Comments on: Op-ed: A failure to communicate http://www.kevinmd.com/blog/2008/05/op-ed-failure-to-communicate.html medical blog Thu, 18 Mar 2010 23:55:40 -0400 http://wordpress.org/?v=2.8.4 hourly 1 By: chris http://www.kevinmd.com/blog/2008/05/op-ed-failure-to-communicate.html/comment-page-1#comment-100960 chris Thu, 02 Jul 2009 12:59:29 +0000 http://clients.emmense.com/kevinmd/2008/05/op-ed-a-failure-to-communicate.html#comment-100960 an 'up and coming' ortho guy in my community told my wife she could go to any of their five clinics for a knee immobilizer. She chose the one where he practices. The next thing she's making a check for her co-pay, and sees him. When we read the pt notes, he said she was complaining, and finally demanded to have analysis and care! Wrong! She only came in for an immobilizer! To say the least, this guy is mud! an ‘up and coming’ ortho guy in my community told my wife she could go to any of their five clinics for a knee immobilizer. She chose the one where he practices. The next thing she’s making a check for her co-pay, and sees him. When we read the pt notes, he said she was complaining, and finally demanded to have analysis and care! Wrong! She only came in for an immobilizer! To say the least, this guy is mud!

]]> By: Julie Rosen http://www.kevinmd.com/blog/2008/05/op-ed-failure-to-communicate.html/comment-page-1#comment-85445 Julie Rosen Tue, 06 May 2008 15:12:00 +0000 http://clients.emmense.com/kevinmd/2008/05/op-ed-a-failure-to-communicate.html#comment-85445 Communication is such a critical issue on so many levels in healthcare. One of my pet concerns is patient-caregiver communication, and how to improve it, especially at the end of life, when it's so important for patients for doctors and others to really listen to what their patients want. To that end, if any of you live near Worcester, MA, there will be a fascinating panel discussion on Thursday, May 13 at the Hilton Garden Inn, "Compassionate and Effective Communications at the End of Life: <br/>Overcoming Barriers." For more information, check out: <br/>http://www.theschwartzcenter.org/events/index.html. Communication is such a critical issue on so many levels in healthcare. One of my pet concerns is patient-caregiver communication, and how to improve it, especially at the end of life, when it’s so important for patients for doctors and others to really listen to what their patients want. To that end, if any of you live near Worcester, MA, there will be a fascinating panel discussion on Thursday, May 13 at the Hilton Garden Inn, “Compassionate and Effective Communications at the End of Life:
Overcoming Barriers.” For more information, check out:
http://www.theschwartzcenter.org/events/index.html.

]]> By: Adam Greene http://www.kevinmd.com/blog/2008/05/op-ed-failure-to-communicate.html/comment-page-1#comment-85442 Adam Greene Tue, 06 May 2008 13:34:00 +0000 http://clients.emmense.com/kevinmd/2008/05/op-ed-a-failure-to-communicate.html#comment-85442 Pardon the newbie (and probably too vague) question,<br/>but why won't insurance companies reimburse for time spent with a patient when not in the office (ie telephone and email consultations)? Is it a red-tape thing, insurance companies afraid of folks bilking the system, or what? From the outside looking in. it looks like the issue is squarely in the insurance companies court... Pardon the newbie (and probably too vague) question,
but why won’t insurance companies reimburse for time spent with a patient when not in the office (ie telephone and email consultations)? Is it a red-tape thing, insurance companies afraid of folks bilking the system, or what? From the outside looking in. it looks like the issue is squarely in the insurance companies court…

]]> By: DDx:dx http://www.kevinmd.com/blog/2008/05/op-ed-failure-to-communicate.html/comment-page-1#comment-85429 DDx:dx Mon, 05 May 2008 22:39:00 +0000 http://clients.emmense.com/kevinmd/2008/05/op-ed-a-failure-to-communicate.html#comment-85429 The failure of communication was beautifully written about in the 1970s by Jay Katz MD, JD. The Silent World of Doctor- Patient. He focused on Informed Consent, a legal concept but it was a springboard for the discussion of professionalism and paternalism.<br/>I began the book quite skeptical that patients COULD be informed about the nuances and risks of the treatments offered. And I came to realize that such thinking(paternalism) was the basis for the poor communication.<br/>I agree with Kevin about the failure to communicate. I just dispute the immediacy of the issue. We, as a profession, have clearly communicated to our young enrollees(students) that WE value procedures above communication. So if we are to improve communication WE must value it. Not just order the imaging test or the scope... The failure of communication was beautifully written about in the 1970s by Jay Katz MD, JD. The Silent World of Doctor- Patient. He focused on Informed Consent, a legal concept but it was a springboard for the discussion of professionalism and paternalism.
I began the book quite skeptical that patients COULD be informed about the nuances and risks of the treatments offered. And I came to realize that such thinking(paternalism) was the basis for the poor communication.
I agree with Kevin about the failure to communicate. I just dispute the immediacy of the issue. We, as a profession, have clearly communicated to our young enrollees(students) that WE value procedures above communication. So if we are to improve communication WE must value it. Not just order the imaging test or the scope…

]]> By: Paul http://www.kevinmd.com/blog/2008/05/op-ed-failure-to-communicate.html/comment-page-1#comment-85428 Paul Mon, 05 May 2008 22:27:00 +0000 http://clients.emmense.com/kevinmd/2008/05/op-ed-a-failure-to-communicate.html#comment-85428 eMail your lawyer, get an answer, get a bill for the time, based on 10 minute intervals.<br/><br/>eMail your doc. get a long response, pay nothing. eMail your lawyer, get an answer, get a bill for the time, based on 10 minute intervals.

eMail your doc. get a long response, pay nothing.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/05/op-ed-failure-to-communicate.html/comment-page-1#comment-85414 Anonymous Mon, 05 May 2008 15:45:00 +0000 http://clients.emmense.com/kevinmd/2008/05/op-ed-a-failure-to-communicate.html#comment-85414 Thank you for this. I have been feeling for some time now that the healthcare system is in trouble; primarily related to poor communication and follow through. I know most physicians,nurses and other health care associates are overwhelmed. It is no question, our system is in dire need of some resuscitation.<br/><br/>nancyb<br/>http://www.ericksonblog.com/blog Thank you for this. I have been feeling for some time now that the healthcare system is in trouble; primarily related to poor communication and follow through. I know most physicians,nurses and other health care associates are overwhelmed. It is no question, our system is in dire need of some resuscitation.

nancyb
http://www.ericksonblog.com/blog

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