25 Comments

I have recently been to the doctor for some new ailments. Neither doctor clinically examined me beyond a cursory listening to my heart and lungs and sending me off for labs or to sign up to a test (which takes nearly 2 months to find an opening). I've struggled since July with symptoms. I am beyond frustrated. Please, please continue to teach doctors to consider the patient in front of them as a person rather than a series of lab results or tests.

I would love for you to write an article on how to find a good GP....

I'm not a doctor, but I have worked in hospital settings (pathology laboratory), so I have worked with many doctors and they certainly are not equal in their care for the patient or their love for the job.

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Great piece. Compassionate medicine may be the most sensible of all.

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Aug 9, 2022·edited Aug 9, 2022

Do you think that the short time doctors spend with patients these days affects their ability to see past why the patient ‘says’ they are there? Or is it easier to just give them what they think/know they need and move onto the next one?

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Sensible medicine such a needed topic! Keep these great articles coming. It’s educational for both docs and patients.

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thank you for sharing. What a moving account of the doctor/patient relationship. I am enjoying Sensible Medcine :)

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Love this post.

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Aug 5, 2022Liked by Adam Cifu, MD

What a wonderful article to encourage providers to take compassionate, objective and thorough histories.on exams. Even if the results are difficult to receive, we need to keep up with the standard of care that gives the truthful, entitled answers that patients are expecting /need to receive. Thank you for sharing this personal case.

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Aug 5, 2022Liked by Adam Cifu, MD

Love this. Thank you for sharing and reminding us to always be diligent.

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Aug 5, 2022Liked by Adam Cifu, MD

Excellent article. Pain is such a mysterious symptom that is difficult for a patient to describe. Is it sharp, dull, throbbing, constant, etc.?? I am not sure if I accurately describe pain to my doctors. I have systematic sarcoidosis with chronic daily pain and fatigue. I'm unsure if I accurately expressing my pain but I think my medical team understands. Most importantly they do what they can to treat my pain.

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Well written and also a piece of history. It has inspired me to make a list of "great deceiver" or "everything" diseases. I gather every medical generation has one - syphilis, AIDS, and now, it would appear, mRNA vaccine reactions

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Aug 5, 2022Liked by Adam Cifu, MD

I admit, this made me cry.

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Aug 5, 2022Liked by Adam Cifu, MD

Things have changed since 1991. Nowadays if you examined the throat of someone. with severe back pain you would be an outlier, wasting time you could better use by inquiring. about the patient's social conditions of ill health and then entering that data into your computer.

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Aug 5, 2022Liked by Adam Cifu, MD

Bladder accidents, gait problems, and confusion presented itself. Hoping for a UTI. Nope. Episode of severe confusion led to ED visit and CT scan. The glioblastoma was as plain as the nose on your face. Our family’s reality right now. Excellent article

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Thank you for sharing this story. We have come a long way with testing and treatments.

As a former RN, I did enjoy the individual patient focus. That is why after 5 years I left that miserable dramatic (for me anyway) hospital floor setting, and went to a private orthopaedic surgery practice. I loved my job. It was a perfect fit for me.

I enjoyed listening to the patients, most of them are eager to share, and learn.

As always, people that are not interested or knowledgeable about medical exams carry small burdens or early signs of something. Even though I was ortho surg, it was an opportunity to get to know patients and their history. It makes a good picture of what will work for them, the focus for recovery

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Aug 5, 2022Liked by Adam Cifu, MD

Clinical exams are critical to accurate diagnosis, not just history, labs or other testing. An astute exam made this difference for this young man. Thank you for sharing.

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