I guess it all depends on what your goals are. My goals are to avoid headaches and build my business. I can't help anyone if I'm burned out or hurting for referrals. So for me, it's counterproductive to apply a judgmental sounding diagnosis that I can never prove, but can always be proved wrong later on.
There is probably evidence to support this, but I assume that in order to help a patient, they need to trust you. If they hate you for calling their problem psychosomatic, they won't be very receptive to your offer for a pain-psych referral. On the other hand, if you maintain a non-judgmental stance simply stating you can't explain their symptoms physiologically, they might listen when you suggest a psych based approach. In my experience, first trying it your way, and then mine, that is exactly what happens. But keep doing it your way if that works for you. I love it when patients come crying to me because some doctor pissed them off. More business for me.
PS for drusso... we have a rough screening process for likely psych cases at the level of referral acceptance/triage. Abdominal/pelvic/unexplained pain, fibro, etc, are generally rejected unless there is something specific we will likely be able to treat. The process works well to keep us full of good interventional candidates.
This entry passed through the Full-Text RSS service - if this is your content and you're reading it on someone else's site, please read the FAQ at http://ift.tt/jcXqJW.
Psychosomatic pain
0 commentaires:
Enregistrer un commentaire