The relationship between patient and doctor

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The problem of the relationship between the patient and the doctor there in medicine for a long time, and this is quite understandable, because it is of crucial importance in the solution of complex of diagnostic, medical, tactical and medico-social problems.
Not stopping on the historical aspects of this problem, it should be emphasized that at different stages of development of medicine it was seen from different perspectives. Repeatedly changed the attitudes of doctors and sociologists on the role of these relationships in strengthening the health of patients. Naturally, a solution to this problem is involved, on the one hand, the doctor responsible for the patient's health, on the other - the patient with all the complexities of his character, by his concern for his health, with severe physical and mental stress caused by the disease.
The first question that this raises concerns as to how developing mental and physical stress and in what it consists.
The question, of course, hard to explain, but he is very human and medical-biological interest. To understand it will allow the patient to better implement measures of primary and secondary prevention and, therefore, to reduce the incidence of many diseases and prevent the progression of existing pathology.
The occurrence of various diseases are often fraught with tension nervous processes in the cerebral cortex, especially in patients with a predominance of the excitatory process on the brake.
I. P. Pavlov stated that the collision of the excitatory and inhibitory processes in brain cortex leads to the development of neurosis. Last difficult for any somatic diseases and increases the sensitivity of the Central nervous system to perceive any influences of the outside world and the internal processes in the body.
In various diseases, functional, inflammatory and dystrophic there dysfunction adaptive systems, changing neurohumoral regulation, leading to the accumulation of metabolites, which, in turn, adversely affect the nervous system. Irritating sensitive nerve endings, they through the complex mechanisms of regulation increases the sensitivity to pain, cause intoxication of the organism and lead to a strain of mental activity. The patient begins to think that the disease makes it inferior members of society, as it reduces the functional activity, falls performance and, therefore, worsening of its financial security. However, in our country during sick bodies of social insurance paid for sick leave, sickness, too, is regulated by specific deadlines, after which the patient transferred to disability. Of course, pensions several affects economic well-being and hinders organization of life of patients. This creates adverse mental attitude and affects the course of the disease.
If there traumatized psyche not all patients contact, not everyone is willing to "open up" before the doctor. Meanwhile, the patient should tell the doctor about events that, in his opinion, lie in the basis of developing the disease. But this story should not be left to chance, because the patient can take the doctor away from finding out the most important factors, which played an important role in the development of the disease.
The dialogue between the patient and the doctor must be active. It must be directed by the doctor not only to identify the causes of disease, but also to clarify certain issues that are pathogenic significance, because the reason put forward by the patient, may not always reflect the essence of the development of this painful process.