Whole Person Health Care - NIWH
 
The work of Dr. Georgianna Donadio DC, MSc, PhD has touched the lives of millions of people worldwide. For more than 35 years, she has been educating the healthcare community, as well as her patients, students and the public…
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Is Your Doctor Really Listening To You? Getting The Most Out Of Your Visits
Posted in Chronic Fatigue... by Dr. Georgianna Donadio on Dec 06, 2010
In a November 15, 2010 article published in the New York Times Health section, Jackson Ramer, a professor of psychology at Georgia Southern University states that “more and more patients report that they do not feel heard.”

It is surprising that it has taken so many decades for issues, such as physicians not listening to their patients, to come to light, be discussed and addressed. For those of us who have spent many years in medicine and health care, the fact that patients have not been listened to is nothing new.

There are many reasons that health professionals often do not have the time to go into greater depth with their patients to discuss contributing factors affecting their chronic disease state. However, the patient – more appropriately referred to these days as the consumer, has the ability to ask the important questions pertaining to their health condition and ask what they can do to take greater control over it.

In 1977, the National Institute of Whole Health (NIWH) was established and has, since that time, worked tirelessly to create a transformation in medical health care practice by creating a post-professional training for health care providers focused on changing the relationship between provider and patient, transforming that relationship from patient dependency to patient empowerment.

Through the program, practitioners can learn to shift the communication and control of the patient-provider relationship to express a greater equality and increased participation of the patient.

In 2005, the NIWH model became the mandate for “the practice of medicine in all settings”. Both the Joint Commission on Accreditation of Health Care Organizations (JCAHO) and hospitals and the Institute of Medicine (IOM) identified these key guidelines which include:
• placing patients at the center of their health care decision making

• treating the patient as a whole person

• evidenced-based health education for prevention and disease management

Today, the landscape of medical practice is changing because health care consumers are demanding it. We all want to be seen and treated as a whole person. As a health care consumer, it is your right to ask the important questions of your physician and health care givers. It is their responsibility to respond to your questions and provide you with answers. If they do not have the answers, they can direct you to someone who does.

Before visiting your doctor you may wish to consider:
1) Writing down questions you may have about your condition.

2) If your doctor doesn’t have time to answer all of them, ask to speak to a patient advocate or health educator who does have the time to talk with you.

3) Bring along another person to your consultation. They can ask questions for you, be an objective observer and even take notes.

4) Do some research on the topic your self. Daily Strength and WebMD are excellent resources for health information that will give you more of an even footing in the doctor’s office.

5) Remember that YOU are the consumer and treat your medical care as you would any other service you would pay for – because you do pay for this service with both co-pays and insurance premiums.

It is important to develop a partnership with your medical professionals and work together to bring about the best outcome. Asking the questions that provide you clarity, understanding and options is one very important way of insuring that outcome.

What has your experience at the doctor been?

- Dr. Georgianna Donadio


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16
I have Non Tropical Celiac Sprue.

Most doctors decide before they walk in what is wrong with patient. I was losing weight, muscle mass, heart palpations, iron so low I passed out, no kidney or liver function at all. Throwing up and diarrhea constantly.
My stomach stuck out like the starving African children one sees in pictures.
The morons told me it was Fibromyalgia. That was the kiss of death. Every doc I went to wrote me off before even seeing me.

10 years I tried and docs told me I was depressed and just needed more exercise. Claimed I was lying about religiously doing daily exercise.

Finally, one actually looked at me. From their the do-do hit the fan and 24 hours later I was in hospital while they tried to stabilize me enough to run test to see why I was dying.

Sometimes it takes more time to explain than docs want to take and they just don't care anymore.
By SunnyBunn  May 18, 2013
15
I don't care what type of a doctor I go to, and I do see a lot
of different doctors, for a lot of different ailments that I live with. Between a general practioner, neurologist, psychiatrist, therapist, etc.. But like I said, in my very 1st
sentence, I don't care what doctor I'm at, but if the doctor
starts looking at their watch, or the clock, I begin to get really, really pissed off! What? Your time is more valuable than mine? I'm the one that is taking time, out of my busy life to see this doctor! A doctor or therapist who keeps checking out their watch, just has to go because I don't have time (no pun intended)!
By SuzyScorp  Aug 18, 2011
14
I have been seeing my current dr for about 2 years now. He still has it in his files that I have had a complete heart transplant; which I have not, only a valve replacement 2 times. I'm positive that he does not listen, but am stuck with no other drs to choose from unless I travel more than an hour.
By Pamela Hubbard  Feb 18, 2011
13
I have had a really bad experience with a doctor who was obviously not listening to a thing I said nor would he even acknowledge what other doctors had put in my medical file. I posted about this experience in the forums under "thyroid" Please read this before you decide if doctors listen to you or not. This will blow your mind, it did mine. Thanks!
By imjustsayin  Jan 12, 2011
12
I would like to tell you of one experience I have had with my cardiologist and with my hospital. I was admitted to the hospital for observation while being given trikosyn. On the third day my nurse informed me that my doctor was going to do a cardioversion. I asked why and she gave me what seemed like a fairly good reason so i said ok. well, that was at lunch time and at 4:00 they began to prep me. I had finished my lunch at about 12:45, so it hadn't been that long since I had eaten. well, during the procedure i vomited. I would not have known had the nurse not told me later. the doctor never said a word. that night i began to get wheezy. i called the night nurse and all she said was to tell the docotr in the morning. I did , and he said if it didn't get better in a couple of days to call my lung doctor ( which I do not have). I later developed pneumonia and was very sick for two weeks.
By grandmac  Jan 01, 2011
11
I have only had one doctor who treated me as a whole person, and did use patient empowerment. My current doctor, whom I saw this morning for yet another BC pill treatment option), thought I needed anti-depressants because Yaz made me a hormonal mess! Nevermind the fact that I've had this body for 22 years and I know how it's supposed to feel! Also, my "abnormal" side effects from BC are just now raising a flag to her... 4 months later.
By bells8706  Dec 10, 2010
10
I BEGGED AN M D FOR 3 YRS TO INCREASE MY DOSE BCUZ I HAD SUPER DRY EYES AND MOUTH! Her response was: it's normal.

HOW STUPID AND LAZY.

as soon as she got a P A he immediately told me I was on a very low dose and tht could be increased - I no longer had a dry mouth, eyes. I thanked him a thousand times so he would know what he did and to build confidence in treating this disease with other patients.

I told another one I have memory and concentration problems, she offered me an anti-depressant. How stupid is that!!

She needed an anti-depressant -- maybe she had memory problems for things she learned in med school!!
By energylost  Dec 10, 2010
9
IT'S NOT REALLY ABOUT LISTENING -- IT'S ABOUT "WANTING" TO GIVE CARE. ISN'T THAT WHY THEY WANTED TO BE AN M.D.??!!!!
By energylost  Dec 10, 2010
8
My Mom needed T3 HORMONE so they substituted that with an
ANTI-DEPRESSANT!!

WHAT BOOK TELLS THEM TO DO THAT!!

IF YOU'RE LOW ON HORMONE, PRESCRIBE HORMONE -- NOT AN ANTI-DEPRESSANT!!
By energylost  Dec 10, 2010
7
I told my brother to get his TSH, T3, T4 checked so in the future he can have HIS ranges not "WITHIN RANGE" figures that they feel is okay.

I had trouble breathing and without any tests -- started giving me asthma medication that didn't work -- it was related to thyroid disease.

I walked in with a super red face -- she never noticed that was NOT normal -- didn't care!!

another doctor caught it and told me: "nobody's face is that red, something is wrong!! DAH!!
By energylost  Dec 10, 2010
6
doctors never ever shared with me the lab results. They came in and said every thing is fine and I was out in 2 minutes because I was very healthy. I was never offered a copy either. It's like they want to hide what they do and they don't want us to know anything.

That form that we give our family medical history -- they never look at that either!!

I let them know that my Mom was HYPERthyroidism but they never offered to check me or to offer me a copy so IF I were to get it in the future I would know MY RANGES -- NOT RANGES THEY WANT ME TO BE "WITHIN RANGE" AS THEY PUT IT!!

I needed to keep a record so if I EVER got this, I would know the ranges that fit me.
By energylost  Dec 10, 2010
5
Many areas have auditors. I am familiar with the FAA that check the maintenance on an aircraft regularly so we can be safe. The auditors for the banks come in regularly.

There are reports on the news daily in The restaurant business, which restaurants received a low grade and who are the best clean ones.

Lousy retail-- checks the sales clerks to make sure the are giving the LAZY customes good service.

Where are the people to examine the files to make sure ppl are being treated properly with the best knowledge and care. Someone needs to check the doctor and advise them on how to give BETTER treatment.
By energylost  Dec 10, 2010
4
My Mom had no thyroid so she produced NO T3!! DOCTORS ARE SO STUPID WHEN IT COMES TO THYROID DISEASE BUT YET THEY DON'T WANT TO MAKE REFERRALS LIKE IT MAKES THEM LOOK BAD IF THEY HAVE TO RESORT TO A -- REFERRAL!!
By energylost  Dec 10, 2010
3
Listening SKILLS!! HMM!!

THE ISSUE is they need to care and take pride in their work!!

There are Bank auditors, that get audited often...WHERE IS THE Auditors for the patients!!


MY pOOr MOM had -- NO thyroid AND was mistreated.

I am just finding out how much she suffered from head to toe. she needed to be given T3 so she suffered with fybromialgia, concentration, memory problems, gallstones, acid-reflux, started getting signs of dementia!!

The pharmacist and doc advised her to take her T4 in the a. m. and to eat 30 minutes later -- basically she wasn't receiving any hormone with this method. so becuz of this she was lazy, lethargic, weak, & sleepy, Her heals were very dry, skin problems, She could never get enough sleep. So my Poor Mom basically recieved no thyroid hormone on top of being denied -- T3
By energylost  Dec 10, 2010
2
I've followed your recommendations for years exactly as they are written, only I developed my own plan of action. Unfortunately, this has not helped. When I ask the questions, I get no answers. I have paid dearly in terms of monetary as well stress from my visits with these doctors who do not believe the patient. I've found "lies" in my medical records which need to be addressed as I have other medical records which will dispute the " lies" from other doctors in same clinic. This is much more serious than most patients even realize, and we need some type of patient advocate to help us with these issues to get them resolved. My medical cost have almost destroyed us financially as I thought I was seeking the best doctors.
By shellseeker  Dec 08, 2010
1
i have a question. i am currently suffering with a chronic disease of multiple sclerosis. I lost my dr due to lost of insurance. When i was with her i was taking, 15 mg oxycodone, 900mg neurotin, 10mg baclofen, .5 mg ativan, and 10mg ritalin, plus my injections. When i took these medications i was able to function like a normal person. Now that i have insurance again i went to a new dr and they told me all they would do is take away 50% of my symptoms. They will not prescribe any of the meds i was taking even though i told them that when i took them i was doing really good. Now i am in pain all the time, i have no energy, have trouble walking, have to sleep sitting up. my right leg and arm are almost always numb and i drop things continuoulsy. Please help me with some advice on what i can do. i don't think i can live much longer the way i am now. it is just to much.
By michelear15  Dec 07, 2010
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