The Legal Drug Dealer Podcast

Getting Pharmacy as a profession Closer to The Patient

May 5, 2020

#21 13 things Good doctors wish that patients knew (Part 1)

With Joanne Davis Jarrett, MD & Marilena Grittani, RPh

This episode (part 1) will show you a different way to perceive your doctors, told by an actual physician herself! Joanne Jarret.

Some of the most relevant points she made are:

  • Doctors don’t remember most patients, much less specific details
  • Not all doctors are rich!
  • Why it takes so long for the doctor to see us at the office, even 1 hour after the appointment.
  • Why everybody at the doctor office asks you questions
  • Among a ton more….
Joanne Davis Jarret Mom and Family Medicine Physician

" We (doctors) definitely are not we're fallible, we're human. Sometimes we will have a brain lapse and if it happens right in front of you, we are sorry because I'm sure that makes you feel scared that our care is not adequate. But I promise you we are trying as hard as we can... "

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Joanne is not only a very charismatic person, she is truly down to earth. I had so much fun talking to her. 

Don’t forget to listen to her podcast, you will laugh out loud with it. I promise!

Her podcast name is Fancy Free Podcast. 

Let me know what you think about our conversation and if you have any questions!!!


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Episode Transcripts

Marilena Grittani, RPh  0:10 

Hola, and welcome to The Legal Drug Dealer podcast Marilena Grittani. Here, I am a registered pharmacist and also your host, thank you for listening to this new episode. This is going to be a fun episode. And as the last few episodes that I’ve recorded, are a little bit different than the episodes that are recorded at the beginning. And this is because I want to empower everybody that is listening to this, to take over their own health, and because of the mental and social and of course, the cultural way that we were raised. We think that physicians doctors are the bomb that they know everything and they have our backs and they understand and they will tell us what to do and how to do it and when to do it. And, you know, we forget that there are people too and there’s a lot of information That we need to know that they would love for us to know. And that’s why I invited my friend Joanne Jarrett. Joanne is a physician too. And she actually wrote a blog post that is called 13 things good doctors wish patients knew. And this is what we’re going to be talking about in this episode. And I bet you’re going to be surprised if a bunch of them. And I also bet that you have never thought about a few of them. So because I want just to open your eyes to what it is and continuously educate you with what you should do and why you should be thinking about this. This episode is very important for what is coming, so please pay close attention. And let me know what you think. So here is john Jared.

Well, Joanne, welcome again to The Legal Drug Dealer podcast is I’m so happy to have you again.

Dr. Joanne Davis Jarrett, MD  1:55 

Oh, Marilena. Thank you so much. I’m excited to be here.

Marilena Grittani, RPh  1:58 

Well, today we’re going to touch about something very interesting. And as somebody that haven’t gone to the doctor before, I am guilty of also feeling that you guys are super powerful, extremely intelligent, you have the best memory in the whole world. And you guys know everything. So the truth is that what it is, you look like it. So tell me.

Dr. Joanne Davis Jarrett, MD  2:19 

Oh, you’re so sweet. No, I actually feel like it’s really important for patients to understand the perspective of the doctor patient relationship. From the doctor’s point of view. I think there are a lot of misconceptions about doctors, how they see the world, what they’re doing, how they think, how they perceive the patient. And so I just I came across a blog article several years ago that just made me so sad it was it was a letter of gratitude, written by a young gal to her surgeon for a surgery that he did for her gratis, that changed the direction of her life. And the thing that broke my heart as a woman and as a physician. It was that she didn’t she wasn’t You can tell from the letter that she wasn’t sure that she deserved what he did for her, which just broke my heart. And secondly, she wasn’t sure that he would care whether or not she wanted to say thank you or whether he would even acknowledge it. And of course, she sent him a copy of the letter and posted it on her blog. And so I thought, Wait a minute, this there are some definite misconceptions here. I want people to understand where doctors are coming from and how they think and how they operate. Because that was just it. Just it just made me really sad. This. I’m like, of course, he wants to hear from you. Of course, you deserve that. You know, that probably broke his heart to us. And I don’t even know how that situation ended up. But it just got me to thinking What do good doctors wish their patients knew that we don’t have time to tell you in a five minute visit? You know…

Marilena Grittani, RPh  3:48 

That’s the problem because the business is so short. And then you don’t have but also it’s a cultural thing. We humans were raised the doctors know everything. You know, and that’s very unfair from my stand point towards you because well, you’re a human being is impossible

Dr. Joanne Davis Jarrett, MD  4:03 

My gosh, it’s a lot of pressure. Exactly. But it is a lot of pressure. We are human, we make mistakes. We try really hard not to and we know how high the stakes are. But we still are human. We still have to wait in line at the DMV, we still have to. We don’t we do a lot of things that I think our patients don’t realize we do.

Marilena Grittani, RPh  4:24 


Dr. Joanne Davis Jarrett, MD  4:24 

So I just kind of wanted to set the record straight.

Marilena Grittani, RPh  4:26 

I want that very much so. And I also want them to see I want my audience, each one of you guys to understand that doctors are people like we are, they have the same feelings and the same everything in the same way. We need to protect them because they’re an asset for us. But at the same time we help them because at the end of the day is our health and our life, not theirs, right and it’s not their responsibility. So let’s just get to this. And hopefully everybody that is listening to this sees their doctor in a different way after we’re done. So let’s just test start with the first 13 things that you doctors things that we non doctors need to know. Well hold on. I’m a doctor too but not that type of doctor in pharmacy only. I don’t do what you guys do on my respect and by the way now that is Coronavirus day days and is the Coronavirus era. And so many health care providers out there doctors, nurses CNAs oh my god CNAs the cleaning crew, everybody that in the cafeteria cooking for all these tons of people, the people in the laundry that is taking care of all the bedding and everything that is so contaminated for them. Oh my goodness, God bless you. Thank you so much.

Dr. Joanne Davis Jarrett, MD  5:40 

Oh, gratitude. And yeah, it is a huge blessing. And we know it’s a sacrifice. We know it’s scary. And we’re so grateful that you’re willing to still do it day after day.

Marilena Grittani, RPh  5:51 

Yeah, I think that we should honor them the same way that we under soldiers when they come back and when we see the airport say you’re in our thoughts. Thank you so much. You Yeah, do the same for your pharmacist and you know who else? the grocery store people?

Dr. Joanne Davis Jarrett, MD  6:05 

Yes, because they are they’re stocking the shelves and exposing themselves make to make sure you have food to eat.

Marilena Grittani, RPh  6:11 

So please remember about all of them and be nice to set. Nice word goes a long way, right doctor? Absolutely. That’s one of my 13 things.

And she’s a doctor so she knows. Okay,

so let’s start with the first one and the first 13th it says the you guys worried so what would doctors worry about your doctors? You know everything right?

Dr. Joanne Davis Jarrett, MD  6:30 

Oh my goodness. I tell you what, when I was practicing, I would lie awake, worried sick, not every night nd not about every patient. But sometimes I would sit straight up in my bed in the middle of the night and go, Oh my gosh, I need to check this or I didn’t consider this and it is we cannot we are human. We are worried we care about our patients. And we want the very best outcome for them. You know, one of the hardest things I think about medicine for me was I could never resolve The conflict between wanting to provide absolutely perfect care for my patients because that’s what I felt like they deserved. Along with the fact that I’m human, and I’m imperfect. It was that that is so stressful for doctors. And that is, we just want you to know that we are worried about your safety and we’re worried about your well being it’s top of mind. It is definitely top of mind.

Marilena Grittani, RPh  7:26 

I truly believe that. And just to make a side note, I happened to me when I started working in the hospital, I remembered those in Warframe for patients the same way as I know, the same way. There’s one common thing and I remember a couple of times driving to the to the hospital at three in the morning because I forgot if I check the patient’s levels, because just for people that don’t understand warfarin Is that something that we use for you know, to have clubs, and vancomycin is an anti antibiotic that is used for certain things. But it could damage your kidneys. So we have to monitor every two to three days to make sure it’s working well, so you don’t bleed to death number one kind of important.

Dr. Joanne Davis Jarrett, MD  8:07 

And then you’re walking a tightrope when you dose those medications.

Marilena Grittani, RPh  8:10 

Yes. And we have a protocol, which is that the pharmacists take over, but it’s overseen by the doctor, but the doctor trust us on that. So yeah, it’s on you. Right. So I have drove driven back to the hospital at three in the morning after working 12 hours because oh my god, I don’t remember if I chose this patient and I went there to see the nurses are like, what are you doing here in your pajamas? I’m like, this patient doesn’t whatever and they’re like you wrote it go back to bed. I’m like, sorry. So I was the only one.

Dr. Joanne Davis Jarrett, MD  8:38 

No, we have lives in our hands. It kind of sounds cliche, but it’s absolutely true. And every doctor realizes the gravity of that statement. And every anyone who’s administering care that is not specific to medical doctors. Like, you know, yes, we totally rely and it’s actually isn’t it so nice that we can kind of share the In it, because like when I’m dosing someone with those kinds of things, and I’m ordering those medications in the hospital, I know that there’s a Marilena sitting pharmacy that’s gonna make it right

Marilena Grittani, RPh  9:11 

for my super nerd.


Dr. Joanne Davis Jarrett, MD  9:15 

And if she doesn’t remember whether or not she made it right, she’s gonna drive back to the house.

Marilena Grittani, RPh  9:20 

Yeah, and I know a bunch of my colleagues that have done it too. And you look at them after your experience. You’re like really rookie. And then you’re like, No, I did the same thing. You’re good. You did good. Oh, totally. Yeah.

Dr. Joanne Davis Jarrett, MD  9:30 

Nobody wants to admit it. But we’ve all done it.

Marilena Grittani, RPh  9:32 

Absolutely. Yes, ma’am. So how about wondering what do you mean by that?

Dr. Joanne Davis Jarrett, MD  9:37 

Oh, my goodness, we wonder about our patients. We because, you know, it’s very rare that a doctor will get to see an entire medical life of a patient from start to finish. You know, most of us are going to, we’re going to travel through your life. You’re going to travel through our life. And then there are always those patients that we wonder about, and we do care It’s very rare that we get to get have a follow up story. But one time a couple years ago, I was at a swim beat. And I was talking to another swim mom. And she told me and she’d gotten permission to talk to talk to me about this patient because it’s a patient we had in common. I don’t even know how the patient figured it out because it was a decade and a half liter, but this gal Yeah, and she was she’s a natural path. So she was a completely different branch of medicine than I practice. But she said, Hey, I don’t know how it came up. But we have a mutual patient. Her name is blah, blah, blah. And I said, Oh my gosh, I’ve always wondered how she did, because I diagnosed this woman with a really serious diagnosis right before I left residency and moved on. And I always just kind of wondered about her. Well, she told this gal 15 years later, please tell Dr. Jarrett, her diagnosis was correct. She saved my life. I’m doing really well. And it just heated up. It made me My day and I said, Please tell her I am so grateful that she thought to pass that message along to me because that is it’s not just we don’t see our patients as numbers, we see our patients as human beings with loved ones and dreams and desires and fears. And we really want what’s best for you. And we really are curious about how you’re doing. So if it if it occurs to you, Hey, I had a pediatrician when I was 15 years old, who diagnosed me with some crazy thing. Let me just see if I can find out how to write that pediatrician a letter and let him know he or she will eat that up that will not go unnoticed or unappreciated.

Marilena Grittani, RPh  11:41 

That is true. I remember going back to my pediatrician when I was maybe 18. And I said, Hey, you motivate me to be a doctor. But I fainted when it’s a blood. So I’m a pharmacist, I’m going to pharmacy school. And he said and I said it was because of you because how you treated me and I wanted to do the same for others. And he said You made my day. Thank you for telling Meet them. I meant some so much for you. So yes, yeah, let’s do that.

Dr. Joanne Davis Jarrett, MD  12:04 

Yes, absolutely.

Marilena Grittani, RPh  12:06 

Okay. So what do you mean you forget? Because you just said that you don’t forget about your patients. So what are

Dr. Joanne Davis Jarrett, MD  12:11 

you? Oh, totally.

It seems contradictory. Yep. That seems contradictory. So, when I say I forget, what I forget is things that are mundane and routine to me. So as a physician, I probably did five pap smears every single day. That I will forget, I will not forget a face. I will not forget a story I will if I run into don’t In other words, don’t be afraid to run into your doctor in the grocery store. I had a patient once say, Oh my gosh, now that you’ve done my pastor, I’m just gonna be mortified If I see you in public and I’m like, Sister, I look at five you know, I see five Volvo’s, vaginas and cervix is every single day there is no way I’m in it. body parts are just body parts. I’m not going to remember what yours look like. If I run into you in the store. Don’t pull your hoodie over your head and run in the other directions. Say hi to me, because even if I don’t remember your name, I’ll definitely remember that we connected that I cared for you. I may remember something you told me about your life. And I promise I’m not going to remember what your pap smear was like what your pap smear results were or what your cervix looks like,

Marilena Grittani, RPh  13:15 

on the same week, don’t ask me sold to the doctors at the grocery store omega two days after your test, because

Dr. Joanne Davis Jarrett, MD  13:22 

then yeah, that’s another thing. We are processing so much information all the time that we can’t possibly remember. And furthermore, even if we did remember, it would be inappropriate because we weren’t we if we don’t have the record in front of us, we wouldn’t want to trust our memory and give bad information. So well. Yes.

Marilena Grittani, RPh  13:41 

Something similar happens to pharmacists, because patients come over and they said I need my pill and you’re like, Okay, which one? They want rounded one and you’re like, Okay, most of them are like that, and I don’t even know your name. So please, please come here every month. Yeah, but the same way. five other thousand people. So there’s no way I will remember everybody true that we have a connection with certain people that are extremely nice or they’re very chatty, or you have a special relationship for whatever medically problems they had.

But other than that, when you’re

Dr. Joanne Davis Jarrett, MD  14:15 

still you won’t necessarily remember what pills and dosages those people are and you’re going to remember you’re fond of them, you have a connection, but you still aren’t going to remember their medication. I

Unknown Speaker  14:23 

don’t want not even

Dr. Joanne Davis Jarrett, MD  14:24 

appropriate to try to remember that. You need to you need to, yes, you need to reference the record.

Marilena Grittani, RPh  14:31 

Yeah. Maybe something had changed or do remember a and b. I don’t trust my memory for those stuff. No, ma’am. So number four is very interesting to me. Because the perception that most people have is that doctors physicians in general, are loaded.

Dr. Joanne Davis Jarrett, MD  14:49 

It’s so crazy to me, and you know what? Some are? But here’s here’s here’s the reality of it. We scraped by for years and years. In yours if you calculate the hourly pay along with the years of education to get there, medicine is not something you do to become wealthy don’t do that it is not going to work well for you. So our for our The pay is not great. And at least not for primary care physicians, some you know, like pediatricians and family physicians and internist. They are they have been scraping by for years and they may be still are scraping by. And I’m not saying that I thought I deserved more. But sometimes I did feel like I deserved emotional hazard pay. And I know you understand the same thing. I mean, how many people are going to drive to the hospital in the middle of the night because they’re worried about something? The stakes are high, we treat them as such, and therefore, we should be compensated for that. But I know there are other there are many other occupations and professions that have it way worse in terms of compensation and emotional liability for that matter. Military Personnel, teachers. It’s I’m not saying doctors should be

Marilena Grittani, RPh  15:58 

the only ones.

Dr. Joanne Davis Jarrett, MD  15:59 

Yeah, we’re not the only one. And you shouldn’t feel sorry for us, but I just want you to have a realistic understanding. So doctors go to four years of college and four years of medical school, they pay tuition every year, those eight years. Then they go to a minimum of three years of residency, that is on the job training and they do make a salary while they’re in residency, but I tell you what it calculates out to about 10 bucks an hour, because during residency, those residents who work at least 80 hours per week, they will have hardly any vacations they will do. They’ll stay at the hospital as long as they need to to get their work done. They’ll get there as early as they need to get their work done take proper care

Marilena Grittani, RPh  16:36 


Dr. Joanne Davis Jarrett, MD  16:37 

yes, that they are the bottom of the pecking order. So their time and their compensation during residency pencils out to about minimum wage. You know, after that the salaries vary widely for specialty but and surgeons do make the most but they also have to do the most years of residency at least five and sometimes a lot more depending on you know, what their specialty is where the and then residency, the pay does increase year by year but not by much. So if you have a 35 year old physician or surgeon who you think is probably rolling in the dough, and maybe he does have a really fancy car outside because she treated himself to something he’s probably paying payments on that sucker and he’s paying back his school loans and he’s probably living in a, you know, a really small place

Marilena Grittani, RPh  17:25 

rather than have his house

Dr. Joanne Davis Jarrett, MD  17:27 

so he, he, I promise you, your 35 year old surgeon is worse off than your buddy who became a welder right out of high school financially at some point the tides may turn, but doctors are not making money to invest until they are very advanced in years. Yes. So we’re scraping by guys

Marilena Grittani, RPh  17:48 

and that happens in a lot of profession is just not medicine. But I remember my son he wanted to be a physician so but he wanted to be a neurosurgeon and and he did a rotation last summer with my husband’s company, and he talked to a bunch of doctors and they all told him, don’t do it. Don’t do it. You want me to tell you why you don’t have to do it. Look at this. And they did they grab a pen and pencil and they were like a pencil and a page and they were like, this is what you make. This is what it is to see how many years you need to make this much money. And he was like that I’m sorry, I’m not gonna never be a doctor. And we were like, whatever you want to do, we will support you, but it is too much of your time of your life. And yes, physicians put their lives on hold until they have they get out of residency so they can get married and have kids and then so BC is a tough, tough life. Plus, I remember being at the hospital three in the morning being calling being called by a surgeon, hey, we have a baby that needs this antibiotic, please mix it for me. And they’re there all day and they get calls all day and they have to have elective surgeries in the morning. So who’s going to stop?

Dr. Joanne Davis Jarrett, MD  18:51 

Right! That doesn’t work that those doctors are probably not working shift work when I was in residency as a surgical well as a family. Emily’s physician resident you do rotations through all the specialties just so you can have a broad base of knowledge. So I did a month in surgery at the VA and we would work 36 hours on 12 off. We did that for an entire month. So when I’m seeing patients in the clinic I’ve worked all night and the whole day yesterday I haven’t slept yet. So it’s it’s not only is it not very well compensated, but it’s it’s really tiring.

Marilena Grittani, RPh  19:23 

So when you see Grey’s Anatomy and you see them having a bed and something very comfortable a room like that it’s not a luxury time to have sex in the call room.

Dr. Joanne Davis Jarrett, MD  19:31 

It’s not

Marilena Grittani, RPh  19:33 

a need. They can get a nap for 10 minutes just to sleep the only 10 minutes a day was sleeping 24 hours it was picked up tense.

Dr. Joanne Davis Jarrett, MD  19:39 

Absolutely, yeah.

Marilena Grittani, RPh  19:41 

Okay, for sure. So tell us about behind the scenes what happens after you leave us or before you come to us and off?

Dr. Joanne Davis Jarrett, MD  19:48 

Yes. Okay. Well, I doctors should remember that being admitted to the hospital is very scary. Furthermore, coming to your doctor with a scary symptom is very scary. There’s a But there’s sort of this disconnect between what the doctors are doing, how their work looks, and what the patients are actually observing of their of their work. So, when I was in college, I was very fortunate to have a hospitalization. And what

Marilena Grittani, RPh  20:17 

a nerd oh my gosh, I know.

Dr. Joanne Davis Jarrett, MD  20:20 

You guys, I got out of the hospital two weeks before the MCAT, which was the medical college admission test. It was such a crazy timing. And I did it and I did well, and I think one of the reasons I did well is because I was like, well, the pressures off if I don’t do well, I’ll have an excuse. Yeah, so I, I was in the hospital as a 19 years old, I’d had appendicitis I had my appendix removed. Then I had a post operative hemorrhage and I had to get a very large surgery after that I had to blood transfusions was very scary. And I was I was away from my parents. Of course, they flew up but anyway, but it was so disorienting being in the hospital because I thought to myself, where are the doctors? What is the point? Lamb Do they even remember that I’m here? I don’t, you know, this is what is happening. And so I, as a physician, therefore, always explain to my patients, this is what’s going to happen. You come into the hospital, I will do an initial evaluation and an exam, and then I will disappear. But when I disappear, what I’m doing is I’m scurrying off to a desk somewhere, I’m dictating or typing up my history, my physical, my assessment, my plan, then I’m writing about a page of orders, outlining everything that needs to be done with you in the next 24 hours. Like what hospital unit is appropriate? How often do I want your vital signs checked? What activity limitations Am I placing on you? While I want the nurses to do for you what your Dietary Specifications are, what IV fluids you need, what medications you need, what labs need to be run, what special tests need to be done MRI, CT scan X ray all that. I sit and I figure all that out? Then I’m available by telephone continuously to address any concerns that the nurses the pharmacists and nutritionists that therapists, the social workers have regarding your care. And I’m gonna check back as results become available and reassess my my diagnosis and my plan for you as information becomes available and you make but you may not see me again until that next morning it might seem like I saw you for 20 minutes in the emergency room and then I skirted in the next morning that’s really deceptive to patients and so I feel like it’s really important for them to understand that you are being cared for you’re not being you’re not flapping in the breeze there’s there’s a base of support under you even though you’re not seeing your doctor. And then, you know, either either I’m available all night for any emergencies or results or my my colleague is whoever whoever the poor slob visits on call overnight, and then And furthermore, they’re probably five or 10 other patients I’m doing the same thing for because usually doctors don’t just have one patient in the hospital.

Marilena Grittani, RPh  22:54 

I wish that would be awesome. So yeah, and then no hospital.

Dr. Joanne Davis Jarrett, MD  22:58 

Oh my gosh, I know. It’s just like I remember when I was doing waitressing and it’s it’s just it’s so it’s still, it’s a similar concept. It’s kind of deceptive. Because if the restaurant was really slow, I would still be super busy. Because I’d be like, well, I’m the only waitress here now. So you just you never know what the ratio of burden is on the people who are doing the work. It’s very deceptive to say, oh, there’s no there aren’t any patients here. This must be downtime. None. No, it just means there are less people available to do all the work. Yeah. And and then furthermore, probably the next day, I may be seeing 20 or so patients in the office and making, you know, between all of the hospital calls where I’m making life changing decisions, so I also would have really loved during being the hospital for the doctors to tell me what do I need to achieve? Before I can get out of here? What is the plan? And so and there are all these boxes that doctors have in their minds of things that need to be checked off before a patient can be released from the hospital. It’s very easy to Fill your patients in and bring them in and have them working towards those with you, but they can’t if they don’t know what they are. So I think it’s really important to inform patients, there are things like this, you need to no longer be on supplemental oxygen. If you’re somebody who needs oxygen on a regular basis, that’s different, and then that’ll be part of your discharge planning. You’ll get that set up at home. You need to be able to stand up without fainting. You need to be able to not have important Yeah, not have a fever for 24 straight hours. You need to be tolerating all the medication you’re going to go home with, you need to not be requiring IV support unless you’re going to have that at home with home health.

Marilena Grittani, RPh  24:36 

How about going to the bathroom?

Dr. Joanne Davis Jarrett, MD  24:38 

Yeah, you be able to go pee and poop mostly someplace. Some places don’t make you go poo before you left. But I

Marilena Grittani, RPh  24:44 

bet you have surgery most likely they will and and the nurse will tell you You are not going to home. Go home until Yes. And then you’re like yes. And then you just focus on that and get it done. So you can go home.

Dr. Joanne Davis Jarrett, MD  24:55 

Yes, right. Oh yeah. So you know if you recruit your patient to be on your to achieving these these landmarks, then they’re definitely going to be more likely to work towards that. And they’ll feel so much better because they know what are we even working towards here? So when I was in a hospital during that hospitalization because I had an abdominal surgery, the doctors were first they’re waiting for you to pass gas and then they’re waiting for you to poop. Well, I didn’t know that nobody explained it to me. So I just have these hot, cute residents, one after another coming. So I was in a teaching hospital, you know, one after the other saying Did you pass gas yet? Like no,

Marilena Grittani, RPh  25:28 

lady, but

Dr. Joanne Davis Jarrett, MD  25:29 

exactly. And you know, after two or three days, they were like, really strange, like and so then they explained it to me and I’m like, Oh, yeah, I’ve been doing that. Okay,

Marilena Grittani, RPh  25:40 

I know what it is to tell them why so important to pass gas and then to go number two?

Dr. Joanne Davis Jarrett, MD  25:45 

Yep. So when you have anesthesia, first of all, and then specifically some, you know, an abdominal surgery, but any kind of anesthesia that your your GI tract reacts to that by slowing down and they want to see that Your GI tract has come back alive before they send you out. Because if it stays in an ileus state, which means it’s paralyzed, then that’s going to be really bad for you. It’s going to make you really sick. It’s going to back you up. So and

Marilena Grittani, RPh  26:16 

she means gi is the stomach. intestine. Yeah. And all the way until you poop,

Dr. Joanne Davis Jarrett, MD  26:20 

yet the gastrointestinal tract, which is from your mouth, to your bottom, yep, and everything in between. So the very first sign that your intestines are coming back to life is that things are moving through. And the easiest thing to move through is air and gas. So they’ll say, Are you passing gas to listen to your spirit abdomen? If they hear bowel sounds, and those are all really good signs that your intestines are waking up that things are beginning to function properly and that you can you’re on the road to recovery as far as that goes.

Marilena Grittani, RPh  26:51 

And then the pooping might be if you had an you couldn’t have an obstruction or you might have some issues that could have happened after surgery. So that’s why it Hoping if they get surgery was intestinal had something to do with that and

Dr. Joanne Davis Jarrett, MD  27:05 

they want to make sure that the road is clear all the way through and that there aren’t any blockages.

Marilena Grittani, RPh  27:09 

And I know going number two in a place that is not home, it’s not easy, but when you’re in the hospital, you have to do it. If not, they will know that you go so look at it. Yeah.

Dr. Joanne Davis Jarrett, MD  27:19 

Yeah, okay.

Marilena Grittani, RPh  27:20 

So okay, why? And I absolutely personally hate this. Because when you get to the hospital to the doctor office, they give you 20 pages that you need to fill up and you spent 45 minutes doing that, and they ask you everything on anything. And then you go in and the AMA comes over the medical assistant, and she goes over stupid questions again. And then I’m like, I already answered them in a paper. Why are you asking me the same thing? She said because my job I have to do it and I hate it. Not her. I hated the problem. And then the doctors come over and guess what?

Dr. Joanne Davis Jarrett, MD  27:51 

They asked you the same freaking question.

Marilena Grittani, RPh  27:54 

Tell us why are you going?

Dr. Joanne Davis Jarrett, MD  27:56 

Yes. Okay. This is the way that what medical world is, but when you call to make your appointment, you’re going to be asked what’s going on, they need to ask you that so that they know how soon your appointment needs to be how much time they need to give you on the schedule. So that’s the first reason why, then when the nurse checks you in, you’re asked again, and that’s to make sure that they understand exactly what the doctor is going to need to be addressing. So this is so they can bring the proper things into the room so that they can get you dressed the proper way for the doctor to do the exam. And so that they can write a note to the doctor on the chart about what your we call it, the chief complaint, what’s the main thing going on? Why are you here? And then when the doctor comes in, it seems like they’re reinventing the wheel but just have to hear your issue with their own ears. They’re going to have more questions. And they really need to evaluate you  for themselves. They need to see how you know how sick you are, and they need you to tell them the story. You can everybody else you can give them a very abbreviated version of your story. For instance, you could just say sore throat, the MA when she’s rooming you, she might say, Have you had a fever? How long have you had the sore throat, but she does not need a paragraph. She just needs like bullet points. The paragraph is when the doctor comes in and you save the paragraph for him. He’s the one he or she is the one who needs all of the details. They’re gonna have follow up questions. They’re going to formulate all of that information along with what they’re finding unexamined. And each test they run. And that’s how they make the decision about what they think’s going on and what needs to be done. So I hate it to I hate it. When I go to the doctor. It’s like, I don’t want to answer this question five times. I’m so irritated, like, let me just so but if you know that you can be very brief. With the scheduler, of course, you have to fill out the paperwork. But sometimes, you know, you don’t necessarily want your doctor to sit there and read 20 pages of stuff before they come in because that then you’re going to be waiting a really long time. So they look they scan that over but then they’re going to ask you some maybe repeat questions that are relevant to what’s going on to you to make sure they aren’t missing something. They’ll comb over that paperwork later and

Marilena Grittani, RPh  30:03 

get more details from it.

Dr. Joanne Davis Jarrett, MD  30:05 

Yeah, so it’s so annoying. But if you know that you can be brief with the first few steps, maybe it’ll be less annoying. But I think that that amaze job is to kind of give you a heads up of what area of the body so the doctor can kind of open up that file that is okay, I need to think about stuff that are related to the throat or to the leg or something. Yeah. Then they may want to review specific labs that are already in your chart that go way back so that they’re getting Yeah, exactly. So that they’re getting a really good picture of you and your history before they walk in the room. They’re getting some context.

Marilena Grittani, RPh  30:38 

But I did I had not one thing.

Dr. Joanne Davis Jarrett, MD  30:42 

I know, I had one MA when I was working in Nebraska who was great, she would just give me three or four words. That’s all I need. I’m gonna ask all the questions anyway. But then I had one who would write paragraphs and I’m like, this is not only is this wasting my time in the patient’s time, but this is actually inappropriate because I may not see fit to address all of these things, we may not have time to address all of these things. So I really want you to just get down to the bare bones of what they’re here for. And then I will delve, I will pull more things out. If the patient brings up more concerns, I’ll say, you know, okay, that’s a concern, but we’re going to need to have you back for that. So it is it’s a fine balance. It’s a dance, it’s but it makes me roll my eyes so hard into the back of my head when

Marilena Grittani, RPh  31:25 

we’re together on that and I know most of the listeners are too Right. Okay. Yeah. So talk to me about fever. Why for you fever is one thing and for us is another thing and then the pediatrician sisters and the general doctor says that explain

Dr. Joanne Davis Jarrett, MD  31:39 

fever is such a such a trip. Okay. So a doctor does not consider your temperature to be a fever unless it’s oral or rectal, above 100.4. So most of the time you’re not taking an oral or a rectal temperature your skin temperature is lower. So we do that kind of trance translation in our heads. That is You know, the easier ways are a skin tone on the forehead or tympanic temperature, those are going to run a little lower. Just talking about if you have a temperature of 100 in your ear, we are not going to consider that a fever. And we’re not trying to downplay your symptoms, but we’re trying to take in objective information about which to make decisions.

Marilena Grittani, RPh  32:16 

So those of you that if you take it in your ear or in your forehead, it tries to a little bit lower than what it really is, yeah, we’re taking into your mouth or in a rectally, which is what we do with babies. So they need to be objective, because they might look to you that is fever, but it’s actually just not and because they need to go with what is the requirements or the check marks. Okay, this person guidelines, yes, what it is, then they can make a better diagnosis.

Dr. Joanne Davis Jarrett, MD  32:45 

Yep. So a temperature of below 101 in an adult or a child above the age of three months, less than, you know, less than 101 by skin or tympanic. It’s just not worth mentioning. It’s not going to change I mean, if you could tell him No, there’s no fever, but that that is not considered a fever, unless the patient is four months of age or younger, and actually, that’s three months, elderly immune compromised, or something else. So, I had a patient one time when I was in Nebraska, I thought she was one of my favorite patients, but she was in the hospital with a with had, she’d had an orthopedic surgery and she’s otherwise healthy, so I wasn’t going to be going in there. But she purchased and brought her own thermometer to the hospital. And she kept calling me and reporting her temperatures to me. And I was like, I’m, I’m not even in charge of your care. Like, she’s just she just took it upon herself. And I was like, Okay, how can you? That’s an education is an order here. Yeah. So, yeah.

Marilena Grittani, RPh  33:44 

And so it’s important, I would like to say there is that whatever you think is important, might not be important for the doctor because it doesn’t mean that what you know, that’s all what you know and you think is important. It might not be even relevant to the physician. So that’s why they point that we made before, of, you know, knowing details of what it is and telling the doctor details is important because then then they would know how to make it work in their brains for them to diagnose or decide if you’re doing better or not.

Dr. Joanne Davis Jarrett, MD  34:17 

That’s right. Don’t feel like they are dismissing you if they act like a temperature less than one on one is irrelevant, but it just is in fact, in most circumstances, it just objectively is it doesn’t mean that they’re saying you’re not as sick as you are. It’s just one piece of information in the decisions that they’re making.

Marilena Grittani, RPh  34:36 

Yeah, so the next point is very close to my heart because I’ve seen it happening. So you guys go through so much. And if you have ever worked in the ER seen stuff that come to the ER, I don’t know how you do it. My first patient in the ER I was the only pharmacist that was ACLs certified which is that you go to the what they call Code Blue when the patient is not responding. Then you have to do everything. I almost I couldn’t content, my, my my tears, because it was the first patient that died in front of me. And that I remember that and he’s been over 10 years I’ll never forget that. So that is part of the trauma, but I cannot imagine what you have gone through as a physician, and the trauma that that will bring. So what stuff are there that you that affect you in a more deeper way?

Dr. Joanne Davis Jarrett, MD  35:29 

You might think that trauma surgeon or an ER physician is the only one who’s witnessed things that are traumatic, and believe me, they’re witnessing them at a much greater frequency than other doctors are. But every single Doctor who is practicing today has gone through trauma, surgery, rotation, ER rotation, obstetrics rotation, so every doctor is exposed to all of those specialties where things are more likely to go bad fast, and I’ve been retired for 16 years, and I tell you When not a month goes by that I don’t have some kind of medical nightmare. And I’m sure it’s different for people with different natures, I’m kind of more of an anxious type. But you know, I’ll have a nightmare that I have my pager that dates me but my pager going off and you know, this funhouse hallway that’s never ending with flags down both sides of patients that are waiting for my care each person more seriously ill the next. And I wake up and I just have cold sweats and it’s just awful. And, and you know, the injury is additive, the more we experience, the more injured we become. And yes, some doctors do become more resistant than they do, you know, grow some, you know, they learn coping mechanisms, etc. And, you know, I’m fine. I’m not like at home, you know, in the fetal position all these years later, but what I want patients to realize is, even in my short career, and this was all during residency, I saw a baby take her last breath in and I was just will never ever forget that I went into the hall and very similar to Marlena, I cried, and I was so embarrassed to be crying in front of my senior residents and they were like, you know what, it’s okay, this is sad. This is sad. And I watched a woman bleeding uncontrollably after giving birth to her child and loose consciousness. And not only did I witness that the floor just being covered by an ever expanding pool of blood, I was in charge of making sure she got through it. Okay, so I’m thinking of what do I need to do? I don’t slip on the blood. Joanne. Okay, put her head below her feet, get that large bore IVs and get the anesthesiologist in here to help. I mean, it was it’s just, it’s just really scary. And I looked into the eyes of a patient who I looked into many eyes of many patients who I had to tell you have cancer. And then we have to have that conversation about what does that mean? And when I was in the trauma center in Las Vegas, a woman came in who’d had her legs almost suffered by being run over by a truck? And I saw her tell her father take care of my boys. She thought she was dying. Meanwhile, what I’m doing, what am I doing? I’m digging around trying to get her urinary catheter in. So I’m further traumatizing her. The situation is traumatizing me. It’s just, and so, you know, I could go on and on. And I’m not saying ours is the only traumatic job but what I’m saying is and you know, we did, we signed up for it, everybody who did it knew what they were getting into. But just keep it in mind when you’re tempted to be angry with your doctor. There are a lot of things boiling below beneath the surface, and I used to tell my nurse when I was practicing. Denise, when I seem angry, I’m probably scared. Yeah. So you know, that is the way fear and everybody has a different nature. Everybody expresses fear differently, but doctors are not immune to fear. And it’s not just that we’re afraid for you in the certain circumstances. If you come into my office and you’re having a heart attack And we’re calling 911. And I’m administering care. I’m scared, because I don’t want I know that this can go south. And so, but just realize that despite that your doctors come in day. I don’t know anymore. But your your doctors come in day after day, and they open themselves up to further trauma. And they’re doing that because they want to care for you. And because it’s the right thing to do.

Marilena Grittani, RPh  39:21 

And the people that are doing this, oh my gosh, I’ve been times

Dr. Joanne Davis Jarrett, MD  39:25 

so Marlena, I just I can hardly look at the news because I feel for they’re saying, oh, we’re going to let these medical students graduate early so they can get in there and help and I’m thinking, they’re never gonna be the same. It’s so stressful. They’re seeing so much pain, and so much death right now. It’s really, really awful. It is.

Marilena Grittani, RPh  39:45 

But again, that’s what we sign in for. That’s what we want to do on our responsibily is  to keep you alive and to give you whatever we need to give you so you get better or you have a better quality of life. And we’re committed to that. Everybody at the hospital is but the doctors,  Sorry, they’re the ones responsible. And whenever anything happens, we looked at them. Let’s call Dr Joanne, she’s the one that knows what to do. And she’s like, Oh, no, I’m already stressed out. Are you talking? Why does it now let me sleep or what have you. So

Dr. Joanne Davis Jarrett, MD  40:14 

oh my goodness, I use I came to hate my name. I hated hearing Dr. Jarrett, Dr. Jarrett, Dr. Jarrett like, you know, there’s only

Marilena Grittani, RPh  40:24 

one thing get in touch.

Dr. Joanne Davis Jarrett, MD  40:25 

Yeah, calling me saying my name.

Marilena Grittani, RPh  40:29 

All in a good way because it is just full time. So part of the reason why we’re talking about this is because we need you to understand what doctors think and feel sit on their chairs for a minute, and then understand what you how you need to manage certain situations. So just having said that, they’re adorable. They’re awesome. They’re super smart. They’re super kind and careful. There. There’s a bunch of them that are idiots and I say that with full of responsibility, because I had a bunch in my mind. professional life is about them.

Dr. Joanne Davis Jarrett, MD  41:03 

Okay the idiots well first of all we can all be idiots sometimes. Well we I mean, isn’t it just so embarrassing to be human? Yeah, I mean I can’t even tell you how many prescriptions I’ve written in my life but when I have to choose between the word prescription and subscription I panic for a second because I you know that little inner idiot just can’t get over it just can’t figure it out.

Marilena Grittani, RPh  41:22 

He wants to get a

Dr. Joanne Davis Jarrett, MD  41:24 

yeah oh my gosh so so crazy so it’s not just people who are English as a second language those words like in your you know, it’s like this is my native language I’m furthermore a highly educated person who’s full on Adult and I can’t remember doing this

Marilena Grittani, RPh  41:36 

so please don’t make fun of me because English is my second language. Okay.

Dr. Joanne Davis Jarrett, MD  41:40 

Yes. Hello. Anyways, but it on a more serious note. You know, we we definitely are not we’re fallible, we’re human. And sometimes we are going to have a brain lapse and if it happens right in front of you, we are so sorry because I’m sure that makes you feel scared that our care is not adequate. But I promise you we are trying as hard as we can on time. But we’re still we still have those moments. And you know what? We’re gonna get to this point in a minute, but I’ll just bring it up now because I definitely feel like it relates. Not only are some of us idiots Some of us are jerks and jerks are way more dangerous than idiots because everybody can be an idiot now and then but if a jerk if you feel that your doctor does not have your best interests at heart, go away and find a doctor who does have your best interests at heart because you every doctor is not created equally and you definitely need if your spidey senses are telling you this guy is distracted this guy is not you know, taking my health seriously, or girl, move on. Find another one.

Marilena Grittani, RPh  42:48 

That’s getting harder and harder but do just try it is what needs to be done. I remember patients telling me my doctor said that all my menopause symptoms are normal and I need to put up with them. I’m like well that you need to change the doctor because It is true, but you can handle them. And there

Dr. Joanne Davis Jarrett, MD  43:03 

are things that can be done. Yes, yes, he is not even bothering to reach into his toolbox and help you out that is not someone who’s on your team and that was

Marilena Grittani, RPh  43:10 

we couldn’t find a female because she would know better.

Dr. Joanne Davis Jarrett, MD  43:12 

Yeah. And just like in all areas of life people usually mean well and are usually doing your best but there are going to be those arrogant or incompetent or arrogant and and competent doctors and you need to turn around and run away because they do slip through the cracks. The majority are not Mm hmm. And but you know, those doctors do slip through the cracks and so you need to keep your keep your antennae high

Marilena Grittani, RPh  43:35 

and your nurses are going to tell you yes. So if you see that the doctor X has a bunch of nurses going to their practice. That’s a doctor that you want to go on. Yes. Inside tip. That’s it.

Dr. Joanne Davis Jarrett, MD  43:48 

That is so good. That’s really smart.

Marilena Grittani, RPh  43:50 

It’s like when you when you see a bunch of I don’t know Thailand is people going to this island restaurant. That’s where you want to go because they know better thing is This Yes.

Dr. Joanne Davis Jarrett, MD  44:00 

And the bedside manner does not necessarily correlate and translate with the skill of the of the physician. So, but the nurses know the difference. Oh yeah, if you see nurses or pharmacists or other you know, respiratory therapists going to a certain physician, you can know that they have witnessed proper medical care and smart medical decision making and that you’re really

Marilena Grittani, RPh  44:22 

so they can command a doctor or actually tell you runaway Okay, yeah, this is a question that I personally okay. TV, people watch TV and they believe whatever they say. Whoever that is, whether if they trust the channel or another or if it’s a commercial, so when but you know what, let me just tell you this as a marketing. I have a master’s degree in marketing. I don’t know if anybody knows about that. But I do see it more. Yeah. Not only drugs, I also know about other stuff anyways. That is marketing. That is them telling you that that’s what it’s supposed to be but That doesn’t mean it’s the truth. For example, when they said a fried food, this is healthy, that is not true. Other things like this is the medication that pharmacists recommend the most. That is not true. How about doctors? tell me that

Dr. Joanne Davis Jarrett, MD  45:14 

They can say anything they want to say. Yeah. And yeah, they’re trying to manipulate where you spend your money. That is the long and the short of what these advertisements are trying to do. They’re trying to manipulate where you spend your money. I hate those commercials, because they seem relevant to such a small slice, and they’re so painfully detailed. It’s like, I don’t want to hear about that on TV. But then, you know, they’re talking about particular side effects. And they seem aim to tell every healthy person out there that Oh, you might be sick, this you might need this or you might need that go screen off to your doctor. And since I’m taking this medication, do I need that medication but if I do this, or that might happen, and it’s just this anxiety provoking unnecessarily. Oh, hi. And I’m actually surprised that those hours advertisements were allowed. Yeah, yeah. Or are allowed because some of them are very full of either misinformation or manipulated information. Yeah. And with that, yeah. So here’s what I think is the most important thing. When you go to your doctor regularly, make sure your healthcare maintenance is addressed, you need to go at least once a year. If you’re older or younger, it’ll be more often. And you need to be honest and detailed about your symptoms to your doctor. And then you need to let your doctor recommend necessary medication and discuss likely potential side effects when necessary. You can take it a step further, because your doctor may not want to go down the entire list of possible side effects and talk to your pharmacist. But you do do not and we love educated patients we do it’s not that we don’t want you to be educated, but I promise you pharmaceutical commercials are not where you should be gaining your education. That is just not now.

Marilena Grittani, RPh  46:52 

Let me just say this in a very responsible way. I was the marketing manager for a line of athsma and dermatological products for a year at Schering plough one of the most the most important pharmaceutical companies in those two areas in the US and I had to say stuff that you know, we had to say because we need to sell it because that’s how we make our money. And am I ashamed? Well, I wasn’t lying but I was except I mean excelled in certain areas of it that were not that big. And then when whenever you actually read it now, that’s why I don’t I hate them. That’s why I don’t believe in them because I made them so I do know what it is and I hate when people said, Boy, we’re doing a commercial I’m like, Don’t listen to them. Don’t just don’t trust me on that because they’ve been in both sides of the of the situation. And I know what it is so don’t

Dr. Joanne Davis Jarrett, MD  47:45 

Yeah, absolutely.

Marilena Grittani, RPh  47:46 

Okay. Okay. This is something that hits really hard in every single patient and now that you’re patient to lady in the world do you guys make us wait so long? Why My 10:15 and then you see me at 12:30

Dr. Joanne Davis Jarrett, MD  48:03 

Oh my gosh,

Marilena Grittani, RPh  48:04 

make me spend my whole morning with you for nothing. And then five minutes. Hello,

Dr. Joanne Davis Jarrett, MD  48:09 

that’s so awful. I want you to know that most good doctor, good doctors do respect your time. But, and some offices just aren’t running well, but there are circumstances in which we are just not going to be able to see you when we do. And the reason is because we get every single patient, no matter if they made a five minute appointment for a year recheck or a longer appointment for you know, a complex medical medical issue. They would if somebody brings up a really concerning symptom, we have to address it. So I’ve had patients come in for just a really fast and simple medication recheck and they start telling me that they’re suicidal and we have to really get into that and then I have to address that and do the right thing for them. I promise you I’m going to do the right thing for you too, but I might not be able to Do the right thing for you on time. Because Because the doctor schedule is an estimate, it’s a guess. Yes. So here’s the here’s another little tricky insider tip, most people have probably already tumbled to this, if you want to be seen on time, this doesn’t this does not apply to ob gyn because those days are running, running out to deliver babies at all weird times. But if you’re going to see any other specialty, if you want to be seen on time, you need to get the first appointment in the morning or the first appointment after lunch. And if you’re not, if you don’t have an emergency, just wait until you can get that appointment that’ll be your doctor will be fresh and not that the doctor is necessarily taking lunchtime, but there’s there’s usually some cushion in the schedule at that point over which they can kind of get caught up. So um, yeah, it makes it was it was the most stressful part of my job, not only running late and feeling like my patients are going to feel like they’re being disrespected, but then, you know, having to explain to them. I’m so sorry. This does not I mean, I don’t respect you, but I will give you the time you need and deserve. Because I have to I hate waiting at doctors offices, it makes me but you know, now I just sit and listen to a podcast. Sometimes when they call me in the room, I’m like, I’m just getting to the good part. Hang on.

Marilena Grittani, RPh  50:14 

Why don’t you interrupt my listening? Listen. So this is what I want to say because due to a little bit support what you said, I it’s not. It’s not something new people in this podcast knows that I have gone through menopause and I had issues balancing my hormones. There was a point after my right before my hip surgery when I had a pain that I couldn’t tolerate. And my hormones were going up and down because they had a hysterectomy, that my life was just horrible. I just every morning I woke up wanting to strangle anybody that would even dare to look at me. Because my hormones were all over the place. I wasn’t able to control myself. I was in such horrible pain, non stop. Because of my hip damage, and I still was waiting for the surgery to be approved by the insurance, it was so much that I went to my gynecologist and that my gynecologist had a she’s also an OB GYN, so she had to cancel my last appointment because she was delivering a baby that complicated and I understood that I was okay. But then we couldn’t get another appointment in to learn a three month and I’m like, I went to her office. My fit. I mean, today I think about it. Sorry, Debbie, that you had to deal with me and Debbie, sir. Nurse, I wonder and I close my arms in front of the receptionist and I said, I do not care what she’s doing or who she’s talking to. She needs to see me today. Ma’am. You need to make no I do not need to make an appointment. If you don’t see me today. I’m going to kill somebody and I don’t want to go to jail. So please see me now. And she wouldn’t like that on your conscience. I’m not one that yes. So I remember Debbie that is. She is no BS nurse and she came to me she looked and I said Debbie DON’T DO NOT Debbie. She’s like, I’m gonna go get the doctor for you. So the doctor spent 45 minutes with me that day, because I, it wasn’t an emergency. But it wasn’t emergency, you know. And whenever you need your doctor, you need to say so whoever was next for those 45 minutes, I delate them, you know, and that’s one of the things that could happen. I’m very sorry that my physician and her office and everybody there, especially Debbie, because they treat her like crap. And then I call her and it was awful. But she understood because she knew what was going on. And she was part of it. So things like that could happen. So think about what could be happening in the background that you don’t really know what’s going on. And the doctor cannot tell you because they’re protecting people’s privacy.

Dr. Joanne Davis Jarrett, MD  52:41 

Right. That’s the other thing. It’s not like you can go Oh, the person in the next room is suicidal, you can’t do that. You have to keep that private. So what I want you to remember the one sentence is do not confuse urgency with importance. I used to have to tell my husband this all the time when I was an intern, babe. My job is not more important than our marriage, but at this moment It is more urgent and there’s nothing I can do to change that I have to address the urgent thing. And I’m hoping just the important thing will wait, you know, and it’s a very, very uncomfortable position to be placed in whether you’re the person waiting or the doctor who’s having to be at two places at once. But, you know, it is what it is.

Marilena Grittani, RPh  53:17 

Well, we get to, so we were going over but we’re ready to talk about this one. Yes, some doctors are jerks, and everybody in any profession or any country, they’re jerks. They just like that, and they love that and we don’t like them, period, but move on. Find another fun one. nice and sweet. Okay, last one for this. Okay, for those that are lost, this is a blog post that Joanne wrote on her blog, and she’s talking about stuff that what is it Joanne

Dr. Joanne Davis Jarrett, MD  53:47 

13 things good doctors wish their patients knew. Okay, and it’s all about the doctor patient demystifying the doctor patient relationship. Okay.

Marilena Grittani, RPh  53:55 

Yeah. So what why did you pick this one for the last one of this particular apples?

Dr. Joanne Davis Jarrett, MD  54:00 

We like to feel appreciated. And I, I know that it’s human nature to complain about the negative things and to just assume the positive things happen the way they should and nobody needs to be patted on the back but it is we’re working you know your doctors are working really hard for you. And just a quick thank you or quick acknowledgement that they’re, you know, doing something positive for you. Hearing that is just, it’s a treat. I got very few thank you notes and actually the gal that the gal that called me from the hospital to report her temperature that for her thermometer that she brought it she was so sweet, but anyway, My birthday is September 11 and 911 happened while I was practicing in Nebraska and the next year on September 11. She brought me a flower arrangement. It was red, white and blue flower arrangement. She said I just want you to know that I’m thinking about you Today, on this day and I was like blown away because it is so rare that that patients will remember to To say thank you and maybe because they don’t think the doctors really care. So I just want you to know we do care. It’s really nice to get a thank you. We don’t expect it in a disingenuous thank you if you’re not happy or you’re not getting what you need, don’t you know we’re not looking for, you know, false praise. And we’re not even really looking for praise, but think about what you do for a living and think about something that you do that you try really, really hard to do, right? And then if somebody just says, okay, and leaves and doesn’t acknowledge how you know, that was for them, then that that makes you feel maybe not so appreciated.

Marilena Grittani, RPh  55:35 

And I understand that most of the people that go to the doctor, most of the time they’re sick or they’re nervous, or they’re scared or pain or what have you, and that makes them forget. So that’s why I think you know, thank you cards are beautiful.

Dr. Joanne Davis Jarrett, MD  55:48 

Yes, as you can think about it later. So know

Marilena Grittani, RPh  55:51 

exactly, and then it will be a beautiful surprise A week later. And if it’s handwritten, oh, even better, and then you get like, Oh, I remember that. They should Treat me like crap. But this is what happened. Oh, that’s I am feeling so good about that makes their day and that is something that helps with their stressful day everyday. So think about that. Come on be nice.

Dr. Joanne Davis Jarrett, MD  56:13 

That’s right. That’s right.

Marilena Grittani, RPh  56:15 

So it was really, really good. I think that this opened their eyes and people have seen the job and the responsibilities of a physician from a different perspective, thanks to your post thinking of your blog post and also because of the conversation that we had that I have worked with tons of physicians and new people, some of you are the best people that I’ve met in my life and some of you are my friends and I would never get to see you as a doctor because I’m not going to show you my boobies. But Right, right, God, you’re my friend forever because I trust you’re, you’re a great person and you are a very good human being. So remember that it’s not just that they have you don’t leave with that set of scopes around your Your neck all day every day, right? No,

Dr. Joanne Davis Jarrett, MD  57:02 

yeah, absolutely not. And so after I wrote this article, I submitted it to a whole bunch. I mean, it went kind of like mini viral and kind of around the world. But I asked doctors who please respond to this and add to this, tell me what you think, you know. And so I kind of surveyed them. And then that’s when I wrote my next article, which was 13 more things. So that is from a more global perspective.

Marilena Grittani, RPh  57:23 

Okay, so let’s do this. Let’s just cut here because it’s going to be a little bit too long. And then next week, we’re going to continue with this and then give you the other 13. So thank you, Joanne. So far, but we’re gonna keep talking later. Awesome, guys.

Okay, so that was it. What do you think? I think it was fun, because I always have fun when I talk to Joanne and if you listen to her podcast, God, you’re gonna laugh your butt off. And what I wanted to see that she can expose to you is that there are people that they’re doctors, but they’re not special people. They have feelings. They have issues they have bad days they have limited memory they are they don’t know everything. They want to be considered. They need people to show them that, that we’re grateful for what they do. And they need to know that you’re doing your part to help with your health. It’s not only that they diagnose and tell you what do you need to do it and you need to support that diagnosis or those medical decisions with things that are on your own that you need to research you need to find the you need to go for, whether it’s nutrition or other types of therapy or meditation or whatever it is that you need to do to supplement what the physician have told you to do. I bet that they will be super happy to know that you are in that path. And as Joanne  mentioned today, in our episode, they like educated patients they had like patients that already know about what’s going on and they understand what they’re talking about is easier for them to dedicate the little time that they have to talk to you to stop that are really important. Rather than explaining stuff that you could learn, or kind of have an idea beforehand, or that you can research after you see that decision. So keep that in mind whenever you go back to the doctor. And I think that this 13th things are going to make you see your physicians and you practitioners differently. And they will help you take over your health, the way that you need to unuse the doctors and nurses and other medical teams to support that care that you are taking of yourself is not that they’re doing it for you and you kind of let them is the you take care of your health and they help you and support you. We will talk more about this because fortunately, Joanne had written another blog post with other 13 things that good doctors would like you to know. And what happened is that because the first post that we talked today about went viral, she decided to ask doctors from all over the world about What else they could think about to add, and she went a little bit more global with us. And she added 13 more. And that is exactly what we’re going to be talking about on episode 22. The other 13 things that good doctors wish patient knew with again, Dr. Joanne Jarret, I hope that you enjoy this that you learn a little bit of what it is and that you have more information to put in your algorithm to make decisions for your own health and the health of those that you love, whether you’re in charge of them or you have certain influence on. So, with this, I’m done. I’m done with this episode. Thank you so much for listening. Remember to subscribe to the podcast because you don’t want to miss any episodes. Right? Give us a good review. I would love to hear what you think. Tell me in the review. What is it that you get from my podcast? What information is good or bad? What do you want me to change or improve or go to work? Because I need to know that we’re doing a good thing here. And maybe I’m not talking exactly about what we need to hear or there’s something else that you want to add. So do it in a review that will be great on iTunes or any of the platforms that you might listen to the this podcast, but also write me a note, write me an email at my personal email, that is comments@TheLegalDrugdealer.com. I would love to hear from what you have to say. And also I will respond to you directly if I have the information, or it will include this information to create a new episode that is going to approach this particular subject. So please do that. I wanted to also tell you something that is kind of a secret.

I am working on a special project. That is so much work, but I know you’re going to love it. I know it’s going to be meaningful to you and I know it’s going to help you get empowered with it to take over if you’re unhealthy. So, I’,m hoping that what I’m working for works for you. And that’s why I’m going to do a little bit of a transition with the podcast to focus more on that area, which is getting you the tools that you need to make your own decisions. Rather than talking about prescription drugs and medicine stuff in general, what I want to do is to bring people that have experienced that you can use to make your decisions or my own expertise. So you get that to make your own family medical decisions. So it’s a lot coming. I promise. I will tell you more details soon, very soon, and that you would learn a little bit more before you think I will. I don’t mean to be secretive. I just want to make sure it’s all done before I tell you the details. Anyways, don’t forget to visit my website and have anything there yet for what I’m talking about. So don’t go look for that. But go look for my facebook group. Go look for my Instagram account. And that you can follow us there. And and there’s stuff there there that are not said necessarily during the podcast, so you don’t want to miss them. And of course, all the links and every single freebie or document that my guests or myself have prepared for you, so don’t miss that. So don’t forget again to register to my mailing list. So with that you will receive an email every Tuesday telling you about the new episode what it is about, and then you can download the episode directly from it. And the stuff that I’m preparing will get to you from my email list. So if you haven’t signed up yet, please do now this is a good time to do it because you will not want to miss what’s coming. You can find my mailing list in any of the pages of my podcast episodes that are in TheLegalDrugdealer.com. You can also find it in my Instagram profile. There is a link there that tells you everything about my episodes and of course how to join my mailing This and is also in the show notes of this episode. So with that, I am done. I don’t want to keep talking about this because I’m going to tell you something that I shouldn’t say yet. So I’m going to stop but as always, before I go on just in case no one has told you today, I wanted to take a minute to remind you of how awesome you are. And how lucky are those that have you in their lives. Thank you for being the awesome you that you are. Have a wonderful rest of your day. This is Marilena Grittani, The Legal Drug Dealer. 

Bye for now.


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