How to command respect in any medical setting

It’s a simple question, but it has stirred some controversy.  It’s the word “friendly.”

Colleague and fellow passionate advocate Bart Windrum got (as my mother would say) his blood in a bubble after reading an article about engaging a patient advocate to help you navigate your healthcare, published in a Tampa newspaper.

In a list of tips about how to advocate for someone else, one tip said, “In hospitals ask, in a friendly way, that every pill, every injection … ”

Bart thinks that’s ridiculous. He believes “friendly” comes across as “Beg. Acquiesce. Place yourself beneath again, some more.”

Bart is an author of Notes from the Waiting Room. He knows what he is talking about.  Bart suggests we be business-like.  I agree.

Business-like may be a term lost on some who don’t operate in a business environment.  So I call it commanding respect.  To gain respect, which is so necessary in any medical setting, you must command it. You earn it by your actions and approach.

How will you command that respect?  By being diplomatic and concise.  Start with polite. Let them know you have specific expectations and want accurate information. Earn / command the respect of those who can get you what you (your patient) needs.  If you don’t get the information or action you need in a fair amount of time (some actions require seconds or minutes, others can wait a half hour) then become assertive.  Never, ever become aggressive unless it is life and death and you are being ignored.

Here’s an example I got from Charles Inlander, a gentleman who was advocating for patients before most realized they needed it.  He was in the hospital, and needed a nurse’s help in the middle of the night.  He pushed the call button a number of times and got no response. So finally he picked up the hospital phone, dialed “O” to get the operator, asked for the nurses’ station on his floor, told the person who answered what need needed, and seconds later the nurse showed up in his room.

What’s your experience?   Have you advocated for a loved one in a hospital?  Did “friendly” work when you actually needed something? Or did you find yourself having to be more definite and concise?

Did you command respect?

Trisha Torrey blogs at Every Patient’s Advocate and is the author of You Bet Your Life! The 10 Mistakes Every Patient Makes (How to Fix Them to Get the Healthcare You Deserve).

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  • http://www.MDWhistleblower.blogspot.com Michael Kirsch, M.D.

    Yes, I have advocated for family, and I believe the advocate needs to find the right balance between advocacy and alienating the medical professionals. Personally, I opt for the soft approach, which I have found to be effective. Save the big guns, unless there is no other option and the situation warrants it.

  • gzuckier

    “How will you command that respect?” in a medical situation? Oh, that’s easy. Tell them that you too are an MD. Or, that your spouse is. Or, that your parent is. Or, that your sibling is. The closer the relationship, the more respectful attention your query will receive.

  • LynnB

    To get respect(at least form me) when you are the advocate
    1. Listen to your loved one when they talk to you, and don’t denigrate them to me. When you tell me your 84 year old mom is hard of hearing, and has a poor memory (like 75% of the patients ) it doesn’t mean either one of us should speak less than respectfully to her. Don’t be complaining about the patient’s weight, lack of medication adherence, poor education, alcoholism or whatever it is. Mention it in case I don’t know and lets move forward to help them.
    2. When you ask a question and I answer it, write the answer down.Pay me the courtesy of listening to me, as I pay you the courtesy of listening to you and your loved one.
    3. Have 5 or fewer questions or concerns each day, more than 10 is too many to be answered effectively. The most important worry-what happens after discharge -takes more than one conversation . People are individuals , and we have better predictors for planned admissions like hip replacement surgery than for unplanned admissions like worsening COPD.
    4. READ the info I give you about delirium, diabetes ,diverticulitis or dengue fever after we talk. It takes about 20 minutes to find the personalized information you asked for , assuming I am sure of the diagnosis. I also print it , deliver it, and if needed I highlight the important points . The nurse doesn’t do that -I do that, and it means that I am giving more of my 16 hours at work today to you and fewer to someone else.
    5. Do not badmouth the lab, the nurses, the other doctors, the food, the housekeepers every day. Its not all perfect but its not all bad, and though I try hard there is “the advocate who cried wolf” syndrome

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