As an
IVF doctor , I tend to think of myself more as a coach and a guide , rather
than just as a technically skilled professional.
Yes, I
am a medical expert , and have more medical knowledge than my patient does ,
which is why it's very tempting to make decisions for my patients . Partly,
this is because what we are taught to do in medical college - to make decisions so we can help patients get
better. Also, patients expect doctors to behave in a deterministic
paternalistic fashion in India , because they want an expert who will provide
them with answers , rather than leave the decision making up to them .
Now
it's much easier to tell patients what to do , because it saves a lot of time
during the consultation. Answering questions and clarifying doubts takes time,
and doctors want to be seen as omniscient and omnipotent !
This
is why the natural inclination is to decide on behalf of the patient, but I
don't think this is in the long-term best interests of the patient , because
the future is uncertain and unpredictable , and while we may offer medically
sound advice which is in the patient's best interest , when the IVF cycle
fails, the patient may feel that the doctor misguided them in order to maximize
his profit.
This
is why we encourage patients to invest in Information Theory , and to listen to
both their head and their heart when making such important decisions. If you
own your decision , you have peace of mind that you followed the right process , no matter what the final
outcome maybe.
Now I
understand that this is a complex learning curve , and you may never be
confident that you have made the right choice.
You
can always ask your doctor for their opinion about your decision , and a good
doctor is happy to provide a second opinion – but the first opinion should
actually come from you , as the patient .
This
control will help you understand exactly what is happening , which will reduce
your anxiety levels considerably.
This investment
in Information Therapy just requires a little bit of time and energy , and
doesn't cost anything at all, simply because there is so much high quality information available
online for free.
The
trick is to go to reliable websites such as www.ivfindia.com , so you know that you are not being taken
for a ride . Trying to understand the jargon is a little scary in the beginning
, and you may get lost because of all the medical details, but over a period of
time , I promise you it will definitely become easier .
Please
don't underestimate your intelligence , and your ability to make your decisions
for yourself by going through the medical literature .
Good doctors
will help you do this , because doctors aren’t mind readers , and we want you
to make your own decisions for yourself , so we can behave as trusted partners
in your journey.
Need help in getting pregnant ? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !
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