Posts Tagged ‘auto mechanic’

You’re the Boss

Tuesday, March 16th, 2010

Imagine this: You take your car to your mechanic because it has started making a strange noise. He listens to your short description of the new noise. He starts the engine and listens to it very briefly. Then, without asking for your approval, he tells you the repairs he’s going to make, tells you how much they are going to cost, and when he will do them. He gives you a form with a lot of fine print to sign and asks you for the keys.

If any mechanic treated you this way, you would either set him straight, or you would immediately walk out of the shop and look for a mechanic who explained the repairs he thought your car needed and why they were needed, and then asked for your approval before scheduling and making them.

We expect our mechanics to be straightforward and respectful, and to get our approval before they start to work on our cars because 1) we’re the customer, 2) we’re paying for the service, and 3) we – not our mechanic – will be using and relying on our car after the repairs are made.

The way I see it, the same principles and reasoning should apply to our interactions with our doctor. We’re the customer. We’re paying the bill (or if not, our insurance is and we’re paying the co-pays), and we, not our doctor, are the ones who will be using and relying on our bodies after the treatment is done.

Unfortunately, not all doctors are willing to acknowledge the fact that medical decisions are ultimately up to the patient. If yours isn’t, you may want to consider finding another one. I’ve had to do that myself more than once, including a time when I sent a letter describing the kind of doctor I was looking for to all 37 gastroenterologists within a 25 mile radius of where I lived (only two responded, but the one I ultimately chose was great).

I want to say here that I strongly prefer having a collaborative rather than a contentious relationship with my doctor. Doctors have had lots of training, and I want them on my medical team. But since it’s my body – and my life – I need to be the team leader.

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This post is Tom’s March entry in the Health Activist Blog Carnival. If you’re interested in participating too, you can read all about it here: