Perspective

 

Narratives, Vol. 5, 2013

Steel Standing: Metal Meets Muscle; A Patient’s Perspective

A family caregiver tells how she helped solve the mystery of her mother’s debilitating condition by persistently seeking out published studies and, on the fourth try, finding a surgeon who would listen to the patient and her advocate.

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Narratives, Vol. 5, 2013

e-Patients in Twitter Hashtag Communities

There’s promising evidence that Twitter hashtag communities are a force for improvement in medicine — a force largely driven by patients.

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Narratives, Vol. 5, 2013

Metastatic Breast Cancer: Lessons Learned from My Missed Diagnosis

A woman with terminal metastatic breast cancer shares her story, a cautionary tale about medical mistakes, basic communication failures of clinicians, and her naive faith in a “world class academic health system.”

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Narratives, Vol. 5, 2013

Evolving from Patient Zero to Dr. House

I was a “patient zero” — not as the term is used in infectious disease outbreaks — but as in describing my level of knowledge entering a mini-med school class where I had to navigate the maze of medical websites to find information that I could understand and trust.

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Narratives, Vol. 5, 2013

Me, Myself, & the MRI

The author, using a pseudonym, shares the story of her nerve-wracking cancer screening experience that turned hopeful thanks to a participatory radiologist.

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Narratives, Vol. 4, 2012

One Clinician’s Awakening

I am a nurse. I am a patient. I was sure about which role made me strong and which one made me weak. Which was helpful to others and which was a burden. Then an email arrived in my inbox that would turn all those beliefs upside down.

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Narratives, Vol. 4, 2012

Listen, Dream, and Change: Using the Power of Patients to Improve Care

We need to make our care more patient-centered. The author illustrates with some examples from his daily practice that we should use the power of patients to achieve the necessary changes. Listening and dreaming appear to be important catalysts.

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Narratives, Vol. 4, 2012

Using Self-Coaching to Improve Life with Fibromyalgia

The author discusses her use of psychological self-coaching techniques to maintain optimum health and functioning while living with fibromyalgia syndrome.

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Narratives, Vol. 4, 2012

Can We Just Choose to Live?

The author describes how, for herself and other cancer survivors, “choosing to live” provides a pathway to survival, and supporting fellow patients/survivors enhances their own wellbeing.

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Narratives, Vol. 4, 2012

An Introduction to Self-Care

After a very positive family experience with collaborative care, the author was emboldened to modify her communication with her psychiatric patients in ways that enable them to engage more effectively in their care.

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Narratives, Vol. 4, 2012

A Resident’s View: Eliminating Skin Cancer — Choose Your Own Adventure

Engaging in discussions about the management of benign and complex skin lesions with my patients has taught me more than any reading from the dozens of textbooks or hundreds of articles that laid the foundation for my medical education.

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Narratives, Vol. 4, 2012

Present, Patient, and Accounted For: How and Why Patients Are Present at Scientific Meetings of the American College of Rheumatology

The author describes how an organization for e-patients with rheumatoid arthritis (RA) evolved to win recognition within the scientific community as an authority on RA patient needs and patient care.

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Narratives, Vol. 4, 2012

Waiting Room Remedy: Doctor Pays for Delays (The Doctor’s Perspective)

The author, a physician, tackles the problem of long wait times at doctors’ offices, offering a solution that shows respect for patients while urging both parties to take responsibility.

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Narratives, Vol. 3, 2011

The Patient Will See You Now

Pressure that physicians feel to maintain a good business model threatens to overlook a critical part of our “product.” In health care, the patient’s story and the relationship have ironically become the obstacle, rather than the objective.

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Narratives, Vol. 3, 2011

Three Sisters, One Voice

This is the story of a family in crisis and how a unique model of participatory medicine enabled three sisters (two patients and their advocate) to achieve vastly improved medical management of a congenital brain disease and comorbid conditions.

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Narratives, Vol. 3, 2011

More Support and Information Needed for Getting off Psych Drugs

Concerned about the long-term dangers of psychiatric drugs, the author decided to discontinue his antidepressant. He discovered that it is very common for people to run into numerous problems when trying to discontinue psych drugs. Very little information, assistance, or support is available for doing this.

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Narratives, Vol. 3, 2011

A Resident’s View: What Does It Mean for a Resident Physician to Be Participatory?

On the backdrop of an amazingly intense work environment is thrust a new movement, led by patients and providers alike, asking simply, “How we can do better through participatory medicine?”

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Narratives, Vol. 3, 2011

Women’s Wellness Guide Kiosks: Empowering Women to Take Charge of Their Health

The Women’s Wellness Guide is a program that uses computerized kiosks in public places to deliver relevant, understandable information on a variety of women’s health topics. It reaches out to women who are often overlooked by the health care system: Those without the time, money, or other resources to access doctors and other sources of medical information.

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Narratives, Vol. 3, 2011

A Breath of Hope for LAM Patients: The Relentless Pursuit to Defy the Odds

The author explores the participatory approach of LAM Foundation, which was founded to support patients and spearhead research into a rare illness. The Founation’s achievements were recognized in a recent issue of The New England Journal of Medicine (NEJM) which also included a research article about the first oral drug treatment for LAM.

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Narratives, Vol. 3, 2011

Empowered Patient — Empowered Lifestyle

The author relates how she deals with bipolar disorder, in particular side-effects of medication such as weight gain and lowered self-esteem. At the core of her strategy is a collaborative approach to seeking help from psychiatrists and psychotherapists.

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