I saw a patient today who works as an executive in a leading bank. She is smart, clever and well-informed, and is on the fast-track to a high-profile managerial job.
However, the quality of medical care she had received so far left a lot to be desired, and I was quizzing her as to why this was so.
She had had an endometrial curettage done, after having a spontaneous abortion. I felt this was an unnecessary surgical intervention, and was quite surprised that it had been performed. In her case, the curettage had removed part of her normal uterine lining, causing her to form intrauterine adhesions, which were likely to significantly reduce her fertility. When I asked her why the surgery had been performed, her answer was, " Because the doctor told me to do it". This is the stock answer I receive; and I feel this explains the problem. For any operation, it's not just that the doctor does the surgery on the patient - it is also the patient who requests the doctor to do the surgery. The patient is as important in this equation as the doctor - but this is true only if the patient perceives herself to be the decision maker ! If you treat yourself as a passive "victim", you will be treated by your doctor as one too !