āLast week I found a tiny lump under my right arm. At first, I was going to wait and see what it did. That lasted a day and I called to see if I could get in to see my primary care physician even though it had only been a little over a week since Iād seen her.
They got me in within a few days. She examined it and said she thought it was scar tissue but would like me to have an ultrasound. Since I live in another town, she said she would see if they could get me into radiology that day.
When she came back in the room, she said radiology wanted to know when my last mammogram had been. It was December 23. She said that the technicians were saying that I needed a mammogram to go with the ultrasound.
She and I talked about it. She didnāt feel that I needed a mammogram at this point. That I should have the ultrasound done, she would discuss it with my team at KU Med Center and if everyone felt that I needed another mammogram I would probably go to KU Med Center for it. This made perfect sense to me.
Then I went to radiology and they told me I was to have a mammogram. I said no, just an ultrasound today. They insisted that the radiologist would want a diagnostic mammogram not the screening mammogram that I had in December. I said no, Iām only having an ultrasound today if I need another mammogram, I will have it done at KU Med Center. They said they can cloud the new images to KU Med Center for me. If I needed that many tests I would have them done with my oncologist and surgeon at KU Med Center. They should call my doctor and work it out.
When they called me to go for the ultrasound, they had worked it out I would only have the ultrasound. They also got the information about where the last mammogram was done so they could get the images for the radiologist to compare.
Whether you are a caregiver or patient you may find yourself advocating for a patient. Youād think given that I was a doctorās daughter who worked in his office that I would have know this. I didnāt until about one and a half years into Mikeās illness. I was lucky because at that point dad was still helping me navigate the system.
I would try to arrange Mikeās appointments on the same day so that we could limit our trips across the state. Sometimes this was incredibly difficult. That doctor isnāt seeing patients that day. What days does he see patients? The same for the next doctor and so on. All in separate phone calls because there are separate scheduling departments. Youād think when they all work at KU Med Center that it might be easier.
I asked one of his specialists at KU about his diagnosis on more than one occasion. I felt that the doctor who had given him the diagnosis of the rare auto-immune disease was patting himself on the back to have come up with it. He finally said no that diagnosis was correct but there may be another one as well.
Another time I vented to another of his specialists at KU about feeling like they didnāt communicate with each other enough. He explained to me how they communicated and that they were also very frustrated because he was a difficult case.
I had the experience to ask these questions at that point. Early on I don’t think I would have had the backbone to do it.
If you find yourself advocating for yourself or a loved one remember you have a lot to absorb. Ask questions if you donāt understand something and if you donāt understand the way they explain it ask again.
We all hear things through our own experiences and that can create a lot of noise. I was amazed at the times Mike and I would hear something a doctor said completely different. This is because of the filters that we hear through.
If youād like to explore how the horses and I can help you as you advocate for a patient connect with me here.
Sometimes when weāre communicating The Sound of Silence can be deafening. Ā I love this version by Disturbed or here’s a classic version by Simon and Garfunkel.
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