What happens when physicians become ill? How easy or difficult is it for physicians
to relinquish the role of caretaker and to be cared for by others? What is
unique about the psychological makeup of physicians, as well as the culture of
medicine, that facilitates or impedes timely and comprehensive diagnosis and
treatment? When doctors behave badly or out of character at work, what factors
underlie such behavior, and what can be done about it? In assessing and treating
physicians, what strategies are useful to assure accuracy while simultaneously
diminishing morbidity and relieving sufferi...
Fecal incontinence (FI) is a frequent, distressing condition that has a devastating impact
on patients’ lives.However, patients are typically embarrassed and reluctant to acknowledge
this disability, so they relinquish the possibility of being cured and remain socially
isolated. They become housebound and prefer to pass the day very close to the toilet to
avoid losing feces. The exact incidence of FI is uncertain because of patients’ hesitation
to seek help from their physicians.
Sexual dysfunction is one of the most common conditions seen in a
primary care provider’s office. Large surveys indicate that one fourth or
more of patients report sexual distress or dysfunction. Yet the diagnosis is
rarely made, even though most patients who have a sexual problem report
that they wish their physician would ask about it.
Why do physicians not uncover sexual problems? Many physicians state
that they do not know what to do when they uncover a sexual problem.