Good Lifestyle

"Give me directly doc," Go the old quote ", how long do I need to live?" This question could be more difficult to answer than you think. Doctors are not always honest with patients - not because they are bad people, but because theyare People, and no one can be honest all the time (are you?). Sometimes they tell white lies. Sometimes they retain information. Sometimes they keep their personal details, good, staff.

If they let you know their thinking, you could trust them less.

Curious to know what's really going on in the spirits of doctors,Eat this, not that! Health Asked the best professionals in the country to reveal 40 secrets that they never told you normally. Read on the ultimate succulative radiographyand to ensure your health and health of others, do not miss these Without signs that you have already had coronavirus.

"You would be surprised in how patients often get urgently and decide not to tell us important details about their case," said Dr. Rachel Swively, MD, medical medicine doctor and toxicologist practitioner At New York. "In addition, we can say when you lie. With Menton, it's usually because they are embarrassed or nervous that we will not give them the same care if they are frank things that they might be disadvantageous For their health - what as a drug use or not to comply with their medications. Which is totally not true - we certainly do not judge - but is sad. Things like what you have taken, or The mechanism of your injury, are important things to say to us. "

"Sometimes people will lie on the severity of their symptoms or add symptoms because they think - or have been told - that doctors did not take them seriously, unless you have" 10 "pain", says Dr. SWITELY. "This is also unfounded, but with them, I always wonder what happened to them in previous medical experiences that made them think so and why it seems to be an ubiquitous thought in some communities. The same goes to threaten Continue if you do not get it get what you want. "

"Consider the complications they have had with the procedures they do," says Dr. Thomas Horowitz ofPresbyterian Medical Center of Cha Hollywood in Los Angeles. "Ask if: (a) have withdrawn from medical staff to avoid investigation, (b) have had charges or shares of the Board of Directors, and / or (c) have had to abandon all privileges in an installation . "

"Ninety-nine of the 100 things that doctors will not share with their patients are what we do not know!" saidJack J Springer, MD, Assistant Professor of Emergency Medicine at Zucker Medicine School in Hofstra-Northwell. "For example, as an emergency physician, my main role is to stabilize patients seriously ill and reverse their condition, if possible; following is to exclude, in reason, the presence of all life or injury / Threatening disease of menachage or organ; and finally reduce the pain as much as reasonable. "He continues:" Many people come to expect definitive answers and are disappointed. But if you arrive with benign cutaneous rash, we will no longer be able to give a precise cause for the rash - and for the vast majority of time will not make any negative difference. "

"Earlier in the day where you plan your appointment - especially if you are the first to be seen that day, better the treatment you will receive," says Chiropraticor Brandon Meade, DC. "At the end of the day, doctors mostly chiropractors - are mentally and, in the case of a chiropractor, physically exhausted and they may not be concentrated as they are at the beginning of the change."

"Our culture has a general desire to" combat "illness," says Dr. Springer. "In my opinion, there are times that patients should be informed that a fight is futile. That the cost of pursuing a therapy course and to sting and probe and hospitalization flies only the quality. of the little life that remains. Many doctors, especially the oncologists, hesitating to give patients their "permission" to let go. There is a description of the emotional and physical costs of "fighting" when there is little of success. Doctors should take the lead to change our culture. Views around death, allowing him to be discussed every day with comfort and acceptance. "

"Perhaps the number one secret that doctors do not share with patients are that their training provided few perspectives on the cause of the disease. Statistically, within 18 seconds of a doctor entering a treatment room for seeing a patient, he knows what medicine it is will prescribe for everything you complain ", saysDr. Michael E. Platt, MD. "For example, if the complaint is insomnia, a hypnotic will be prescribed. If you have pains and fatigue at the bottom of the back and fatigue, the doctor may prescribe Lyrica suspected that you could have fibromyalgia." In order to obtain a more considered diagnosis as a diagnosis, make sure to tell your doctor, in detail, all you live and ask what to expect from prescribed medications.

"Most colds, most colds, coughs, fevers, ear infections, conjunctivitis, sinus infections, a" bronchitis of bronchitis and "influenza type are caused by viruses that must Performing their course and no quantity of antibiotics will be beneficial and may cause damage in the form of side effects and bacterial resistance, "says Dr. Springer.

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"A doctor will generally not offer treatment that could be more practical because it is not covered by insurance," saysDean C. Mitchell, MD, Professor Clinical Assistant at Touro College of Osteopathic Medicine. "I do a lot of special treatments for nutrition and allergy, and I deal with hundreds of patients with safer, more practical and efficient sublingual allergy drops as allergy injections. But since many insurances do not Do not cover doctors of drops even offering them to their patients. I think patients must be their best lawyer and push their doctor to give them all treatment options, even those not covered by insurance. Also, surprising, surprising, Sometimes these treatments - like drops of allergy - are cheaper and save time and money on a trip. "

"Doctors are not speculators," says Dr. Springer. "We use the best evidence available to make a diagnosis and treat a disease. Do not ask your doctor to guess."

"Many people start an exercise program by duplicating an exercise that they saw someone doing at the gym," says Dr. Allen Conrad, owner ofMontgomery County Chiropractic Center. "Not only did this exercise help you achieve your goals, but too, it may not be safe for someone who is starting. Exercise is an important part of good health, but discusses with your doctor, what kind of program is right for you. The key is to identify your specific objectives, such as weight loss or muscle gain and develop a training plan that targets these specific objectives. Just because someone at the gym did it does not mean it's just for you. "

"I do not work in a clinic, so I do not deal with cancellations, but we occasionally get people looking for or seek to be admitted to the hospital for social reasons. These people are frustrating while they use Inappropriately Resources causing people with longer legitimate concerns wait times - the more they can become violent with the medical staff who are clearly dangerous for everyone, "says Dr. Swively." But, generally, they have Unfortunate reasons to make such homeless and mental illness - we try to have compassion about it. "

"What I know about being true is that there are so many doctors do not share with their patients, because most doctors do not have enough time with their patients. One thing that doctors do not do not share because of this time limitation, it is the "why" the therapies and medicines they prescribe, "saysLisa Paladino Ms. RN CNM IBCLC, a nurse practitioner for women's health care.

"Nutrition is the key to any well-being. Unfortunately, most doctors do not learn too much on school nutrition," said Paladino. "Those who have additional knowledge are too hurried to meet the subject and give detailed information to their patients."

"I treat patients with complex pain syndromes," says Eric D. Grahling, MD, Owner / Director ofComplete Pain Management Connecticut. "Their pain is generally multifactorial - not only one reason for their pain. Patients are often fixed on conclusions about MRIs that are frequently clinically non-significant (which does not mean the cause of their problems). We redirect the patient and explain to them that we treat the whole person, not just their image of MRI unlike many suppliers. Such redirection helps them to pursue a more global vision of their being and their state and generally leads to better results. "

"As an elective cosmetic surgeon, I do not work on all patients who see me for a consultation," saysDr. Christopher Zoumalan MD, FACS, an oculoplastic surgeon of Beverly Hills. "It's not because a patient wants a procedure does not necessarily mean that they are a good candidate or would benefit from the proceedings. In the end, I use my judgment and my clinical examination to determine if I can Really help the patient. "

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"If you encounter a surgical procedure, try to bring your guardian or your family member who will interest you after the surgery at your preoperative appointment," says Dr. Zoumalan. "In my practice, which is mainly a surgical practice of optimum cosmetics, we encourage our patients to bring their goalkeeper with them for their preoperative appointment. In the case of optimal aesthetic surgery, you spend your money and time To make an elective procedure by a qualified surgeon, so it is important that you have the best post-operative service as possible to ensure optimal cure. "First check your drug provider, because many institutions do not allow guests. Due to COVID-19.

"Even as a doctor certified by the board and graduate of several years of medical school and residence, I do not understand the insurance schemes and that I do not do my patients either," said Inesea Fishman , MD, a plastic surgeon of the face and reconstructive toAviva Plastic and aesthetic surgery. "I find that patients often think that the insurance means that all their treatments are" covered in full "; this is certainly not the case for many people. Many of my patients do not understand the concepts such as Copays and Franchises, and do not know the details. Of these, as they relate to their individual health insurance plans. It is not a secret in itself, but I think that understanding its health insurance plan - and Preparing a specialized visit by discovering which treatments are covered and which are not leading to a more efficient and less frustrating experience for a patient at the doctor's office. "

"Doctors often do not feel comfortable sharing their personal decisions with their patients," says Dr. Alyssa Dweck, Ms. Md Facego and a medical advisor toChromadex. "Ontimes, in doing so could blur the lines between a personal and professional relationship and create a sense of vulnerability. Take, for example, a birth control method, a hormonal replacement therapy for the symptoms of menopause or a Surgical intervention such as hysterectomy - these decisions are responsible for several variables that influence a person's decision, including medical, cultural, financial and even religious. In these cases more complex and likely to provoke, a supplier can not really not say "what he / she would do."

That said, Dr. Dweck can recommend the Mediterranean diet, an exercise plan combining cardio and bodybuilding and a vitamin B3 soluble in water. "Although these recommendations are personal," she says, "they are pretty general not to cross this thin line between doctor and patient or friend."

"I tend to remember personal opinions with patients," says Dr. Erica Steele, DNM ND CFMP BCND ofHolistic family practice. "A patient can be on the fence on huge topics such as vaccinations, abortion, etc., and my job is to be an objective-biased health perspective simply weighing the advantages and disadvantages for various care scenarios of health. It is not my work to blame, judgment or influence my patients in any direction. In the end, I respect the right of a person to choose his own health decisions will therefore provide only the facts that I see them, nothing more. "

"I refuse my religious / spiritual beliefs," says Steele. "I treat in Virginia, a state of biblical belt and I am often asked about my religious beliefs. Although I think it's very important to have a supplier that you can trust, I think sometimes sometimes, It is rather invasive to be rather invasive to be asked personal questions regarding your spiritual beliefs. Although I have a strong spiritual background, I often do not think that my health practice is often the place of Express these points of view, especially when I fear the bad thing or the bad thing. "

"I am young and I also look younger than I am, but I'm extremely intelligent-remember Doogie Howser?" said Dr. Steele. "I tend to blow people with my knowledge and ideas, but I also look very young who leaves the curious people. I was often asked for my age and became reluctant to respond as I was afraid My opinion is not considered seriously than my twenty counterparts. Although age can be a factor in some things, reducing health knowledge is in the youngest health care teams. "

"Doctors often retain or fail to disclose all potential treatment options available for their cancer patients," says Dr. Beatriz Amendola of theInnovative Cancer Institute. "Sometimes it is intentional because a certain option may not be offered by their practice, their hospital or group and they do not want to see that the patient goes elsewhere. It is sometimes involuntary because of the lack of education on treatments. alternatives. The speed of change in the medical field is discouraging. So, it is understandable for a doctor not to know everything, after all we are human too. If we know all options, it is our duty to Do not remember the information - and I respect it. "

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"Support pillows, beverage straws, pickup tools and a medical shower chair are all examples of products that can help a patient feel safer and more comfortable after surgery," says Dr. Paul Parker, A plastic surgeon and a certified author by the Board of Directors. In Paramus, NJ. "It's also a good idea to cross your home before a procedure and pull everything you use regularly - having everything that is conveniently placed at hand will help you avoid unnecessary infringement and bending. These Simple and intentional preparation steps could help you avoid injury. And potentially reduce your recovery time. "

"It's unrealistic for many average patients," says Dr. Parker. "You should do your own research to confirm, read line recovery ranges of trusted sources. You can also ask your doctor or nurse from the exterior range as well as effects that could linger. It is preferable To know in advance if you are likely to require more time to recover. "

"If everything else fails, we will use leeches," saysDr. Anthony Youn, M.d., f.a.c.s.s. "The therapy of leech, as medieval as it sounds, is still used in major medical centers like a last ditch Savior for visual surgeons. They act like a true temporary vein, removing the venous blood overloaded."

"Your chances of being subjected to a medical error are higher in July than any other months," says Dr. Youn. "On July 1st is the day all new trainees are starting to work in hospitals and outgoing trainees take new roles as residents. Studies have shown that in academic medical centers, the rate of medical error is more raised in July, probably because of that.. "

"Plastic surgery is the only area of ​​medicine where doctors, such as ob-gynes, the doctors of the emergency room and the family medicine documents, give up their profession chosen to the masquerade as another," says Dr. Yound. "Because they do not have to deal with insurance companies and handle care, these doctors take weekend courses in cosmetic treatments and surgeries to make extra money. C ' is really a gender market. It is not surprising that there is a very successful television emission calledTarpaulin. "

"This happens in all teaching hospitals," says Dr. Youn. "Doctors must learn to suture and sew the foot of a pig on the table of your kitchen will only go so far. While the thought of a medical student or a learning resident of the Suture By suturing your incision can be worrying, do not make good surgeons make sure the closure is as good, if not better, it will not happen. "

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"There is a joke among the doctors: what do you call the person last classified at the medical school?" Doctor, "says Dr. Younv." Yes, although you needed being an exceptional student to go to medical school and finish, a person must be ranked last. And as long as he or she passes the tests, then that person must be called "Dr." just like the rest of us. "

"In the Google era, patients have access to more information about their health, but often do not know how to apply this information. Due to time constraints, we are not also able to Answering all the questions asked and every detail of their case, "says Dr. Steele. "The deductions are not made in the malice, but rather timing and attention. Every minute detail does not always need to be explained, especially when it relates to practical applications. It is impossible at the battery of 30 to 40 years of poor health habits and clean one or two paragraphs. Some patients who seem to want to make a doctor's degree from their appointment and become so distracted with the quest for the knowledge they forget that their main objective is the practical application of healing. "

"Sometimes, what doctors and hospitalsnot tell you, after the treatment of the fact, is really not the answer, "says Dr. Tarek Hassanein of theSouthern California liver centers. "It's the same thing that a politician who wants to cut the ribbon on a new bridge. Of course, the press is great, and it's good to have your name on something new and brilliant - but the bridge Has it been kept regularly, then the massive (expensive) work would be useless. We focus on preventive treatment projections, lifestyle changes and careful surveillance all come together to create the best version of the health of this person. "

"Your doctor may not tell you that they treat or have already treated the disease that you may have," says Dr. Nofisat Almaro, a family medicine doctor certified by the board. "Most doctors are trained for Show a certain degree of empathy, but sometimes they may want to secretly invoke sympathy by saying a common experience. Many doctors can remember the fear of the appearance that is too advanced and possibly diminishing professional borders, especially if the disease is stigmaing or embarrassment. "

"Doctors can refuse that it could very well be the first time they do some treatment or a certain procedure," says Dr. Almaro. "This applies in the same way to the procedures that have not been done for the long time or the procedures being made for the first time unattended. Doctors want their patients to feel comfortable and trust their capabilities . Although the training of residence is rigorous and complete, post-residency of many doctors can have a healthy nervousness on the execution of some treatment despite their weighted title of assistant doctor. Even if they may not disclose. How many times have they made some procedure, it is always the physician's ethical responsibility to make sure they are fully competent and safe. "

"Another thing a doctor should not tell you is a definitive diagnosis, even when they suspect a" bad ", until a final diagnosis can be done," says Dr. Springer. Say that your CT scanner shows a mass in your lung that the doctor probably knows cancer. It can not tell you the diagnosis because it requires a tissue biopsy or another advanced diagnostic test not available in the emergency. So will be said "the truth" that "we do not know yet". '

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"If a test is needed to confirm a suspected diagnosis or is just a defensive medicine, doctors are wasting many dollars in health care in the belief that it gives them legal protection," said Dr. Horowitz. "It's important to ask what is really needed rather than" polish "the patient's map."

"I wonder if the specialist is someone who the doctor would see or is just a friend who is in this specialty," says Dr. Horowitz. "The same can be said for other health sellers. Different installations have different equipment. The local MRI could be half as solid as the most recent units."

"The treatment of the disease should be personalized," believes that Dr. Horowitz. "The doctor can follow guidelines based on the insurer's protocol rather than a unique need for this patient."

"The cost of diagnostic tests and drugs vary considerably," says Dr. Horowitz. "Doctors will often not spend time discussing the most profitable option. Many services can be negotiated, but it must be done before the test or the procedure." And, he adds: "They could have financial links for companies. It is important to ask," Why or why here? "

"I suspect that most patients do not realize how long we spend thinking about them after leaving the office," saysJordan Glicksman, an otolaryngologist, a surgeon of the head and neck, the rhinologist surgeon and the head of skull. "Most of the patients we see have routine problems, but when something is more complicated or more unusual, the visit does not really end for the doctor when the patient leaves. At the end of the day or between the day. Patients, we are often researching or consulting with our colleagues for advice with unusual situations to provide our best care for our patients. "And to cross this pandemic with your healthiest, do not miss these35 places you are most likely to catch Covid.