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Articles & Related Information
Tools
to Manage your Own Medical Journey:
Consumer Strategies for Good Outcomes
© Patricia Foote, April 2001
Note: If you are unable to take on the proactive role of
managing your illness, designate someone who is willing to do
this for you.
Become the team leader of your medical team. Hire (you
are paying) professionals who are competent, communicate well,
and compassionate.
Be informed about your condition. Today, with the use
of trustworthy sites on the internet such as the National Institutes
of Health, the National Library of Medicine, the Genetic Alliance
and the National Organization for Rare Disorders, it is easy
to find information. This enables consumers to be prepared for
doctor visits with a list of intelligent questions and to have
information about different treatment options, including clinical
trials.
Manage the routines of dealing with your condition:
take medications, attend medical appointments. Keep a health
history form up to date so that this can be easily sent to new
doctors and also for your own ease in remembering what screenings,
medications etc. you have had.
Acknowledge the emotions the diagnosis of, or life
with, a genetic condition can bring. Recognize fear, anger, depression,
frustration, and isolation. Seek professional help if things
are really bad or perhaps locate a support group for people with
your condition. Find ways to reduce stress that are enjoyable
such as walking, reading, listening to music. Be sure to schedule
a break for yourself if you are the primary caregiver.
Reach out to friends and family, even if activities
have to be modified. Try to maintain relationships by clear communication.
"I need", "I feel", "I'm afraid of..."
Be specific when asking for help: "Could you please go grocery
shopping for me on Tuesday?" "I'd love it if you could
prepare dinner on Thursday." "Will you please read
the newspaper to me?" " Will you just sit next to me,
hold my hand and say nothing?"
Stay apprised of health insurance issues. For example,
what procedures do you need preapproval for, what is your annual
deductible, and what is your lifetime cap?
Be aware of privacy issues. Who needs to know the information?
If in doubt, don't disclose.
Maintain a positive outlook - an "I can do"
attitude. Replace negative thoughts with positive ones - not
"why me?" but "what can I do?"
Learn to accept your diagnosis. Integrate the business
of living with a chronic condition into your life and seek to
move on. Remember you are more than your illness. Accept and
understand your "normal" which may include an increased
amount of time spent on medical issues and some physical discomfort.
It may not always be possible to "win" the fight with
a genetic condition - some are terminal. Perhaps the knowledge
gained from the battle could be considered precious, and victory
a deeper love of those who shared the journey.
Realize that sometimes blessings and insights come
from living with a genetic condition. Perhaps you learn to set
priorities, to value the use of time, become more empathetic,
learn who your true friends are, and take care of unfinished
business.
Think of all the above in simplified terms: think of the five
vowels - those little letters that all words need:
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A |
Attitude |
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E |
Emotions |
I |
Information |
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O |
Outcomes |
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U |
Understand |
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A recent PBS TV special, Critical Condition, stated
the following: "The quality of your healthcare depends as
much on you as your doctor, on your being informed, on your asking
the right questions, on your being your own best advocate. Your
life may hang in the balance."
We as consumers need to be proactive in our healthcare in
order to avail ourselves of the promise of medicine in the 21st
century.
Patricia Foote is a trainer
for Stanford University's "The Chronic Disease Self-Management
Course" and is the author of How Are You? Manage Your
Own Medical Journey, available from Amazon.com
or local bookstores.
February 5, 2012
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