106
saying, and you'll even be able to steer your discussions into the areas
that are most pertinent to you. You'll have a better understanding of
what your doctor
thinks should be accomplished, and a better grasp of
what you can do to help accomplish it. Knowledge allows you to beco-
me an active participant,
rather that a passive one, in managing your
health care.
– Take good care of yourself.
It goes without saying that you will
enjoy better health if you do all those things you know you should be
doing, things like giving up tobacco, maintaining an ideal body weight,
cutting
down on saturated fats, and getting plenty of exercise. If your
doctor has you on a particular medical regimen (such as taking
prescription drugs), make sure you follow that regimen religiously.
You gain direct health benefits from doing these things, as you well
know. What you may not have realized, however, is the secondary gain
you receive. By taking a genuine interest in trying to keep yourself
healthy, you also endear yourself to your physician.
You enlist him to
your cause. Doctors should be engaged in the care of each of their
patients, of course. That's what it is supposed to mean to be a doctor.
But, they can't. They're under steady, unrelenting
and overwhelming
pressure to make the interests of their patients secondary to the interests
of the HMO, of the government, and ultimately, of society at large. They
simply cannot go to bat for all their patients.
The many doctors who still maintain a strong sense of professional
pride (the recalcitrants, the ones you have tried to choose for yourself)
will still try
to advocate for their patients, at least as circumstances
allow. These, however, need to marshal their energies carefully. When
they do go out on a limb for their patients, they are much more likely to
do so for patients who are assiduously trying to help themselves. If the
patient won't accept responsibility for his own health, it's not realistic to
expect the doctor to jeopardize her career for the patient's health.
– Set goals.
Before each doctor's appointment, set down in writing
the specific goals you'd like to accomplish during that visit. Some goals
will be fairly specific and straightforward ("Find out what my
cholesterol level is."); others will be more open ended ("Any ideas why
I'm tired all the time?"). But anything you
want to accomplish during
this visit should be listed as a goal.
Write down your questions and comments. Under each goal, write
down the questions you would like to have answered, or comments you
107
want to make, regarding that goal. Consider communicating with your
doctor before the visit.
–
Do'stlaringiz bilan baham: