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Speaking Up When Disagreeing with A Doctor?

by Richard B. Patterson, Ph.D.

 
Many patients, when confronted with a health crisis, seek the advice of numerous health care professionals but often find that differences of opinion exist, even among experts. What should a patient do when they disagree or question the recommendation of their doctor?

The ideal relationship between doctor and patient should be one of collaboration, not mindless obedience. We do indeed go to a medical doctor for his/her expertise but if we end up dealing with a physician who is unwilling to explain and especially to listen, then it may be time to change doctors.

In my own battles with chronic asthma, I have had to learn several crucial lessons:

 
  1. No doctor can help me if I act irresponsibly with regard to dealing with asthma;
  2. If I take responsibility for my health rather than shift that responsibility onto the doctor, then overall I tend to be more healthy;
  3. I have a right to ask my questions and have them answered in language I can understand.

In light of those learnings, I have tried to do the following:

 
  1. learn as much as I can about my condition;
  2. go to my doctor's appointments with questions prepared and written down;
  3. ask for copies of test results such as pulmonary functions tests.

It is not just the doctors who are at fault with the imbalance of power in health care. We consumers have tended to shift responsibility onto the doctors and have shirked our part of it. If we approach a doctor as a person with expertise who does not have all the answers and who is a human being subject to fatigue and "bad hair days" just like us, then the possibility of collaboration increases.

If we communicate with that doctor assertively but not aggressively, that also helps immensely. If we still end up dealing with a person who expects us to follow his/her dictates without question, then it's time to find another doctor.

You might find some encouragement with the works of Bernie Siegel. Maureen Potts' The Three-edged Sword is also an excellent first-hand account of one woman's journey to personal responsibility.

About the Author:

Richard B. Patterson, Ph.D. is a clinical psychologist in private practice in El Paso, TX. He is the author of three books on psychology and spirituality.

Originally published 03/14/98
Revised 05/11/09 by Marlene M. Maheu, Ph.D.

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