There is nothing that gets my advocacy juices flowing than hearing a doctor tell a patient, I don't know what the problem is, we've done the tests and there is nothing else I can do for you.  For some people, it is a devastating moment when no answers are available and the symptoms are worsening or debilitating.  I have many clients who tell me this story.  Here is one example.

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 Out side the box thinking does not mean trying some crazy radical alternative therapy.  It can be as simple as seeking out the leading national researcher or specialist and either consulting or getting an appointment.  Dare I put forth that egos come into play when this option is ignored?  Is it difficult for a doctor or nurse practitioner to admit they are not going to be the problem solver?  Is it easier to say to client there is nothing else for you and live with it or would it be possible to really put your clients options first?   I do know sometimes there is nothing else but lets try!

My role as an advocate is to leave no stone unturned.  Find solutions, if possible, when medical professionals close the door and say I will see you three to six months.  I wish this client was an anomaly but it is not the case.  It is the norm.  Our expectations with the medical profession needs to be readjusted.  We have to know to look out for our best interests and not expect a medical professional to be as participatory as in the past.  It is the new medical culture and both sides must adjust.  Doctors and nurse practitioners need to accept the new and changing role of the patient to the empowered patient.  Patients need to be informed and willing to think outside the box when necessary.  Patients should not feel guilty for not agreeing with the doctor or seeking other options.  There needs to be collaboration.

My client is going to a specialty center where the leading doctor in his field nationally practices, where the state of the art diagnostic radiological and lab tests are available.   As an advocate, I was able use my resources and get him an appointment.  His doctors were lukewarm in helping to get the necessary information to the center.  It took my client's wife sobbing in the doctors office and expressing frustration at the lack of response to get what was required pre visit.   There are always lots of excuses but three weeks post request, does it have to be this way?

Patient Advocacy was started because of these situations.  The medical profession still roles their eyes at the thought.  There is often an icy breeze when I say I am a nurse practitioner and a patient advocate.  The most common response is why does this person need an advocate?  I rest my case.