adhocisadirtyword wrote:SomethingElse wrote:adhocisadirtyword wrote:I just want to find a doctor who will take the time to talk to me, but I don't think that is an autism-specific request. It's very difficult to jam everything I need to discuss into a 10 minute appt and have the dr pick what they think is the most important topic.
I think you're supposed to have one appointment for one problem, so perhaps you could make more than one appointment if you need more time to discuss more issues?
That's an interesting suggestion, but I'm not sure that's the way it works here. Maybe that's an NIH thing? Here, I only go for an annual check up. This includes a pap, a review of any medication I'm taking and how it's working for me, a check up of my sciatica, things that people in my age group should start being looked at for, a skin cancer screening (because I'm painfully white), a breast exam, blood pressure, cholesterol, and every few years a new bone density scan (because mine is already low).
Some of this is specific to me and some of it is for everyone. I'm lucky if I can squeeze 15 minutes out of the doctor to do this and talk about any other concerns I have. And I'm relatively healthy (don't smoke/drink/and I'm a vegetarian).
On top of that, I feel like they're in such a rush that when we do discuss something, it never goes into enough detail. For example, my husband went in to get his eczema looked at and the doctor said, "Don't use soap." When we asked him what he meant by that, he just repeated himself and seemed in a rush to leave, so we let him go. What do you mean, "Don't use soap?" Do you mean, just use water, or what about natural cleansing products, can you give some suggestions on things we should look for? No - he just said "Don't use soap" and then wanted to leave. And of course, I couldn't think of a response in time in order to get him to give us more information.I've started separating some things now just so I get more time. My sciatica is handled by an amazing chiro and my pap and breast exams are done by my midwives. So I just do the rest of it with a general medicine doctor.
Sophist wrote:I don't know if this is a trend, adhoc, but maybe you could try to go to clinics which are also teaching clinics for residents. Residents usually give quite a bit of time, and because the doctors aren't necessarily so rushed, they may be more prone to give their time too. My gyno is like this, both he and the resident give me LOADS of time. So perhaps a university hospital clinic might be helpful?
SomethingElse wrote:I've often found that, due to my lack of expression and difficulty discussing my thoughts/feelings, I'm often dismissed when it comes to mental health issues, and so would be concerned that for less expressive autistic individuals who struggle to answer mental health questions, we might be overlooked/neglected/dismissed. I'm not sure if other autistic people do this, but because I have no way of measuring my own feelings/thoughts against other people's (so scales from 1-10 are difficult to answer, for example), and because I get quite uncomfortable and embarrassed by personal things being brought up in front of strangers (even professionals) I apparently 'play down' my issues. There's also the problem that you will likely have appointments when you aren't directly experiencing the worst (so if you are suffering from very bad periods of depression and suicidal thoughts, you might go to the Dr and be relatively okay - in which case I find it very difficult to 'lie' about how bad I am feeling because I am not feeling that bad at that very moment...
Ferrier says there are a number of practical reasons why doctors don't talk with patients about weight. With an average of eight minutes per office visit, many just don't have time. And until recently, doctors weren't reimbursed for weight counseling, only for treating conditions like diabetes and high blood pressure that result from being overweight.
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