How to Talk With Your Doctor When You Don’t Understand Him/Her

What should you do when you don’t understand your doctor?

When your doctor says things you don’t understand, ask him/her to stop and rephrase what s/he is saying.

One reason for malpractice suits is lack of proper follow-up care when the patient and his/her family do not fully understand the doctor’s instructions.

When something goes wrong, both the patient and the doctor suffer. Then, as often seems to be the case, lawyers step in to take advantage of an already awful situation. No wonder we’ve moved away from improved medical care to one weighed under expensive lawsuits with doctors covering their assests.

When your doctor appears to be running short on patience, explain how serious you are about your recovery

“Doctor, I feel you’re in a hurry, but I want to be sure I recover fully. Is there additional information beyond–list key points – I should know that we may not have covered?”

Since most patients won’t take this step, your doctor will likely pause to reconsider. Keep in mind, this is meant as a sincere comment from a patient vested in his/her own health care. (Doctors know that despite their efforts, some of their patients have no intention of following their recommendations.)

If the doctor still seems to be running on the fumes of patience, try this approach:

“Doctor, as we already know, the costs of malpractice suits threaten quality medical care. You and I are partners in my care and I need to be sure we have the same vision of your recommendations. We want a successful outcome of your treatment, right? [Pause here to allow doctor to digest.] Now, could you please explain why it is critical that I need to (doctor’s prescribed treatment)?”

Again, similar comments delicately phrased may encourage your doctor to communicate more clearly to prevent a mishap. If your doctor is still in a hurry, there may be a good reason. You may either leave and reschedule or if you also have an urgent need and the doctor has spent only a few minutes with you, ask what s/he suggests you do so you can receive the care you urgently need.

Keep the dialog open with questions.

How can we avoid misunderstandings?

Ask questions.

Keep asking questions and paraphrasing, repeating, and even writing down what the doctor says until you’re sure you understand.

Ask the doctor to listen to your words of understanding or to read your notes.

This adds another safety net under your care plan; thus, reducing any risk of an unintended outcome. Doctors are busy. You see them whip in and out of appointments. Stand your ground and be sure you understand fully what the doctor is recommending. your LIFE depends on it. A personal example will illustrate why this is so important:

After outpatient surgery, the doctor explained my care plan. I asked questions and he seemed rushed. He wanted to leave. Feeling pressured, I stopped asking and instead followed his post-surgical care plan to the letter.

Three days later, the wound healed closed from the outside. I didn’t realize then that this was bad. I began running a fever and then went into shock.

I was rushed to the medical center, given IV and oral antibiotics to stem the rapidly spreading infection.

The doctor neglected to explain that the wound must drain as it heals closed from the inside.

I had to return to surgery. This time, I insisted that my husband accompany me into the surgical room. Surprisingly, the doctor agreed. The doctor re-opened the wound and cleaned it out. David stood my ground until the doctor answered my questions to my satisfaction.

At one point, the doctor asked if my husband were threatening him, because David blocked the exit until all my questions were answered.

Let’s hope your doctor’s visit won’t go to this extreme. However, I share this experience, so you know how far you may have to go. If the infection was allowed to spread further, I might have died! You only have one life; so, ask questions and make sure the doctor listens to your understanding of your follow-on medical care.

Cross Examination of the Defense Medical Doctor: Nine Keys for Success

1. Cross examination: one fact one question.

The only way to keep control of the doctor on cross examination is to ask questions with one fact that calls for a yes or no answer. You are giving a speech in the form of questions. The facts in your questions should stand on their own and not depend on any information the witness has in their head. When deposing the defense doctor, there are plenty of facts to pull from. Here are some sources to pull facts to put in to your leading questions. The defense doctors report, plaintiff’s medical records, the doctor’s deposition in your case, depositions the doctor has given in other cases, journal articles written by the defense doctor.

2. Summarize the important admissions with leading questions.

Many times a defense doctor will admit a few things in deposition that help your client’s case. We should all confirm those facts with leading questions on cross examination. For example in most cases defense doctors will admit that a traumatic event can result in an injury that is appropriate to treat with physician supervised physical therapy or chiropractic care within six weeks of the injury. Confirm the amount of the bills he or she agrees the collision was a substantial factor in causing.

At deposition get the defense doctor to admit that your client experienced pain following the injury and that patients of theirs have complained of pain for varying periods after an event like the one your client went through. Most defense doctors will admit that a certain segment of the population is predisposed to injury and that prior injury can make people more susceptible to greater harm from a later injury. Here are some questions to try at the defense doctor’s deposition. These are not cross examination questions for trial.

Q. Would you agree that some people are more fragile than others?

Q. Would you agree that fragile people are often predisposed to greater injury or pain from an injury-producing event?

Q. Do people experience pain differently?

Q. Some people have a greater threshold for pain than others?

Q. Is there a precise way to measure pain?

Doctors understand that a person’s body can be “healed” but they can still have pain. A defense doctor may be using the work “healed” to mean that, architecturally, the body has reached maximum medical improvement. Some defense doctors will admit that symptoms, such as pain, last long after the body has “healed.” Focus on symptoms rather than injuries or healing.

3. If the defense doctor’s file is incomplete…

Often defense doctor’s files will be incomplete. They may not have all of the prior medical records and most commonly defense doctors will not look at the radiology images themselves. Typically their review will rely on the written report of the radiologist who interpreted the images. This is a good opportunity to point out where the defense doctor got his information. Walk through with the defense doctor how he got the records of plaintiff. Ask, “All the records you got were provided by the defense attorney, correct doctor? Confirm the defense attorney did not provide the images of plaintiff’s spine from her X-ray, MRI or CT scans. Most doctors will admit that it is their general practice to review MRI images themselves before making a decision on whether or not to perform surgery.

Remember this issue applies with equal vigor to the plaintiff’s treating doctors and testifying healthcare providers. Beware, treating doctors who are not made aware of important medical records, or information about prior trauma are just as susceptible to this type of cross examination.

4. Some symptoms improved: You believed my client when she said her headaches went away?

Keep an eye out for symptoms or pain the plaintiff has that get better. For example it is common for injured people to have multiple locations of pain early on, some of which resolve, only to be left with one or two chronic conditions that are significantly affecting their lives. If this is the case, you can employ the following cross examination.

Q. Did Ms. Jones’s say her headaches went away?

A. Yes.

Q. Did Ms. Jones’s say her low back pain went away?

A. Yes.

Q. Did you believe Ms. Jones when she said her headaches went away?

A. I did.

Q. Did you believe Ms. Jones when she said her low back pain went away?

A. I did.

Q. She was honest with you about that.

A. Yes she was.

Q. Did she have any complaints in any other part of her body when you examined her?

A. Well, yes she said her neck was still hurting?

Q. Did you believe her when she said her neck was still hurting?

A. Well No or Yes I did. [Either answer is good here.]

Q. [If they Say no.] You do not state anywhere in your report that you did not believe her, true?

Q. Did you label Ms. Jones as a malinger in your report?

A. No.

5. Show that the defense doctor is more familiar with law firms in town than the names of the people he has testified against in court.

You may be able to make the point on cross-examination that the defense doctor is very familiar with the names of the defense law firms that refer him defense medical exams, but less familiar with all of the individuals he has testified against. At the doctors deposition see how familiar the doctor is with the names of the more prominent firms that send him cases. Ask which firms refer him the most defense medical examinations. If he says he does not remember, provide the names of some firms you know have referred business his way. He will remember some.

Q. Do you know the law firm of Smith, Jones and Johnson?

A. Yes.

Q. Do you know the law firm of Levi & Louis?

A. Yes.

Q. These are law firms who have referred you business?

A. Yes.

Q. Doctor do you know Javier Martinez?

A. No.

Q. Do you know Tom Jones?

A. No.

Q. Do you know James Lee?

A. No.

Q. Do you know Sally Smith?

A. No.

[Make sure you get real names from real people, and have the old reports ready to back it up.]

Q. You know the law firms I asked you about, true?

Q. You don’t know the names of any of the people you have testified against in Superior Court?

Q. You don’t remember any of them do you?

Q. You don’t have any responsibility for these people do you?

Q. You don’t care for them as their doctor do you?

Q. You don’t treat them?

Q. You don’t have to worry about them at all

Q. You just have to produce a report that says they are not hurt?

Q. You just have to produce a report for the law firm that hired you?

6. Doctor do you have any private patient’s that you’re responsible for?

Many defense doctors still have a few private patients that they see. Here is a line of questions that exposes that absurdity that everyone gets better at the same rate, all within six weeks time, all with a short course of physical therapy and some home exercises.

Q. Dr. Do you have any private patient’s that you’re responsible for?

A. Yes.

Q. Do some of them get hurt in accidents?

A. Yes.

Q. Do some of them get hurt swinging a golf club?

A. Yes.

Q. Playing tennis?

A. Yes.

Q. Jogging down the street?

A. Yes.

Q. Stepping of a curbing

A. Yes.

Q. Bending over the counter to shave?

A. Yes.

Q. Changing a baby’s diaper?

A. Yes.

Q. Any impacts in any of those incidents?

A. No.

Q. Any property damage?

A. No

Q. Do you ask for pictures of golf clubs, or baseball bats, or tennis racquets?

A. No.

Q. Do you have any pictures inside your private patient’s charts?

A. No.

Q. Have you ever taken care of anyone who was ever hurt in an auto accident?

A. Yes I have.

Q. Have any of them had neck injuries?

A. Yes some of them.

Q. Have any of them had back injuries?

A. Some of them have.

Q. Do you actually treat them for this?

A. Yes I do.

Q. Some of them get well right away.

A. Yes.

Q. Have you ever heard of the word chronic?

A. Yes.

Q. What does that mean?

A. Well it means something that long lasting and long standing.

Q. Over the years have any of your patients had chronic back problems?

A. I am sure there have been a few of them.

Q. Do any of them have chronic neck problems?

A. Occasionally that will happen.

Q. Well if they say they are still hurting do you still take care of them?

A. Yes.

Q. Do you send some of them out for MRI’s, PT, or pain management?

A. Yes.

Q. My client told you the truth. Her headaches got better, her neck got better, and her back is not better?

Q. And she was in an auto accident just like some of your private patients.

A. Yes.

Q. Don’t you think doctor that she could have been hurt to in this accident?

A. [There is not a lot he can say.]

7. Doctor do you have pictures of vehicle damage in any of your private patients charts?

Here is a line of questions to point out the absurdity of basing a medical diagnosis on property damage estimates or photographs of car bumpers. Typically you can get these admissions during the deposition of a doctor. Many medical doctors will admit at deposition that there is little correlation between the extent of injury to the amount of damage to a vehicle.

Q. Dr. Did you get a copy of the repair estimate in this case?

A. No.

Q. Did you put a copy of the repair estimate in the plaintiff’s file?

A. No.

Q. Have you ever asked any of your own patients for a repair estimate from a body shop?

A. No.

Q. Don’t you just ask your patients if they were hurt?

A. Yes.

Q. Don’t you listen to their subjective symptoms?

A. Yes.

Q. Aren’t their subjective complaints the best tool you have to diagnose their problems?

A. Yes.

Q. Do you have any pictures of a fender or a bumper in any of your private patient’s file?

A. No.

Q. Have you ever made a diagnosis of any spinal condition bases on a photograph of a bumper?

A. No.

This is a good rebuttal to the common defense in the low impact case of just use your “common sense”. The trial that starts with a big picture of a bumper and the refrain, “use your common sense.” We need to turn that around and say, “Yes, use your common sense. Members of the jury, when you want to know why your back hurts do you look at your golf club, or your tennis racquet or your bumper? No, you feel the pain and you tell your doctor.”

Jurors don’t try to figure out if their back hurts based on a physics formula, they cannot understand. Pose the thought, “Has anyone in this courtroom ever gone up to the black board to figure out their injuries?”

8. Create leading questions with facts lifted from the medical records.

We should take some pointers from defense lawyers from their cross examinations of plaintiffs. The best cross examinations of an injured plaintiff uses leading questions with facts taken from the subjective complaints lifted from the medical records. A similar strategy can be used when cross examining the defense medical doctor. Here is a line of leading questions using facts lifted from medical records.

Q. You reviewed the medical records of Ms. Smith’s treating doctor, Dr. Jones?

A. Yes.

Q. You are aware on May 1st Ms. Smith reported to Dr. Jones that her right thumb was numb?

A. Yes.

Q. Again on May 15th she reported that her right thumb was numb?

A. Yes.

Q. And that right thumb numbness was documented by Dr. Jones in her chart on that same day May 15th.

A. Yes.

Q. Again on May 22nd Ms. Smith reported to Dr. Jones that her right thumb was numb?

A. Yes.

Q. And again that symptom of right thumb numbness was documented by Dr. Jones on May 22nd.

A. Yes.

Q. These facts are documented in Ms. Smith’s medical records.

A. Yes.

Q. You do not dispute the truth of these facts do you?

A. No.

9. Limit the defense doctor who wants to testify about malingering.

Defense doctors will often testify on matters on which they are simply not qualified to offer testimony. A common one is testimony about malingering or secondary gain. If the physician starts stating that the client is a malingerer, or advancing secondary gain, get them to admit that these are diagnoses under the DSM IV or DSM IV-R. Have a copy of the DSM criteria for malingerer and ask the doctor to tell you what they are. Typically they cannot. Get them to admit that they are not licensed to do psychology, that they are not practicing as psychologists or psychiatrists and they refer their patients to professionals in psychology / psychiatry if they think that they need such treatment. This demonstrates that they are not licensed in that field and, therefore, lack the qualifications to provide testimony on those subjects. Have them admit that they did not preform a psychological examination, psycho-social history and/or did not conduct the battery of psychological tests such as the MMPI or MMCI. This shows that they lack a foundation upon which to provide testimony as to a psychological diagnosis. Remember your deposition is as much about limiting the scope of testimony as it is about knowing what that testimony might be. File a motion in limine to preclude that testimony.


When preparing for your cross examination of the defense doctor keep in mind that each case is unique. Trying to use cookie cutter cross examination techniques many not serve you well. Practice your cross examination on your colleagues and friends. Have them read the DME report and deposition and see how well your leading questions work. Does each question truly stand on its own and call for a yes or no answer? Does each of your leading questions call for facts and not characterizations or opinions? After your preparation is complete, remember the jurors expect the plaintiff to take some hits from the defense doctor during the direct examination. Your job is to not make it worse on cross. Make some points using the powerful tool of the leading question and sit down. Remember the words of Voltaire: “The perfect is the enemy of the good.”

Questions to Ask Your Doctor

Tips for Talking to Your Doctor

When you think about the patient/doctor relationship, the word “relationship” is very important. The typical doctor has 2000 to 3000 patients, most of whom they see only once or twice a year. Seeing 20 to 30 of these patients each day, most doctors have only professional relationships with their patients and the majority of their patients are known by just a name and whatever information is in the medical record. This is worsened by the fact that you may only see your doctor for a few minutes a couple times a year. Therefore, you should be in “relationship building” mode from the minute you enter the office. The better the relationship you have with your primary doctor, the higher the likelihood you can have good and detailed conversations with him or her.

What do we mean by “relationship building?” Well, think of any relationship you have with people close to you and what you do to build those relationships. Think of your spouse, co-workers, casual friends, and family and the things you do to have good relationships with these people. Those same basic principles can go a long way to help build a relationship with your doctor. Here are a few tips.

Bring someone with you

Doctors are used to having more than one person in the room at a time. A doctor will act differently with more than one person in the room, because most people function differently in group settings than one-on-one. Also, when you are sick or dealing with an uncomfortable diagnosis, having another person in the room to remember what was said is always helpful. Whoever comes with you can sometimes catch things from the conversation that you may have missed. One word of caution: make sure you are comfortable discussing personal information in front of the person you bring!

Connect with your doctor

Building a relationship is about connecting with the other person. Doctors normally allow a minute or two at the beginning of the visit for this connection. Take this time to smile, shake hands, make good eye contact, and use this time to “socialize” before the visit begins. Good opening lines are “Looks like a busy day today” or “I have not seen you in a long time” or “I like the changes you made to the waiting room.”

Set the agenda

Doctors have a limited amount of time for office visits. In order to use their time wisely they usually set the agenda and control the visit as much as possible. Because of this control you may realize that the visit is over before you got around to asking your questions. To prevent this, be involved in setting the agenda for the visit. Most doctors will start the visit with an opening question such as “How can I help you today?” or “What can I do for you today?” This is your opportunity to set the agenda. If you say, “I have had this headache for three days,” then the doctor will shift their brain into headache mode and that becomes the agenda for the day. Here are some ways to set the agenda:

Doctor: How can I help you today?

Patient: I am not sick today. I just want to spend a few minutes talking about my diabetes, and I have some questions to ask you about my illness.

Doctor: How can I help you today?

Patient: I have had a headache for three days. After you make your diagnosis, I would like to ask you a couple questions about my condition.

Most doctors consider the diagnosis as the end of the visit and then shift their attention to prescribing a treatment. If you do not warn your doctor that you are going to finish the visit with a few questions, then he/she may not time the visit correctly and the visit may start to run overtime as you ask your questions.

Use your time wisely

Timing is everything. Be prepared to talk about your questions and issues in the least amount of time. Have your questions ready before the doctor enters the room. If you are there for a specific symptom, then as soon as a diagnosis (or possible diagnosis) is mentioned, open your book to the appropriate page and be prepared to ask your questions.

Allow for some silence

A well timed pause goes a long way. How many times have you tried to get something done while someone else is chatting away and breaking your concentration? Do not ask your questions during the examination, or when the prescription is being written, or if the doctor is still asking questions to determine the diagnosis. Let the conversation flow naturally and allow the doctor time to “practice his craft” such as look in the record, perform an examination, and ask questions. Save your questions for after this is done.
There are certain questions that are important to ask anytime you see your doctor. It is important to know and understand what your health problems are, as well as to understand your treatment. If your doctor has recently diagnosed a new medical condition, or is starting or changing a treatment, you will find these questions very helpful. In addition to the disease-specific questions in this book, you should also ask these questions about your treatment whenever you can.

Top 5 questions-

How will I know that my treatment is working?

How will the medication or treatment you are prescribing treat my condition?

Is there more than one condition that could be causing my problem?

What exactly is my condition, and what caused it?

What symptoms should I look for that means I should contact you or seek immediate help?

Additional questions you may consider asking-

Are there treatment choices that do not involve medications?

How long will it take for me to feel better?

If my symptoms get worse, what can I do on my own before I see you?

Is my medical condition permanent or temporary?

Questions You Should Ask About Your Medications

Any time you are prescribed a medicine you should ask these questions:

Top 5 questions-

Can I take a generic medicine or is this available over the counter?

Can you review my instructions with me?

• At what time should I take this medication?
• Should I take it with or without food?
• Can I take it with other medications?

What are the possible risks and side effects of this medication?

What is the reason for taking this medication, and how does it work?

Will this medication interact with any other medication I am taking?

Additional questions you may consider asking-

Can my medication be stopped suddenly or does it need to be stopped slowly?

Do I need to follow any restrictions (alcohol, driving, and work)?

Do you think a pill box will help me?

How long will I need to take my medicine?

If I do not tolerate this medication then what are my alternatives?

What should I do if I miss a dose?

Where do I store this medication at home?

Prostate Cancer Questions To Ask Your Doctor – 3 Critically Important Questions

The first question you should ask your doctor once you have been diagnosed with prostate cancer is – ‘how advanced is it?’ The answer to that question is going to make or break what it left of your life because it could mean the difference between life and death. Prostate cancer detected and diagnosed early can be treated and cured; prostate cancer diagnosed late can be fatal because it can only be treated, not cured. The doctor can tell the stage of your prostate cancer by carrying out a series of tests, which may include CT and MRI scans, and bone scans. The results gotten your prostate biopsy will certainly also come into play, as will be result of your PSA test.

Your second question may then be – ‘what treatment options do I have?’ It is not an easy question to provide an answer to because all of these treatments for prostate cancer have their merits and demerits in some way. Most of them even lead to loss of potency, something that many men may not be eager to want to deal with. At this time, you will be wishing the answer to the first question had been stage I because then you can opt for active surveillance to watchful waiting, to see if the cancer grows or if it stays, or if it grows so slowly that you may never get to feel the symptoms of it before you die of something else. Then you can forgo treatment and just come in for tests from time to time to see if the tumor has taken on a more aggressive slant.

Other treatment options are prostatectomy and radiation therapy, usually called for early stage disease; and hormonal therapy and chemotherapy, often used to treat advanced prostate cancer. HIFU (high intensity focused ultrasound) and cryosurgery are other treatments with incredible potential for early stage disease.

Your third question should be – ‘what are the side effects of these treatments?’ and the fourth: ‘what is the prognosis?’ All of these go a long way to determine which treatment you will settle for, without doubt; although the benefits of each therapy may make quite a strong case for it. The prognosis will help you determine whether to clean up your act and put your affairs in order in preparation for the inevitable, or just to go on living because everything will be fine.

Other questions do not quite carry as much weight as these four because they determine if you will go on or not in more ways than one. Do the smart thing and do not waste the moment – they might be so preciously few by now; ask the right questions already.

Ask the Doctor Online – A Win-Win For Everyone

Traditionally there are a few established ways of approaching the doctor for a person who feels ill. Communities set up different solutions where normally the public sector is a supporting part to a certain level of commitment. The most common way is that the person contacts a clinic to book a visit with the doctor, either they go directly to visit in person or they book it in advance from home. In recent years we have seen a few other ways that, if you look at them from a social society efficiency perspective, should be developed to become more sophisticated at higher speed than as of today.

Nurse call centres

One of these services is the phone call centre with nurses who receive incoming calls and answer questions about symptoms and give recommendation directly over the phone. They guide well in case the illness or injury is light, like for instance a cold or an accident with the knife in the kitchen. Another example is that of niche call centres that have shown great results in making smokers quit smoking.

Ask a doctor online

In line with the start of the Internet era came “Ask the doctor online.” There is no chance for an online doctor to give expert opinions about the person’s health since this requires a personal medical examination. The typical answer by an online doctor is giving references to knowledge bases or advices of what actions to take next. This is many times just what an anxious person needs. The persons who have health problems that require medical care will continue further onto the health service apparatus and the ones who are worried without any medical reason will not go that way but rather follow the doctor’s advice and possibly study the area of interest more in depth.

Online advantage – to be anonymous

There is an implicit strength in the distance services like nurse phone call centres or ask the doctor online since you are allowed to be anonymous. Persons who are in doubt whether to visit the doctor may not be prepared to disclose parts of their personal integrity. On distance they can reveal the thoughts bit by bit and have always the possibility to hang up at any moment.

Bristol-Myers Squibb & specialized university doctors – Case study

The biopharmaceutical company BMS – Bristol-Myers Squibb [] has provided ask the doctor online in the Scandinavian countries since the beginning of this millennium and hence has a lot of experience in the area. Independent doctors with expertise in one therapy area working at some of the biggest University hospitals in Sweden are hired to read and answer questions from people worried about diseases or symptoms.

One of the conclusions that can be drawn from these years of service is that the far most active therapy area is HIV/AIDS. Less incoming inquiries regard cancer, heart and vessel or rheumatism. One differentiator between the online questions about HIV and AIDS versus the other areas is that the level of knowledge of the persons who ask about HIV/AIDS is lower and filled with anguish and regrets of not being careful in sexual relations as well as a level of ignorance. The persons who ask about the other areas seem to be more into the therapeutic topic and can comfortably use advanced therapy terms in their right context.

What can be said about the Scandinavian countries is that they are among the countries with highest Internet use and penetration throughout all demographic segments as well as having very long online experience. Other things related to this demographic group is that they are homogeneous and considered as early adopters of new technology and services. However, in terms of the use of distance health services the Scandinavian countries mentioned in this article are not unique, but brought up as an example of what we today see as mainstream all over the developed world.

Health service development

Medical advice online or over the phone is part of a successful health organization when it comes to matching the clients in an early stage of a disease with a professional who can forward the concerned patient to the right clinic or to taking the right medicine. The clinics receive only the persons who are in need of meeting the doctor and the doctor will make better use of his professional skills. The organizational cost efficiency is obvious.

There is an interesting movement within the European Union where the member countries are developing studies and EU performance indicators to benchmark one country’s system to the one in another country. This is really how political power and science should be used at its best. Since the health services normally are related to impose of tax there is a natural drive to constantly optimizing the efficiency in the health services. The nurse call centres and ask the doctor online set up look like win-win for both the public sector that will deliver more health services to more people with higher quality when there is a more “targeted” audience in the clinic’s waiting rooms. And, at home of course we find satisfied patients who saved their trip to the doctor at the same as they hopefully had an excellent experience of the contact with their doctor online.

5 Questions to Ask a Doctor Online

Now a day when internet has made everything available at your laptop or PC, do you really think that asking a doctor online will surely help you in such a sensitive matter of your health? Besides do we expect that what should be the outcome the money we paid online to a doctor? Hence 5 things you should always consider before asking to an online doctor website to get a best result.

1) Do they really provide a free service to you?

As you can see most of the ask a doctor websites claiming as ask the doctor free services, they do not really comply on the actuality OR they just attract you by demonstrating them as free through most common ways of advertisement. They may provide you free services, however their answers remain very concise and a delayed response as well.

2) What you should follow when you are posting a question to an Ask a Doctor website?

Make sure that you have filled your age and gender column correctly since they are very essential factors in narrow down the diagnosis on internet. Besides insure that you have clearly mentioned relevant past medical or drug history in order to correctly assess your health condition with an online doctor. You may also ask for a specialist or medical expert help on website subject to if you are ready to pay an additional service cost.

3) Do the websites prefer asking for a payment or donation?

It depends upon what sort of services you want. If you want a detailed and faster reply, then definitely you need to opt for a paid service. However, paid amount varies from site to site and you may even get a best reply in the cost as low as $9. If you need more your followups to be answered or need more clarification you may opt to pay more.

4) Do you trust the website with their appearance?

Do not go for a website that appears best in looks and promises to give you a best answer. Think wisely, scroll questions (especially paid categories), see quality and then pay. Best structured answer without a lot of medical jargon should be your preferred choice.

5) Is it wise to follow online doctor advice?

Online doctor advice must never be a substitute of your face to face doctor’s consultation. However, as a second medical opinion this is the best option since you can correlate easily what your doctor said or if your doctor doesn’t have sufficient time to explain your doubts. Any contradictory advices on website must be always evaluated through your treating doctor.

I hope this article helps you in selecting a best website to ask your health question.

A Few Tips on Getting the Right Hair Transplant Doctor

The balding of the head could be due to a number of reasons but these days there are methods of hair transplant where you could get the hair transplanted which fills up the bald patches. This method has proven helpful to a number of people. A number of women have the same problem at a very young age and it is quite insulting and embarrassing to them so the hair transplant method has been very helpful to them. It has given them a new life as hair is a very important part of any girl or women’s life and it makes them feel bad if they have bald patches on their head.

Rogaine and Nioxin are drugs that stimulate hair growth. These products help in thinning hair and are very essential at times. Eating healthy is a very important point which a number of people forget as a good healthy diet is a must it helps in the growth of hair as well. There could be baldness due to lack of nutrients in the body as well, so a good healthy diet is necessary. Baldness is now treated very well and there is nothing to worry about as the surgeries these days are extremely well done and a number of people are getting it done.

Getting the right hair transplant doctor is very important, here are a few tips

1. There are a number of doctors that interact on forums and give advice so doing research on their doings will give you a good idea about their rapport. Make sure you are on a legit forum as these days there are quite a few unethical sites wrong information. If possible interact with the hair transplant doctor on he forum and take suggestion and judge on those basis whether the doctor is trustworthy or not.

2. Analyze the treatment provided to you by the doctor before the surgery is going to take place. The doctors always give the option of the different kind of treatments that you can opt for which gives you good time period to decide and do research on the kind of treatment you want to do. Asking doctors questions so never hesitate as it is their job to inform you about all the treatment they are providing to you.

3. Make sure you always note all the information the doctor is proving you before the treatment it will definitely help in judging how experienced and professional he doctor is.

4. Referrals are definitely very important; this will give you a strong idea about the doctor. This is a better method as one of your folks is suggesting a doctor which is a safe option.

5. Evaluate the costs that different doctors are offering as some doctor’s charge an obscene amount which is really not worth it. Researching over the internet has definitely helped out a number of people.

The new methods of hair transplant therapy has been proved successful so should be looked into to have nice and beautiful hair.

A Female Hair Transplant [] is solution for many women these days who feel uncomfortable with their thinning hair or balding scalps.

Why Good Doctors Are Forced to Give Bad Advice?

Have you ever asked doctor the reason for your sickness? Or why it has occurred? If not asked anytime, do it when you go to doctor next time. They are afraid that they will lose patients, if they provide technically accurate response that is suitable for educated patients. Since only a small number of people behave in an “educated” manner, doctors hesitate to give good advice for a variety of reasons. The most important reason being first to survive

Clinic requires lot of patients to make it viable
After the completion of medicine, person will not be immediately appointed as a doctor in hospital as they are already preoccupied with well established and experienced doctors in good number. Moreover, there will be social pressure to earn money. So, a person after completion of medicine should establish small health center like clinic and provide treatment to people for some time period. In order to handle expenses like office rents, advance to place, pay salaries to attenders, cleaners, paramedic staff etc., he needs to invest a lot of money, for which he cannot depend on his family further because they had already spent so much money for his education to complete medicine. So, the only option left for him is to earn money by giving treatment to patients and to retain these patients i.e to make them comfortable to come to him in future for any health problem, so that he get more income to handle all his expenses. Even though he is good at his treatment or work, he needs to keep his patients comfortable in order to survive

There is peer pressure to be successful
For a person, to complete medicine he requires nearly eight and half years whereas an engineering graduate can complete education in four years. The person who completed graduation in any other field like engineering (except medicine) will get settled in a short span of time after completion of education. He owns almost everything like car, house etc., by himself, by the time a person completes MBBS and MD courses. So, the person after completing his medicine tries to establish a good practice as early as possible, since they feel they are already too late. This can be achieved by having a good medical practice, which means they need to cater to many kinds of educational backgrounds to come to them.

Patients do not cooperate with doctor
Doctors try to provide best treatment to patients by saying good things. However, there will be old-fashioned patients who are not educated and may strongly disagree with the suggestions given by doctors. For example when doctors suggest that consumption of citrus fruits like oranges reduces cold, old fashioned patients are not aware of this and claim that taking of these fruits causes cold. If Dalai Lama, a great peace preacher approaches Afghanistan terrorists and preach them about peace and its importance for few minutes, will they change their attitude? No. Similarly, attitude of old-fashioned people cannot be changed in 10-15 minutes even if doctor gives good advice. Many patients will follow old beliefs and circulates negative feedback on doctor’s treatment if they try to change their outdated beliefs. So doctors are afraid in confronting the beliefs of such patients and do not give scientific advice to them, as they could lose patients. Doctors provide treatment to patient based on their attitude and on how educated the patient is.

So, an educated person should ask a doctor for the cause of his health condition or sickness. Unless you establish that you are an educated person and only after the doctor is fully convinced that you are genuinely seeking a scientific opinion does the doctor give technically accurate (modern) diagnosis. If you do not convince the doctor that you are educated, you are likely to be treated as an ignorant villager.

The Darker Side Of Doctor and Drug Companies Relationships

The relationship between doctor and patient is the fulcrum of ethical medical practice. The unnecessary prescriptions of the medicine results in the increase burden on patients and decrease credibility of the doctors. One of my friends has shared a very interesting incidence about his visit to an orthopedic doctor for a knee injury. A very costly pain killer injection was prescribed to him. The poor person could not afford the cost of this injection and therefore, he visit to another doctor who immediately stopped all the medicines and asked to return all to the chemist, because it was not necessary for him.

Another aspect of the unethical medical practice was observed during mega conferences and events. Doctors are of the view that companies are making money and therefore they are pushing them hard towards unethical acts.

A case was reported in which organizers of the event have asked the representatives of the companies that if they want to exhibit their products they must pay check for Rupees 5000, 00 for a small stall. And for accommodation of their sponsored doctors at convention center or in hotels they must pay extra rental for at least three rooms.

There is also no formal system exist that how much fund they gathered during these events and even bribes from companies. It is like money making game where every body is getting the chance to buy new car, house and improve his bank account.

If the company wants to introduce its new product in the ward they must give some amount to the ward in charge approximately Rupees 5000 as a donation to the ward.

It is also seen that doctor reluctant to meet medical representatives and interestingly noted that a doctor ask fee for meeting with medical representative because he believed that the guy has taken his consultation time.

Companies always strive towards inclusion of their products in the hospital formulary (a list of number of selected products needs to be used in the hospital during the entire year).

This is very challenging task because it involves number of people in decision making. And in each step they must be obliged with some kickbacks and other unfair means to include their product in the formulary. Various companies are offering new model car to their important customers. These cars are usually on the lease and a monthly pay back offers to the leasing companies.

It is interesting to note that if the company feels that in a particular month desired sales are not meet, then they immediately stop payment and ask doctor that payment will re-start as soon as your prescription will reach to the desired level so as the sales.

Most of the time doctors keeping attendance register with him to note down date and time of the medical representatives and also the number of months he prescribed certain medications by the influence of the companies.

Not only is that doctor also asked for a payment for delivering presentation on disease management and even for the product.

There is no limit for this temptation towards prescribing the medicine. The question is that how to deal this situation. I am sure that there should be some strict measures and laws against this barbarian act of medical practice.

Doctors Cite Integrity As #1 Trait They Look For in an Industry Representative

Ever wonder what your doctors want from you? We asked that very question of over 350 doctors in a survey in January of 2008. The answer was integrity!

Not excellent selling skills or disease state knowledge but integrity. Another study, The 2006 Access Report, surveyed 663 high prescribing physicians and found that integrity ranked as the second most important trait they looked for in an industry representative. Their first choice was they wanted a sales representative to understanding of the appropriate use and role of the product relative to other treatment options. Integrity is a vital trait for a pharmaceutical, medical device or biotech representative to possess in today’s competitive market place.

TAP Consulting wondered just what integrity meant to a doctor, so we asked 25 doctors that question.. During 25 phone interviews in spring of 2008 we asked doctors what integrity in a sales representative meant to them. The overwhelming top answer was follow-up! 57% of doctors reported good follow-up as the primary characteristic of a sales representative with high integrity. Follow-up is simply doing what you say you are going to do. If you told the doctor on your last call that you would bring patient education brochures in then make sure you have them on your next call. If you agreed to bring some samples back by the office at the end of the day, make sure you follow through. Below you will find Three Strategies That Will Improve Your Follow-up.

1. Take Good Post-Call Notes
I don’t care how smart you are or how smart you think you are, no one can remember everything they told all 235 doctors. If you don’t write down exactly what you agreed to do in your notes chances are very slim that you will remember to follow through. I recommend a section at the end of your call notes called Next Call Strategy. In that section you should write down your goals for the next call and any follow-up that is required. If the doctor asked for you to review the “Price Study” with him and you always have that in your trunk then the note will just remind you to take that study into the call with you. If you agreed to bring in patient education brochures that you need to order from the home office, then you will need to order those by phone before you leave the parking lot and make sure they are placed in the trunk when the shipment comes in.

2. Always Under Promise and Over Produce
By that, I mean don’t commit to a date that is going to be difficult to make. If you think it will take you three days to accomplish what the doctor asks then tell her you will have it in four days. Give yourself extra time to complete the task requested by the doctor. If you know you can’t accomplish the task by the date requested then let the doctor know you can not fulfill their request. If you think it might be really difficult to accomplish the task by the desired date and you are relying on someone else such as the home office or a printer tell the doctor you doubt you can get it to them by that date but you will do your best. Don’t commit to the date just tell the doctor you will do your best. Many times we needlessly back ourselves into a corner to try and meet a nearly impossible deadline when the best approach is to be honest (integrity) and realistic with the doctor. The doctors we spoke to didn’t say they gave extra points for getting things done early, they just said they expected the representative to exhibit good follow-up skills which is doing what you say you are going to do!

3. Establish a Reliable Follow-up System
Their will be requests by your customers that require follow-up outside of your normal territory activities. For example, you may have a doctor ask you what they need to do to become a speaker for your company. If you don’t know, you will have to make a call to your District Manager or the person in the home office that handles adding doctors to your Speakers Bureau. This goes beyond just adding a note to your Next Call Strategy. In this case you need to have a system that will remind you to get the information and place that information in the call notes for that doctor. Some representatives carry a legal pad with them and write down any “To Do” items that need follow-up. Others use outlook to remind them or have a “To Do” list that pops up on their computer. Whatever the tool you choose use it to remind you to follow-up on those important commitments you’ve made to you customer.

Now that you know what is most important to your doctors and how to improve in that area, let’s begin to implement in your territory and watch your credibility and your sales go up.

Bio Jim Price
Jim Price has been in the healthcare industry for over eighteen years. His experience encompasses numerous pharmaceutical and surgical sales positions As a practice management consultant, Jim has worked with physicians to improve a variety of practice issues from workflow to marketing. He has also advised hospitals on vendor consolidation and procedure efficiencies.

Most recently, Jim served as Director of North American Training and Development for Novartis Ophthalmics. In this position, he was responsible for the training and development of Sales Representatives and Area Sales Managers for the North American markets.

Currently, Jim provides contract training and consultation services for clients in the pharmaceutical, biotech and medical device industry, including: Novartis Ophthalmics, Pfizer Consumer Health, Alimera Sciences, Alliant Pharmaceuticals, Eisai, NovaVision and Ciba Vision.

As a presenter at The Society of Pharmaceutical and Biotech Trainers, Jim has been able to share his extensive experience with other sales training professionals.

TAP Consulting was created to leverage Jim’s extensive experience in physician/representative interactions. The courses offered by TAP Consulting have been designed specifically for the pharmaceutical and medical industry. Drawing on over 500 physician/rep role plays and feedback gathered from physician focus groups, Jim has been able to translate this knowledge into courses which are real time, actionable and drive results.

TAP offers courses in understanding your physician customer, basic and advanced selling skills, selling with clinical reprints and leadership training. Contact Jim Price for more information on TAP services.