Is that quite clear?
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As we enter the consultation room, we see the doctor, brimming with enthusiasm, asking Mr Conan to have a seat. Mr Conan is about to receive the results of a recent blood test. The doctor, delighted to have found something significant, begins explaining it using complex scientific terms, a testament to his passion and dedication. However, this leaves Mr Conan confused and struggling to understand the diagnosis.
The doctor asks Mr Conan if he remembers recently visiting when he was a bit anaemic and run down, and the patient nods. As a result of the blood tests, the doctor tells his patient, “I’m glad to say we did find something.” He starts to talk about medical terms while Mr Conan sits there looking confused. “You’ve got one of these rather odd megaloblastic anaemias. That’s not the usual megaloblastic anaemia, which usually is Pernicious anemia.” [The doctor explains that this is a type of anaemia characterized by large, immature, and dysfunctional red blood cells, which is not the typical type of anaemia that leads to death.] Mr Conan sits eagerly, listening and trying to understand, but the doctor babbles. Next, the doctor tells his patient that he also shows signs of deficiency of Pholicacid and Iron.
Partial gastrectomy
The doctor, committed to providing comprehensive care, believes the reason for Mr Conan’s sudden megaloblastic anaemia is his ‘Partial gastrectomy a few years ago.’ He talks in detail about how this might have occurred, explaining that remnants found in his stomach could have caused it. He describes how ‘the gastric mucosa can’t absorb enough extrinsic factor,’ leading to megaloblastic anaemia.
After considering everything, the doctor, showing empathy and understanding, informs Mr Conan that he wants to ‘do some tests,’ such as endoscopy and a celiac test. He reassures Mr Conan that if those tests indicate that the cause is megaloblastic anaemia, ‘Then we will be able to put you right.’ He explains the treatment plan, ‘Shots of Cyanocobalamin. B12. Folic Acid and Iron supplements, and you should be fine.’ and checks if this would be okay, as the patient has been rather quiet.
"Yeah, Uh! But I don't really see what's wrong with me?"
The doctor observed the patient’s quiet demeanour and questioned whether the patient understood the information. However, it became evident that the patient, Mr. Conan, required further clarification on the medical details as he mentioned, “Yeah, uh! But I don’t really see what’s wrong with me.” The consultation recording concludes after the doctor extensively explains the patient’s condition. Regrettably, due to the doctor’s use of complex medical terminology and the lack of active listening and patient assessment, Mr Conan ultimately did not grasp the information conveyed by the doctor. This lack of active listening and patient assessment on the doctor’s part is a significant barrier to effective communication in healthcare settings.
Overall, this video portrays the difficulties in communicating effectively between a doctor and a patient with cognitive limitations. It specifically highlights the barriers and misunderstandings in such interactions, shedding light on improving communication in healthcare settings.