Archive for the ‘Illnesses & Disabilities’ Category

How to Talk to Your Doctor

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how to talk to your doctorYou’ve been injured, and you’re in pain so you go to the doctor. But once you’re there, you feel like the doctor isn’t saying or doing much. Or the doctor is using words or terminology you don’t understand.

It can be frustrating to feel like you’re not being heard or that you don’t understand what your diagnosis or treatment is. Some patients might not feel comfortable asking questions or questioning their doctor. But the ability to effectively talk with your doctor means he or she will be better able to help you.

Effective communication is a two-way street. There’s a lot of information about how doctors can better communicate with their patients. Some of that information discusses how doctors don’t have as much time to spend with each patient as they like. One study showed doctors spend on average about 15 minutes with each patient. When you think about it, that’s not a lot of time for the doctor to learn everything about your symptoms, your history, physically examine you, make a diagnosis and come up with a treatment plan.

So how can you make the most of that 15 minutes? Start by being prepared with a list of your symptoms and your medications, and even your questions. Having your list with you will help you remember everything rather than you trying to rely on your memory when you’re in pain. When you’ve been injured in a car wreck, you probably hurt all over. However, that might not be detailed enough information for the doctor.

Describe in detail how your injury occurred

If you were in a wreck, tell the doctor how it happened. Was it a T-bone wreck or head on? How fast were you going when you were hit? Did your car spin after impact? Did the airbags deploy?

If you fell off a dock at work and now have elbow pain, show the doctor how you landed and use your hands to show how high up the dock is.

Describe your symptoms

Because doctors can’t “see” pain, they only know what you’re telling them about your pain. Try to be descriptive about what’s happening.

For example, is your lower back pain sharp or dull? Is it worse in the morning or at night or with certain activities such as bending over to tie your shoes or sitting at a desk all day? Does the back pain seem to go down your leg?

If you have shoulder pain, does it hurt when you try to put on a jacket? Does it hurt in the front, back or top of your shoulder? Be sure to point to the specific areas that hurt. For instance if you say your lower back hurts, but you’re pointing to your hip, the doctor knows to look there.

Describe how the injury has affected you

Your doctor may or may not know what you were physically capable of doing prior to your injury, so try to share examples. For instance, if prior to your injury, you picked up extra shifts as a CNA, but now you can’t because your legs give out when trying to lift a patient, that’s important information to give your doctor.

Or perhaps you had no trouble working on spreadsheets on a computer all day, but now you’re having trouble concentrating and are making mistakes. Even describing common tasks that you can no longer do such as getting a gallon of milk out of the refrigerator or vacuuming or mowing the yard will be helpful information to your doctor.

Ask questions

If you injured your back lifting heavy equipment at work and the doctor mentions spondylosis or medial branch blocks, you may not know what he or she is referring to. Don’t be afraid to ask. Many doctors may even show you on a chart or a model of a spine what they are suggesting.

Most importantly, don’t wait for the doctor to ask you questions. Most doctors will ask lots of questions, but don’t mistakenly assume that because your doctor didn’t ask, there’s no need to volunteer the information or it must not be important. You best know your body, your job and your home life, so be sure to share the information you have so that the doctor can do the best job to help you recover.

Visit this link for more tips on how to talk to your doctor and how to understand your doctor.

Social Security Disability – Spotlight on Diabetes

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As a Social Security Disability attorney in North Carolina, I represent a lot of people who have diabetes. Often, my clients will have other health problems that also affect them, but sometimes I represent people whose diabetes, and complications from their diabetes, is the main thing preventing them from being able to work. 

It is not surprising that I see so many diabetics, because according to the American Diabetes Association, in 2012 29.1 million Americans , or 9.3 percent of the population, had diabetes. In North Carolina, according to the CDC, in 2012 some 778,716 North Carolinians were diabetic. This is an unfortunately large percentage of those fine folks who call the Tarheel state home.  

Diabetes can cause many complications that can be debilitating and prevent someone from working. Kidney disease, neuropathy, and blindness or eye problems are just a few examples. The Social Security Administration should take into account all of the complications you may have from diabetes that limit you from being able to work when determining whether you are disabled.  

In my practice, diabetic neuropathy is a common condition that prevents many of my clients from working.  

Neuropathy is a type of nerve damage that can occur over time when you have diabetes that is not under control.

 It typically occurs in the feet (and sometimes hands), and can cause severe numbness, constant burning or stinging pain, and loss of coordination and balance.

Neuropathy can make standing on your feet very difficult for more than just a few minutes, which limits your ability to do the standing required in full time jobs.  It can make walking for any distance excruciatingly painful as well, and may require you to use a cane or other assistive device.

Neuropathy in the hands can prevent you from being able to use your hands for more than just a few minutes at a time, which can greatly impact your ability to do a full time job.  

It is important to try to prevent neuropathy by, among other things, keeping your blood sugar tightly controlled. Unfortunately, once you have neuropathy, according to the Mayo Clinic there is no known cure, and treatment focuses on slowing progression of the disease, relieving pain, managing complications and restoring function.

Neuropathy is a painful complication of diabetes that shouldn’t be taken lightly. My clients would rather work than receive disability benefits, but sometimes the life-altering affects of diabetic neuropathy give them no choice.