I would not feel I could write a website like this without over 20 years of practice experience in Obstetrics and Gynecology. This twenty years in the same place have given me wonderful long relationships with patients, and the learning that only this kind of experience can afford. My practice has accepted all comers, and with this has come women from all socioeconomic strata. Accordingly, we in the office have gleaned experience from those who had limited access to medical care, coming to us oftentimes with significant health challenges not seen in a well cared for population.
After all this time and experience, the "doctor patient relationship" abstractly referenced in medical school has become real. I do not exaggerate when I say it is the most important tool in my doctor bag. Medical students are taught the art of taking a medical history. We memorized a stereotypical list of categories about what to ask patients; i.e. medical conditions, surgeries, medications, allergies, etc. We were told to ask open ended questions and then guide the interview in later moments. These things are the necessary foundations for history taking. But who could describe the delicate art of getting someone to open up and tell you what is most important? I can't. I can say it has to do with approaching patients with an attitude of respect. Respect is a small and commonly used word. If you unpack it for the purposes of medical care, you find it entails first and foremost, acceptance. The Latin roots of the word respect indicate to see repeatedly. Thus, respect in this case includes seeing not only good traits but also shortcomings, and seeing these things together as a whole. Patients need to know that if we see them as they truly are, that we will still care for them as people. Then they can be confident that we will take the best care for them in a medical way. Additionally, they need to know this in the first few minutes of the visit.
Where a healthy doctor-patient relationship develops, good medical care can be delivered. A doctor-patient relationship is the foundation of good medical care. Without it, you cannot be sure of a thorough history, the patient's understanding and endorsement of what you recommend, or her compliance with treatments.
Besides a good history, medical care also involves the physical exam, as well as all sorts of diagnostic studies such as imaging and bloodwork. With all this amazing and ever improving diagnostic technology, it seems we could know everything about a patient. However, it is the face to face, hands on encounter, that often tells you the most about a patient who is ill.
Good physicians can be seasoned or new, technical or intuitive. But good physicians share at least one thing in common, and that is that they assess before diagnosing, and they diagnose before treating. These are the necessary steps of medical care. To circumvent these would be to do the patient a disservice.
It is said that a little knowledge is a dangerous thing. In my experience, this can be very true. And that is just what this website is: a little information. I too will issue harsh disclaimers about the accuracy and applicability of the information on my website. But I will do my best to put all this information in the most appropriate and useful context possible.
1. A little information is not medical care.
This website is for informational and educational purposes. It does not provide medical advice to specific individuals, even to the patients in this practice. The contents of this website, www.drginanelson.com, which is owned and operated by Gina Nelson Media, LLC, its text, graphics, images and other content have not been evaluated by the any medical governing body such as the FDA, the American College of Obstetrics and Gynecology (ACOG), or the National Institute of Health. They are the product of my anecdotal experience, which, though helpful, do not carry a high level of evidence.
You should seek routine medical attention on a regular basis with your own personal caregiver. You should be up to date with your medical checkups and inquire directly to your personal caregiver before undertaking any diet, exercise or other health program described in this or any other media materials including the internet. If you have active or bothersome symptoms you should contact your medical provider immediately. Most medical providers, including this office, have after hours answering services and would rather answer your question in a timely fashion than let a matter go unevaluated. If you have a medical emergency, of course you must dial 911 and seek assistance immediately. Although we promote patient empowerment and education, our office does not recommend self-management of one’s health care.
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5. Lack of Warranty, Limitations of Liability.
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