This post is in response to the topic posed by this month’s Migraine Blog Carnival: Your best tips on improving communication with doctors. My first reaction, mostly because I have had more than my share of neurologists and headache specialists, is that I have no ideas. If I really had an answer, I would not be on neurologist number 4. Wait a minute, given I have seen several different specialists, I must have learned something along the way. For me, the hardest time for me to communicate with a doctor is when I am dissatisfied. This is what I have learned.
- Know what you want: this can be harder than it looks. I usually knew what I didn’t want, but not what I wanted. I learned by trial and error, but I suggest that you take the time to become well-informed about Migraine Disease and to ask yourself, “What exactly do I want from this doctor?” What is most important? Expertise? Time? Compassion? Knowing what you want will make it easier to notice when you are not getting it.
- Talk first, bail later: Bailing (switching doctors without a word) has been my MO from the beginning. I don’t say anything; I just leave. I may have avoided the pain of expressing dissatisfaction, but I didn’t give the physician the chance to change. I suppose that if I had expressed my concerns first, I may have seen fewer doctors. But, I have to admit I was afraid. Afraid of standing up for myself? Afraid of expressing dissatisfaction? How could I be dissatisfied; he’s a doctor! Yep, strange, but true.
- Ask for a second opinion. Bite the bullet, just ask. I agonized for months before I asked. I had every excuse in the book. He is so nice, so caring. He gives me all the time I need. He is so persistent. In the long run, being nice, caring, and persistent were poor substitutes for progress. I had been seeing him for 2 years and not much had changed. Well, I finally asked. Boy, was I relieved when he said sure. He even made the referral.
- Leave, if you must, but on good terms. After meeting with the new doctor and asking several pertinent questions about her approach and what her goals were, I decided to make the switch. Before I left his practice, I thanked the doctor for all he had done and that I admired his persistence. He shook my hand and told me he wanted to know what happens. How’s that for a happy ending?