‘I Apologize for What You Are About To See’

By HILARY HATCH, PhD The growing movement to include the patient voice in medicine through Motivational Interviewing, patient-reported outcomes, social determinants of health and shared decision-making One day in 2011, as a part of my research on ways to improve patient-provider communication about health behaviors, I was shadowing Dr. G., a talented young internist with a cheerleader demeanor. He marched through 12 afternoon patient appointments with confidence and purpose. But when he saw the name of the last patient on her schedule, he turned pale, faced me and said, “I apologize for what you are about to see.” I must have looked confused. He repeated, “I apologize for what you are about to see.” We walked into the exam room. I’m not sure either one of us knew what to expect. The patient, a white, obese man, was seated, doubled over. He had a wad of paper towels jammed in his mouth. He threatened to pull out his own, presumably abscessed, tooth. He refused to see a dentist because he had no dental coverage, no money and no one to borrow money from. He said he would use pliers to pull his tooth, but stayed put, rocking in his seat. At the computer, the young doctor’s white-knuckled hand gripped his mouse. Click. Click. Click. He searched the patient’s chart aimlessly for help. Alerts kept popping up about the patient’s missing A1C results. It took two minutes, but it felt like 20. Dr. G. left the room and cam...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Medical Practice Patients Psychology Hilary Hatch motivational interviewing patient-reported outcomes Phreesia Social Determinants of Health Source Type: blogs

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