Working With Your Doctor
Part of A Practical Guide to HIV Drug Treatment for People Living With HIV
Your doctor, and your relationship with your doctor, will play a crucial part in your care. You will likely see your doctor regularly, and together you will chart the course of your HIV treatment and care. Because you'll be working closely together, try to find someone who is knowledgeable and who you can trust and be open with.
Some people see a general practitioner (GP) or family physician who has experience in HIV and can treat their HIV infection along with other medical problems they may be experiencing. Others see a specialist in infectious diseases or immunology to treat their HIV, while their GP deals with problems that are not related to their HIV.
Ideally, you will want to choose a doctor who is experienced in treating HIV and who takes the time to stay up-to-date on all the latest information. In larger cities, it's possible to find a family physician with expertise in treating people with HIV. Unfortunately, in some parts of Canada, it is difficult to find a doctor knowledgeable about HIV care. In this case, try to find a doctor who is willing to work with you to learn about HIV. Your local AIDS service organization may be able to suggest a doctor in your area who has some experience caring for people with HIV. CATIE can also provide information for you and your healthcare team. Give us a call at 1-800-263-1638 or visit us online at www.catie.ca to find out how we can help.
I first met my new doctor when my original GP, who had lots of experience with HIV, unfortunately passed away. I was his first patient with HIV. In that meeting, he said, "It sounds like you'll be a challenge to work with, but I'm up for it." And he has been.
If you have the option of choosing between doctors, consider interviewing them and asking them about everything that's important to you. You definitely want a doctor with whom you feel comfortable and are able to talk freely, and one who will answer your questions respectfully.
After you find your doctor, remember to keep the lines of communication open. Communication works best when there is mutual respect. You want your doctor to respect you, so it makes sense that you approach the relationship with respect too. Here are some other suggestions for working with your doctor:
My traditional healer has helped me understand more about my illness by applying it to an Aboriginal context and relating HIV to the medicine wheel teachings. When I combined Western medicine with traditional healing, I stopped getting the side effects.
Beyond Your Doc
Your healthcare team doesn't end with your doctor. Your clinic may have nurses on staff, as well as other professionals, like social workers and counsellors. These people all have valuable skills to contribute to your care and can often give advice on practical matters, like covering drug costs or taking your medications. What's more, they may have more time to talk to you. For example, your nurse may be able to answer a quick question when your doctor is swamped.
You will also be seeing a pharmacist whenever you go to pick up your medications. Because pharmacists are generally more available than doctors, many people with HIV rely on their pharmacists for information about HIV and their treatment. Pharmacists can help you keep track of your drugs and avoid allergies or interactions between drugs. To avoid drug interactions, it's best to get them all from a single drugstore, especially if you are filling prescriptions from more than one doctor.
Pharmacists can also provide useful suggestions on how to take your drugs regularly without missing doses. Pharmacists can also help you get your drugs paid for by government programs and insurance companies.
Find out what these health professionals have to offer so that you can get the most out of your team. If a lot of people are involved in your care, make sure important details don't slip through the cracks. The Personal Health Record can help you keep track of important information about your healthcare team and your treatments.
This article was provided by Canadian AIDS Treatment Information Exchange. Visit CATIE's Web site to find out more about their activities, publications and services.
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