Many patients who talked about their disappointment with their doctor. They feel ill at ease with their sense of powerlessness or pressing their attitude. We must recognize that the quarter hour allowed is often too short to put words on any symptoms they suffer. As a result, serious disturbances are ignored, the disorder which doctors should be informed. On the one hand, patients are asked to commit to develop a sense of responsibility towards their disease, on the other hand, the means to do so are limited.
The first problem often encountered between patient and doctor is the lack of communication which complicates treatment. The doctor seeks primarily to measure the patient’s complaints to identify the possible cause of its ills. The training he received taught him to focus on criteria of scientific reviews for specific diseases in which Fibromyalgia is not. What is the role of doctor?
Its primary role is to listen to subjective signs of the patient. The interest shown for the suffering issued (the patient has a greater need to be heard and to understand that to feel relieved by medication), signed an alliance with the therapeutic effects will be vital for their cooperation.
Its second role is information. The physician’s interest to explain to patients that the real cause of FM remains unknown at the moment and it is difficult to get quick relief satisfactory. It will take perseverance and courage to maintain a satisfactory quality of life, because there is no miracle pill to solve all its symptoms. The information should not be limited to the patient, but should include the spouse or another family member if the patient lives alone.
A third role is to encourage the patient in all initiatives so that it retains the necessary courage to take an active part in the management of health and reorganize its lifestyle. The reassurance that his quality of life can be maintained even if the effects of the disease can persist. Offer emotional support and suggest behavioral changes particularly with regard to aggravating factors. Explain the benefits to be derived from an interdisciplinary program.
What is the role of the patient?
Its primary role is to inform the doctor all the symptoms he feels in his body. No symptom is trivial: whether digestive disorders, headaches persistent sleep disorders, muscle pain, etc. .. Too often a symptom is highlighted and other equally important ones are forgotten. Also, it may be necessary to prepare its next RV in drawing up a list of its concerns speak frankly and openly with her doctor, to keep informed of taking drugs and their effects (positive or negative), Do not hesitate to ask questions and demand explanations, not be embarrassed if one feels the need to take notes for important suggestions, etc …
Then, it is important to choose a doctor with whom one feels comfortable and confident (it seems to listen? Apparently angered at the sight of a list of questions? Does it questions accurately and understandable? Does it reassuring and encouraging? he admits initiatives patient? …).
Do not hesitate to change their doctor, if he is skeptical towards the invisible suffering of Fibromyalgia.
The two partners, patient and physician, as in any other relationship, should strive to maintain mutual trust.
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