decision making

Plenty of Disruption at the PPAI Conference

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It was an incredible collection of professionals representing a wide spectrum of private and hospital advocacy. Men, women, younger (20-somethings), older (70-somethings), newbies (“I’m still thinking about it”) and veterans (“I’ve been doing this for 20 years!”). Bedside advocates, hospital advocates, billing and claims advocates, mediators, nurses and nurse practitioners, lawyers, x-ray technicians, social workers, CPAs, mothers, fathers, daughters and sons, nieces and nephews, neighbors and friends… And they are all disruptive – and are now more committed to continuing disruption than ever. Such was the PPAI (Professional Patient Advocate Institute) Conference held last week in Orlando. It was a …

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Start and Grow Your Independent, Private Advocacy Practice – Coming Soon!

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Coming Soon! I’m happy to announce that my next book is now in the hands of the publisher, in the final stages of being edited, prepped and printed: The Health Advocate’s Start and Grow Your Own Practice Handbook – is on its way. Pre-orders are now available (through October 1.) ($10 off the total of cover price, plus shipping and handling). Pre-ordered books will be mailed on or before November 1. It’s a step-by-step guide, covering soup to nuts, for starting a one person, solo practice or a partnership of two or more people. If your intent is to start …

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Don’t Shoot the Messenger

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Something I’ve noticed over the past two years or so is that people who write to me for help seem to be getting increasingly belligerent when they don’t like the information I share, or reply to their questions or requests. Three examples: A woman wrote to me through my About.com Patient Empowerment site, asking me to please make a phone call to her psychiatrist to tell him that she needed a higher dose of Xanax. I replied to her to say that first, I don’t work directly with patients – I write and speak and run an organization. Further, that …

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Dear Abby Lights a Fire Under Health Advocates, Too

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Maybe twenty years ago, I read a Dear Abby column that went something like: “Dear Abby, When I was younger, I wanted to be a doctor when I grew up. But life got in the way – I got married, had three kids, was a good wife…. But now my kids are grown and on their own. I’m 47 years old, but I find I still have my dream of becoming a doctor. By the time I get back into school, and do my residency, it will be 10 years before I have doctor in front of my name! What …

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Just Who Is Making Your Clients’ Medical Decisions?

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A 58-year old man learns he has early stage prostate cancer. His urologist suggests he wait for a few months so they can test him again, then decide whether he needs treatment. But the man decides to get a second opinion to find a doctor who will treat him, because he just wants that cancer gone. It doesn’t take him long to find a doctor willing to treat him as much as he’d like to be treated. An 85-year old woman with diabetes has been diagnosed with breast cancer. Her doctor tells her she needs surgery to remove her breast, …

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Client Discussions: Where Do Spirituality and Religion Come In?

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My travels over the past two weeks have ultimately taken me to Florida where I’ll be staying for awhile to spend time with my dad. It’s the latest in many, many visits, which I mention only because that means I have gotten to know many of Dad’s friends over the years, too. In fact, I’ve gotten to know a handful of them very well, so that I actually seek them out once I get here to be sure I have the opportunity to spend some time with them. One such friend is a gentleman I’ll call Jim, who lives next …

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Getting Your Clients Past Magical Thinking

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image - magical thinking

Today’s post is very personal, reflecting a situation I believe many families go through, brought on by any number of attitudes and fears. I’m hoping that by sharing it, you can find a role for your advocacy work; a way to help families who need someone to provide a reality check. It’s about providing a gift to some of your patients and their families – in effect, giving them permission to say no to further treatment. As I thought about the situation, I remembered back many years ago when my mother, who at the time was in her 10th year …

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