Nickie Coby (puppybraille) wrote,
Nickie Coby
puppybraille

Communication

I'm not sure why it is that Dr. Jerome Groopman keeps coming up in blog posts, other than that I really enjoy his writing, and I still appreciate his excellent article on RSD in the New Yorker (October, 2005, around the time I was on Neurontin, so you know it's good if I remember it.) But today CNN had a piece about
When it's time to fire your doctor

I've only had two doctors I've ever decided not to go back to. One, I honestly thought was an ***. The other one and I don't see eye to eye, and don't communicate well. That's okay, I don't expect to love every doctor... Oh, and there's the one doctor who was a bit too rough with a needle, but I still feel bad, because that doctor was nice. The one doc I really wouldn't go back to if my life depended on it, prescribed an EMG. An EMG is really hell on earth for an RSD patient.

It involved, at least for me, having electrical shocks to my painful foot and leg, and then contracting muscles against needles. That doctor, despite specializing in neurology, did not figure out that I had RSD. And that doctor spent more time asking about blindness than anything. Here's a very helpful hint: If I come to you for foot pain, I am probably not asking you to resolve my blindness.

I suspect that now, I would have been much more rude, but, believe it or not, I was a somewhat nice person back then. I also suspect that an EMG now would make me pass out, since the RSD has gotten so much worse. I'm thankful that all of the doctors who treat me are close to on the same page, and actually respect me as a whole person. They listen, even when they disagree. They really seem to care about what is important tto me.

I noticed a quote which exemplifies why I love my doctors. It is because they don't make me feel bad. Even when they're telling me something I do not want to hear, they don't make me feel bad. And that's exactly what the neurologist did do. Here's the quote, but go to the article I linked above for the whole thing because it's definitely worth it.

DiMatteo says sometimes you just have to go with your gut. "For example, if a patient
says, 'My pain is still there,' and the doctor says, 'It shouldn't be -- this treatment
works for other people,' and you walk out of the office feeling badly, I don't think
you should stay."I bring this up not to just complain about a doctor and then talk about how much I love my current doctors, I think it has validity for people with RSD, of course, and also for those who are blind. we should never automatically accept that there is no way to help us with our pain. Other people might get better with Neurontin, but because I didn't get better doesn't automatically mean that other things won't work. I can understand the frustration doctors must feel when a patient doesn't get better, but for the most part, that is not our fault. There may be people who enjoy sitting in a doctors' office for an hour, spending money on medications and treatments that have side effects or undergoing procedures, but most of us wouldn't do it if we felt good. Because, you know, it's just so much fun to go through multiple tests and blocks and meds and such (sarcasm).</p>

It is easy to feel that things can't get better, and take a doctor's comment like that at face value. And, in some cases, there aren't a lot of treatments available, but there can be ways to achieve goals. It's not realistic (not like I'd want it anyway) to expect to walk into the eye doctor's office and get 20/20 vision, but it might be reasonable to find ways to relieve the eye pain and prevent further vision loss. In my experience, the best doctors don't just treat a pathology, they work to achieve goals with you. And, for me, that's the primary quality I'd look for if forced to find a new doctor ever.

Tags: chronic pain, rsd sucks
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