decision making

Would You Draw a Line?

from Wikipedia

Early in my patient empowerment work, I was invited to write a column for my local daily newspaper. Over the next six years, I wrote hundreds of columns on every empowerment topic imaginable from how to get copies of your own medical records, to how to research a drug your doctor prescribed for you, to the (what we called at the time) “healthcare reform”. My column ended in 2011, but much of that work still stands today, some as useful today as it was then.* As a result of those columns, I became a resource person for many locals who …

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The YOMs Are Back! (And That’s Not a Good Thing)

You may be aware that The Alliance of Professional Health Advocates maintains a list of mentors – people who have worked in private advocacy for long enough, and who have become successful enough, to be willing to, and able, to mentor advocate wannabes – those of you who want to become the best advocate you can be, but understand there are limitations to your knowledge that will get in the way of your success. Our listed mentors are professionals who are paid for their expertise, education, and advice by those who want to learn from them. Hold that thought. We …

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Tough Questions, Informative Discussions, and Opportunities to Count Our Blessings

From 2006 to 2010, I hosted a weekly radio show, sponsored by Upstate Medical University (Syracuse, NY). It gave me the opportunity to interview truly knowledgeable experts in every aspect of medicine and healthcare you can imagine. It was an incredible learning experience. I would walk away from our recordings each week realizing that for every iota of information I knew or had just learned, there were millions of iotas I didn’t know, would never know, and might never even know to ask about. Gratifying, brain-stimulating, and sometimes overwhelming. Included in the conversations was a monthly feature that focused on …

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Today I Expect They Will Begin to Fly. Will You?

If you follow this blog, you know my husband and I have moved to Florida. It’s been a long two weeks, but we are now settled in our temporary housing, a nice home in the same community where we will be building a new home. (Yes, another move!) Here in my new space, my desk sets right next to a window, looking out over some garden palms. Pretty, and I thought maybe peaceful, too. I’d be able to get some work done – a quiet place to work on APHA business and book writing… Until early last week

When Clients Lie

Years ago, I hosted a radio show where I had the opportunity to interview medical providers from many specialties about their work with patients. One of the recurring themes was that “Patients lie.” Now – you might wonder why that would become a theme, but the answer is quite simple. It was important to discuss it during the show because smart patients need to know that their providers assume they are lying as a part of the diagnoses or treatment they provide. (Good advice for smart advocates, too.) Here are some examples: An anesthesiologist told me that patients are always …

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The Binder, the Meltdown, and Some Advocacy Karma, Too

I beg your indulgence today as I relate a personal story. I don’t usually do this – rarely do I share this much personal information! But I promise you, if you stick with it – it will make sense by the end. As mentioned in last week’s post, my husband and I are getting ready to move. In less than three weeks, we’ll have begun settling in more than 1200 miles away. Since we will have no basement (!) and since it’s just really about d*mn time (!) – we are cleaning out, purging really – getting rid of the …

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Patient Advocates and The Kindergarten Principles

You may remember Robert Fulghum’s book, published in the 1980s, All I Really Need to Know I Learned in Kindergarten… The book is a group of essays focused on the wisdom that helps us lead a good life – basic tenets including sharing, being kind to one another, cleaning up after ourselves and living a balanced life. The book and its basics have come to mind so many times in recent months during exchanges with some of the patient advocates who have reached out to me. Their outreach, a mix of questions, complaints, reports and misinformation, leaves me scratching my …

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