Part of the problem in physician-patient communication is the lack of understanding by the physician of what the patient “knows” or “wants to know”. This requires initiating the conversation and taking the time for the patient to explain. Once this is completed, further communication in education of the patient regarding medical facts and issues is facilitated. Physicians should start with the request “Tell me what you know about…” and then “Tell me what you would like to know about…”. This will show what understanding represent valid facts and what understandings need further education. Finally, the physician will learn what the patient’s personal concerns are about the facts or issues. Unfortunately, there are physicians who don’t take the time or are aware of the need for such conversation. They will proceed with a standardized disclosure, hopefully meeting the informed consent criteria. But without the initial conversation described above, one should not be surprised that patients don’t understand nor remember the facts. ..Maurice.

I don’t think there is any problem with doctors talking to their doctor-patient as if the patient was any patient without an M.D. The same questions I posted previously should be asked the doctor-patient. The real problem when a physician does NOT communicate to the doctor-patient as a layperson patient is that there will be increased chance of invalid assumptions made by both parties. These assumptions may lead to defective treament and care. Critical questions and issues involving emotions,sex,drug and alcohol abuse may not be obtained or discussed. Explanations by the physician to the patient become cursory and incomplete. “That doctor-patient should already know about this!”

When I have been a patient, I look forward to the doctor who will ignore my M.D. That is my best chance to get properly treated. ..Maurice.

I agree with Tina, using pictures of one sort or another would go a long way to explaining things. And giving patients a handout or brochure to read will help them retain information a lot longer.

And, as much as possible, don’t use the Latin name for a body part. You can say femur or you can say thighbone. With one of these, you are sure to make yourself understood. The more medical terms you use, the more confused (or intimidated) a patient is likely to be, and the less likely they are to volunteer information that you may need to know to treat them properly.

On the other hand, if someone has had a condition for a long time, they may be familiar with the relevant medical terms, so you could ahead and use them.