Deans' stroke musings: Negative communication between doctor and patient could make symptoms worse

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, January 30, 2015

Negative communication between doctor and patient could make symptoms worse

Since your doctor does not do an objective diagnosis and has no written stroke protocols there is no chance of getting any good feelings from any encounter with your doctor. But you can meet your doctors' expectations by being in the 90% that don't get to a full recovery or become a 30 day death statistic..
http://www.news-medical.net/news/20150130/Negative-communication-between-doctor-and-patient-could-make-symptoms-worse.aspx
Doctors who unintentionally communicate to patients that they don't believe or understand them could actually make symptoms worse, a new study suggests.
The research by the Universities of Southampton and Exeter indicates that a type of 'nocebo' response, where patients perceive a lack of understanding or acceptance from their doctor, could create anger and distress - physiological conditions that can worsen illness.
"Our work indicates that the effects of patients feeling that their doctor doesn't believe or understand them can be damaging both emotionally and physiologically," says lead author Dr Maddy Greville-Harris, from the University of Southampton. "This could lead to worsening of illness, known as the 'nocebo response'.
"Patients bring certain beliefs and expectations to their health care professional, which are moulded by the culture they live in and their previous experiences. Their expectations will undoubtedly affect the outcome but improving communication in consultations could make a big difference to patient care. This is a small study and more research is needed on a larger scale."
Published in the American Journal of Medicine, the researchers recorded and analysed consultations at a pain management clinic involving five women with chronic wide-spread pain. During subsequent interviews, patients reported feeling dismissed and disbelieved by healthcare providers, encountering providers who did not invest in them or show insight into their condition.
Patients described feeling hopeless and angry after invalidating consultations, feeling an increased need to justify their condition or to avoid particular doctors or treatment altogether.

More at link.