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What Sort Of Patient Are You
By Generic Drugs Frequently Asked Questions

The following nine statements are concerned with the subject of control over your health. They are arranged in threes. Think about the first three statements together. Which one best represents what you think?

I Having regular contact with my doctor is the best way for me to avoid illness.

2 I am in control of my health.

3 Most things that affect my health happen to me by chance.

Now think about the next three statements. Which one of these do you most agree with?

4 Whenever I do not feel well, I should go to see a doctor.

5 The main things that affect my health are what I do myself.

6 If it is meant to be, I will be healthy.

Finally; the last three. Which one do you agree with this time?

7 I can only do what my doctor tells me to do about my health.

8 If I take care of myself, I can avoid illness.

9 Being healthy or sick is all a matter of luck.

The questions fall naturally into 3 groups.

Questions 1, 4, 7

If you agreed with two or three of these statements, you think that your doctor has a high degree of control over your health. This is likely to make you rely on your doctor more than you should. When you go to the doctor, you should be sure to find out what you can do to help yourself. If you continue to believe that the doctor will keep you healthy, you may not look after yourself at all well.
You are a ‘powerful other’

Questions 3, 6, 9

If you agreed with two or three of these statements, then you think that your health is controlled to a large extent by luck. You think that your health is well beyond your control. This could be quite dangerous. People who think their health is not within their own hands often fail to look after themselves well. If this description fits you - watch out!

When you go to the doctor, discuss this with him and be sure to ask him to explain how you can look after yourself. Most of us can learn to protect our health rather well. Do not leave your health to chance.

You are a ‘fatalist’

Questions 2, 5, 8

If you agreed with two or three of these statements, you think that, generally, you are in control of your health.

There are plenty of things you can do to protect your health and prevent illness. The only difficulty you may have is accepting that, sometimes, you will get sick despite your best efforts. This is something to remember. If your doctor says you have a health problem, ask him how it can have happened.

You are an ‘Internal Controller’

Look at this example of three people with high blood pressure. All three are overweight. All three have been pre¬scribed a life-long course of tablets to keep the blood pressure under control. How do their different attitudes affect their decision to follow the doctor's advice?

Mr A. believes it is the doctor's responsibility to make sure his blood pressure doesn't go up and that only the doctor can do anything about it. He takes the tablets and relies on the doctor to help him lose weight.

Mr B. believes that high blood pressure is just one of those things that people get ‘at his age' and that there's nothing anyone can do about it. He doesn't bother with the tablets and can't see the point of losing weight; he reckons he can do very little to affect his blood pressure. When his number’s up, his number's up.

Mr C. believes that it is up to him whether or not his blood pressure stays up or down - so he takes the tablets conscientiously and watches his weight.

So, to recap, we can say that there are three types of patient:

1

Those who believe that their health is someone else’s responsibility - usually the doctor's or perhaps their friends or relatives. If they become ill, they generally believe it is because of someone else. Rather than try to recover on their own they depend on others to help them.

2 Those who believe that health and illness are a matter of luck, 'fate' or 'God's will', and that there is nothing anyone can do to prevent or cure illness.

3 Those who believe that they are in control of their own health and that if they become ill it is because of something they have done.

Your ideas about who is in control of your health are very important to your relationship with your doctor. Many people are happy to hand over all responsibility to their doctor for their health and to let the doctor take control and make the decisions. Some patients prefer to make joint decisions and to have more of a say in their treatment. If, like Mr B you are one of the world's fatalists, or you feel helpless the face of illness, let your doctor know how you feel and give him the chance to suggest some ways in which you can help yourself.

However you feel your doctor should know about it so she can give you the kind of advice that will make sense to you and offer you the appropriate support if you need it.

Too many of us patients under-value our ideas or anxieties about illness and are frightened to let the doctor know what we think, how we feel or what we expect. Most of us (and that includes doctors) do not fully appreciate just how much these ideas and concerns can affect our health or our relationship with our doctor.

Bear in mind why your ideas are so important:

I They determine whether or not you are going to look after your health.

2 They can help you to decide whether something has gone wrong with your health.

3 If something is wrong your ideas can help you to decide whether or not to seek advice.

4 If you are ill your ideas will determine how well you adjust to or cope with your illness.

5 Your ideas provide important information for your doctor. They can help him give you advice that make sense to you and which fits in with your needs, not just with the doctor's view of the problem.

The end result is that it is not the doctor treating your lump, ache or rash; it is the two of you together deciding how to handle the problem. The more you can tell your doctor about your ideas, then the more involved you can be in your health care.

Peter Tate qualified as a doctor at Newcastle in 1968. After spells as a P&O Surgeon and as a trainee in Kentish Town he was a family doctor for 30 years. He was an MRCGP examiner from 1981; he retired as convenor of the panel of examiners in March 2006. He is the sole author of The Doctor’s Communication Handbook now in its 5th edition. He is also the author of The Other Side of Medicine, a collection of essays and short stories. He has also recently published Seasickness, a novel based on his experiences as a young ship’s surgeon. He was a co author of The Consultation and The New Consultation OUP. He has lectured widely on communication issues. His recent medical books are available from Amazon and http://www.radcliffe-oxford.com. Seasickness is also available from http://www.lulu.com/petertate Peter has just written 3 books for patients available at: http://thinkingaboutyourhealth.com

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