Crucial Facts on Clinical Psychology

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Potentially the largest area of specialization, clinical psychology is a vast subject, with varying degrees of inter-discipline linkages. On one end, pursuing a career in clinical psychology gives you many options in terms of your preferred area of expertise. Be it research based, lecturing at College level, spear heading programs geared for improvement of public welfare; the options are limitless. It is important to bear in mind that Clinical Psychology, is, by no means a default program, one that you stumble on for a lack of options. It is a taxing profession that requires a lot of determination, drive and patience.

Therefore, the first and most important aspect is time. On average, we’re talking about post-graduate training for about 4 years, maybe more-at Doctorate level. This is a bare minimum requirement for you to earn the title of a Clinical Psychologist. It’s a calling, and at this point you ought to be conversant with your preferred area of expertise.

Another very crucial point, is the ability to differentiate between a Ph. D and a Psy. D. The Doctor of Philosophy (Ph. D) is more research oriented, in contrast to the Doctor of Psychology, (Psy. D) which is more inclined towards the professional aspect of Clinical Psychology. This essentially means that one needs to have a clear picture of the path one wants to take, and choose appropriately.

It is quite common for most graduate programs in Clinical psychology to accept undergraduate degrees from other disciplines, but the emphasis is more on a first degree in Psychology. This is mainly because clinical psychologists treat the most severe mental disorders; hence, a solid foundation in the subject gives you an added advantage. Many Clinical psychologists work in hospitals, the larger percentage, almost 70% are in private practice. This,however, does not mean they are licensed doctors, usually they are not allowed to prescribe medication to patients.

It is a relatively well-paying job, especially for the majority who ends up in private practice. It may be demanding, and highly taxing, but it is just as equally rewarding, even more so when you find your feet. This, in the sense that it presents a great opportunity to start your own practice, be your own boss. It also gets your creative juices flowing coming up with creative solutions to different diagnosis, there are no limits.

Clinical psychology does have its fair share of disadvantages, but as I said earlier, it’s all a matter of determination. It’s an exhausting field, with long hours, tons of paper work and the mere volume of work will wear you out. It’s a field that links scientific knowledge, to psychological treatment. It specializes in research, professional practice, evaluation, consultation, public policy, program development, supervision-a quite extensive field, as it were. Therefore, you do have your work cut out.

Finally, Clinical Psychology is a rewarding career; whose advantages far outweigh its disadvantages-highly fulfilling, so by all means, go for it.

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A Quick Glance of the Chlamydia Infections

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Chlamydia is a sexually transmitted disease that is cause by a bacterium named Chlamydia trachomatis. Approximately 4 million people all over the world are affected by this sexually transmitted disease and it is still spreading rapidly until today. This disease is quite alike with gonorrhea; they are both found in the cervix and urethra and can survive living in the throat or rectum.

Chlamydia is commonly found to be asymptomatic in both men and women that is why it is commonly undetected and untreated. Its being asymptomatic has made it the most transmitted sexually transmitted disease. Almost all infected women with chlamydia shows no chlamydia signs of infection and about half of these women develop chalmydial cervicitis.the fewer majorities would tend to experience manifestations of chlamydia with abnormal vaginal discharges and pain in the abdomen area.

The fallopian tubes are the most affected area with chalmydia infestation, once left untreated; chlamydia will complicate to pelvic inflammatory disease and cause damage to the fallopian tubes. There are visible symptoms in pelvic infection; this can include fever, pain in the abdomen, pelvic cramping, and pain during sexual intercourse. Pelvic inflammatory disease is a serious complication of chlamydia, it can lead to infertility and once it becomes too severe, it can form pus in the localized are of infection.

Often time chlamydial infection is alike with gonorrhoea. Both are highly associated with the growing incidence of premature labour and infections to new born through passage in the infected birth canal. Infection that is acquired through the birth canal can lead to eye damage or even pneumonia to the new born. Because of the large number of cases of undetected and untreated chlamydia especially to women, all new born are treated with antibiotic drops that can eradicate chlamydial infection.

Chlamydia can be very dangerous if undetected and left untreated. If you see any signs and symptoms of chlamydia, consult your doctor right away or head to the nearest STD clinic in your area. Chlamydia test is available in your doctor’s clinic or in STD clinics, rest assured that your results are kept confidential and out of other people’s knowledge. Chlamydia detection can be done through collection of sample in the cervix area by via swabbing during a speculum examination. Another way to detect chlamydia is through non invasive examination; collection of urine or vaginal swabs is done to collect samples to be tested for chlamydia, this method of testing is more often used than other means. After collection, the sample will be cultured and wait for chalmydia to grow to confirm diagnosis.

In chlamydia, early detection is better to avoid complications, it is suggested especially to sexually active individuals with multiple sex partners to undergo chalmydia test to see if you are infected or not since this infection is commonly asymptomatic. Early detection can make this infection highly treatable and curable giving you less hassle and fewer hazards in your health.

Chlamydial Infection- the symptoms of Chlamydia may be quite very similar to that of the other diseases. Know more about this particular disease as well as its particular symptoms.

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Frequent Doctor Visits – Detrimental to Anti Aging?

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As age, you will probably notice that you visit you doctor more often than you did before. You should actually be glad about that because by doing that, you are on your way to winning the battle against aging. You need to be more cautious about your health because your body immune system deteriorates with age. You cannot afford to live your life recklessly because the price will be very high. You need to have your health checked regularly. The approach may not be the same for everyone. In fact, there may be moments when you don’t fully comprehend what your physician is telling you.

Sometimes, you may not be able to grasp all that your personal doctor tells you. Besides, our memory is always not perfect. Because, they tend to have hectic schedules, your physician can’t really remind you of what you discussed with him. You may hardly be able recall half of the information that you need to make you feel better. That’s why it is important that you write down or record what doctor says. Those instructions and recommendations you are noting down could save your life as they are meant to deal with the health problems that you experiencing. To ensure that what you jotted down is accurate, its advised that you review the key points out loudly before you depart from the clinic. That way, your doctor will be sure that you clearly understood what he passed across.

You are entitled to a second opinion if you have any doubts in what your physician is saying. A good physician will not disclose anything from you. That’s how you can tell whether you are getting the best from them. You also need to let the specialist know every crucial detail of your life, both present and past as regards your health. You don’t have to fear aging. After all, you are not the only one who is facing it. Those fine lines and wrinkles on your face are what connect you to the rest of the human race. Let them not bother you much. Just embrace your age, and do whatever is within your power to live your life to the fullest.

Remember, to live healthy, you need to effectively implement what you doctor tells you. That means you also have to understand the instructions they give you in the first place. This may seem simple but remember there are some moments when you are overwhelmed by information that some of the smaller details will escape you. Now, its these seemingly minor details that you have either left out or forgotten that tend to put your health in jeopardy. You have lots of things to remember and do. You may feel that you have everything figured out and to your disappointment, test results come out different from what you expected. It can be really difficult if you have to take medication at every meal.

Bear in mind that, doctors have a tendency of talking to their patients in medical terms. When discussing about your health problems, you need to ask your doctor to explain the meaning of certain terms that you may not be able to understand. It is your health and body that you are dealing with here; you cant afford to fail it. The secret to living a happy, longer life is to become an active learner. You will realize that you can still do many things that you found delight in while still young.

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The Check Doctor Credentials Theory

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In 2003, there where more than 890 million doctor visits in the U.S. according to the (CDC) Center for Diseases Control and Prevention. “More now than ever consumers are not only researching their doctor, but are also demanding the highest quality of health care” says Hugo Gallegos, President of MDNationwide.org.

Check Doctor Credentials

Doctor information (reports) such as check doctor credentials, medical doctor ratings, doctor background checks , and check surgeon quality, just a few years ago scarcely existed. Most doctor credential information pertaining to disciplinary actions and so on, where kept on the hush side. Now, all that has changed, consumers understand that experience varies from doctor to doctor. With more companies offering doctor credential information consumers are spending more time researching their doctors.

  • A doctor background check can be accomplished in a variety of ways depending what the consumers wants. Example: If a consumer wants to find out if his or her doctor has ever had disciplinary actions issued against them, the Federation of State Medical Boards (excluding National Practitioner Data Bank) has more doctor disciplinary report information than any other establishment in America, and the cost is $9.95 per report.

Pros

1. They are the undisputed heavyweights of doctor background checks for disciplinary actions.

Cons

1. They only specialize in disciplinary doctor reports.

  • If consumers want to view medical doctor ratings on particular doctors, their are different choices available. It is not clear what their methodology is based on, however, a popular choice seems to be Health Grades Inc. They have a wide selection of doctors nationwide to choose from, however with such an enormous database, you might want to double check your info for accuracy.

Pros

1. A huge medical doctor ratings database, bigger selection of doctors

Cons

1. Methodologies are not clear

2. Database is so big that keeping updated information is nearly impossible.

  • For consumers who prefer only a top specialist based on extensive surveys performed, there are three well-known establishments claim they have the best doctors in America. Each one has their own methodology in place, some more extensive than others. They are MDNationwide Inc, with more than 3,000 of the best doctors in America, the Best Doctors establishment with more than 30,000 best doctors in America, and the Castle Connolly establishment with more than 4,500 best doctors in America.

Pros

1. Methodology is much clearer

2. Only elite doctors, based on surveys conducted, are added to these databases.

3. Licensure status, certifications and other credentials are researched.

4. Best doctor databases are smaller, therefore information is easier to update.

5. YOU Get a FREE top Doctor Search

Cons

1. Because the number of best doctors is a small percentage, there is less to choose from.

2. Best doctors do not reside in every zip code or city, therefore you may need to travel several hundred miles.

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Accident Victims – Lean Times = Time For a Lien

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With today’s struggling economy, more and more people are finding themselves without medical insurance. No problem if you don’t have any immediate medical issues. But it does pose a huge problem when you suddenly find yourself in an emergency room, doctor’s office or physical therapy after being seriously injured in an accident.

The question then hits you: How will I ever pay the medical bills when they come due?

Obviously, most uninsured accident victims don’t have thousands of dollars sitting in the bank waiting for such a dilemma. Medical care costs can quickly escalate if the initial injuries are serious. Weeks (or even months) may be needed for therapy and recovery. An insurance settlement may be a year away or more, but that doesn’t stop the bill collector from harassing you and your family.

That’s when a medical lien can be a (financial) life-saver. Just ask any experienced personal injury attorney who may be retained to prosecute a client’s claim against the insurance company. One important service provided by a good personal injury attorney is the ability to arrange a lien with a doctor, physical therapist or medical clinic to cover the medical costs needed for recovery.

By definition, a ‘lien’ is a legally-binding contract or statute that requires payment to the doctor, clinic, government agency or health insurance company when the case concludes – typically out of the settlement funds or court award paid out by the insurance company.

Simple? Not quite. Some doctors or therapists are unwilling to provide medical services on a lien basis, requiring immediate payment. So it’s important for someone without medical insurance to ask the question up front: “Do you accept liens?” Your attorney can help guide you in this matter, since he or she most likely works with a variety of qualified medical providers daily who are willing to work on a lien basis.

Common liens that are protected by law arise from hospital care and medical treatment that is paid for by Medicare, Medicaid and other types of health insurance. Unless properly accounted for or negotiated to lower amounts, such liens can take a serious bite out of an accident victim’s financial recovery.

As a general rule, insurance companies and local courts do not have a problem with medical liens, as long as the medical care costs are reasonable and comparable to services provided by other medical providers in the area. However, the insurance company and legal system leave the responsibility of lien payment to the client and to his or her personal injury attorney. The attorney usually takes on the responsibility for keeping track of the liens and ensuring they are accurate and paid promptly as part of the settlement process.

In some cases, the attorney may attempt to negotiate with the lien-holder for a reduction of a particular medical bill as part of settlement negotiations with the insurance company – although there is no guarantee that the lien-holder will accept a lower amount. The attorney has some leverage because it is through his or her efforts that the lien holder receives payment. In some cases, a reduction of the lien amount can be negotiated to more favorable terms for the injured party.

Laws regarding liens vary widely from state to state and can be difficult to fully understand for the average person. Therefore, it’s important to discuss the pros and cons of medical liens with your personal injury attorney during the early stages of a case – before the lien is in place.

Liens can be an important and invaluable part of a successful personal injury case, but it’s important that the injured accident victim understand all of the contractual obligations and requirements associated with liens. A good personal injury attorney should take the time to fully explain whether liens are right for your particular case.

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The Who, What, and Where of Urgent Care Clinics

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Urgent care is medical care that is provided to patients who have illnesses and injuries that require medical attention within 24 hours. This area of medicine involves treating conditions which could cause complications, but aren’t life threatening. Examples of this type of medical care includes treating a sore throat, acute illness, mild burns, sports injuries, wounds, fractured bones, bumps, bruises, sprains, asthma attacks, infections, and cuts. If your condition isn’t serious enough to merit a visit to the hospital, you can go to an urgent care clinic. When required they will refer you to a specialist or the hospital if your condition is more serious than you thought. These types of facilities can also perform medical testing in their laboratories such as x-rays, blood tests, and ultrasounds for the purpose of diagnosis.

Urgent care clinics are staffed by nurses, x-ray technicians, and board-certified physicians. They are committed to helping the public. They can take care of a variety of patients of all illnesses and ages. These types of facilities also offer general check-ups and perform minor surgical procedures. They can treat a cold, strep throat, sinus infection, cough, fever, urinary tract infection, ear ache, seasonal allergies, skin conditions, nausea, vomiting, joint pain, nasal congestion, pink eye, back pain, headache, migraine, dog bites, allergic reactions, and minor lacerations. They can evaluate any health condition. These facilities also offer vaccinations, medical testing, and screening, such as pregnancy tests, school, sports, and work physicals, biometric tests, cancer screenings, blood sugar tests, urinalysis, and others. Additionally, their physicians can prescribe medication for their patients. Remember that your health is very important, so make sure you visit a clinic if you need medical attention.

These types of clinics offer affordable, prompt, same-day appointments, and they accept many different types of insurance plans. Many of them are open 365 days a year and their hours are extremely flexible. These state-of-the-art facilities usually accept walk-ins and they do not charge exorbitant fees like hospitals. They have the equipment that’s needed to treat a variety of problems. When it comes to primary care, these types of clinics are well-rounded and they will provide you with high quality medical care. Their doctors and staff provide the highest quality of evaluation, diagnosis, and treatment to their patients.

Whether you have a painful throat, runny nose, bad cut, auto injury, fever, pulled muscle, or need medical attention for an acute illness, urgent care doctors and their staff can help you. When your family doctor is not available, they will be there for you. They will provide you with medical care during every stage of your life. You will definitely benefit from the extensive experience and personalized care that’s provided to patients in these types of facilities. These medical facilities will offer your family convenience and peace of mind when unexpected health events happen.

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When To Visit A Pain Management Doctor

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Many people are unaware of the many treatments available from a pain management doctor. Some think they just hand out pills and send you on your way. Fact is, they find out the root cause of the pain in an effort not to just treat it, but to give the patient a chance for an active life. This medical specialty covers all aspects of chronic pain conditions.

Fibromyalgia is a condition that is routinely referred for treatment to this particular medical specialty. Since fibromyalgia is not completely understood, most primary care doctors aren’t sure what to do for the treatment of this diagnosis. When the condition appears to be taking its toll on the life of a patient, the family doctor will often refer their patient elsewhere for treatment. Once under the care of the specialty physician, a plan is created by both doctor and patient to determine which route for treatment will be followed. Among some of the most commonly used options are drugs, such as Lyrica and Savella, both FDA approved for use in fibromyalgia, and physical therapy techniques, which can aid in reducing pain.

Other conditions primary care doctors will send to the specialist include those pertaining to chronic back pain. Some of the problems therein are herniated discs, spinal stenosis, degenerative disc disease and arthritic conditions in the area. These can make it difficult for a person to navigate normally throughout the course of the day. Pain caused by these conditions can make it hard to stand up for too long. They often make exercise, walking, sitting and driving a car prohibitive activities due to uncontrolled pain. For these patients, in addition to medications prescribed to deal with excessive pain, there are trigger point injections, called TPI. These injections deliver local anesthetics to points along the spine in which tender spots of muscle that feel like knots or bands spread pain throughout the area anytime they are touched or manipulated in any way. These points can be caused by injury or spinal abnormality. The injection contains local anesthetic and may also deliver doses of corticosteroids, saline and dextrose. The effects from these injections are twofold. First, the anesthetic works to dull pain, while corticosteroids tame inflammation. Secondly, the act of inserting the needle, along with the force of the fluids being injected, serves to loosen and relax muscles that may be in spasm.

Any painful condition that primary care doctors are unable to diagnose on their own or who finds the treatment they have prescribed for their patient fails to give relief, the referral for specialty care may be given. Doctors who specialize in relieving pain often have a set of rules all patients must abide by, particularly if the specialist has decided on the use of narcotic pain medication. A legal agreement or contract will often be drawn up in the pain clinic. Within this agreement, the patient must promise not to seek out any other physician for the purpose of obtaining a prescription for pain medication. In the event of an accident or other emergency that may necessitate the use of narcotics, the patient must agree, if able, to report to the emergency physician the fact that they are under a specialist’s care. The emergency doctor, if time permits, should then contact your pain doctor before administering any narcotics. Exceptions to the rule are applied when the emergency condition is a life or death situation or when you are not conscious and are unable to communicate the fact that you are under a pain contract.

It is important to realize that many chronic pain conditions cannot be cured. What most pain management doctors work hard to achieve is giving the patient a sense of control over it. If you are able to resume most activities and your pain isn’t your first thought every morning or your last one every night, you are a success story in pain management.

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How To Choose The Correct Cosmetic Surgery Doctor

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If you have been tinkering with the idea of having some cosmetic surgery done, you have probably been collecting names of cosmetic surgery doctors from relatives, girlfriends, clippings from magazines or newspapers. Although recommendations from friends and acquaintances may seem helpful, they are sometimes more trouble than they are worth.

It isn’t fair to judge a cosmetic surgeon on the basis of one isolated recommendation, or condemnation either. Not every facelift is a grand slam on every patient, and you can never really know exactly what transpired from the before to the after. When the same name or   clinic  keeps coming up as one to avoid, it is wise to pay attention. The most important credential a doctor has is his professional reputation.

The real gift in cosmetic surgery is as much in the eyes as it is in the hands. If you know what beauty is but can’t deliver it, it’s just as tragic as knowing how to operate but being devoid of a sense of aesthetics. Fortunately, there are only a handful of really bad cosmetic surgery doctors, but sadly, just as few great ones.

In cosmetic surgery, there is rarely only one best doctor for any procedure. There are usually many who can execute a fine surgical plan. There is no magical formula to finding that one in a million. It should not be likened to seeking your true soul mate with whom you are destined to spend the rest of your life. Some cosmetic surgeons are generalists and can do most operations well. On the other hand, there are those who find their own niche – the one area they truly excel at and enjoy operating on.

Before scheduling a consultation with a cosmetic surgeon, you should request brochures from the  clinic  and develop a list of questions so that you can discuss what is involved with a specific procedure. You may even ask other specialist for referrals. Ensure that the cosmetic surgeon is a reputable member of a organization of surgeons which specialize in that field. Check if the surgeon has completed a formalized training program and has extensive experience in performing the cosmetic surgery that you are considering.

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Mole Removal

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Moles are generally dark spots found on the skin in various shapes, colors and sizes. There are no fixed regions where you may find moles on your body as they can occur anywhere on the body.

Moles are usually small, but in some cases, they grow so big in awkward places of the body that it becomes a nuisance to them. This is when one usually consider mole removal; otherwise there is not much of a need for anyone to remove moles.

If you are considering removal, you have to first check your skin your skin regularly for some time to find out if there are any changes in them. This is important as some skin moles can develop into cancerous moles.

By constantly keeping a watch on the moles, you will be able to spot differences and any cancerous moles. If you find any changes in the moles, consult your doctor immediately.

Least painful option

The simplest and least painful form of removal is through the use of creams or lotions. There are various over the counter creams and lotions you can use to reduce the size of, and remove moles.

The best way to choose the best cream or lotion for mole removal is to go through the testimonials and reviews of the different products. Once you choose a suitable cream, it is better to first check them for skin allergies. If you are not allergic to the cream, follow the mole removal instructions on the package before you remove the moles yourself.

The next option you have for mole removal is using cryosurgery. This is a procedure where liquid nitrogen is used to dry and freeze the mole off your skin. This is generally done at a doctor’s clinic, and depending on the location of the mole, may be carried out under anesthesia.

There are also various over the counter mild products that let you freeze and remove your mole at home. However if you opt for this mole removal option, make sure you follow its instructions and preferably slightly numb the area before using the product.

Dermabrasions and chemical peels help

Some people use dermabrasion and chemical peels to remove moles. You just have to head to the spa for a facial and skin consultation to have your moles removed. Small moles can be easily removed using dermabrasion or a chemical peel.

Though it is possible to shave off moles at home, it is not a practical mole removal option. It is better to have it done by a doctor. You could also consider laser treatment for skin moles removal. Though these mole removal methods completely remove the mole, there is a chance of these treatments leaving scars; so if you opt to use these methods for mole removal, you have to be ready to live with the resulting scar.

It is up to you and your doctor to determine which the best removal option is for removing your moles. As there is a chance of scarring with any of these mole removal options, it is important that you follow its’ instructions precisely, for minimum scarring after your moles are removed.

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Relationship Advice: How to Talk to Your Doctor

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It is official…Marcus Welby is dead! His assassins, managed care and medical malpractice are still at large.

The days of house calls and familiarity between doctor and patient are going the way of vinyl records. What may be surprising to many is that the majority of doctors are just as angry and frustrated with the situation as the patients.

As a physician, I have had the opportunity to experience this dilemma from both sides; as a doctor and as a patient. The following 7 tips include gestures that I responded to favorably as a doctor and actions that aided me as a patient.

  1. Have your insurance and personal information updated and ready prior to your visit. Nothing slows down the front office more than unprepared patients.If all patients are prepared with the above information the office staff is less stressed, delays are avoided, and the amount of time you spend waiting for the doctor is reduced.This tip avoids stress on both sides of the fence.
  2. Have a list of your current medications with you at your visit. You would be surprised how many patients take medication without knowing the name or dose of what they are taking.Take responsibility for your health by knowing what you are putting into your body.In a busy primary care office medication changes sometimes may not be charted. This can cause the wrong medication to be prescribed on a refill request.Knowing your medication name and dose helps prevent medication errors.
  3. Have a list of your symptoms with you at your visit. You can help your doctor arrive at a speedy, accurate diagnosis by having a list of symptoms which are specific to your complaint.This saves the doctor from having to perform a complete review of systems to look for clues.
  4. Have a list of questions prepared. Prepare a few reasonable questions for your visit,keeping in mind that time is a factor.Common questions come up frequently,and in many cases the nurse can give you an adequate answer.If the nurse is unable to answer your question she will often alert the doctor to the question before you are seen.This often helps the doctor prepare in advance, so your question can be answered in a rapid, concise manner.
  5. Ask your doctor about his family Doctors are human beings with human lives and problems.When a patient asked about my family my engine automatically slowed down and a smile came to my face.I was grateful for the break in the action.I found myself making sure that all of that patient’s questions were answered.
  6. Ask your doctor how the malpractice crisis is affecting him When patients asked me this question I always forgot how busy I was. I gave them a passionate answer. I made sure all their questions were answered and that they were satisfied before they left the office.
  7. Ask your doctor how the healthcare crisis is affecting him. I loved it when patients asked me this question. It gave me a chance to explain the problems with managed care and how the increasing doctor shortage was influencing patient volume and waiting time. I always walked away from that patient encounter feeling a little lighter. the patient usually walked away with a bag of any drug samples he needed. At the end of the day, after seeing 50 patients and answering countless phone calls, that patient’s name and face remained in my mind.

Use the first 4 tips to be a responsible patient and to take ownership of your health. Use the last 3 to be a human being, and to help your doctor remember why he became a doctor in the first place.

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