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Tuesday, 6 October 2015

8 Easy Ways to Improve Your Relationship With Your Doctor

A good doctor-patient relationship can improve health outcomes has been shown before, for example in a study that showed diabetic patients are more successful at monitoring their blood sugar when their doctor is more empathetic, said Rodney Tucker, MD, chief experience officer for the University of Alabama at Birmingham Health System



8 ways to improve your relationship with your doctor:

1. Prepare for your appointment. 

It’s more than just getting to the office on time. You should also bring all of your current medications (over-the-counter or prescription) to your appointment, along with notes about key facts like whether you've gotten a flu shot at a health clinic, Dr. Tucker said. Write down any recent health problems or concerns that you have beforehand, so you make sure to bring them up.


2. Prioritize your problems. 

It’s true that doctors tend to be pressed for time, but that doesn’t mean you should modify your needs to fit within a 30-minute window, said James Tulsky, MD, chief of palliative care at Duke University School of Medicine. Make a list of the things you want to address, and let your doctor know how many things are on it at the start of an appointment, Riess suggested. Ask how many items on your list your doctor can get to today, and if they’re not all addressed, talk about making another appointment, she said.

3. Don’t just share the chief complaint, share the chief concern. 

It may seem more natural to simply tell your doctor about a specific problem you’re having — pain in your knee, for example. But it’s equally important to share what your main concerns about it are, Riess said. Your concern might be about whether you need to have surgery for your knee, because surgery worries you, or because you’ll need someone to watch your kids. If you don’t share your concerns, your doctor can’t respond to them, and remember — doctors are trained to address your concerns, too.


4. Make sure you leave with the information you need.

It can be hard to speak up in a doctor’s appointment to say that you don’t understand how to take a medication or what you need to do to follow up. “It feels like you’re interrupting,” Tulsky said. But when you leave the office, you become responsible for your care, so you need to make sure all of your questions, including emotional concerns, are met. Tulsky also noted that research shows that doctors respond more strongly if a patient brings up a question twice.


5. Record your visit, or bring someone to take notes. 

There’s often a lot of information to absorb during a doctor’s appointment, particularly if you’re facing a major, frightening health challenge. You may be distracted by trying to take in a diagnosis, so it can be helpful to bring along a spouse, friend, or family member to take notes and ask questions, said David Longworth, MD, the chairman of the Cleveland Clinic’s Medicine Institute. Alternatively, you could record your visit so you can refer to the information later, Tulsky said — just make sure you ask your physician if that’s all right.


6. Tell them if you’ve gone to another Doctor. 

Whether it’s a specialist, an emergency care situation, or an appointment you had to schedule on a day that your doctor was out, it’s important to make sure your main doc is in the loop about the other medical care you’ve received. EHRs make it easy to share information if the doctors are in the same system, but always make sure to ask that a record of the visit be sent to your primary care doctor. Carrying your doctor’s card, with the relevant contact information, will make doing this a breeze, Tucker advised.

7. If your doctor isn't meeting your needs, bring it up.

It can be hard to tell your doctor that there are certain parts of your care that you think are lacking, but all four physicians said it’s important that you do so. “Sometimes they just need to be told ‘this isn’t working,’ and they will try very hard to fix it,” Tulsky said.


8. Find another doctor. 

If you’ve brought up the problems you’re having with your doctor and nothing seems to have changed, you should feel free to find a new one. “This is all about having confidence and trust in someone that you’re entrusting your life to,” said Dr. Longworth. If you have any doubts about your doctor’s clinical competence, or you just don’t feel like you have a good relationship, look elsewhere, Longworth said.


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The Health Benefits of Laughter

Laughter is a key component of a happy life, and it has powerful physical and mental benefits. No matter what you're facing, you can learn to laugh and benefit from its healing ways.. Funny movies, sitcoms, cute toddlers, and a good friend’s jokes can all offer one of the most powerful, natural stress relievers out there: laughter.


Health Boosts From a Good Laugh

The benefits of a good laugh are wide-ranging and can include protection from emotional issues like depression and improving the health of your heart. Here's what experts know about the health benefits of laughter:

Mental health benefits. 

Although you probably can’t laugh off depression, one of the many benefits of laughter and a sense of humor is that they buffer you against the negatives of life that could lead to depression. As an added bonus, research shows that people who use humor to fight stress also feel less lonely and more positive about themselves. And one recent study found that humor therapy was as effective as widely used antipsychotic drugs — minus the side effects — in managing agitation in patients with dementia.


Physical benefits. 

Although we can’t yet say that a certain number of laughs every day will keep the doctor away, studies show that people who say they laugh a lot also tend to be in good health and generally feel well. Laughter is also one of the most commonly used complementary therapies among cancer patients, who find that one of the benefits of laughter is an improved quality of life.

Heart health benefits. 

Laughter could be healthy for your heart, too. Some research shows that when you laugh, there is an increase in oxygen-rich blood flow in your body, possibly due to the release of endorphins, which create a chemical rush that counters negative feelings and stress. Activities that increase endorphins include a good workout and listening to music you love, and laughter deserves its place on the list with these other stress busters.


Building Laughter Into Your Life

Loving the benefits of laughter but don’t feel like laughing? Sometimes you have to make a conscious effort to laugh. If you’re facing tough times such as a tight budget, work stress, or an illness like cancer, it may help to learn techniques to bring the benefits of laughter into your life. You can try the old stand-by recommendations:
  • Rent a funny movie, read a funny book, or watch a funny sitcom.
  • Spend time with an amusing buddy.
  • Look on the light side: Go places that help you remember good times that have made you laugh in the past.


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