Jealous When Other People Walk My Dog

Early morning dog walking duty goes to my husband. But come dinnertime, I’m grateful to have a pooch who gives purpose to taking a stroll around the neighborhood. That puppy dog who needs a walk when I really don’t feel so motivated to get my body moving is probably adding years to my life. You’ll understand then why I get pouty when Dear Husband or one of the kids announces they’re in the mood to take the dog out. They just don’t get it. That’s my time to get motivated with my little 30-pound personal fitness coach. Jealous? You bet.

What do you do to get your rear in gear? My dog might be my motivation to actually put on the sneakers and head out the door, but the statistical information (presented in some really creative ways) is what convinced me that exercise doesn’t have to be a hard core session at some sweaty gym to make a difference.

Take a look:

Thank goodness for cartoons to keep one's attention through a dry medical lecture on a miracle "intervention" that will control all sorts of medical conditions -- presented with a wink and a smile ;)

If you've been reading for awhile, you know I'm a fan of Walk With a Doc. Here are a bunch of reminders why it's fun to take a walk. Also, Dr. Sabgir's latest newsletter gives 100 reasons to get moving - who could argue?

"Inactivity" and "low fruits and vegetables." Might as well throw a housewarming party for all sorts of cancers.

The PLC Doctor's Memo: New & Improved

We hope you've had a chance to try out our free download, the Patient Loving Care Doctor's Memo. Our toolkit guides you through collecting your thoughts, noting down important information and questions for your next visit, and then presenting your thoughts to the doctor articulately and succinctly once you get into the exam room. In today's time-crunched world, it's critically important that your healthcare team understands fully how you're feeling and what you think you may need to know before you walk out the door to be on your way.

We've done a little tweaking to make the toolkit a bit easier to use. We've expanded the instructions and combined them with the sample doctor's memo so everything you need to guide you is in one place. We kept the memo template as a separate file so it's easy to hit "Save As..." and create a fresh copy on your computer every time you have an appointment.

Please take our revised Doctor's Memo Toolkit for a spin and let us know what you think. Do you have any questions about the instructions? Have you used it for a doctor's visit? How did it go?

Doctor's don't like to rush through appointments any more than patients do. So your doc will be grateful you're making the most of your limited time together by coming in with a well-prepared memo. A friendly hello and a time-saving copy of your memo will be a welcome break in their hectic day.

Happy Holidays from Patient Loving Care

Now, Here’s One For You

Last time, we suggested a question for your doc - “what happens next?” – as a way to really get to the nuts and bolts of what you need to know about your diagnosis. Today we’ve got a great pop quiz for you, the patient.

“What do you think is going on?"

I was at the doctor’s office recently because my teen had fainted on the job. The doctor (actually it was a third year medical student) tossed out some questions to try and figure out why, but nothing was a match. Then, as an afterthought, I mentioned we were worried about her diet. She wasn’t eating right and drinking an awful lot of tea. Suddenly, the diagnosis became crystal clear. Turns out tea can quickly rob your body of iron, leading to anemia and, therefore, fainting. A simple blood test confirmed she needed to cut down on the Darjeeling and take a supplement to bring her iron levels back to where they should be.

Doctor-turned-patient Roni Zeiger told his own story here about arriving in the emergency room with bleeding in his brain. He used his clinical skills to relate his symptoms in a succinct and articulate way to the attending physician, just like we preach here at patientlovingcare.com. Afterward (and thankfully the bleeding issue proved to be minor and there was an “afterward”) Dr. Zeiger contemplated why he hadn’t gotten more personal with the staff.

The summary he gave was “brief, clinical and effective,” he wrote. “It told the doctors what they needed to know, but it was missing two important things. First, it lacked humanity. Why didn’t I tell my doctors that I was scared, that I was worried about the future of my wife and children?...Second, I didn’t tell the doctors all of my symptoms and the events surrounding them. Without even thinking about it, I only told them what I thought was relevant. In fact, a common mistake we doctors make is getting too attached to the first diagnosis we think of, and then failing to ask about other symptoms, other clues.”

So how do you distinguish between adding relevant personal details and rambling on with TMI? Well, a good doctor will know how to tease out the info that really matters. But practicing patientlovingcare.com’s commandments to be succinct and articulate is a good place to start. Take a moment to collect your thoughts before diving into a story in the exam room. See if you can get to the heart of your comment in just a sentence or two. Or just test out a possibility by saying “this might not be relevant, but what about… (tea, for instance, or whatever is on your mind).”

Opening up a little just might be what the doctor ordered.

If Nothing Else, Ask…

“What happens next?”

If there’s one question that will really get to the heart of what’s going on with your health, that’s the one to ask your doctor. It’s a great way to clarify information if your doctor just delivered less than good news and your head is spinning.

If you feel that you understand the big picture, asking “what happens next?” will break down a diagnosis into smaller steps. It can prompt a conversation about scheduling and timelines, how you may feel as things progress, or treatment options you may be able to choose at each step in your care.

This little gem of a question was tucked into an enlightening list from Reader’s Digest entitled “50 Secrets Your Nurse Won’t Tell You”. Author Michelle Crouch compiled the responses from nurses across the country.

Here’s the excerpt from #45, contributed by Wisconsin nurse Kristin Baird:

At the end of an appointment, ask yourself: Do I know what's happening next? If you had blood drawn, find out who's calling who with the results, and when. People assume that if they haven't heard from anyone, nothing is wrong. But I've heard horror stories. One positive biopsy sat under a pile of papers for three weeks."

A simple "what happens next?" can put everyone involved on the right track.

Being An Expert Outside Your Field of Expertise

Everyone within arm’s reach of a keyboard has felt the need to pen a tribute to Steve Jobs. And I had no intention of joining the homage-fest to the Apple co-founder, though I’m fascinated by his creative mind and visionary success. Then a paragraph in Rolling Stone magazine’s tribute jumped off the page:

As his illness worsened, Jobs found his life narrow even further. He didn’t go out at night, never accepted awards, gave no speeches, attended no parties. Instead, he holed up in his home in Palo Alto, where he hung out with his family and learned everything he could about cancer- and how he might beat it. “He knew more about it than any oncologist,” says his old friend Larry Brilliant, who is an MD. His body grew thinner and thinner, and he took a six-month leave from Apple to have a liver transplant.

-Jeff Goodell, Rolling Stone, Oct. 27 2011

We all know how the story ends - dead at 56.

So the thing to honor about Steve Jobs is that he was one of us. He was a patient, desperate for knowledge. In the end, his condition put him on an even playing field with everyone who’s ever been on the receiving end of a diagnosis. The lesson is in how he spent his time – education, research, bringing his own facts into consultations, becoming an expert in his own disease. For every patient who does the same, it’s a life well lived.

Long live Steve Jobs.

(Photo: Rolling Stone)

A Spunky Guy In Richmond I'd Like To Meet

As I write, the five-hour drive to Virginia would land me four hours too late to meet Bob Wendell. A shame, because he’s 92 and a classical bass player-turned harmonica recording artist. Plus he’s the compelling example on a panel discussion this evening about today’s fragmented healthcare system - a system that could debilitate or even kill a senior who isn't savvy enough to keep medications and doctor’s orders straight. In other words, a senior who's not Bob Wendell.

His story was originally told here in Richmond Magazine.

Wendell’s litany of health concerns includes five strokes, swallowing problems that mean he eats some food and gets the rest through a feeding tube in his stomach, and caring for his wife of 30 years who has advanced Alzheimer’s. Wendell’s search for second opinions and active participation in his own care mean he continues to lead a full and happy life. His ability and desire to take charge of his health is a great lesson that he teaches to neighbors in his senior building, where he’s president of the residents association.

Tonight’s event at WCVE public radio brings together experts to elaborate on the magazine story. It’s a public discussion which will be recorded and broadcast on October 16 here and over the air.

And it all rings so true with PatientLovingCare.com’s central purpose – to provide patients and caregivers the tools they need to navigate the medical maze. In the spirit of Bob Wendell and others like him, we hope our doctor’s memo is a start and inspires you to take charge of your own care.

Some day, it could save your life.

(Photo: Bob Wendell, RichmondMagazine.com)