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6 tips to prevent being intimidated at the Los Angeles doctor’s office I’ve had my share of unsuccessful experiences with Angeles doctor’s office and at medical clinics, including being intimidated by them. But after twelve years of chronic illness, I’m happy to report that I’m doing better in this uncomfortable setting. Here are six strategies to help minimize the odds you’ll be intimidated and to help ensure you make the most of the short time allotted to you with the doctor.
1. Remind yourself that the doctors and the staff work for you, not vice versa. I don’t mean to suggest that you can order them to do whatever you want. But they work for you in the same sense that an attorney or an accountant or even a hairdresser does. Why is it so easy for us to forget this? For me, it’s due to a combination of factors. First, I’m in their “house” not mine and am forced to put on a nightgown-looking thingy that makes me look like a child. Second, because I’ve come seeking help, it can feel as if they have all the knowledge and all the power, even though I often know more about my medical condition than they do.
Third, I’m often at my weakest in the doctor’s office. The trip to get there followed by the typical waiting times—first in the waiting room and then in the examination room—can take its toll even if I’m having a relatively good day. Add to these three the fact that sometimes I’m too sick to sit in the examining room chair to wait for the doctor, so as soon my temperature, pulse, and blood pressure have been taken, I lie down on the examining table to wait. In this position (and in that silly gown), it’s hard to feel as if the person who comes in the room and towers over me…works for me!
To help me remember who works for whom, as I sit (or lie) waiting, I often repeat to myself: “He works for me”; or “She works for me.” I also practice mindful attention to what’s around me as a way to take my mind off any anxiety about the upcoming interaction. I’ve found that every setting is interesting if I bring all my senses to bear on it.
This mindfulness practice helps to keep me from feeling intimidated about the upcoming interaction with the doctor because I can’t simultaneously be paying careful attention to what’s presenting itself to my senses and, at the same time, be worried about the future. When I find my mind begin to wander from the present moment into thoughts about my relationship with the Angeles doctor’s office, that’s the sign to repeat whichever phrase applies: “He works for me” or “She works for me.
2. Consider taking someone with you. Before I became chronically ill in 2001, I had no idea that I could have my husband accompany me into the examining room. In twelve years of illness, no one has ever questioned his presence. Occasionally I have to go on my own to an appointment, but when possible, I take him. His presence is beneficial for several reasons. I feel less intimidated because I know I have an ally with me. In addition, I’ve noticed that when doctors see him, they become more attentive to what I’m saying and are also more forthcoming with information and explanations. Angeles doctor’s office will often look over at my husband as if they’re talking for his benefit. Sure, I could say: “Hey, I’m the patient here, talk to me!” But I’ll take a doctor who’s more communicative any way I can get it.
Finally, on the way home, I get a second opinion on how the appointment went: Did I feel listened to? Did the doctor involve me in the decision-making? Was he or she open to treating a “can’t give you a pill and fix you” patient? You need not take a partner. Take your adult child or a cousin or a friend. Tell them ahead of time what you’re hoping to get out of the appointment and what you’d like them to be looking out for on your behalf. An extra pair or ears and eyes…and an extra brain…has been invaluable in helping me to not feel intimidated by even the most curt and brusque of doctors. For one thing, after the appointment, my husband can confirm that what I perceived as less than caring treatment was not in my imagination. This validation enables me to stop second-guessing myself. In fact, it encourages me to treat myself with compassion over a disappointment that was not my fault.
3. Let the doctor be the expert but don’t be afraid to ask questions. Although doctors work for you (always remember that!), you are seeking them out for their expertise, so go with an open mind and with the assumption that they are knowledgeable and are seeking the best outcome for you. That said don’t be shy about asking questions, including what alternative treatments are available. There’s a practical reason for doing the latter. Doctors are often thinking about alternatives—just not out loud! When you ask questions, it encourages them to talk to you about what’s going on in their heads and that’s something you want to be a party to.
I don’t recommend regaling the doctor with information from other sources (unless the doctor has encouraged to you do so). You’re likely to lose a doctor’s attention if you say: “Research on the Internet shows…” If you have information that you think is important, share it in a way that communicates that you think of you and your doctor as partners in your healthcare. Hand it to the doctor, while saying something like: “Doctor, I found this article that I thought might interest you.
I had an insight into this about five years ago. I had a circular, itchy rash on my knee that wouldn’t go away, so I made an appointment to see my regular doctor. He took a scraping and went off to look at it under a microscope. When he returned, he was so excited that I had something he could actually diagnose and fix that he took me down the hall to look through the microscope myself. He explained exactly what I was seeing: a simple fungus that was treatable with over-the-counter ointment.
This interaction—seeing how happy he was to have helped me—gave me new insight into how difficult my illness must be for him at times. He’s an exceptionally caring Angeles doctor’s office, so it’s understandable that once in a while he gets frustrated that he has a patient who’s been sick for twelve years and there’s been little he can do about it.
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