Advising patients who seek alternative medical therapies

Article Abstract:

The following step-by-step approach may assist doctors whose patients wish to use alternative medical therapies. Discussion should occur after the patient has been evaluated and has tried or refused to try conventional treatment. The doctor should raise the question of alternative treatments. The discussion should include an exploration of the patient's preferences and expectations, the safety and efficacy of possible alternatives, and how the patient can evaluate the therapy and provider. Follow up should include monitoring for side-effects, evaluating response to treatment, and helping the patient make decisions about further care. Doctor and patient may agree to disagree.

Usage, Alternative medicine

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Alienation and imagination: the literature of exclusion

Article Abstract:

Doctors who read the written word, be it fiction, nonfiction, poetry, or medical studies, with a sympathetic eye may be in a better position to sympathize with their alienated patients and advance the healing process. Much literature is written with a premise of alienation. Writers or characters may be psychologically or socially alienated such as those who survived Nazi concentration camps or the Vietnam War. They may be physically alienated such as those who are diseased or handicapped. Characters or writers may also be sexually or economically alienated such as women surviving in a male-dominated world.

Portrayals, Medical publishing, Alienation, Alienation (Social psychology)

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Electronic patient-physician communication: problems and promise

Article Abstract:

Electronic communication between physician and patient has many benefits and many problems. Electronic mail could allow patients to communicate more effectively with their physicians. However, the use of electronic communication can discriminate against patients who do not know how to use computers or electronic mail systems. Issues of confidentiality and privacy also need to be addressed. User interfaces must be developed to guide patients through the process.

Electronic mail systems, Email, Confidential communications, Physician-patient privilege

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