Thursday, April 25, 2013

Bad Patient

My husband says that I am a bad patient. I dispute this. I am a very good patient if the doctor actually listens to me and also allows me to make the decisions regarding treatment. An example; I go to the doctor and give him the reason for my visit. He says "mmmmmmm" and writes out a prescription and hands it to me. He then gets up to leave the examination room.
"Wait", I say. "What is actually wrong with me and is this the only treatment and do I really need a drug for this? Is there something herbal or alternative? And what are the side effects of this drug should I choose to take it?"
At this point most doctors begin to get angry. They are used to being unchallenged and obeyed. I do not feel a stranger should make all the decisions for me. Certainly the doctor knows more than I do, but it is my body and I reserve the right to participate in  and approve any treatment. Several of my family members were of the "if the doctor says it, it must be right" attitude. It was not wise of them.
Two weeks ago I was awakened by some pretty severe chest discomfort. While quite painful and unnerving, I checked my pulse and blood pressure and they were normal. So I decided to wait and see how I felt in the morning. I sort of thought I might have had a heart attack so I went to karate class. I figure if it was my heart it would act up while taking class and if it felt better it probably wasn't my heart. (Did I mention that although I want to make my own decisions that doesn't mean they are good decisions?) I did feel better but over a few days the pain returned and I decided to go to the hospital. With a high risk family history the hospital assumed it must be my heart, but after tests they determined that it was not my heart. The second day a nurse came in, handed me a pill. I asked her what it was and what it was for. She told me it was a beta blocker to help regulate my blood pressure. I asked if my blood pressure was high and she said no. So I asked her why do I need more medicine to control my blood pressure if my blood pressure was not high. I refused the pill and then a senior nurse came and questioned me. Again I asked if my blood pressure was high and she said no so again I asked her why I need a pill for it. No answer and again I refused. Shortly after that a doctor came in and asked me why I refused the pill. Again I asked and again I was told my pressure was fine. The real reason for the pill was to cover their behinds in case I had a heart attack during the stress test. They thought I was being difficult but I think I was being reasonable.
The second day they sent me home. I asked what caused the pain which I was still having and they told me they had no idea but not to worry because it wasn't my heart. How reassuring.
I did go see my own doctor who is a very fine doctor, for a followup and he questioned me. When I explained that because I thought I might have had a heart attack I went to karate he called me a knucklehead and told my husband that he was a saint to put up with me. He says he only keeps me as a patient so he has good stories to tell if he goes to a medical convention. See? I'm not a bad patient. I'm good for something.

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