{"id":9465,"date":"2011-06-03T18:01:50","date_gmt":"2011-06-03T23:01:50","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=9465"},"modified":"2011-06-03T18:01:50","modified_gmt":"2011-06-03T23:01:50","slug":"dumb-patients-no-way-it%e2%80%99s-only-normal-behavior-and-status-quo-clinical-care","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2011\/06\/dumb-patients-no-way-it%e2%80%99s-only-normal-behavior-and-status-quo-clinical-care.html","title":{"rendered":"&#8220;Dumb patients? No way. It\u2019s only normal behavior and status-quo clinical care.&#8221;"},"content":{"rendered":"<p>SPM member Sue Woods, of Oregon Health and Science University and the Veterans&#8217; Administration, has posted a terrific response to \u00a0CNN.com&#8217;s &#8220;<a href=\"http:\/\/www.cnn.com\/2011\/HEALTH\/05\/26\/dumb.doctors.office.ep\/index.html\" target=\"_blank\">Ten dumb things you do at the doctor&#8217;s office<\/a>&#8221; and to <a href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2011\/05\/cnn-10-dumb-things-you-do-at-the-docs-office-discuss.html\" target=\"_blank\">our discussion of it<\/a> here. Titled <a href=\"http:\/\/www.sharedhealthdata.com\/2011\/06\/02\/dumb-patients-no-way-its-only-normal-behavior-and-status-quo-clinical-care\" target=\"_blank\">Dumb patients? No way. It\u2019s only normal behavior and status-quo clinical care<\/a>, it&#8217;s great.<\/p>\n<p>For each &#8220;dumb thing,&#8221; Elizabeth Cohen&#8217;s original included\u00a0why patients should wise up; Woods proposes what she feels is a more empowering version, <em>and <\/em>advice for docs.Example, for the #2 dumb thing:<\/p>\n<ul>\n<li>Problem: &#8220;You lie.&#8221;<\/li>\n<li>Original comment: \u201cI need to treat you the best way I can, so if you\u2019re gay, tell me. If you drink a bottle of tequila every night, I need to know\u2026 I won\u2019t judge.\u201d<\/li>\n<li>Sue&#8217;s version: &#8220;You have the right to not share things. If you decide to hold back, make sure it\u2019s for a good reason. Ask yourself why you don\u2019t want to share. Are you afraid you\u2019ll be judged? Lectured at? If so, say someting like \u201cI want to tell you something, but I\u2019m not sure how you\u2019ll respond.\u201d That\u2019s a signal for the doc to listen and not react. If they behave badly, vote with your feet.&#8221;<\/li>\n<li>Sue&#8217;s note to docs: &#8220;<em>It\u2019s your job <\/em>to make people comfortable so they share their stories. People have a right to not disclose, but if you build trust then sharing happens. Listen and don\u2019t interrupt unless it\u2019s necessary, and make the visit about the patient\u2019s agenda. If you find discrepencies in a patient\u2019s story from one visit to the next, get over it. We tell different stories about ourselves all the time.&#8221;<\/li>\n<\/ul>\n<p>This doesn&#8217;t just empower the patient (putting responsibility, knowledge and power where it belongs), it does it in a non-blaming, explanatory way. <em>And it <\/em>empowers the doc, in the same way: putting power, knowledge and responsibility right where it belongs.<\/p>\n<p>This could be the start of a &#8220;How To Be An e-Patient&#8221; book. Or, better yet, booklet. Pocket-size. Handy. Concise.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>SPM member Sue Woods, of Oregon Health and Science University and the Veterans&#8217; Administration, has posted a terrific response to \u00a0CNN.com&#8217;s &#8220;Ten dumb things you do at the doctor&#8217;s office&#8221; [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[12,5,2304],"tags":[],"coauthors":[],"class_list":["post-9465","post","type-post","status-publish","format-standard","hentry","category-found-on-the-net","category-ptdoc-co-care","category-why-pm"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>&quot;Dumb patients? 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