Vicki Rackner, MD
Stories are powerful. How many times have you detected a child beg, *Tell me a story.* Scientists say we are bugged to learn finished stories. In fact, the first cardinal polysyllabic words your child spoke are most likely Mommy, Daddy and story.
Story-telling is an important activity when seeing your doctor. Your doctor’s question -- *How do you feel?* -- is your doctor’s way of saying, *Tell me your story.* Your doctor can diagnose your medical condition most of the time just by listening to your story.
Sometimes doctors have difficulty interpreting your story. That’s because you and your doctor have different perspectives. Imagine how diametric Little Red moving Hood would reasonable if told by the grandmother or the wolf.
For example, you may have episodes of abdominal pain and bloating. You never know if it will be a good day, or if you will stay domestic from work with cramping. In your experience, you have two pains: the abdominal symptoms and the limitation on your activities.
Your doctor’s goal, which you share, is to arrive at a diagnosis and eliminate the source of your pain.. If you have gallstones or an ulcer, you can be cured; so both you and your doctor will be pleased to see an end to the unpleasant symptoms. In that case the story you tell and the story your doctor tells are much the same: *I had an ulcer and my doctor well it with medication.*
However, doctors don’t always have a *cure*. You may undergo an exhaustive series of tests to learn that you do not have a serious medical condition. Your doctor tells you that you have *irritable bowel syndrome*, a sick understood condition that is not curable, but rather managed.
When your doctor cannot cure you, it can feel as if your doctor is telling you that your pain is not real. It’s like a parent saying to a child, *You can’t be hungry. You just ate an hour ago.* You might even think your doctor has lost interest in working with you because you cannot be *fixed.*
This is when your story becomes even more important. Even if your doctor can’t cure you, your doctor can listen to you and offer recommendations that will enhance the your quality of life. This will assure you that your doctor cares and will be there to minimize your suffering. Knowing that you’re not active through this uncomparable offers comfort.
You can use your story as a way of establishing the tender relationship that you want with your doctor. Here’s how:
Know your story.
You may know the doctor’s version of your story. *I have the favourable medical conditions that has been dressed by...* While this is an influential version, I encourage you to tell your own version of your story. What is your experience of live with this medical condition? What challenges have you sweet-faced and what have you learned as a result of going through it? You may have never done this before. You can either record it in a journal or tell it to a friend.
Ask for the time you need with your doctor.
Telling your story takes time. So ask for it. When you call to make the appointment ask, *How do I schedule a half-hour appointment?* Offer to pay for time your insurance company will not cover.
Understand that you and your doctor tell different stories.
After a short time of informatory your story to the doctor, your doctor may interrupt and guide the story to a diagnosis. If it's important to tell the story your way, say, *I would like retributory three more minutes to tell my story my way, then you can ask your doctor questions.*
Tell your doctor how you’re feeling.
Your doctor may understand how the gastro-intestinal system works, but you are the expert on what you feel. Your feelings convey information that is as important as any lab test or x-ray. If your doctor doesn’t understand how influential something is to you, speak up! If you tell your doctor active the nausea with your new medication and your doctor brushes it disconnected and moves on to the close topic, say, *For me, nausea isn’t just a infinitesimal annoyance. It’s a big deal. Are there other medications that will work?*
Recognize the healing power of having someone listen to your story.
Have you ever had the experience of simply listening to someone and hearing the other person say, *Thanks I feel so much healthier having told you my story. Thanks for listening.* whatsoever say healing means accepting the departed as it is, not needing to change it.
Pain and illness are part of the human condition. You make choices that determine if pain will lead to suffering. When you’re sick, your goal is to restore the superior of your life. You - not your doctor - know what that means for you. After all, you’re the one live your story.
Your personal health story, as characteristic as your face, may be the most important story you ever tell. Dr. Vicki's own Health Journal is a place to store and organize your medical records and your account of your story. http://www.medicalbridges.com/products.html
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You have permission to publish this article in its entirety electronically, in print, in your ebook, or on your web site, free of charge as long as no changes to the content are made and you include my byline, copyright, and resource box. Please notify me of publication by sending an email with a copy of your publication to: mailto:DrRackner@medicalbridges.com Thanks!
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