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Dear Margaret,
I agree with you regarding the message below. The problem is that we
have always put the medical profession on a pedastal for so many years
and it is hard for them to step down. Their art in practicing  and
learning medicine is not any different then any other profession. They
learn as they go along.
It is up to us to change their attitude through questioning them and
being well informed.
Take care, Henry Guttentag  [log in to unmask]
 
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You wrote:
>
>John Cottingham posted your thoughts on our PD listserver and it
certainly
>is a topic that needs to be explored. We, the patients, must be as
well
>educated about our disease as possible and thus have the ability to
discuss
>with our doctors the knowledge we have gained from "surfing the net",
or
>from reading.  Ofcourse, that presupposes that the doctor is at least
as
>well informed as we are and is open to our sources of information. I
have
>not found this to be the case with my neurologists. In fact, most of
the
>times when I brought in copies of articles, etc., they were politely
filed
>away in my folder with the remark that "I will read it as soon as I
can". It
>has been my fault that I did not persist and follow up.
>The patients' attitude must change and "interview" the doctor and not
just
>look at and be impressed with the framed copies of degrees and
accolades
>hanging on the wall. The whole process of the examination and
discussion
>takes place in an in-personal cubicle and the doctor hops beween
patients
>awaiting their turn.  I have found that the RN, who takes the blood
>pressure, weighs you and asks if there are any problems, is much more
in
>tune with the individual.  In most cases the RN will make
recommendations
>that the doctor then formalizes with his signature on Rx form. If the
>assistance of the RN frees up the doctor to do research, all is well
and
>good. My observation is that doctors "catch up" on the new discoveries
when
>the attend their junkets in glamorous and expensive places. Or, they
are
>mostly concerned with and are knowledgable about their particular
"research
>areas" and if your profile does not fit into their hypothesis then
their
>interest wanes. My criticism is aimed at the structure of the medical
field
>and we, as the consumers, have a duty to improve the system.  I am
planning
>to go to my next appointment armed with specific questions and in-fact
will
>probably fax them ahead of time to the doctor. Thank you for providing
this
>forum to vent.  I apologize for the length of this post.
>Regards,
>Margaret Tuchman
>[log in to unmask]
>