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Doctor Patient Communications

The Doctor - Patient Disconnect
Command respect from your doctor.
No Room for White Lies
Fibbing to your doctor can be dangerous
Behold the Second Opinion
Second opinions are important, but there are some guidelines for getting the best information.
Three questions you should ask your doctor
The AskMe3 group provides guidelines to patients.
Follow Up on Test Results
Don't assume your doctor's office will provide test results when they come in. Be proactive!
Be Informed Before You Give Consent
When you visit your doctor, you are asked to sign an "informed consent" form.  Read why you need to make sure you really have been informed, and you understand the information you are given.
Who's Who in Health Care?  (part I)
There are so many initials after the names of healthcare providers.  Here are the designations given to doctors.
Who's Who in Health Care?  (part II)
 More designation translations for the alphabet soup of health care providers.
Do As You're Told!
Complying with your doctor's instructions is an important part of healing.
Ask Health Care Workers to Wash Their Hands
You will be amazed at how effective this tip can be to prevent yourself from getting infected.
Tell ALL Your Doctors What You Think!
Providing feedback to the doctor who treated you is important, but just as important is letting the person who referred you know about your experience, too.

Five Words Make all the Difference
Once your doctor provides you with a diagnosis, what should you do next to make sure you'll get the best treatment?

Think Like a Consumer to Keep Healthy
Be sure your doctor's motives are focused on you and not on his or her skills or income.
How Experienced is Your Doctor?
Their "titles" tell you how much training they've had.  Here's what those titles are so you can determine whether your doctor has the experience needed for your best medical outcome.
When You and Your Doctor Disagree
You've made your choices for treatment and follow up care, but your doctor disagrees and doesn't want to support your decision.  What does an empowered patient do?
Glen's Decision, Revisited
The last in the series about Glen, who chose an alternative treatment for a brain tumor but had to take a second look at his choice.
Tap Into the Knowledge of the Professionals in the Doctor's Office
Your doctor isn't the only person in her office who can help you. There is plenty of information you can get from others.  Here's a guide to who can help you while you are there.
When It's Time to Change Doctors - Part I -- Leaving Your Doctor
Moving?  Doctor's practice closing?  Just have a feeling that you and your doctor need to part ways?  Here are some smart steps for leaving your doctor, and preparing to transition to the new one.
When It's Time to Change Doctors - Part II - Meeting With Your New Doctor
Finding a new doctor gives you an opportunity to start fresh with your communication, collaboration and finding your best medical outcomes. 
East, West and Wellness (Complementary and Alternative Medicine)
We patients in the Western world are beginning to learn about, and embrace Eastern medicine, from herbal supplements to acupuncture and yoga.  But what about our doctors?  How can we make our choices and be honest with them, too?
East, West and Wellness - part 2.  Why Won't Your Doctor Talk to You About Alternative Therapies? (Complementary and Alternative Medicine)
Many patients report their frustration with their doctors who won't discuss complementary or alternative options for their healthcare with them.  Why won't they?  They have their reasons.
East, West and Wellness - part 3.  How to Talk to Your Doctor About Alternative Therapies (Complementary and Alternative Medicine)
Got a Problem with Your Doctor?  Speak Up!
We patients do a lot of complaining about our doctors, but what steps are we taking to fix the relationship?
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Doctors Complain About Patients, Too
As you might imagine, doctors have as many complaints about patients as we patients have about them.  And informal survey of doctors and other health professionals yielded a long list of complaints.  See if you are 'guilty' of any of these indiscretions.
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Your Primary Need for Primary Care
There are many reasons we need to make sure we have a primary care doctor ready and willing to help us.  Learn what those reasons might be, and why it's so important you find one if you don't have one all ready.
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Doctors React to Use of the Internet
Wise patients know to learn what they can about diagnoses and treatment options by using the Internet.  But the fact that we use the Internet isn't always well received by our providers.  Here is some advice to help you avoid stepping on provider toes.
Uncomfortable at the Doctor's?
Gown too small?  Words too big?  Too much time spent waiting for your appointment?  What are you going to do about it?  And if you don't, who will?
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PODCAST
AVAILABLE

Medical Records and Tests

Build a Personal Health Journal (part 1)
Keeping track of your personal and family medical records can help you later when you run into health problems.
Records are yours for the taking (medical records - part II)
Learn how to get a hold of your medical records.
Building a Personal Health Journal (medical records - part III)
Learn how to get a hold of your medical records when your doctor has closed his practice, plus a review of systems for keeping your materials together.
 
Follow Up on Test Results
Don't assume your doctor's office will provide test results when they come in. Be proactive!
Learn from the Headlines
It can be dangerous to make treatment changes based on what you hear or read in the media.  Here is a way to use that information to your benefit.
Health Screenings: Are They Worth It?
They arrive at a local church or gathering place, charge you $129 and perform ultrasound and other tests to help you determine your risk for various older person diseases.  What is the real cost and can they be valuable to you?
Defensive Medicine: It Gets Expensive
Do you know why your doctor orders so many tests to try to diagnose you?  You'll be surprised to learn that it's very likely he's ordering them for himself, and not for you.
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Doctor - Is this Test Necessary? (Defensive Medicine Part II)
Defensive medicine -- undergoing more tests than we really need -- can be dangerous and expensive.  Learn how to work with your doctor to be sure each test is necessary.
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What's the Big Deal About Electronic Medical Records?
One patient / one record - that's the biggest benefit to EMRs.  The days of scattered records, and the problems that result will be gone.  How?  and Why?
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What's the Big Deal About Electronic Medical Records? Part II
The goal of one patient / one record is a noble one. But some major hurdles stand in the way, and some major problems will result, too.  What are they? And what will smart patients do to protect themselves?
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The Perfect Gift:  Advanced Directives
Making decisions about your end of life care, and making sure your loved ones understand what those wishes are is a wonderful gift which provides peace of mind.
Relatives and Friends Can Get Your Medical Records, Too
Sometimes doctors refuse to talk to our friends or relatives about our medical care or health status, even if we want them to.  Here's an explanation -- and a solution.
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PODCAST
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Prescription Drugs

Ads for Prescription Drugs Are A Place to Start
Don't let those drug companies manipulate you
Prescription Mistakes are Over a Million
Millions of people have died or been injured by prescription drug errors.  Learn more about the errors.  This is Part I of two parts.
Prevent Prescription Errors
Keep yourself and your loved ones safe by following this protocol when your doctor gives you a new prescription.  This is Part II of two parts.
Generic Drugs:  What You Need to Know
What are generic drugs?  How are they different?  Can you benefit from their use?
Prescription Abbreviations:  Cracking the Code
The written prescription handed to you by your doctor may look confusing due to all the abbreviations and acronyms.  But it's important for you to understand what it says. 
Looking at the Evidence for New Drugs
Since the FDA does not review new drugs as carefully as it should before they are approved, we patients need to ask the right questions to protect ourselves. We don't want to become the guinea pigs that are hurt or get sicker because the drugs weren't safe.
Work with Your Doctor to Save Money on Prescription Drugs
The price of prescription drugs climbs higher and higher, but there are ways to get the drugs you need through a number of different programs.  This week we'll tackle the ways your doctor can help you keep the costs as low as possible.
You May Be Eligible for a Prescription Assistance Program
While most prescription assistance programs are aimed at people who lack insurance or who have lower income, some are based on the drug you take or other programs you participate with.  Learn more about them and link to websites that describe PAPs.
Prescription Discount Drug Cards - a Mixed Bag of Results
There are dozens of prescription discount drug cards available. Some can be very helpful;  others are scams.  Know the benefits, and the differences.
Off Label Drugs - Be Aware to Stay Safe
For some, an off label prescription can be life saving.  For others, it can cost them their health and their lives.  Learn about off label drugs, and how you can be sure you are getting one that is safe for you.
podcast available
PODCAST
AVAILABLE

Hospitals & Safety

MRSA :: Every Hospital's Dirty Little Secret
If you or a loved one is faced with a hospital stay, take this cautionary tale to keep yourself safe from infection.
Keep Yourself Safe from Hospital Acquired Infections
Learn more about the necessary steps, and the work by RID:  Reduce Hospital Deaths
Keep Yourself Safe in the Emergency Room
From keeping your sense of humor to choosing which hospital ER is best for you, here are some ideas for getting the best care.
Use ICE on Your Cell Phone
This ICE can save your life:  In Case of Emergency
Light a Candle, Turn on Your Headlights for Patient Safety Day
Each year 100,000 patients die from hospital-acquired infections, pharmaceutical drug errors, surgical errors and other mistakes made by providers.  July 25 is a day to pause and reflect and learn.
Medicare's Never Events Policy - New Hospital Rules Will Affect Us All
While the long run will likely benefit a patient's safety, there will be short term unintended consequences to the new Medicare Never Events policy.
Prevent Your Own Hospital Infections
105 hospitals across the United States have proved it's possible to stop deadly central line infections - a feat that was previously thought to be impossible. It can be done!  But most of us don't have access to those hospitals, so we must prevent them ourselves.
podcast available
PODCAST
AVAILABLE
 

Compliance

No Room for White Lies
Fibbing to your doctor can be dangerous
Do As You're Told!
Complying with your doctor's instructions is an important part of healing.
   

Misdiagnosis and Medical Errors

What if you've only got a few months to live?
Trisha explains why she became "Every Patient's Advocate"
The Problem with "Should"
A bow to National Patient Safety Week and how to prevent misdiagnosis.
The Flip of a Coin Isn't Good Enough
The Rand Healthcare report = we all get shoddy health care.
MRSA - Every Hospital's Dirty Little Secret
Learn how to protect yourself from this "superbug" infection that can kill.
When is a Specialist the Wrong Specialist for You?
Specialists know their own body systems very well.  But many health problems get attributed to the wrong body system -- and those specialists don't know to look for it elsewhere.

Can You Risk Not Getting a Second Opinion?
Just because you trust your physician doesn't mean your diagnosis is correct.  There can only be positive outcomes from a second opinion, so what are you waiting for?
podcast available
PODCAST
AVAILABLE
 

Use of the Internet for Health-Related Research

Learn from the Headlines
It can be dangerous to make treatment changes based on what you hear or read in the media.  Here is a way to use that information to your benefit.
Are You a Cyberchondriac?
Using the internet to self-diagnose can get in the way of a good medical outcome.
Getting the Support You Need
Sometimes medical professionals can't answer all your questions.  When that happens, turn to other patients for support.
Use the Internet Wisely to Find Reliable Health Information (part I)
Learn about Health on the Net (HON) and how it can help you.
Use the Internet Wisely to Find Reliable Health Information (Part II)
Medical Journals can be an excellent source of health information.  Here are some things you need to know about them.
Use the Internet Wisely to Find Reliable Health Information (Part III)
You can learn a great deal about doctors online.  But you need to know how to find information that is credible and objective.
Use the Internet Wisely to Find Reliable Health Information (Part IV)
Blogs and Wikis may offer you unique ideas and teach you things your doctor didn't (or won't!) tell you.  Learn what they are, and how to use them to your benefit.
Use the Internet Wisely to Find Reliable Health Information (Part V)
Sometimes online medical information isn't helpful at all.  In fact, it may be wrong and dangerous.  Assess the information using some of these tips to be sure it can be helpful to you.
Glen's Decision, Revisited
The last in the series about Glen, who chose an alternative treatment for a brain tumor but had to take a second look at his choice.
Sharing Internet Health Information With Your Provider
Many doctors resist their patients' efforts to discuss information the patient has found online.  Why?  Because they may be insulted, or maybe they just don't have time.  How can you approach them to make it a more satisfactory discussion for you both?
Want to Speak to a Live "Doctor" Online?
Learn why these kinds of sites and their "doctors" may cost you dearly in both your health and your wallet.
Other Patients May Lend a Hand
When you need to learn more about your diagnosis and treatment options, an Internet search may turn up information provided by other patients.  How credible is it?  Can it be useful to you?
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PODCAST
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Miscellaneous

Listen to Your Inner Voice
Intuition? Instinct?  It's there to help!
Learn from the Headlines
It can be dangerous to make treatment changes based on what you hear or read in the media.  Here is a way to use that information to your benefit.
Be Informed Before You Give Consent
When you visit your doctor, you are asked to sign an "informed consent" form.  Read why you need to make sure you really have been informed, and you understand the information you are given.
Who's Who in Health Care?  (part I)
There are so many initials after the names of healthcare providers.  Here are the designations given to doctors.
Who's Who in Health Care?  (part II)
 More designation translations for the alphabet soup of health care providers.
Ask Health Care Workers to Wash Their Hands
Hospital and exam room infection rates are alarming, and many infections would never be transmitted, if only doctors would wash their hands.
Evolving Options
Integrative Medicine -- Alternative and Complementary Therapies -- much to learn and choices to make.
Be a Smart Health Insurance Consumer
How can you tell which health insurance plan best meets your needs?  A hint:  it's probably not the one that has the lowest premiums!
Resolutions for Sharp Patients
Prepare yourself for 2007 with these easy, but effective ideas for finding your best medical outcome.
What Kindergarten Teaches Us About Healthcare
Just like Robert Fulghum's bestseller of 20 years ago, some of our best lessons in healthcare are the basics we learned in school.
Those Amazing Medical Diagnostic Machines
You've heard their names:  X-Rays, MRIs, UltraSound and others.  What's the difference and what can doctors learn from them?
Making Tough Treatment Decisions
Sometimes it's tough to make decisions when our emotions get in the way of our objectivity.  Use this approach to help you make the right decision for you.
Glen's Decision, Revisited
The last in the series about Glen, who chose an alternative treatment for a brain tumor but had to take a second look at his choice.
Prevention:  Stay Healthy and Save Money, Too
Better to proactively prevent medical problems by living healthy than to need to pay for the reactive side of medical care, both in time and money.

 

Take a Look at Clinical Trials
You can help yourself, and other patients who will someday be diagnosed with your same medical problem, by participating in clinical trials.
The Concept of Medical Home
Patients are often frustrated by a lack of coordination of their healthcare.  The concept of "medical home" was developed to support that idea of coordination -- but that theory doesn't turn out to be too successful in actual practice.


Advanced Directives: Don't Do This to Your Loved Ones
Unless you make decisions about your end of life wishes, you'll be leaving your loved ones with agonizing decisions and heart ache.  Read this story to get a sense of what can happen.
East, West and Wellness (Complementary and Alternative Medicine)
We patients in the Western world are beginning to learn about, and embrace Eastern medicine, from herbal supplements to acupuncture and yoga.  But what about our doctors?  How can we make our choices and be honest with them, too?
East, West and Wellness - part 2.  Why Won't Your Doctor Talk to You About Alternative Therapies? (Complementary and Alternative Medicine)
Many patients report their frustration with their doctors who won't discuss complementary or alternative options for their healthcare with them.  Why won't they?  They have their reasons.
East, West and Wellness - part 3.  How to Talk to Your Doctor About Alternative Therapies (Complementary and Alternative Medicine)
When Is it Time to Call In Sick
You feel lousy and want to stay home. But your big presentation is today, or you need the hours. Should you go to work anyway, or is it time to call in sick?
podcast available
PODCAST
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Stomach Bugs, Prostatectomy and Managing Expectations
Sometimes our expectations about our health problems or recovery are less about reality and more about our assumptions.  We patients need to learn to manage our own expectations to make our best choices.
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Should We Be Afraid of Swine Flu?
Public health emergencies, pigs and pandemics.  As incidents of swine flu pop up across the globe, it instills a certain fear - are we, or someone we love, at risk for catching swine flu?  Should we be afraid of swine flu?
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Learn to Ignore Celebrity Endorsements
Sally Field was great as Gidget, but why does anyone believe what she has to say about prescription osteoporosis drugs?
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Prepare for the Seasonal or H1N1 Swine Flu
Everywhere we turn, officials are telling us how to protect ourselves from the flu.  Yet, the World Health Organization estimates one-third of us will get it anyway.  So why not just prepare for it?  Here are some steps to take to prepare your family for the flu.

Silly Excuses Can Be the Difference Between Life and Death
Feeling the symptoms of a heart attack or a stroke?  Think you should wait to dial
9-1-1?  Are you kidding?  What are you waiting for?
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Mom's Gift Is a Gift You Can Give Your Loved Ones, Too
When my mother had a heart attack, we knew exactly what to do to help her because she had given us the gift of sharing her wishes.  Here's how you can do the same thing for your loved ones.
Some Steps Forward, Too Many Steps Back -- a Patient's Decade in Review
Between 2000 and 2009, patients found a mixed bag of both positive and negative progress. The possibilities for improved care may exist, but fewer and fewer of us are reaping the benefits.

New Year's Resolutions for Smart Patients
Smart patients realize that not all resolutions have to be painful to be successful. Here are a handful that will improve your health, but don't require a gym membership or giving up your favorite foods.
podcast available
PODCAST
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Healthcare Costs and Consumerism

Double Check Your Doctor Bills
Eight of 10 medical bills have errors, yet few patients double check their bills to be sure they aren't being overcharged.  Here's a simple way to check your bills, and what to do if you find an error.
Be a Smart Health Insurance Consumer
How can you tell which health insurance plan best meets your needs?  A hint:  it's probably not the one that has the lowest premiums!
Work with Your Doctor to Save Money on Prescription Drugs
The price of prescription drugs climbs higher and higher, but there are ways to get the drugs you need through a number of different programs.  This week we'll tackle the ways your doctor can help you keep the costs as low as possible.

Prevention:  Stay Healthy and Save Money, Too
Better to proactively prevent medical problems by living healthy than to need to pay for the reactive side of medical care, both in time and money.
The Medical Information Bureau Affects Your Ability to Get Insurance
Just like credit bureaus affect your ability to get a mortgage or car loan, the Medical Information Bureau collects information about your health, then shares the information with its member insurance companies so they can decide whether to sell you a policy.
Let the State Help You Dispute an Insurance Claim
When you've exhausted your possibilities for getting your claim paid by your insurance company, then ask the state insurance department to lend an assist.  Here's how.
What You Don't Know About Health Savings Accounts (HSAs) Can Hurt You
Previous savings accounts used for medical expenses forced you to forfeit your saved money at the end of the year.  But HSAs are different.  You'll keep your saved money and still save on your taxes.  Learn how.
Have You Been Overcharged for Your Healthcare?
Balance billing is a practice that may result in exorbitant charges if you see a doctor or use a testing lab or other facility that has no agreement with your insurance company.  Learn how to take control of those expenses.
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When Patients Should Think Like Consumers
From cereal boxes to cans of vegetables, consumer products seem to be shrinking. Have you counted the pills in your prescription bottle lately?
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Would You Pay for Your Car Twice?
It's time for Open Enrollment, and for those who don't take a few minutes to review their current policies, it's like throwing money away.  Learn why you should take those few minutes, and find a link to help you determine which plan is best for you.
podcast available
PODCAST
AVAILABLE
Medicare Part D - Counselors Help Clear the Confusion
This time of  year, Medicare Part D can become confusing - and confusion leads to expensive if you don't make the right choice.  Your state will provide you with free counseling.  Learn more about the State Health Insurance Program and its volunteer counselors.
 

Healthcare Reform

Why Healthcare Reform Is Important to You
No matter how good your health insurance may be, the 47 million uninsured Americans are costing you money out of your pocket, through both your taxes and your premiums.  Learn how that happens, and find resources for learning more.
What a New President Means for American Healthcare (January 20, 2009)
As Barack Obama becomes our new president, how can we expect our healthcare to improve?
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President Obama's Healthcare Address to the AMA (June 15, 2009)
President Obama clearly spelled out his wishes for healthcare reform, and there is much to be desired by patients in the address.  Be knowledgeable about the facts vs the myths that those who prefer profits over healing would have us believe.
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AVAILABLE
The Truth and Lies About Senior Death Warrants (August 4, 2009)
Arguments about healthcare reform are inflamed by those who put information in the public domain that is not true, striking fear, anger and confusion into the hearts of American citizens. Learn about one such effort to make you believe fictional information, and what you can do to make sure you aren't spreading lies, too.
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Co-ops, Exchanges and the Public Option - Oh My! (September 1, 2009)
This healthcare reform debate has gotten so complex, that it’s easy to be confused by the terminology. Here are brief explanations of some of the concepts being discussed.
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Healthcare - A Victim of Its Own Success? (January 19, 2010)
Sometimes when we get the most frustrated at the cost of healthcare, it helps to remember the ways it has improved our lives. Yes, it's a different perspective.
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Find a dozen or more articles on specific questions of healthcare reform at Trisha's About.com site.

 

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Every Patients Advocate
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