Doctor Patient Relationship - is itself a partnership based on mutual respect and collaboration. Within the partnership, both the doctor and the patient have rights as well as responsibilities.
The following is a small extract from the AMA Code of Ethics – 2004. Editorially Revised 2006
The AMA accepts the responsibility for setting the standards of ethical behaviour expected of doctors.

1. The Doctor and the Patient:
1.1 Patient Care
a. Consider first the well-being of your patient.
b. Treat your patient with compassion and respect.
c. Approach health care as a collaboration between doctor and patient.
d. Practice the science and art of medicine to the best of your ability.
e. Continue lifelong self-education to improve your standard of medical care.

2.1 Professional Conduct: Keep yourself up to date on relevant medical knowledge codes of practice and legal responsibilities.

4. The Doctor and Society
a. Endeavour to improve the standards and quality of, and access to, medical services in the  community.

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A Patient’s Story - 23rd August 2010

Doctors need to listen to patients to figure out what’s going on !                           Patients need to tell doctors in detail what’s going on !

Why is that so hard sometimes? It’s hard to speak up when you feel rushed, but have doctors ever done other things that made it harder for patients to talk to them?

Sometimes doctors blame the patient - Years ago I got a terrible abdominal pain. I could only explain that it felt like the stitch you get in your side sometimes when running. Since I hadn’t been running, and it continued for days, I finally called my family doctor. Unfortunately, she didn’t have any openings in her schedule so one of the other docs in the practice saw me. Another symptom – very weird, and not one I exactly wanted to announce – was that the pain got worse when I used the bathroom.

The doctor learned this only based on questions that he asked (I certainly didn’t volunteer the information), then this obnoxious person told me that perhaps it hurt because I expected it to hurt. I didn’t say anything else; I was done talking to someone who seemed to simultaneously dismiss a fairly painful and embarrassing problem, and blame me for my symptoms. I’d been using the bathroom just fine for 24 years; why on earth would I suddenly start thinking it would hurt? My expectation was that I would not live in pain. When that doctor then asked if I’d be comfortable with him doing a pelvic exam, I told him no. Another doctor, who made time to see me, discovered a grapefruit-sized ovarian cyst.

Experiences like this color future interactions with other doctors: Don’t say anything that might be interpreted as something for which the patient could be blamed. When a doctor wrongly suggests, “It’s your fault that you feel this way,” that’s a sure-fire way to guarantee that I’ll clam up.

I can only think of one other time that I was blamed for a medical situation: Tramadol was prescribed. In the first place, I didn’t want to mask symptoms with pain killer; I wanted to solve the problem so that the pain killer wouldn’t be needed. However, I was desperate so agreed to take the tramadol. The instructions I was given said take 100mg up to four times a day. Within minutes of taking my first (and only) dose, I felt horrible: the room started spinning, my speech was slurred, and I was extremely nauseated. Then I began vomiting. It was so awful that I couldn’t eat anything for the next three days.

The prescriber’s response was to blame me: “It looks like you’re medication sensitive.” By that time I’d done a little research – including a long conversation with my PCP. This was not a case of being overly sensitive to the medication. This particular medicine had to be titrated up to that dose.

Although it would be easy to go on and on in a rant - against that particular prescriber, I’ll refrain. The point is that he blamed me. He’d made up his mind and was stuck on a specific treatment track without being open to my input. In response, I was no longer willing to talk to him. Sure, I showed up for follow-up appointments, but I didn’t volunteer any information that he didn’t specifically ask for. I was done talking to him, and hated having to see someone like him.

What’s a patient to do? If we can’t talk to our doctors, they can’t help us. At least not effectively. Like a harmful cancer, silence between doctor and patient needs to be eradicated.

In the spirit of not pointing the finger at others: The most obvious solution to the blame game is to avoid being at fault. For instance, if I don’t want to be blamed for being non-compliant, then I shouldn’t be non-compliant.

Sometimes faultlessness isn’t sufficient: As my two examples show, sometimes the patient gets blamed anyway. I think there are two possible solutions when this happens. The first is to address it directly. Without being overly confrontational, it’s possible to say that it seems like you’re being blamed for something unjustly and would like to know why and if there’s any way to fix the problem. It might be a simple misunderstanding; you’ll come out of it with a better relationship with your doctor, knowing that you can speak up and will be heard. The other option is to find a different doctor who won’t place blame when it’s undeserved. I’m not a big fan of doctor-shopping, but on rare occasions it might be needed.

There is one other situation though: Sometimes we might be blamed for problems in our health because we are to blame. What a concept! Personal responsibility. Instead of getting offended and refusing to talk to the doctor, hard as it might be, wouldn’t it be better in the long run to admit it when we screw up and ask for help fixing the problem?

■Do your best to not be at fault
■If you are at fault, admit it and move forward
■If you’re unjustly blamed, address it 

Let’s respectfully speak up instead of letting blame create even more silence.  

http://www.kevinmd.com/blog/2010/08/patients-stop-doctors-blaming-health.html

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NOW - "We have the Experience to Talk the Talk and Walk the Walk": 

Doctor Patient Relationships are a two way street. Doctors can be more flexible in adopting better social skills and understanding of their patients over all Thyroid Condition, not only for a few minutes during consultations.

Patients need to take the pressure off them selves - by preparing for their consultations in order to relate to their symptoms and them selves in more detail. Not rely purely on memory or they could find that they may be intimidating them selves due to lack of time and recall.

The area that is most likely to be a troublesome and or contentious issue - is the ability to communicate willingly with medical professionals, who may or may not be up to speed with the development of a large range of underlying health issues, contributed to by a Thyroid condition.

Thyroid Australia (Brisbane) has for over Ten years been providing and publishing, free ongoing "Honest Open Minded Thyroid Support” and Thyroid Health Care, predominately targeted on improving Doctor Patient Relationships, for better Patient Consultations and Localizing Knowledge while instrumentally mediating to have everyone on the same page............ to that every Thyroid enquiry is treated as personal support for the individual.   

The reality is that - “Old School Endocrinology is a major International Thyroid Travesty”. 

Realistically you are an individual - and deserve to be treated as such, not being pigeon holed as a part of the populous but to find the right balance of Thyroid and related health care treatment for you.

This is not an incursion on the Medical Profession, but definitely  a wake up call is needed........'saworry !

Share your thoughts or Thyroid story on the original Aussie Thyroid Support - Blog  and you may find help or help others find a better quality of life……https://rick39.wordpress.com/