Tag: problem

My patient just told me ” My other doctor said I am just going to have to get used to being fat. She has done everything.”

Umm what? Giving up on your patient? You have done everything? Really? Not according to what I’m seeing. Usually when I dive in and explore the issue, there are all kinds of stones still unturned. The last time I checked, the ONLY circumstance when you might even have a chance of giving up is when someone is dying of terminal cancer within days. Other than that, no excuses. You are still on the line to help. You are a doctor for chrissake.

I am one that tends to never give up myself. That is what I am actually here for, to help and give knowledgeable advice on the issue and how to try to solve it, not just to give up. Mind you, I have rules though. I make it clear to the patient from the beginning that whatever we are working on is a team effort. I make it clear that it will take effort from both of us. I try to empower them to be the captain of their own healthcare team and be an active participant. There will be no randomly missed appointments and non-compliance with reasonable expectations. I have to have at least that for us to work together for your benefit.

I get it, sometimes you have those patients that have hit rock bottom, are ready to quit and give up themselves. But, I am willing to bet that if you look deeply enough, you will be able to discover the reason why and help them get past it and move toward better health. It can be done folks. It really can. You giving up is not an option. I just can’t bear to hear that anymore.

Bottom line, I am right here, ready to listen, ready to problem solve, ready to be a part of your team. C’mon down and lets see what you need! I bet we can come up with something together!

Dr. Katz

So, I kind of broke up an almost fight at Kroger today

Hey everyone! Long time no write. LIfe has been a crazy series up downs…and downs…lately and my time and mind have been elsewhere out of necessity. But today, something happened that I think is worth sharing so here goes.

I was in line at Kroger today and I slid in right behind this very frustrated guy who was about to have a verbal duke out with the poor blameless cashier, who appeared to already be having a very difficult day. I observed quietly for a second, and then I felt compelled to intervene. I realize that this is a risky move, especially nowadays but I went for it anyway. I was going to bring some peace to Kroger dang it. I said, ” You know, I think we have all forgotten how to be kind. We have all gotten so frustrated with other stuff and other people that we forget how to be nice to others. ” This stunned them into angry silence for a minute. I boldly went on. “When I had my cancer this year and then my husband had emergency heart surgery soon after I was done with chemo, I realized that there are some battles I just don’t need to fight anymore. I just feel lucky to be above ground. Everything after that is just gravy.” Both men got even quieter and just stared at me. I wasn’t really sure what was going to happen. Then, the fighting man asked if he could help me get the stuff from under my cart. I said, “Absolutely! Thanks!” He did. Then he turned to the cashier and said thanks and then went on his way. The cashier thanked me and I noted out of the corner of my eye that everyone was smiling and nodding. I have to admit. That felt really good. I had brought peace to Kroger that day.

You have to ask yourself, why are we all so frustrated? Actually, that is a fairly easy question to answer. Look at all the colossal shit that has happened in all of our worlds lately. We’ve got the ongoing pandemic (depending on which blend of fact and fiction you subscribe to. I am just going to leave that one alone.) We have unemployment issues. We all know someone that has gone through incredible health issues. We have all had ridiculous amounts of financial strain. The list keeps going. It requires no stretch of the imagination to suppose why we are all on edge. The real question to answer now is how are we going to stop it? Are we going to be able to act like logical, sensitive, compassionate humans again once things get better? Or are we so entrenched in the cycle of negativity that we have forgotten how to recognize when things are good? I can understand the negative reactions to negative environments and things that we cannot control. But, I am suggesting that we start trying to remember how to act like civilized rational beings again regardless. Take it slowly at first, deciding to be content with or grateful for some tiny little thing: a single decision that goes your way. Then, go from there. I am just afraid that if we don’t start at least trying now, we won’t be able to do it later. Then, we will have a much bigger problem.

Dr. Katz

What do you look for in an obgyn?

This question actually has multiple answers and is a more complicated process than selecting a primary care physician. The usual selection criteria apply of course: 1) Is the doctor in your network? 2) Are they local and easy to get to? 3) Does their availability(office hours) fit your availability? 4) Do they have good reviews? 5) Do you know anyone personally in your family or friend group that already sees them so that you can get firsthand feedback?

These are good to go by when attempting to select any physician, bearing in mind that reviews on google can be written by anyone anywhere, even if they have never been in the office in question. Having family feedback is good as well, provided that you know the whole story surrounding their comments. ( i.e Grandma Martha hates Dr. X, but also has multiple no show appointments and owes the office a lot of money that they are rightfully trying to collect) You see what I mean? Even the seemingly best source of information does not compare to your own personal experience.

Having clarified all that, I feel that selecting an obgyn adds yet an additional level in selection complexity. Finding the right obgyn means finding someone with a communication style and listening skills that make you feel comfortable enough to discuss some of your most personal and potentially embarrassing issues. I mean, you can’t go discussing your vagina and hormones with just anybody. Hopefully you are able to find somebody that listens and “gets you” at the same time.

This is the kind of thing I strive for the most….the listening part I mean. It is so so important. Many of the women that I see are frustrated because they have spent years dealing with unresolved issues because they either did not feel comfortable mentioning them to their previous physicians or they were dismissed. This should never happen. Every single patient deserves to be listened to and, in my opinion, if they have an issue that you are not prepared to deal with, they should be referred onward to someone that can. The patient should never have to suffer due to your lack of comfort or familiarity with their particular problem.

I received a compliment once from a patient that I did not understand at first, but now I consider it one of the best compliments I have ever gotten. She said that coming to my office was like coming to a girlfriend’s house. At first I thought, what the heck does she do at her girlfriend’s house? My face must have registered my confusion for a minute because she went on to explain what she meant. She meant that I was able to make her so comfortable at my office that she was able to disclose and discuss anything and everything that she wanted to. That is my job, my sacred mission, and what it’s all about. Have a great night everybody!

Dr. Katz