Bedside Manner Blog

The informed consent is a matter of professional necessity and offers the best way to communicate with your patients in a manner that helps prevent lawsuits and defend against them if you end up in court.   A common problem with informed consents that leads to the courtroom relates to making light of, or neglecting to mention, the potential for complications. When there is a good chance the patient will miss several weeks of work after a procedure, you have an obligation to mention the possibility to the patient. Most everyone I know would be rather perturbed to have an unexpec ...

Two kids were trying to figure out what game to play. One suggested, "Let's play doctor." "Good idea." said the other. "You operate, and I'll sue." ____ A Philadelphia OBGYN: “I never thought it would come to this. I no longer have a private practice. I had to sell out to the hospital once the malpractice insurance premiums got too expensive. Now they have midwives doing the deliveries, and I only come in for complications. They know they are going to get sued for just about everything that goes wrong, so they go with the flow and ...

“But doctor, you pulled the wrong tooth. You pulled a perfectly good tooth for nothing.” “No I didn’t. I’m going to charge you for it.” ____ Profit should not be the prime motivator in the health-care professions, however, there is nothing wrong with selling medicine as long as the health and welfare of the patient is placed above all else. While we think of the plastic surgeon or the cosmetic dentist as the salesmen of the health-care industry, every doctor is really selling something to someone as ignoble as that sounds. Even the oncologist ...

THE HUMOR OF MEDICAL EQUIPMENT An E.R. nurse was examining an elderly woman who happened to be hard of hearing. She put the stethoscope to her chest and said, “Big breaths.” The woman replied, “Yes, and they used to be bigger.” ____ Every area of health care has procedures and equipment that naturally invite comedy. Several examples will provide ideas for creating your own lines for equipment you use. Remember, patients love funny doctors, they tell their friends and family to use them, and they will be reluctant to sue warm, compassionate, humorous healt ...

The Patient With A Companion When you enter the treatment room and find a spouse or other adult friend accompanying the patient who is seated on the examination table or treatment chair, say: DOCTOR “Good morning. How’s everyone doing today?” You will get an answer from one or both of the parties. As long as they don’t burst into explaining why they are there (some patients and their guests impulsively want to tell you their story before you ask), you look at the visitor and say: DOCTOR “I suppose you’re the patient and you talked ...

It was entertainment night at the senior center. The amazing Claude was appearing that night and the crowd waited anxiously to see the famed hypnotist. When Claude came to the stage, he announced, “Unlike most hypnotists who invite two or three people from the audience to come up and get put into a trance, I intend to hypnotize each and every member of the audience.” He removed a beautiful antique watch from his coat pocket and said, “I want each and every one of you to keep your eye on this antique watch. It’s a very special watch. It has been in my family for six g ...

A woman went to doctors the office. She was seen by one of the new doctors, but after about 4 minutes in the examination room, she burst out, screaming as she ran down the hall. An older doctor stopped and asked her what the problem was, and she explained. He had her sit down and relax in another room. The older doctor marched back to the first and demanded, "What's the matter with you? Mrs. Johnson is 65 years old, she has four grown children and seven grandchildren, and you told her she was pregnant?" The new doctor smiled smugly as he continued to write on his clipb ...

All kinds of people choose the healing arts, just like any other field of endeavor. Some of them are unsavory characters and some just make bad choices in critical areas of their lives. Patients expect a higher level of behavior from those to whom they entrust their care. ____ The research a medical doctor performed for a major drug company was called into question after he was arrested on his front lawn, brandishing a gun, naked except for underwear that hid his cocaine along with his private parts. ____ An orthodontist was convicted of molesting young girls and went to pri ...

The goal of seeking out healthcare is to resolve one problem or another. Who wouldn’t want to see the very best, most competent practitioner around? How can the image of competence be better portrayed than through exuding confidence? ____ A Dental Specialist Says I get to see the quality of many practitioners’ work. The most interesting phenomenon about how many doctors are perceived by their patients is through the confidence they exhibit. I know two fellows in particular who had enormous practices and their patients’ loved them even though they may have been ...

A terribly overweight woman goes to the doctor to find the perfect diet. “I want you to eat regularly for two days then skip a day. Do that for two weeks and when you come back you will have lost five pounds.” When she returned, she shocked the doctor by losing twenty pounds. “Why, that’s amazing. Did you follow my instructions?” The woman nodded. “I did, but I thought I would drop dead by the third day.” “From hunger?” asked the doctor. “No, from the skipping.” ____ As one of the pillars of bedside manner, the benefi ...