The doctor introduced himself and then began asking open-ended questions. To get to know the patient.
Howdy doc, I'm a cowboy as you can see, and about a weeks back, there was a snake in my boot. It scared my horse knocking me off onto my back.
Hi, I will be your doctor today. what brings you in today?
Every since then I have had extreme pain in my back and its been almost impossible to work. I need to get back as quickly as possible.
The doctor moved to be on the same level as the patient, showing signs of active listening. letting the patient continue to share the information they deem important.
My friend Buzz told me I could come in and get a few painkillers until my back stops hurting. But I'm afraid of taking anything that is addictive
I under stand you want to get back to work as soon as possible and the pain can be really hard to deal with.
After listening to the patients complaints the doctor offers a customer plan for the patient based of of their complaints.
If the X-ray shows any damage we may have to plan on having surgery
I can get you in for an X-ray today and prescribe you Meloxicam which is an non-addictive anti inflammatory. To help with he pain and reduce swelling
We can look into prescribing an anti-inflammatory to help manage the pain, since the pain has persisted for a few days I want to get some imaging done.
Right now I can't take off work we have 3 weeks left in the season so surgery is not an option right now. The farm is short handed already and if I cant work, I don't know what they would do.
The patient once to modify the treatment, The doctor the lays out the options putting the patient's worreis to bed. Putting the patients needs first but still making sure they put their health first.
Lets wait till we get the imaging back before we discuss surgery. It could be that we can hold off on surgery or even not need it at all
That is definitely a predicament. And I will do my best to help you get back to work.
The doctor sought additional help while waiting for the x-rays to come back capitalizing on the patients' time.
Thank you so much for all your help doc. I will make sure to come back if my back still hurts after the season.
We got your x-ray back and there does not seem to be any structural damage. It appears you just have some bad bruising and muscle tightness.
I happened to walk by our on sight PT and asked her to write up some exercise/ stretches you can do to help relieve your back pain on top of the meds.
In this encounter the doctor practice many elements of patient-centered care. From prating active listening, having a positive body language, Asking open-ended questions, showing empathy for the patient's situation, and specializing his treatment method to the patient's needs.