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Words never to use

dilaurodilauro ConnecticutPosts: 9,875
edited 01/29/2015 - 8:48 AM in New Member Introductions
When you are a patient you want to be able to work with the medical field in the most efficient and productive manner.

That means that communication is so valuable. How you discuss things with your doctors, nurses, hospitals, insurance companies, etc can make such a difference.

Here are some phrases that you should never use:

  • - I demand
    - I insist
    - Give me
    - I want more
    - I need
    - I am not going to
The two that most doctors and other medical professionals will react negatively towards is I demand and insist. When you see a doctor, you are placing your healthcare in their hands. They are the ones with the education and training to be able to identify problems and to come up with action plans.

Way too often I hear members here tell others... Demand that your doctor orders a MRI, or Insist that your doctor does this or that That will get you no where. Sure, it can be frustrating when you see doctors and are looking for answers. Many times those answers are not quick in coming. So, demanding a MRI is the wrong approach. Based on everything your doctor has reviewed with you, they will be in the best position to determine if a MRI is warranted. Us lay folks do not have the background or knowledge to demand anything.

Today's health care industry makes it harder and harder for procedures to be approved. Therefore, doctors need to be able to completely justify their requests and provide the rationale for this or that. Because a patient demands a MRI , but., the doctor clearly see that there is no rationale to warrant doing so, no MRI is going to be ordered..

That is just an example. I believe a much better approach would be

Are there tools or tests that can be done to help identify my problem?

Here you are asking your doctor for their input, they will be the ones to initiate various courses of action.

This applies to medications, treatments and so much more. I have talked with doctors who have patients (no names off course) that complain how much they hurt and want pain medications. The doctor first recommends physical therapy or other conservative treatment. The patient says

No, I want pain medication

Two bad things there. One, you flat out refused a recommendation from a doctor and two you demanded medications. That alone would raise a flag.

Bottom line, dealing with the medical field is no different than dealing with any service organization. Just because we pay for those services, does not entitle us to demand anything.

There are so many better ways in working within the system. After all, I believe the final objective we are all after is to become as pain free as possible.
Ron DiLauro Spine-Health System Administrator
I am not a medical professional. I comment on personal experiences
You can email me at: rdilauro@veritashealth.com


  • shortfuse5691sshortfuse5691 Posts: 407
    edited 01/29/2015 - 7:53 AM
    I work in the medical field and I really like how you discussed this topic. I work for 27 doctors and had 4 years of medical school and that's a great discussion topic. You are right!!! I've heard many things and this approach is best.

    Thanks :)
    2005-ACDF with Corpectomy at C3-C-5.
    2006-L4-L5 diskectomy.
    2009-Cervical laminectomy at C3.
    Steroid injections series x 4.
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