expiration brevet That is the most useless, pointless question that syntax can generate.
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Patients will almost always answer â€śyes,â€ť for two reasons: 1) they donâ€™t want to appear stupid and 2) they very well may think they understand. If they understand incorrectly, how would they know it? retail pharmacy price viagra They believe they understand.
Physicians need to be trained in communication skills. When the task is to inform, asking â€śdo you understand? â€ť is proof that they donâ€™t have any. And in case you canâ€™t figure it out, you need to ask people to repeat back to you, in their own words, how they understand and interpret what they have heard, and more important, what it means to them and how they process that information in making a decision.
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If they canâ€™t do that, you arenâ€™t done yet.
Patient centered care and shared decision making donâ€™t just happen.
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They depend on physiciansâ€™ commitment, attitudes, and skills.
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This womanâ€™s physicians did not have what it takes. Chris p june 22, 2010, 9:48 am just a quick aside for my own curiosity: would you say itâ€™s safe to conclude that a patientâ€™s hepc infection caused his liver cancer? viagra expiration brevet Thanks!
Mu june 22, 2010, 10:03 am cervantesq, i think youâ€™re a bit hard on.
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