Here’s What To Do If Your Doctor Is Not Listening

00:04:16
https://www.youtube.com/watch?v=2AEaNFFD8Bs

摘要

TLDRO vídeo discute a comunicação entre médicos e pacientes, enfatizando como as disparidades de saúde afetam a qualidade das interações, especialmente para mulheres negras com câncer de mama. Mulheres negras têm 41% mais chances de morrer de câncer de mama do que brancas, o que está ligado à qualidade das conversas que têm com seus médicos. A falta de tempo durante as consultas resulta em interrupções rápidas que minam o diálogo colaborativo. O vídeo propõe que os pacientes se preparem para consultas, trazendo um acompanhante e organizando suas histórias para que os médicos possam entender melhor seus sintomas e preocupações. Além disso, aconselha buscar segundas opiniões e valorizar a parceria na relação médico-paciente.

心得

  • 🗣️ A falta de comunicação é uma preocupação comum entre pacientes e médicos.
  • ⚖️ Mulheres negras enfrentam disparidades significativas na mortalidade por câncer de mama.
  • ⏲️ Médicos frequentemente interrompem pacientes rapidamente durante as consultas.
  • 📋 Preparar-se para a consulta é essencial para uma comunicação eficaz.
  • 🤝 O paciente deve ser um parceiro ativo na relação com o médico.
  • 📖 Pratique contar sua história em versões curtas e concisas.
  • 💬 Faça perguntas e exija respostas claras durante a consulta.
  • 🔍 Sempre busque uma segunda opinião se sentir que não está sendo ouvido.
  • 🔗 Traga dados sobre seu histórico familiar e fatores de risco para ajudar no diagnóstico.
  • 💪 Você é o especialista na sua saúde; utilize esse poder!

时间轴

  • 00:00:00 - 00:04:16

    A falta de atención médica adecuada é un problema común, especialmente para as mulleres negras con cancro de mama, que experimentan conversas de menor calidade cos seus médicos en comparación coas mulleres brancas. Isto contribúe a que as mulleres negras teñan un 41% máis de probabilidades de morrer de cancro de mama. Os médicos interrumpen aos pacientes rapidamente, o que limita a capacidade de realizar un diagnóstico preciso baseado na narración do paciente. Os expertos recomendan preparar a cita médica como un encontro de negocios, levando un acompañante para tomar notas e asegurando que se aborden as inquietudes e preguntas relevantes. Os pacientes deben comunicar claramente os cambios na súa saúde, comparar a súa situación actual coa anterior e proporcionar datos como antecedentes familiares que poidan ser útiles para a avaliación médica. Se os pacientes non se senten escoitados ou quedan insatisfeitos coas respostas do médico, deben buscar unha segunda opinión e considerar un especialista para obter unha mellor atención.

思维导图

视频问答

  • Por que as mulheres negras têm maior taxa de mortalidade por câncer de mama?

    Elas relatam conversas de menor qualidade com os médicos, impactando o diagnóstico.

  • O que os pacientes podem fazer para melhorar a comunicação com seus médicos?

    Preparar-se para a reunião, ter objetivos e trazer alguém para ajudar.

  • Qual é a importância de contar sua história de forma concisa?

    Ajuda o médico a entender melhor a situação e priorizar o diagnóstico.

  • Quando deve-se buscar uma segunda opinião?

    Se os testes feitos não fazem sentido ou se o paciente não se sente ouvido.

  • Qual é o papel do paciente na relação médico-paciente?

    O paciente é o especialista em sua saúde, enquanto o médico é especialista em medicina.

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  • 00:00:00
    not being heard by your doctors is
  • 00:00:01
    something that's common for everyone
  • 00:00:04
    however for populations that face Health
  • 00:00:06
    disparities it's a higher rate of the
  • 00:00:08
    doctors not listening particularly
  • 00:00:10
    really with breast cancer black women
  • 00:00:12
    have reported in studies that they have
  • 00:00:15
    had less quality of conversations with
  • 00:00:17
    their doctor than white women black
  • 00:00:19
    women are 41% more likely to die of
  • 00:00:21
    breast cancer than white women and I
  • 00:00:23
    believe some of that has to also do with
  • 00:00:25
    the conversations with the
  • 00:00:27
    [Music]
  • 00:00:28
    doctors
  • 00:00:32
    we know based on studies that as much as
  • 00:00:35
    80% of the diagnoses can be made just
  • 00:00:38
    based on the story based on your illness
  • 00:00:41
    the course of that Illness but we also
  • 00:00:44
    know that because of the lack of time
  • 00:00:47
    that doctors have to spend with patients
  • 00:00:49
    that doctors can interrupt patients in
  • 00:00:51
    as little as 10 seconds into that story
  • 00:00:54
    now this is not based on bad intention
  • 00:00:56
    but it is based on the system that we
  • 00:00:59
    have that does not prioritize time and
  • 00:01:01
    the doctor patient relationship and
  • 00:01:03
    there's also a Reliance on overreliance
  • 00:01:06
    I should say on testing instead of
  • 00:01:08
    listening and hands-on experience with
  • 00:01:10
    the patient and so all of that makes it
  • 00:01:13
    such that that miscommunication is more
  • 00:01:15
    likely to
  • 00:01:19
    [Music]
  • 00:01:22
    happen the conversation between a doctor
  • 00:01:25
    and the patient it's a two-way
  • 00:01:27
    conversation and sometimes we don't see
  • 00:01:29
    it that way I really recommend to
  • 00:01:31
    patients to prepare for the meeting with
  • 00:01:34
    the doctor and treat it like a business
  • 00:01:35
    meeting what are your goals for that
  • 00:01:38
    meeting what questions concerns do you
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    have and then who's going to be in the
  • 00:01:42
    room with you because I'm a big believer
  • 00:01:44
    of having someone there to take notes
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    and someone who knows what your goals
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    are because they may be able to advocate
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    for
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    you what I say to patients is that you
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    are the expert when it comes to your
  • 00:01:57
    health and the doctor is the expert when
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    it comes to medic medicine and that
  • 00:02:01
    partnership is really essential and so
  • 00:02:03
    practice a two-minute version of your
  • 00:02:04
    story a 1- minute version and a 30second
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    version give the chronology what began
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    first what happened next provide context
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    if this is the worst headache that
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    you've ever had versus this is something
  • 00:02:16
    that you experience almost every day
  • 00:02:17
    make sure to talk about it know that you
  • 00:02:20
    only have a limited amount of time with
  • 00:02:22
    your
  • 00:02:24
    doctor come with questions speak up and
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    ask those questions talk to your doctor
  • 00:02:30
    together about what is the most likely
  • 00:02:33
    diagnosis based on what they've heard
  • 00:02:34
    thus far and what is this not you can
  • 00:02:37
    always emphasize how different this is
  • 00:02:40
    to you compared to before that kind of
  • 00:02:43
    comparison is important because your
  • 00:02:45
    physician is not going to know how you
  • 00:02:46
    normally are you might look fine but
  • 00:02:49
    maybe you walk in and say I used to run
  • 00:02:51
    marathons but now I can't even walk two
  • 00:02:53
    blocks that certainly gives a level of
  • 00:02:55
    context to who you are and why this is
  • 00:02:58
    so different for you the other thing is
  • 00:03:01
    if you have any data so you may know
  • 00:03:03
    your family history you may know your
  • 00:03:05
    risk factors so if you're trying to get
  • 00:03:07
    a screening or an exam or approval on
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    something and you have that evidence and
  • 00:03:13
    that research share that with the doctor
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    because they may need that information
  • 00:03:17
    to get approvals from insurance um as
  • 00:03:22
    well always seek a second opinion if
  • 00:03:25
    what your doctor's saying doesn't make
  • 00:03:26
    sense if you feel like you're not being
  • 00:03:28
    heard don't wait wait to have somebody
  • 00:03:31
    else review your situation to a lot of
  • 00:03:34
    times the diagnosis isn't immediately
  • 00:03:36
    clear maybe it requires further testing
  • 00:03:39
    maybe it also requires more time for the
  • 00:03:41
    doctor to figure out what you have the
  • 00:03:43
    time to seek a second opinion is if you
  • 00:03:45
    feel like you're not getting better if
  • 00:03:47
    you feel like the tests that are being
  • 00:03:48
    done don't make sense if you feel like
  • 00:03:51
    your doctor isn't hearing you out and
  • 00:03:54
    their answers are not satisfactory in
  • 00:03:57
    that case you can ask for a referral to
  • 00:03:58
    a specialist if that's appropriate or
  • 00:04:01
    you can go seek out a second opinion on
  • 00:04:03
    your own in general more information is
  • 00:04:06
    better and you should find someone that
  • 00:04:08
    you can really
  • 00:04:14
    trust
标签
  • comunicação
  • saúde
  • câncer de mama
  • mulheres negras
  • diagnóstico
  • pacientes
  • médicos
  • segundas opiniões
  • disparidades de saúde
  • história do paciente