41个医生不会和你分享的秘密（一）

41个医生不会和你分享的秘密（一） 以下医疗案例也许不是最好的或最安全的。看一看医生们告诉《读者文摘》了什么，它们教会你 们做一个更聪明的病人。 要是你知道了... 读者文摘为24位医生提供一个说出真相的机会，令到全科医生、外科医生、心理医生、儿科医 生和其他的医学专家受到了挑战。有些要求匿名、有的却毫不在意。但是所有的这些有趣的可怕 到令人颤抖的事情可以帮助你成为一个更优秀更聪明的病人。 我们是病人 ?我十分厌倦做你的母亲了。每次我看见你，我都要负责地说“你要减下肥了”。但是你保证说 “不吃任何东西”或者“体重就是不减”，然后这个话题就这样过去了。然后你来这里抱怨说你 的膝盖痛，你的背快疼死你了，你的脚受伤了，你爬楼梯爬到一半时呼吸困难。然后我就要握住 你的手，努力说服你不要再抱住奶油蛋糕的盒子。孩子，我已经对不听讲的病人重复这些东西感到很累了。 --纽约心脏科专家布鲁克林 我在学校被告知当病人不听劝告或者合作的时候就让他穿上医院的袍子。这令他处于一个从属地 位。 --脊柱医师亚特兰大 感谢你从家里带来你的（粪便、尿液等）样本。我将把它放进令我恶心的个人收藏中。 --道格拉斯 弗拉格，医学博士，Placebo Journal编辑 一件令我困扰的事是人们把他们的电话号码留给我。我每天的时间 表 关于同志近三年现实表现材料材料类招标技术评分表图表与交易pdf视力表打印pdf用图表说话 pdf 都排的密密麻麻的，并且 我尽可能的和病人们呆在一起。利用这段时间来收集你需要消息和进程。请不要接电话。 --詹姆斯 迪拉德，医学博士，病痛专家，纽约 我希望病人能对他们自己的健康负责并且停止依靠我将他们从诸多问题中拯救出来。 --急诊医生，科罗拉多 普林斯，科罗拉多州 那请恕我直言：你想要一个给这三位专家推荐，一次核磁共振检查，还有你在电视上看到的治 疗和一个小时的访问。我明白了。你还要些薯条不？ --医学博士 道格拉斯 弗拉格 我曾经有一次让我的秘书为我听诊，那是我在病房中和一位难缠的病人呆了五分钟，之后我就跑出来，说“噢，我需要一次急救。” --脑瘤科，圣克 鲁斯，加利福尼亚 许多病人以为女性医生就是护士或者美容师。我已经不能算出有多少次我介绍自己是M医生但之 后被当成护士、美容师或者助手要咖啡或者做其他类似这样的工作。我很尊重我们的护士和其他 的辅助医护人员以及他们所做的工作，但是这些似乎没有发生在我的男同事们身上。 --物理治疗学及康复护理学博士，罗亚尔欧克，密歇根州 令医生最不安的事情是，病人不信任你，或者病人很信你。 --妇产科医生，纽约 我很烦那些病人本来可以在家处理的小病症却偏偏要跑来急诊室。 --急诊医师，克罗来多 斯普林斯，克罗来多州 医生一般知道的比网站上的知道的多。我同病人花了很长的时间解释病理和未来的治疗策略。但 是几天后我收到病人的电子邮件，说他们正在研究某个与众不同的稀奇古怪网站，他们想要照它 说的做。当时我很想说（但是还是没说）“那么你们为什么不叫网站照顾你们？” --詹姆斯 迪拉德，医学博士 我知道读者文摘建议病人将他们的病症列成清单，但是每次你这么做，只会令我加强我退出这个 行业的念头。 --道格拉斯 弗拉格，医学博士 41 Secrets Your Doctor Would Never Share If You Only Knew ... Reader's Digest offered two dozen doctors a chance to tell it like it really is, and general practitioners, surgeons, shrinks, pediatricians, and other specialists took the challenge. Some wanted to be anonymous; some didn't care. But all of them revealed funny, frightening, and downright shocking things that can help you be a better, smarter patient. We're Impatient • I am utterly tired of being your mother. Every time I see you, I have to say the obligatory "You need to lose some weight." But you swear you "don't eat anything" or "the weight just doesn't come off," and the subject is dropped. Then you come in here complaining about your knees hurting, your back is killing you, your feet ache, and you can't breathe when you walk up half a flight of stairs. So I'm supposed to hold your hand and talk you into backing away from that box of Twinkies. Boy, do I get tired of repeating the stuff most patients just don't listen to. --Cardiologist, Brooklyn, New York • I was told in school to put a patient in a gown when he isn't listening or cooperating. It casts him in a position of subservience. --Chiropractor, Atlanta &bull Thank you for bringing in a sample of your (stool, urine, etc.) from home. I'll put it in my personal collection of things that really gross me out. --Douglas Farrago, MD, editor, Placebo Journal • One of the things that bug me is people who leave their cell phones on. I'm running on a very tight schedule, and I want to spend as much time with patients as I possibly can. Use that time to get the information and the process you need. Please don't answer the cell. --James Dillard, MD, pain specialist, New York City • I wish patients would take more responsibility for their own health and stop relying on me to bail them out of their own problems. --ER physician, Colorado Springs, Colorado • So let me get this straight: You want a referral to three specialists, an MRI, the medication you saw on TV, and an extra hour for this visit. Gotcha. Do you want fries with that? --Douglas Farrago, MD • I used to have my secretary page me after I had spent five minutes in the room with a difficult or overly chatty patient. Then I'd run out, saying, "Oh, I have an emergency." --Oncologist, Santa Cruz, California • Many patients assume that female physicians are nurses or therapists. I can't tell you how often I've introduced myself as Dr. M. and then been called a nurse, therapist, or aide and asked to fetch coffee or perform other similar tasks. I have great respect for our nurses and other ancillary personnel and the work they do, but this doesn't seem to happen to my male colleagues. --Physical medicine and rehabilitation doctor, Royal Oak, Michigan • The most unsettling thing for a physician is when the patient doesn't trust you or believe you. --Obstetrician-gynecologist, New York City • It really bugs me when people come to the ER for fairly trivial things that could be dealt with at home. --ER physician, Colorado Springs, Colorado • Your doctor generally knows more than a website. I have patients with whom I spend enormous amounts of time, explaining things and coming up with a treatment strategy. Then I get e-mails a few days later, saying they were looking at this website that says something completely different and wacky, and they want to do that. To which I want to say (but I don't), "So why don't you get the website to take over your care?" --James Dillard, MD • I know that Reader's Digest recommends bringing in a complete list of all your symptoms, but every time you do, it only reinforces my desire to quit this profession. --Douglas Farrago, MD