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Hope Rheumatoid Arthritis

A much needed dose of hope

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Today I *finally* saw my new rheumatologist (in case you missed it, my previous doctor retired in November, coincidentally when one of my worst flares decided to start). I had such high expectations for her. The funny thing is, they weren’t concrete expectations- like a good listener, researched focused, etc. I was just looking forward to seeing someone who understood my disease and could maybe help me. That simple.

She started the visit about 30 minutes late. Continue reading

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Rheumatoid Arthritis Type 1 Diabetes

Where do you sit?

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I read an interesting article this morning by Dr. Jack Cush on RheumNow and I’m wondering, where do you naturally choose to sit in an exam room?

Dr. Cush’s unofficial statistics show that 55% of patients sit in the chair furthest from the doctor, 25% on the exam table, and the other 20% in the chair next to the doctor’s desk/computer (see his diagram below):

seating

My rheumatologist, endocrinologist, and PCP are all part of the same hospital system. My rheumy and endo have offices set up almost exactly as the image above. I always sit in the chair next to the desk. In fact, it never occurred to me to sit in the chair furthest away, sometimes I use that chair to hold my things. My PCP’s office on the other hand is different. They use a COW (Computer on Wheels) and it is almost always placed right next to the exam table. In all my years of going to my PCP’s office, I don’t think I’ve ever utilized a chair in the room.

I find this interesting because my visits with my rheumatologist and my endocrinologist, are more conversation driven. There is less exam and more discussion. In my PCP’s office, there is more of an even amount of conversation (explaining symptoms) and examination. Therefore, in my mind, sitting on the exam table makes sense.

If you are one of those that sit in the chair furthest from the doctor, think about why you do it. Is it a new physician that you are unsure of? Are you truly comfortable with your doctor? Do you feel at ease asking questions of your doctor? And most importantly, are you playing active role in making decisions about your disease?

Please read Dr. Cush’s article and let me know your thoughts in the comments below!

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