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409- Working With Your Healthcare Provider

Working with your healthcare provider can help make managing your condition easier A partnership between a patient and healthcare provider is essential when managing all chronic illnesses. Because the time spent with your healthcare provider is both limited and valuable, you can maximize it by following some simple guidelines before and after the visit. Learn […]

Malabsorption

Malabsorption refers to decreased intestinal absorption of carbohydrate, protein, fat, minerals or vitamins. There are many symptoms associated with malabsorption. Weight loss, diarrhea, greasy stools (due to high fat content), abdominal bloating and gas are suggestive of malabsorption. Vitamin and mineral deficiencies resulting from malabsorption may cause glossitis (sore tongue), cheilosis (a fissuring and dry […]

119- Malabsorption

The gastrointestinal tract and liver play key roles in the digestion, absorption and metabolism of nutrients. Diseases of the gastrointestinal tract and liver may profoundly disturb normal nutrition. Malabsorption refers to decreased intestinal absorption of carbohydrate, protein, fat, minerals or vitamins. There are many symptoms associated with malabsorption. Weight loss, diarrhea, greasy stools (due to high fat content), abdominal bloating and gas are suggestive of malabsorption.

116 – Doctor – Patient Communication

Functional GI disorders present a special challenge to the doctor-patient interaction for several reasons. First, functional GI disorders are characterized, in most cases, by vague symptoms of variable intensity. Many times, these symptoms involve the most intimate anatomic areas of the body. The sensitivity of these issues can complicate the task for the patient who needs to express them in terms that the physician can interpret to formulate a diagnosis. Secondly, the physician is hampered by the absence of obvious structural lesions that often lessens the likelihood of devising a specific medical intervention that is successful. In some cases, the physician’s own anxiety can be increased by the lack of a symptom complex that leads to well-understood disease entity, such as parasites or lactose intolerance. This deficiency, in turn, often leads both physician and patient to over-investigate the symptoms. So what are the ingredients that comprise successful doctor-patient communication about the functional GI disorders?

215- Problems with Doctors That Interfere with Treatment

The placebo effect can enhance therapy, and promote a successful relationship between healer and patient. However, a treatment administered by a healer may also have a bad effect. Any treatment may have a predictable risk, but a nocebo effect denotes worsening beyond the known risk – the adverse effect of a failed therapeutic relationship. This can result in sub-optimal health care. An examination of its causes and ways to avoid it are discussed.

221- The Medical History: How to Help Your Doctor Help You

The most important interaction between patient and doctor is the medical history. Through listening to the story of the patient’s illness and asking relevant questions, a physician may often make a diagnosis, or at least begin to understand the nature and location of the complaint. A few easy steps can help make this process more efficient leading to prompt, more precise diagnosis and treatment. Revised January 2012.

206 -Health Reporting in the Media: What to Believe?

Most people learn of medical progress through the media. Yet this news is often unhelpful. Exaggerated cures, contradictions, and plainly misleading information can do harm. The problem is not science, but how journalists report it, and how the public interprets it. This essay aims to help readers make sense of health news. Reviewed 2009.

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