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Others do not go because they feel doomed despite medical treatment. At the other extreme are the overly optimistic who are convinced they will get better no matter what. And then there are those who are embarrassed to discuss their symptoms, such as incontinence or impotence.
The bottom line for many people is fear: fear of bad news, fear of an uncomfortable test, fear of discussing something intimate. And the reason for this dread of the doctor, experts say, has much to do with the breakdown of doctor-patient relationships. Few people nowadays have an old-fashioned family practitioner, the physician who is also friend and confidant. The American College of Physicians-American Society of Internal Medicine recommends annual medical visits for everyone beginning at the age of Yearly visit for younger adults is probably not cost-effective, but checkups are helpful, said Dr.
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Hall, president-elect of the physicians' association. Hall, who is also chief of the general medicine unit at Strong Memorial Hospital in Rochester, ''to have a database of health information assembled. It's more like insurance than going because a doctor is likely to find something. The biggest danger, he said, is to go with a new complaint to a new doctor, who may not put the symptoms in the right context. Many doctors interviewed blamed managed care for chasing patients away, pointing to overburdened physicians with no time to listen to patients and to patients uncomfortable talking to their assigned doctors.
Though patients tend to show up for prepaid physicals, many health experts wonder whether they are revealing all of their symptoms or health concerns. Others say the problem has more to do with today's transient society. People change jobs, and insurance plans, forcing them to switch doctors.
View all New York Times newsletters. Robert J. People move; doctors move; and all of these factors, that perhaps in an 'Ozzie and Harriet' day would have been less likely to have taken place, are commonplace now. Hank Norman, the television producer, says he no longer has a doctor he can turn to. Roth was our family doctor,'' he said. We called him if we stubbed our toe. Now it's an assembly line; I don't know the doctor, and he doesn't know me.
About one in three men and one in five women have no regular doctor, a survey of 4, Americans projected. Money was a big concern, but beyond that, denial and embarrassment played a role, particularly for men, said Karen Davis, the president of the Commonwealth Fund, the social and health care research foundation in New York City that paid for the survey.
Sonny Mehta, president and editor in chief of Random House's Knopf publishing group, had not seen a doctor for five years before having triple-bypass heart surgery in July. In an interview with a British newspaper, Mr. Mehta conceded that he avoided doctors because he knew they would discuss his years of ''bad living. Mehta said, ''maybe too good of a time. Previous studies have shown that if patients are unable to express their concerns to a doctor they are not likely to follow the doctor's advice or return for further checkups, said Dr. Richard Frankel and colleagues that found most doctors interrupted patients 18 seconds into an interview.
The findings were published in in The Annals of Internal Medicine. Joe Selby, the director of research at the Oakland branch of Kaiser. Now Dr. Selby is tracking 1, patients to ''explore the best way to help people choose doctors so they will come when they need help and be compliant with their treatment. No one looks to be scolded about losing weight, smoking or drinking.
One woman commented that her husband, a diabetic, had not been to a doctor in years because he had yet to lose 10 pounds that a doctor told him to shed. Leo Cooney, chief of general medicine at the Yale School of Medicine. Focus groups by the What to Expect Foundation, an organization providing prenatal and early childhood support to low-income women, found that the greatest barrier keeping the women from seeking free prenatal care was their substance abuse or smoking.
Lisa Cooper, an assistant professor at Johns Hopkins medical school, was prompted to investigate patient delays after a woman kept missing appointments and later admitted she was embarrassed to show up because she was an alcoholic. Cooper then surveyed people with ailments, including hypertension, diabetes, heart disease and cancer. She found that alcoholics were three times as likely as others to avoid regular care, and those with phobic disorders were about half as likely to return for treatment.www.dangkythuoc.com/includes/map18.php
Nine Out of Ten Millennials Avoid Going To The Doctor. Here's Why You Shouldn't.
She has yet to identify specific phobias involved or to explore why phobias prevent people from seeking treatment, but she speculates that they are more likely to fear bad news. Gael Morse, 57, a writer from Rochester, said media campaigns about cancer backfired with her. She delayed getting a mammogram for six years. I know it's irrational, after my mammogram. A few days ago, I was worried about permanent damage to my knees after I was a little stiff for two days straight, but it turned out I was just sleeping weird.
I also worry [because] I don't have a full picture of what I'm genetically predisposed toward. My dad was adopted. I don't know anything about his family's medical history. Those didn't give me full physicals, not by a long shot. Recently, [my girlfriend] told me I needed to make a doctor's appointment or she would dump me. I know she's joking, but I understand a joke like that comes from a real place. I booked an appointment for a checkup, originally meant for the first week of January. It got bumped back to March, because I'm new, and I was so relieved.
I really don't want to go to this appointment in March, but I guess I have to force myself to face my fear. I absolutely didn't want to know about my health five years ago. I was drinking too much, I was smoking cigarettes every day, and I was eating Top Ramen four or five meals per week. I'd consider it one milestone on a road toward accounting for my past. Other milestones have been financial.
Hell, there was a time when I didn't know how much credit card debt I was in. I grew up wrestling, and you kind of grin and bear it. There are worse things than just having a sniffle or a cold. I got the flu. Usually, if you take DayQuil and drink a lot of water, it just runs its course.
Patient Profiling: Are You a Victim?
The last time I went to the doctor I was passing blood through my stool. Then, before that, I think I got strep throat, my freshman year going into my sophomore year [of college] over the summer, and I got some antibiotics. Even with that, it took me about a week. I felt really dumb because [the antibiotics] cleared it up really quick.
I broke my finger back in college on a Friday. Ten years on, my finger is crooked. My middle finger is crooked. I have work. I never really got sick. You get checked out. You get away from school. You get your physical and whatever and then you have the rest of the day. The process was never bad. I never disliked it. My mom is the medical field, actually. I think people should go to the doctor, obviously.
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I feel like I am in generally good health. At the same time, I make sure my kids get their checkups and have all their shots. Who really wants to go to the doctor and be told there is something wrong with you? At my age, I do have to think about this. My girlfriend hounds me about it.
She goes to the doctor every time she starts to worry about stuff. I did smoke, but I quit smoking. I play hockey. I try to eat right, not eat a ton of fatty foods. I am my high school weight of pounds and I try to do stuff, not be a coach potato.
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I think I would probably take it head on, but I would think I was an idiot for not going earlier. I guess I probably should go now. We have pretty good genes in our family, longevity-wise. I think if I did go in for a physical, they would just tell me everything is okay. I think my blood pressure is okay. I went to urgent care this weekend because I had an asthma attack. I told them I barely take any meds. I take a Zyrtec when I am having an allergic reaction and I think they were shocked. This was in the state of Georgia, and they treated me like I was this little whore.
There was so much judgement when they were asking me about my sexual activity and what I was doing with myself. That sucked. It really undermined my faith if doctors exist to care for people or if they just exist to do things to people to make them money. If we had socialized healthcare, I would go to the doctor just whenever, because I feel like it would take away the question about whether or not I was a product.
I feel like it is impossible to engage with the medical community as it exists within the United States without the patient being a product, and I am not interested in participating in that. I went to urgent care like three years ago when I had strep throat. I had to.