The 40 Secrets Your Doctor Won’t Tell You
"Give it to me, doctor," is the old quote. "How long do I have to live?" This question may be harder to answer than you think. Doctors do not always treat patients honestly – not because they are bad people, but because they are are People, and nobody can be honest all the time (are you?). Sometimes they tell white lies. Sometimes they hold back information. Sometimes they keep their personal information, well, personally.
If they tell you every one of their thoughts, you can trust them less.
We're curious about what's really going on in the doctors' minds and have asked the best professionals in the country to reveal 40 secrets that they would never normally reveal. Continue reading for the ultimate brain x-ray.
"You'll be surprised how often patients come to the emergency room and do not share important details about their case," says Dr. Rachel Shively, Emergency Medicine and Toxicologist who practices in New York. "In addition, we can tell when you're lying, and when they're lying, it's usually that they're embarrassed or nervous, that we do not give them the same care when faced with things that could be detrimental to their health This is absolutely not true – we certainly do not judge it – but it is sad, things like what you have taken or the mechanism of your injury are important things you do have to tell us. "
"Sometimes people lie about the severity of their symptoms or add symptoms because they believe or have learned that doctors do not take them seriously, unless they have 10 in 10 pain," says Dr. Shively. "This is also unfounded, but with them I always wonder what has happened to them in previous medical experiences that made them think that way, and why this seems to be a ubiquitous thought in certain communities. The same applies to the threat of complaining if you do not get what you want. "
"Consider the complications they had with their surgery," says Dr. Thomas Horowitz from the CHA Hollywood Presbyterian Medical Center, Los Angeles. "Ask if they: a) withdrew from a medical staff to avoid investigation, b) had any allegations or board actions, and / or c) had to give up any privileges in an institution."
"Ninety-nine of the 100 things doctors do not share with their patients we do not know!" Jack J. Springer, assistant professor of emergency medicine at the Sugar School of Medicine at Hofstra-Northwell. "As an emergency physician, for example, I have the task above all of stabilizing seriously ill patients and reversing their condition as far as possible. Next, the existence of life-threatening or limb-threatening or organ-threatening injuries / illnesses should be excluded to the extent possible. and finally, to relieve the pain as much as possible. He continues, "Many people come to the emergency room to expect definitive answers and are disappointed. However, if you arrive with a harmless rash, we often can not pinpoint the exact cause of the rash – and for the vast majority of the time, this will not cause a negative difference. "
"The earlier the day you make your appointment, especially if you're first to see it that day, the better the treatment you get," says chiropractor Brandon Meade, DC. "At the end of the day, doctors – especially chiropractors – are often mentally exhausted and, in the case of a chiropractor, physically exhausted and may not be as concentrated as at the beginning of the shift."
"Our culture has a general desire to fight disease," says Dr. Springer. "In my opinion, patients should sometimes be told that a fight is in vain. That the cost of continuing therapy and nudging, as well as examining and hospitalizing, only steals the quality of the little life they still have. Many doctors, especially oncologists, are reluctant to give patients permission to let go. A description of the emotional and physical costs of "fighting" is withheld when the likelihood of success is low. Doctors should take the lead in changing our cultural beliefs about death so that they can be discussed with ease and acceptance every day. "
"Perhaps the number one secret that doctors do not share with patients is that their education gives little indication of the cause of the disease. Statistically, within 18 seconds of entering a treatment room, a doctor knows to see a patient what drug he will prescribe for whatever you've complained about, "says Dr. med. Michael E. Platt. "If the complaint is, for example, insomnia, a hypnotic is prescribed. If you have low back pain and tiredness, the doctor may prescribe Lyrica because he suspects you have fibromyalgia. "To get a better-thought-out diagnosis, tell your doctor in detail what you're experiencing and ask what to expect. Expect the prescribed medications.
"Most colds, coughs, fevers, ear infections, conjunctivitis, sinusitis, bronchitis and flu-like illnesses are caused by viruses that need to run their course, and no amount of antibiotics will be of benefit and can cause harm in the form of side effects and bacterial resistance", says Dr. Springer.
"A doctor will not usually offer treatment that is more convenient because it is not covered by insurance," says Dr. Dean C. Mitchell, assistant clinical professor at the Touro College of Osteopathic Medicine. "I do many specialized nutrition and allergy treatments and treat hundreds of patients with sublingual allergy drops that are safer, more convenient, and more effective than allergy shots. However, because many insurance companies do not cover the drops, doctors do not even offer them to their patients. I think patients need to be their own best lawyer and urge their doctor to give them all treatment options, even those that are not covered by insurance. Surprisingly, these treatments – like allergy drops – are sometimes cheaper and save time and money when traveling. "
"Doctors are not speculators," says Dr. Springer. "We use the best available evidence to diagnose and treat diseases. Do not ask your doctor if he should guess. "
"Many people start an exercise program by repeating an exercise they did at someone else's gym," Dr. Allen Conrad, owner of the Montgomery County Chiropractic Center. Not only does this exercise not only help you achieve your goals, it may also be unsafe for beginners. Sport is an important part of your health, but discuss with your doctor what kind of program is right for you. The key is to identify your specific goals, such as weight loss or muscle gain, and develop a training plan that targets those specific goals. Just because someone did it in the gym does not mean it's right for you. "
"I do not work in a clinic, so I do not care about rejections, but occasionally we get people who are looking for opiates or who want to be hospitalized for social reasons." These people are frustrated because they use resources inappropriately, which in humans In addition, they can make the medical staff violent, which is clearly insecure for all people, "says Dr. Shively," but as a rule, they have unfortunate reasons – such as homelessness and mental illness – so we try to feel sorry for it. "
"I know there are so many doctors who are not shared with their patients because most doctors do not have enough time with their patients." One thing that doctors do not share because of this time restriction is why therapies and medications prescribed to them ", says Lisa Paladino, doctor for women's health.
"Diet is the key to well-being. Unfortunately, most doctors at school do not learn much about nutrition, "says Paladino. "Those with more knowledge are too pressured to raise the issue and provide detailed information to their patients."
"I treat patients with complex pain syndromes. Eric D. Grahling, owner / director of Comprehensive Pain Management, Central Connecticut. "Her pain is usually multifactorial – no easy reason for her pain. Patients are often fixated on findings that are often clinically not significant (ie, not the cause of any of their problems). We pass the patient on and tell him that, unlike many other providers, we treat the entire person, not just the MRI image. Such redirection helps them to take a more holistic view of their being and condition, and usually results in better outcomes. "
"As an elective cosmetic surgeon, I do not operate on all patients who consult me for consultation," says Dr. Christopher Zoumalan, FACS, an eye surgeon from Beverly Hills. "Just because a patient wishes to have a procedure does not mean that he is a good candidate or would benefit from the procedure, and in the end, I use my judgment and clinical findings to see if I can really help the patient."
"If you have a surgical procedure, try to get your caretaker or a family member who will take care of you after the operation to your preoperative appointment," says Dr. Zoumalan. "In my practice, which is primarily a practice for elective cosmetic surgery, we encourage our patients to take their caretaker to their preoperative appointment. In the case of an elective plastic surgery, you spend your money and time to have an elective procedure performed by an experienced surgeon. It is therefore important that you get the best possible postoperative care to ensure optimal healing. "
"Even as a general practitioner and graduate of a medical faculty and hospitalization, I do not understand insurance plans well and my patients do not," says Inessa Fishman, MD, plastic and reconstructive facial surgeon at Aviva Plastic Surgery & Aesthetics. "I find that patients often think that having an insurance means that all their treatments are fully covered." This is certainly not the case for many people. Many of my patients do not understand concepts such as copays and deductibles and do not know their details because they relate to their individual health plans. This is not a secret per se, but I think that understanding your own health insurance – and preparing for a specialist visit by finding out which treatments are covered and which are not – would lead to a more effective and less frustrating experience for one patient the doctor's office. "
"Doctors often do not feel comfortable sharing their personal decisions with their patients," says Dr. Alyssa Dweck, MS MD FACOG and Advisor to Tru Niagen. "Often this can blur the boundaries between personal and professional relationships and create a sense of vulnerability. Take a contraceptive method, hormone replacement therapy for menopausal symptoms, or surgery such as hysterectomy – these choices have numerous variables that affect a person's decision, including medical, cultural, financial, and even religious factors. In these more complex and thought-provoking cases, a provider can not really say what he would do. "
Nevertheless, Dr. Dweck the Mediterranean diet, a training program with cardio and strength training and a water-soluble vitamin B3 recommend. "Although these recommendations are personal," she says, "they are general enough not to cross that line between doctor and patient or friend."
"I tend to hold back personal opinions with patients," says Dr. Erica Steele, DNM ND CFMP BCND of Holistic Family Practice. "A patient can deal with big issues like vaccinations, abortions, etc., and my job is to have a biased objective perspective in healthcare that simply weighs the pros and cons of different health scenarios. It is not my job to blame, judge or influence my patients. Ultimately, I respect the right of a person to make their own health decisions, and therefore will only deliver the facts as I see them, not anymore. "
"I hold back my religious / spiritual beliefs," says Steele. "I treat in Virginia, a state of the Bible, and am often asked about my religious beliefs. Although I think it's very important to have a provider you can trust, sometimes I find it rather invasive to ask personal questions about your spiritual beliefs. Although I have a strong spiritual background, I often do not feel that my health practice is often the place to express those views, especially when I'm afraid to say the wrong thing or the right one. "
"I'm young and look younger than me, but I'm extremely intelligent – do you remember Doogie Howser?" Steele. "I tend to blow people away with my knowledge and insights, but I also look very young, which makes people curious. I am often asked for my age and hesitate to answer if I am worried that my opinion will not be taken as seriously as my 20-year-old colleague. Although age may be a factor in some things, the younger health teams are being hit by a reduction in healthcare knowledge. "
"Doctors often refuse to disclose all potential treatment options for their cancer patients," says Dr. Beatriz Amendola from the Innovative Cancer Institute. "Sometimes this is intentional because a particular option may not be offered by the practice, the hospital or the group and they do not want the patient to go elsewhere, sometimes it is inadvertent because the alternative treatments are not well known It is understandable that a doctor does not know everything, after all, we are also human, and if we know all the possibilities, it is our duty not to hold back the information – and I follow that. "
"Pillows, straws, pickup tools, and a medical-grade shower chair are examples of products that make a patient feel safer and more comfortable after surgery," says Dr. Paul Parker, a state-certified plastic surgeon and author in Paramus, NJ. "It's also a great idea to go out of your home before surgery and take out everything you use regularly, and if you place everything comfortably at arm's length you can avoid unnecessary gripping and bending." These simple and deliberate preparation steps can help you avoid injuries and possibly shorten your recovery time. "
"This is unrealistic for many average patients," says Dr. Parker. "You should do your own research to confirm that recovery time information comes from trusted online sources. You can also ask your doctor or nurse about the outside area and possible after effects. It is better to know in advance if you will probably need more time to recover. "
"If all else fails, we'll use leeches. In my first book In stitchesI described a situation in which the nipples had major blood supply problems following a breast lift operation, "says Dr. Anthony Youn, M.D., F.A.C.S. "When this happens, the nipple can literally turn blue, then purple and then black. As soon as it's black, it's dead and the nipple finally comes off. How did we save the nipple? Leech. Leech therapy, as medieval as it sounds, is still used in major medical centers as the last trench rescuer for plastic surgeons. They act like a temporarily attachable vein, removing the overloaded venous blood and saving the nipple. "
"Your chances of having a medical error are higher in July than in any other month," says Dr. Youn. "July 1 is the day on which all new interns in the hospitals start working, and the outgoing interns take on new roles as residents. Studies have shown that the rate of medical errors in July is likely to be higher at academic medical centers. "
"Plastic surgery is the only area of medicine in which doctors, such as gynecologists, emergency physicians and general practitioners reject their chosen profession to impersonate another," says Dr. Youn. "As they are not involved in insurance and managed care, these doctors take part in weekend courses for cosmetic treatments and operations to earn extra money, it's really a buyer's market, so it's no surprise that it's a very successful TV -Show gives botched, "
"That happens in all teaching hospitals," says Dr. Youn. "Doctors need to learn sewing, and sewing a pig's foot on your kitchen table only goes so far.While the thought of a medical student or a resident learning how to sew by sewing your incision may be something disconcerting, do not fret. Good surgeons make sure the closure is just as good, if not better, than he or she would do it themselves. "
"There's a joke among the doctors: what's the name of the person who was last considered dead at the medical school? "Doctor," says Dr. Youn. "Yes, although you must be an excellent student to enter and finish medical school, someone must be considered dead last. And as long as he or she passes the tests, that person, like the rest of us, becomes "Dr." called. "
"In the age of Google, patients have access to more than enough information about their health, but they often do not know how to use it. Due to time constraints, we are unable to answer every question and every detail of their case, "says Dr. Steele. "The withholds are not made in bad faith, but in timing and attention. Not every last detail needs to be explained, especially when it comes to practical applications. It is impossible to describe bad health habits in one or two clean paragraphs for 30-40 years. Some patients seem to want a medical degree in their appointments and are so distracted by the search for knowledge that they forget that their main focus is on the practical application of healing. "
"Sometimes what doctors and hospitals Not Tell me, is not really the answer after the treatment? " Tarek Hassanein from the Southern California Liver Centers. "This is the same as a politician who wants to cut the ribbon at a new bridge. Sure, the press is great and it's nice to have your name on something new and shiny – but if the bridge were regularly maintained, massive (and expensive) work would be unnecessary. We focus on preventive care – screenings, lifestyle changes and careful monitoring together make up the best version of that person's health. "
"Your doctor may not be able to tell you that he has or has already treated the disease you have," Dr. Nofisat Almaroof, officially certified family doctor. "Most doctors are trained to show a degree of empathy, but sometimes they secretly want to arouse sympathy by sharing a common experience. Many physicians may be reluctant to worry about being too far ahead and potentially reducing their occupational boundaries, especially if the disease is stigmatizing or embarrassing. "
"Doctors can restrain that it may be the first time they are having a certain treatment or surgery," says Dr. Almaroof. "This applies similarly to operations that have long since ceased to be performed, or to operations that were carried out for the first time without supervision. Doctors want their patients to feel comfortable and trust their abilities. While residency training is rigorous and comprehensive, many physicians may have healthy nervousness after completing a residency, despite their weighted title as a treating physician. Although they do not disclose how often they have performed a particular procedure, it is always the ethical responsibility of the physician to ensure that they are fully competent and secure. "
"Another thing that a doctor should not tell you is a clear diagnosis, even if he suspects a" bad "one until a definitive diagnosis can be made," says Dr. Springer. "Let's say your emergency room CT scan shows a mass in your lungs that the doctor knows is probably cancer. He or she can not tell you the diagnosis because it requires a tissue biopsy or other advanced diagnostic test that is not available in the ER. So you will know the truth that we do not know it yet. "
"Irrespective of whether a test is needed to confirm a suspected diagnosis, or is just a defense medicine, doctors are wasting a lot of healthcare spending believing it provides them with legal protection," Dr. Horowitz. "It's important to ask what's really needed instead of polishing the patient's file."
"I wonder if the specialist is someone the doctor would see, or just a friend who works in that specialty," Dr. Horowitz. "This also applies to other healthcare providers. Different facilities have different equipment. The local MRI may be half as strong as the newer units. "
"The treatment of diseases should be personalized," Dr. Horowitz. "The doctor can follow guidelines that are based on the insurer's protocol rather than the specific needs of that patient."
"The cost of diagnostic tests and medications vary widely," says Dr. Horowitz. "Doctors often will not spend time discussing the most cost-effective option. Many services can be negotiated, but must be done before the test or procedure. "And he adds," You may have financial relationships with companies. It's important to ask, "Why that or why here?"
"I suspect most patients do not know how much time we spend thinking about them after they leave the office," says Jordan Glicksman, ENT specialist, head and neck surgeon, rhinologist and skull base surgeon. "Most patients have routine problems, but if something is more complicated or unusual, the visit to the doctor does not really end when the patient leaves, but at the end of the day or between patients, we often do research or leave our colleagues in unusual situations counseling to ensure that our patients receive the best possible care. "Further secrets are revealed – and to lead a happier and healthier life – do not miss these essential 70 things you should never do for your health.