Being proud of the force, men perfectly cope with the tasks demanding some deprivations, but under one requirement: they should control events! As a result of the man is more successful, than women, drop excess weight and give up smoking. Is much worse they look in the condition checked by others: accepting tablets, laying down on process or recognising that illness is too heavy to cope with it self-contained. As well as any generalisation, this inference prilozhimo not to all men but even if you consider yourselves as exclusion of a rule, nevertheless read this section.
The word "patient" happens from Old French "suffering affliction", and this sense was saved in it and to the present day. From the originating of mankind any healthy person did not think at all to be converted to the healer, and such standing is saved until now. Idea that the doctor is capable to help the person whom and so itself well feels, was born in the second half of XX-th century in few industrially developed western countries and while widely it was not spread.
It is paradoxical, but the is better you feel, being converted to the doctor, the above your characteristic liability. If at you the leg is broken, the doctor will not have problems at diagnosis setting, but at incidental stethalgias you should answer on some light problems, and at malaises at weather changes the doctor will ask you more in detail. If at you excellent health and you have come on the regular visual inspection a lot of information which one it can gain only from your mouth is required to the doctor. Having led before visit to the doctor some "probes", you pleasantly surprise with its rationality and organisation. Therefore before the maiden visit make the following.
1. Talk to mother. She will tell, you have tolerated what illnesses in the childhood (very few people remembers, than he was ill in three-year age). Specially ask on the diseases demanding hospitalisation, and the most important problem should be: «And what then the doctor spoke?» But try to store the facts, instead of its personal judgement on the happening. Be referred it is critical to constant mentions that you had any particular allergy our mothers routinely are rather active in diagnosing of allergies of one of principal problems of their descendants. For an example I will tell that 90 % of the adult men stating, according to mother, about the allergy to Penicillinum, were not right. Besides the salutary properties Penicillinum almost has no by-effects. At its substitutes much more contraindications. Therefore if your taint can be cured Penicillinum is better to use it.
Your mother can state that you the allergic person, because:
Your father was the explicit allergic person;
You had an asthma, and the doctor mentioned that would prefer to avoid assignment of certain medicines;
In the childhood you had time to accept too much any drug;
From any drug at you diarrhoeia began.
All enumerated does not bear to an allergy and if you did not test a typical allergic response, can consider itself healthy in this plot. Many events of a rash of which one charged Penicillinum, actually were a disease symptom, but the doctor, instead of your mum should make such inference. Therefore ask it that then the doctor has told.
2. Find out about illnesses of relatives. In hospital educational institutions of the future doctors learn that it is necessary to know about diseases in monogynopaedium of the patient, however during medical practice such tracings in case histories all become shorter and shorter. Nevertheless, you should know exact age of the well grandmothers and grandfathers, parents and nearest relations, and also their exact age for death date. The same information about djadjah and aunts too is useful; convergence on cousin relatives will matter at discovery of family disease.
Try to learn more about severe illnesses of relatives, but do not theorise and do not allow to make it by another the facts are relevant only. If, for example, your father says that the grandfather has perished from an infarct, ask, whence it is known to it. If he tells that the grandfather sat on a sofa, has suddenly writhed and has perished, the infarct will be only one of ten possible parents of his death. Suicides, alcoholism and severe alienations in the history of monogynopaedium very much the essential information, as well as the running diseases and deflection, for example high cholesterine at someone from the native.
3. Learn, a leah made to you grafts in the childhood and from what illnesses.
In the past the tetanus and a diphtheria were children’s illnesses with what they and now remain in underdeveloped countries. In the USA them adults by whom grafts in the childhood for various reasons have not been made today are ill. What grafts made to you? Some grafts should be iterated periodically that, by the way, concerns both to a tetanus, and to a diphtheria. And in this case also do not theorise («In the childhood I has broken an arm probably then to me have made an antitetanic graft»). If there are doubts ask the doctor to iterate a graft.
4. Be sociable with the doctor. Despite all miracles of production engineering, our knowledges about the patient on 90 % consist from this that he tells. «Talk properly to the patient», learn us the professor. «They will tell about the diagnosis».
But sometimes it is impossible. The information sometimes should be drawn out almost ticks, as a result to the extremity of reception the doctor feels not better the patient. Here an example of how a certain patient complains of a maw troubleing it:
What exactly troubles you?
All has begun, when I have moved to Chicago.
When? Couple of months back?
Three years ago. I have gone at once to the specialist.
It has made assayings.
And what were effects?
It has registered to me a drug, and it has helped. You can make out to me it again?
What it to you has made out?
Small white tablets …
No, but they were small and white. For a maw … Here to you a skill to communicate problem in all beauty! But do not think that the fault lies only on the patient it could become a victim of the bad skill to communicate of the previous doctor. If the information expected from you is very relevant, the doctor will try to gain it very much. Easy life both to it, and, following the several regulations basing on simple common sense.
Be detailed and exact. Hardly you will parrot to the motor mechanic: «My machine was broke … broke in itself … probably, it was broke …«. Having met the patient who repeats that not very well feels, the doctor will try to clarify the facts. What for to impede its operation? Think, what not so in following conversation:
I am chilled from past week.
From past week … Means, already seven days?
Yes is not present, three days.
Cold … you mean a cold and a pharyngalgia?
No, tussis and a genyantritis.
The genyantritis means, you mean a pain around dogs?
No, at me the nose is pledged …
At the average the doctor should iterate «you mean» one hundred times a day. Therefore precisely feature that troubles you.
Speak: «I have pains in the ear», instead of «At me is infected an ear».
Speak: «At me a rash, and it is hackled», instead of «At me an allergy to something».
Speak: «all is ill me!» Only when at all other even hair are ill you.
Also do not think that the doctor can «read between lines» do not speak: «My maw all night long did not yield me to sleep» (can be, he all night long played to you a trombone?), tell is better: «I did not sleep all night long because of a nausea (either pains, or vomitings)».
Do not come with the ready characteristic diagnosis. Aberrantly to be on reception with announcement: «In my opinion, at me a nervous breakdown». I, for example, well know that such "sensation of fear" or "trouble" but when the patient reports to me about "nervous breakdown", I am lost it too popular and blanket term which one for miscellaneous people means miscellaneous things, no less than "konjuktivit", "tonsillitis", "taint" or "indigestion". Speak is better: «I have been so killed that could not mass on operation», or «At me the eye is hackled, and in the morning on it there was a crust», or «I have pains in a throat», or «In an hour after meal at me spastic strictures of a maw begin and gases» are dedicated.
Remember a characteristic case history. Do not guess that in that plump case history that lies on desktop before the doctor, everything is recorded that to you happened. Such in appearance the complete history appears very often a dial-up of scrappy data. The best place for basic facts your head.
I see, you lay in hospital in 1973? In what halter?
For survey. (Absolutely useless answer)
Because of a back. (The little it is better)
At me the back has ached and did not transit. (Not bad)
The back began to be ill more strongly customary, and the pain even has started to donate in a leg. The doctor guessed that it could be because of a displaced godet. (Very well)
The doctor has sent me on survey. It was clarified that at me the vertebrae godet is drifted. In some days to me it became better, therefore he has told that it is not necessary to make process, if only again is not becomes worse. (The ideal answer)
Do not consider that the doctor «will send request» and the problem will be solved. The doctor, certainly, can direct request to hospital where you once lay, but it will occupy a lot of time, besides, sometimes requests remain without attention. Therefore words: «I do not remember … It is an old story» very bad answer, and I should auscultate similar some times in day, improving a title once the drug made out to the patient or asking about its state some years ago. To tell the truth, in such forgetfulness it is believed arduously. People usually remember that for them is is relevant. As your way how much inhabitants of Indianapolis or, say, Guadalajara can answer: «Sorry, but I do not remember, I live in what city. This world so is great …»?
Encourage the doctor to be sociable with you. If today you already sixth patient talk of the doctor to you, most likely, will be much shorter, than with the maiden. If you, leaving a cabinet something and have not perceived, it is wine of the doctor, but you will be the unique victim. Therefore before to quit a cabinet, try to gain definite answers on following problems:
In what my illness consists? Be not contented nothing with significant phrases of a type: «the Feeble back», «the Irritable, excitatory maw» or «the Bad circulation of blood». You would pay to the motor mechanic who has told that at your machine «drive shut-downs»?
Any illness has an exact title. If to you will report this long scientific term, it is necessary to learn that it means. Many impressive pseudoscientific words simply are useless this only beautiful title of your symptoms. Examples "dermatitis" (rash), "gastroenteritis" (gastric disturbance) and "arthritis" (an inflammation of knuckles) can minister.
Each illness has a parent. The dermatitis can be effect of action of bacteria, funguses, chemicals or allergenic agents. The majority of a gastroenteritis are caused by viruses, but the parent can be both bacteria, and rotten nutriment. The arthritis originates because of kind ten parents. Never guess that the parent to you is known most likely, you will make an error. About once a week somebody from patients states that at it (or at it) an anaemia. When I ask, why they so think (except an anaemia, there is one hundred more illnesses with similar symptoms), they, as a rule, are surprised: «As, the doctor, unless from the bad delivery does not happen anemias?!» Yes, there is somewhere to Bangladesh, but in America such a scarcity.
Almost any disease yields to treatment. If treatment is not present, to you are bound to tell about it. Many doctors are retouched by type phrases «Anybody from us is not ideal» or «It is the answer of an organism to stress». Some people prefer to hear such inferences instead of accurate determination of disease. If you do not concern to them, ask the doctor, than concretely you are sick, what is necessary treatment and what is the time it can be extended. Thus allow: any serious illness do not treat tranquilizers or Polyvitaminums.
Really it is necessary for me? Besides, that you will spare a time and money, such problem will allow the doctor to be convinced that you the reasonable and severe patient.
The majority of visits to the doctor are connected to insignificant problems which one the medicine besides and does not treat. Tussis, cold, viral infections and gastric disturbances are prolonged so much, how much it is necessary for them to transit in itself, irrespective of treatment. Small injuries also heal in the time assigned by the nature. Doctors a generous arm make out a drug for alleviating of such states as experience has taught them that the majority of patients feel much better, accepting something assigned by the doctor: nyxes, tablets, belts not very well that.
Making out a drug for tussis at cold or kortizonovuju a salve at an itch, I explain that it to some extent will help, but the patient will not recover more promptly. And it is the extremely rare somebody from patients says that in that case this means is not necessary for it. Therefore, if you are not aimed to temporary alleviating, ask to the doctor a problem born in an initiation of section, but at all do not solve what of drugs you do not need.