AskNadia: Grabbing The Wrong Medical Chart Makes My Doctor Angry

Dear Nadia,

Several years ago, I was diagnosed with type 2 diabetes because I am insulin resistant. Over the next two years, I saw a total of 8 different doctors. My first doctor pulled up the wrong chart for someone else when I pointed that out to him, he became furious and commented he did not make mistakes. I was on three different insulin and five other medications. I developed a rash over 90% of my body. When I talked to the doctor that I felt one drug was causing this, his comment was, “suck it up and live with it.” When I tried to report my experience to the FDA, they informed me that I could only submit my report if I were dead. I began using various herbs with exercise. The last doctor I saw refused to look at any of the data from that even though I had reduced my blood sugars to a normal range.

WP

 

Dear WP,

 

Doctors are trained in medical school to assess from their clinical training by asking their patients questions. I am going to guess by saying, you most likely would have forgiven the doctor, had they apologized for their error. 

 

I commend you for being your best diabetes advocate. The medical system can be discouraging for some, especially when you are making a valiant effort to understand your medications and their possible side effects. Fortunately, there are healthcare professionals with excellent bedside manners. Finding the best one for you is crucial to your health. No one wants to fight with their doctor. An adversarial relationship never works out in the long run.

 

In our COVID-19 climate, we are witnessing the armies of selfless healthcare professionals. They are our heroes, placing themselves and their families at risk for their community’s health. Sometimes it is difficult to know why people snap. 

 

A long time ago, I took my Type 2 mother to her HMO Endocrinologist. I left angry, stunned at how dismissive and arrogant her Physician was. My mother had difficulty seeing at night or in rooms that were not well lit. Driving home after 5 pm became a concern. I asked her Physician if she could write a letter to my mother’s Human Resource department so they can accommodate her new visual impairment. Not only did her Physician refused to write her a letter, she said: “maybe she should not work.”

 

It was difficult for my mother to stay optimistic about working with her Physicians after that one experience. Later, she mentioned that the side effects of her blood pressure medication made her ill. I encouraged her to speak to her cardiologist about changing medications. Unfortunately, her experience with her endocrinologist affected her ability to believe that a different physician would treat her with respect. Consequently, she never made that call causing her to have a stroke. She stopped taking her medication as the side effects were unbearable. Once this happened, I started to see the healthcare world through her eyes. It made me sad. It also made me realize how important it was to have an advocate when dealing with an overburdened healthcare facility, pressured to get as many people in and out throughout the day. My diabetes advocacy gained roots that year. Fortunately, not all physicians are alike. Towards the end of her life, my mother received the best possible care.

 

 I am impressed with your determination to advocate for yourself. It’s not always easy. Your story is inspiring—a reminder to never give up on yourself. We gain strength from each other when we share our experiences.

 

Disclaimer:

Nadia’s feedback on your question is not intended to initiate or replace your healthcare professional’s therapy or advice. Please check in with your medical team to discuss your diabetes management concerns.

Share Your Story or AskNadia and get her unique perspective on your question.

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About Nadia:

AskNadia (ranked #1 by Google) was named “Best Diabetes Blog” for 2019 by Healthline. With 24 nominations for her work, Nadia’s efforts have made her stand out as a pioneer and leading patient advocate in the diabetes community. She produces and hosts a diabetes podcasts in addition to her Diabetes Health TV show.

 Nadia has been featured on ABC, NBC, CBS, and other major cable networks. Her publications, medical supply business, and website have been sited, recognized, and published in Herb Caen, WSJ, Ann Landers, Lee Iacocca, Entrepreneur magazine, Brand Week, Drug Topics, former Chrysler chairman Lee Iacocca, Entrepreneur magazine, Houston News, Phili.com, Brand Week, Drug Topics, and many other media outlets.

 

The post AskNadia: Grabbing The Wrong Medical Chart Makes My Doctor Angry appeared first on Diabetes Health.

Diabetes Health

How To Change People’s Mind: Show Them The Whole Picture Instead Of Proving Them Wrong

Human has the ability to think and that’s what makes our world creative. But owing to such diversified thinking, sometimes it is inevitable for us to come across with disagreement.

It can be great or small, such as colleagues debating corporate strategy, family members discussing holiday destination, or friends arguing what to eat for dinner. Sometimes you win an argument but sometimes you don’t.

Despite the fact that disagreement happens from time to time, it is important for us to learn the art of persuasion because if we are unable to persuade, we can only be the influenced but not the influencer. Sometimes we need to compromise but sometimes we need to be recognized. If our ideas are constantly rejected, then things never happen as we wish.

Why we always fail to persuade?

It can be frustrating if our ideas are better but they are not adopted just because we lack the skills to persuade. But many of us make this mistake unknowingly–When we argue or discuss with others over an issue, we tend to take the shortcut to prove them wrong logically and at the same time we are right. This might work occasionally, for those who are rational and less emotional. But apparently not everyone is rational, at least not always.

Even if we have convincing arguments, proving others wrong is kind of explicitly telling others to change their minds. This often put them in an embarrassing situation because they have to admit that they are wrong.

The backfire effect: corrections always fail

It is compatible with the backfire effect suggested by Brendan Nyhan and Jason Reifler at The University of Michigan and Georgia State University. [1] One of their research was designed to explore why people insist on their political misperceptions when others try to correct them.

It shows that corrections actually enhance misperceptions among the group in question. In other words, corrections have no use. People who are being corrected in fact reject the ideas from those who hold different beliefs.

Persuade by showing the whole picture

Knowing that changing people’s minds is such a difficult work, we might want to try something suggested by the authority. Blaise Pascal, a 17th-century French philosopher, wrote the famous classic Persuasion long before psychology was invented. His idea is later proven by modern psychologists, Arthur Markman.Pascal suggested that the surefire way to change others’ minds is to show them the whole picture instead of proving them wrong as the two simple steps listed below:

  1. Acknowledge the validity of the other’s point of view
  2. Lead them to discover the other side of their argument

There should be something valuable in everyone’s point of view. So first you should recognize their contributions and admit what they are right about. Then, you should gradually reveal the other side to them, which is the part they have not observed. The following scenario might help you better understand the idea:

Imagine you are thinking what to eat for dinner with your friends.A: I’d like some burgers. I’m starving.(But you want something else.)You: Well…  Burger might be good. What about pizza? It can also make you feel full. Plus you might have more options in the Italian restaurant.

After all, everyone has some blind spots and many people realize that. They won’t be offended by such persuasion approach because they feel like they only fail to see all sides instead of mistaking. Also, people are generally better persuaded by reasons they discover by themselves than by those implemented by others.

Give suggestions instead of commands

Such approach also allows you to better hide your intention to persuade. That’s why you should also pay attention to your tone when speaking to them. You need to play the role of a guide instead of an instructor. You should be guiding them instead of enforcing authority, raising questions instead of making judgements. Others will feel better and consider what you want them to think about if you sound more friendly and suggestive.

A successful persuasion cannot be achieved only by strong and valid points. To make people let their guard down, you also need some techniques. So don’t let others bury your brilliant ideas. Be brave to speak them up and be smart to showcase them.

Reference

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Lifehack

Human Minds Have Limitations In Reasoning, What You Believe Is Right Likely Is Wrong

How often do you ride on a car? Even if you don’t have your own car, you must have seen one. I want to start this piece with a small challenge for you. Using only your memory, recall it in your mind a car you often see.

Okay, I see the wheels, the window, and the overall car frame. Does it look anything like this?

Oh but wait, what about the headlights and tail lights? Where’s the handle for opening the doors? And where’re the mirrors?

Why would we miss so many of those things? Don’t we all have a clear idea what a car is like?

We believe that we know way more than we actually do.

Yes we do. In a study conducted at Yale[1], graduate students were asked about their understanding in everyday devices like toilets. Most thought that they were familiar with the device, only after they were asked to explain step-by-step how the device works did they find out how ignorant they were. Toilets are more complicated than they look.

We believe that we know way more than we do because most of the time, we only need to rely on others’ expertise to operate something. Take the bicycle and toilets as examples, we don’t really need to figure out how the whole thing works in order to operate them. As written by the authors of The Knowledge Illusion: Why We Never Think Alone,[2]

“One implication of the naturalness with which we divide cognitive labor is that there’s “no sharp boundary between one person’s ideas and knowledge, and those of other members of the group”

Very often, our knowledge and beliefs are actually someone elses’ without us even realizing it. Maybe you’ve already started to be more aware of this fact especially when the social media has such a great impact on our daily lives these days.

When deep understanding is not always required, biases arise.

The tendency that people embrace only information that supports their own beliefs is commonly known as “confirmation bias”, and it is dangerous. When we believe what we think is always right, our faulty thinking will harm the truth and disrupt our growth.

Did everyone really understand the political situations in the US before they voiced out their opinions? And it’s pretty obvious that not everyone in the UK understood the whole Brexit thing before they voted for it, right? These are just some of the many examples of how others’ beliefs and knowledge got easily spread over the internet and people just picked up those thoughts without further understanding the truth.

Business journalists often suffer from the confirmation bias. In the books The Art of Thinking Clearly[3], there’s an example about a statement “Google is so successful because the company nurtures a culture of creativity”, and how once this idea goes on paper, journalists only need to support the statement by mentioning other same successful companies without seeking disconfirming evidence. No more different perspectives, people will always see just one tip of the iceberg.

When winning becomes more important than reasoning, chaos come.

On the other hand, when presented with someone else’s argument, we tend to be more skeptical; and there comes the term “myside bias”.

In an experiment performed by a cognitive scientist Hugo Mercier,[4] participants had to answer some questions, and later they were presented their own answers but were made to believe those were others’ answers. They became a lot more critical about the answers than when they were simply asked to modify their answers to be better.

In some situations, when winning seems to be more beneficial, reasoning clearly becomes unimportant to most of us. And this makes us more blinded than ever to spot out our own weaknesses.

To think more clearly, “murder your darlings”.

“Murder your darlings” is the literary critic Arthur Quiller-Couch’s advice[5] for writers who are reluctant to cut their cherished redundant sentences in their works. We can apply this concept to how we think too.

To fight against biases, let go of your “cherished thoughts” that you have to be right, and set out to find disconfirming evidence of all your beliefs — whether they be relationships, political views or career objectives. The stronger you believe in something, the more you should seek out alternative views of it.

The rule of three

An even more effective way to overcome bias is using the rule of three[6] — identify three potential causes of an outcome. In fact, the more possibilities you can come up with, the less biased you’d be towards any single outcome.

Say next time, if you see an outcome that isn’t what you expect at work, instead of thinking it must be that irresponsible and careless guy who messed up the stuff, try to think of three potential causes: Maybe there’re instructions missing at the beginning? Maybe the guy already did his job but something went wrong afterwards? Maybe it’s something external that affected the outcome of this?

Thinking through alternative possibilities help unravel the unnecessary attachments we have to the “cherished” thoughts, so we can have a more complete picture of how things are. When you learn to “murder your darlings” and embrace different views, your horizon will be widened and you’ll see a limitless world.

Featured photo credit: Stocksnap via stocksnap.io

Reference

[1] Steven Sloman, a professor at Brown & Philip Fernbach, a professor at the University of Colorado, The Knowledge Illusion: Why We Never Think Alone
[2] Steven Sloman, a professor at Brown & Philip Fernbach, a professor at the University of Colorado, The Knowledge Illusion: Why We Never Think Alone
[3] Role Dobelli: The Art of Thinking Clearly
[4] Cognitive scientists Hugo Mercier and Dan Sperber: The Enigma of Reason (Harvard)
[5] Sir Arthur Quiller-Couch: On the Art of Writing
[6] Benjamin L. Luippold, Ph.D.; Stephen Perreault, CPA, Ph.D.; and James Wainberg, Ph.D.: Overcome Confirmation Bias

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