I'm Dr. Joshua Schwimmer, a nephrologist and internal medicine physician in New York City. • Kidney Notes was the first active nephrology blog. (Trivia: Kidney Notes is so old that the National Library of Medicine still uses it as an example of how to formally cite blogs.) • Professionally, you can find me at Kidney.nyc. • Kidney Notes is for educational purposes only, not medical advice. Consult qualified health care professionals. See disclaimer.

Thursday, March 1, 2012

Informal Curriculum: Lesson 4.

Informal Curriculum: Lesson 4.:

Bonus points if you can tie the summary sentence to your question (e.g. “With all of that frustration you’ve felt with your girlfriend, have you noticed if it has affected your blood sugars?”).

This strategy requires your full attention. If your summary statement is completely inaccurate, your patient will feel vexed.

Other strategies, with increasing urgency (always done with respect):

Say the person’s name (most people will stop talking). Lean forward and express urgency on your face. Make some other sound (e.g. firmly putting your hand on a table) in addition to saying the person’s name and leaning forward.

Maria is a gem.