When Should A Doctor Not Listen to the Patient? – Dr. Ali’s Healing Course

Majid Ali, M.D.

Please take a few moments and consider the question: when should a doctor not listen to the patient? This is a serious question that requires a serious answer. I know it is socially fashionable to protest that doctors do not listen to their patients. I am a physician and I have been guilty of that sometimes.

So when should a doctor not listen to the patient? While doing a physical examination, a diligent physician must listen to the voices of the body organs, not the mind of the mind. Most people do not recognize that. They ask questions or insist on relating past events. This creates clutter and the doctor cannot hear the voices of the tissues in distress.

Not on the Same Page

Many people have undiagnosed nasal polyps which block the entry of air. In many cases, even modest reductions of oxygen supply caused by polyps add to the oxygen-related problems—read, all chronic disorders. So I try not to complete my examination without carefully examining the nostril, even when the patient insists on talking during the exam. On such occasions, my patients and I are not on the same page. Recently, I saw a highly allergic patient. I asked her to look into my eyes as I examined his eyes. Then I moved to examine huge polyps in her nostrils.

“Dr. Ali, your eyes are beautiful,” she remarked.

“Your nose is full of mucus and polyps,” I said.

A nurse in the room broke out in an irrepressible laughter and I saw the disconnect between my words and those of my patients.

The moral of the story: Every story does not have to have a moral. Still, please do not insist on talking to your doctor during the physical examination.

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