医生要学习与患者沟通
<p><span word="BETSY">BETSY</span> <span word="came">came</span> <span word="to">to</span> <span word="Dr">Dr</span>. <span word="Martin">Martin</span> <span word="for">for</span> <span word="a">a</span> <span word="second">second</span> — <span word="or">or</span> <span word="rather">rather</span>, <span word="a">a</span> <span word="sixth">sixth</span> — <span word="opinion">opinion</span>. <span word="Over">Over</span> <span word="a">a</span> <span word="year">year</span>, <span word="she">she</span> <span word="had">had</span> <span word="seen">seen</span> <span word="five">five</span> <span word="other">other</span> <span word="physicians">physicians</span> <span word="for">for</span> <span word="a">a</span> “<span word="rapid">rapid</span> <span word="heartbeat">heartbeat</span>” <span word="and">and</span> “<span word="feeling">feeling</span> <span word="stressed">stressed</span>.” <span word="After">After</span> <span word="extensive">extensive</span> <span word="testing">testing</span>, <span word="she">she</span> <span word="had">had</span> <span word="finally">finally</span> <span word="been">been</span> <span word="referred">referred</span> <span word="for">for</span> <span word="psychological">psychological</span> <span word="counseling">counseling</span> <span word="for">for</span> <span word="an">an</span> <span word="anxiety">anxiety</span> <span word="disorder">disorder</span>.</p><p>贝蒂来找马丁医生是想问问第二个大夫的意见——实际上是第六个。在过去一年里，因为“心动过速”和“受迫感”的问题，她咨询过五位医生。在经过大量的检查后，医生最终建议她去做焦虑症方面的心理咨询。</p><p><span word="The">The</span> <span word="careful">careful</span> <span word="history">history</span> <span word="Dr">Dr</span>. <span word="Martin">Martin</span> <span word="took">took</span> <span word="revealed">revealed</span> <span word="that">that</span> <span word="Betsy">Betsy</span> <span word="was">was</span> <span word="taking">taking</span> <span word="an">an</span> <span word="over">over</span>-<span word="the">the</span>-<span word="counter">counter</span> <span word="weight">weight</span> <span word="loss">loss</span> <span word="product">product</span> <span word="that">that</span> <span word="contained">contained</span> <span word="ephedrine">ephedrine</span>. (<span word="I">I</span> <span word="have">have</span> <span word="changed">changed</span> <span word="their">their</span> <span word="names">names</span> <span word="for">for</span> <span word="privacy">privacy</span>’<span word="s">s</span> <span word="sake">sake</span>.) <span word="When">When</span> <span word="she">she</span> <span word="stopped">stopped</span> <span word="taking">taking</span> <span word="the">the</span> <span word="remedy">remedy</span>, <span word="her">her</span> <span word="symptoms">symptoms</span> <span word="also">also</span> <span word="stopped">stopped</span>. <span word="Asked">Asked</span> <span word="why">why</span> <span word="she">she</span> <span word="hadn">hadn</span>’<span word="t">t</span> <span word="mentioned">mentioned</span> <span word="this">this</span> <span word="information">information</span> <span word="before">before</span>, <span word="she">she</span> <span word="said">said</span> <span word="she">she</span>’<span word="d">d</span> “<span word="never">never</span> <span word="been">been</span> <span word="asked">asked</span>.” <span word="Until">Until</span> <span word="then">then</span>, <span word="her">her</span> <span word="providers">providers</span> <span word="would">would</span> <span word="sooner">sooner</span> <span word="order">order</span> <span word="tests">tests</span> <span word="than">than</span> <span word="take">take</span> <span word="the">the</span> <span word="time">time</span> <span word="to">to</span> <span word="talk">talk</span> <span word="with">with</span> <span word="her">her</span> <span word="about">about</span> <span word="the">the</span> <span word="problem">problem</span>.</p><p>马丁医生仔细地询问病史，终于得知贝蒂当时正在服用一种减肥用的非处方药，其中含有麻黄碱。（为了保护隐私，文中用了化名。）停止服用这种药物后，她的症状也就消失了。在被问到过去为什么没有提过这件事时，她说，“从来没人问过。”在那以前，她的医生都会很快让她去做检查，而不是花时间和她谈病情。</p><p><span word="Betsy">Betsy</span>’<span word="s">s</span> <span word="case">case</span> <span word="was">was</span> <span word="fortunate">fortunate</span>; <span word="poor">poor</span> <span word="communication">communication</span> <span word="often">often</span> <span word="has">has</span> <span word="much">much</span> <span word="worse">worse</span> <span word="consequences">consequences</span>. <span word="A">A</span> <span word="review">review</span> <span word="of">of</span> <span word="reports">reports</span> <span word="by">by</span> <span word="the">the</span> <span word="Joint">Joint</span> <span word="Commission">Commission</span>, <span word="a">a</span> <span word="nonprofit">nonprofit</span> <span word="that">that</span> <span word="provides">provides</span> <span word="accreditation">accreditation</span> <span word="to">to</span> <span word="health">health</span> <span word="care">care</span> <span word="organizations">organizations</span>, <span word="found">found</span> <span word="that">that</span> <span word="communication">communication</span> <span word="failure">failure</span> (<span word="rather">rather</span> <span word="than">than</span> <span word="a">a</span> <span word="provider">provider</span>’<span word="s">s</span> <span word="lack">lack</span> <span word="of">of</span> <span word="technical">technical</span> <span word="skill">skill</span>) <span word="was">was</span> <span word="at">at</span> <span word="the">the</span> <span word="root">root</span> <span word="of">of</span> <span word="over">over</span> 70 <span word="percent">percent</span> <span word="of">of</span> <span word="serious">serious</span> <span word="adverse">adverse</span> <span word="health">health</span> <span word="outcomes">outcomes</span> <span word="in">in</span> <span word="hospitals">hospitals</span>.</p>
页:
[1]