What to expect from your doctor

vius fpfdRLkd ls D¸kk vk’kk djuh
pkfg,% j®fx;ksa ds fy, ,d xkbM
xqM esfMdy Iz©fDVl ij vk/kkfjr
j®fx;ksa d® lcls vPNh ns[kHkky rc gkfly g®rh gS] tc os fpfdRLkdksa
ds lkFk feydj dke djrs gaSA
;g xkbM vkid® bl ckjs esa le>krh gS] fd vki vius fpfdRLkd ds
lkFk feydj dSls dke dj ldrs gaSA blesa ls vf/kdak’k O;kogkfjd
Kku gh gS] ysfdu bldk vuqlj.k djus ls vkid® vius fpfdRLkd
ds lkFk fcrk, x, le; esa vf/kd ls vf/kd gkfly djus esa enn
feyuh pkfg,A
;g xqM esfMdy Iz©fDVl ds gekjs [k+kl fn’kkfunsZ’k ds vuqlkj
fpfdRLkdksa ds fy, tujy esfMdy dkmafly ¼th,elh½ }kjk fu/kkZfjr
ekudksa ij vk/kkfjr gSA
fpfdRLkdksa d® cf<+;k ns[kHkky Ánku djuh pkfg,
;g lk{¸k n’kkZrk gS] fd j®fx;ksa dk fo’kky
cgqer] vius fpfdRLkdksa ds lkFk cgqr vPNk v©j
fo’Okkliw.kZ laca/k j[krk gSA n®uksa i{kksa ds Áfr
lEEkku v©j le> ds lkFk] vkid® ,sls lacaèkksa d®
fodflr djus ds ;®X¸k g®uk pkfg,A j®fx;ksa }kjk
nh xà enn v©j Q+hMcSd ¼lq>ko½] fpfdRLkdksa ds
fy, mUgsa ÁHkkoh :i ls dke djus esa enn djus
v©j dk;Z ds ekudksa d® yxkrkj csgrj djus ds
fy, vfuok;Z gSA
‘kq#vkr ls] vkid® lcls vPNh ns[kHkky v©j
mipkj Ánku djus ds fy,] fpfdRLkd d® ;g
irk yxkus dh vko’¸kdrk g®xh] fd vkids lkFk
D¸kk xM+cM+ gSA
mUgsa bl laca/k esa vkids Li”Vhdj.k d® vo’¸k
lquuk pkfg,] fd vki muls D¸kksa feyus vk,
gaS v©j mUgsa vkids fiNys v©j orZeku LOkkLF¸k
v©j chekfj;ksa ds lkFk&lkFk vkidh thou’kSyh
v®j vkids –f”Vd®.kksa d® /¸kku esa j[kuk pkfg,A
mUgsa] tc vko’¸kd g®] r® vkidh ‘kkjhfjd takp
djuh pkfg,A
;g cgqr vko’¸kd gS] fd vki ftruk vf/kd
laHko g® lds] mruk vf/kd Li”V v©j [kqydj
ckr djsasA vki igys ls dqN fooj.kksa d® rS;kj
djds vius lkFk ys tkus d® mi;®xh ik ldrs
gaS] rkfd vkils d®Ã ,slh tkudkjh NwV u tk,]
t® fpfdRLkd d® vkidh fLFkfr d® le>us esa
enn djsxhA
esjk fpfdRLkd eq>s D¸kk crk,xk\
os vkid® lcls vPNs miyC/k lk{¸k ds vk/kkj ij
vkid® lykg] nok,a ;k vU¸k mipkj nsaxsA geesa
ls vf/kdak’k d® gekjs fpfdRLkd }kjk gesa crkÃ
xà tkudkjh d® le>us esa dfBukà g®rh gS
v©j ;g egROkiw.kZ gS] fd ;fn vkid® vko’¸kdrk
g®] r® vki muls Li”Vhdj.k eakxsaA fo’ks”k :i
ls] vkid® ;g le>uk pkfg,] fd D¸kk vkid®
mipkj ;k fdUgha takpksa ds fy, rS;kj jgus dh
vko’¸kdrk gS v©j ;g] fd D¸kk vkid® nokv®a dks
ysus laca/kh funsZ’k Li”V gaSA
iqu%] ;fn vki vius fpfdRLkd }kjk dgh xÃ
fdlh pht ds ckjs esa fuf’Pkr ugha gaS] r® mlls
vo’¸k iwNsa] lkFk gh ;g Hkh fd vkid® fdlh nok
d® dc v©j dSls ysuk gS ;k vkid® fdUgha takpksa
d® djkus dh vko’¸kdrk D¸kksa gSA
;fn vkid® eglwl g®rk gS] fd vkids fpfdRLkd
us lgh funku ugha fd;k gS ;k og lgh mipkj
ugha dj jgk gS] r® vki fdlh vU¸k fpfdRLkd ls
vfrfjä jk; ys ldrs gaSA
fo|kfFkZ;ksa v©j fpfdRLkdksa ds çf’k{k.k esa
enn djuk
vkid® ns[kus okys ÁR¸®d O¸kfä d® vkid® viuk
ifjp; nsuk pkfg, v©j ;g le>kuk pkfg,] fd
os vkidh ns[kHkky djus okyh Vhe esa D¸kk LFkku
j[krs gaSA fpfdRLkdksa dh vxyh ih<+h d® Áf’kf{kr
fd;k tkuk] fdlh Hkh LOkkLF¸k&lsok Á.kkyh dk
,d eq[¸k Hkkx gSA fpfdRLkk fo|kFkhZ] fdrkcksa
ls o® lcdqN ugha lh[k ldrs gaS] ftldh mUgsa
lh[kus dh vko’¸kdrk gS v©j os Hkh dHkh&dHkh
Vhe dk fgLLkk jgsaxsA ;fn fdlh dkj.k ls vki
fpfdRLkk fo|kFkhZ ds Áf’k{k.k esa enn djuk ilan
ugha djrs gaS] r® vkids ikl blls badkj djus
dk vf/kdkj gSA
vkid® ns[kus okys ÁR¸®d
O¸kfä d® vkid® viuk
ifjp; nsuk pkfg, v©j ;g
le>kuk pkfg,] fd os vkidh
ns[kHkky djus okyh Vhe esa
D¸kk LFkku j[krs gaSA
tSls gh fpfdRLkd Áf’kf{kr g® tkrs gaS] r® os
fdlh [k+kl fo”k; esa ;k thih ¼lkekU; fpfdRld½
cuus ds fy, vkxs dk Áf’k{k.k gkfly djsaxs v©j
os j®fx;ksa dh ns[kHkky djus okyh Vhe dk fgLLkk
cusaxsA os j®fx;ksa d® ns[ksaxs v©j mu rjhdksa ls
mudh ns[kHkky esa fgLLkk ysaxs] t® muds Áf’k{k.k
ds Lrj ds vuqlkj mfpr gSA lHkh fpfdRLkdksa d®
vius laiw.kZ is’ks ds n©jku lh[kuk tkjh j[kuk
pkfg, v©j vius dk;Z ds {ks«kksa esa vi&Vw&MsV
¼v|ru½ jguk pkfg,A
fpfdRLkdksa }kjk vius j®fx;ksa d® vU¸k fpfdRLkdksa
;k nwljs LOkkLF¸k is’ksojksa ds ikl Hkstuk mudh
Hkwfedk dk ,d eq[¸k fgLLkk gSA mUgsa mipkj ;k
vU¸k lsokv®a d® dsoy rHkh nsuk pkfg,] ;fn muds
ikl ,slk lqjf{kr :i ls djus ds fy, lacaf/kr
tkudkjh v©j d©’ky gSA
d®Ã Hkh fpfdRLkd lcdqN ugha tku ldrk gSA
os vdlj vius lgdehZ ls enn ekaxsaxs ;k vkid®
fdlh vU¸k fpfdRLkd ds ikl Hkstsaxs] tgak vkidks
t#jh ns[kHkky] mudh fo’ks”kKrk ds nk;js ls
ckgj gSA
fpfdRLkdksa d® lalk/kuksa dk ftEEksnkjhiw.kZ
<ax ls mi;®x djuk pkfg,
vki N®Vh&e®Vh chekfj;ksa d® LOk;a laHkky dj v©j
mipkj ds funsZ’kksa dk ikyu djuk v©j eqykdkrksa
ij mifLFkr g®uk ;k mUgsa igys ls jÌ djuk
lqfuf’Pkr djds blesa mudh enn dj ldrs gaSA
mnkgj.k ds fy,] Hkys gh vkid® csgrj eglwl
g® jgk g®] rks Hkh ,aVhck;®fVDLk ds d®lZ ¼Øe½
d® iwjk djuk] ,aVhck;®fVd Áfrj®/k d® j®dus
esa enn djrk gS] t® nwljs j®fx;ksa d® uqdlku
igaqpk ldrk gSA
nkasuksa fprz% © dzkmu dkWihjkbV@,u,p,l QksVks ykbczsjh
fpfdRLkdksa d® j®fx;ksa dh lqj{kk d® lcls igys j[kuk pkfg,
v©j ;g lqfuf’Pkr djuk pkfg,] fd os ns[kHkky d® lqjf{kr
v©j ÁHkkoh <ax ls Ánku djsa
fpfdRLkdksa d® rsth ls dkjZokà djuh pkfg,] ;fn
mUgsa yxrk gS] fd fdlh j®xh dh lqj{kk] xfjek ;k
lqfo/kk dks tksf[ke gSA fpfdRLkd] ulZ ;k fdlh
vU¸k LOkkLF¸k is’ksoj d® crk,a] ;fn vki d®Ã ,slh
pht+ ns[krs gaS] ftlds ckjs esa vkid® yxrk gS] fd
og vki & ;k fdlh vU¸k O¸kfä d® & t®f[ke esa
Mky ldrh gSA
;fn j®fx;ksa ds lkFk dqN xyr gks tkrk gS]
r® fpfdRLkdksa d® mUgsa lwfpr djuk pkfg, &
mnkgj.k ds fy,] nq?kZVuk,a vkSj xyfr;ak ;k tc
j®xh d® nokv®a ls xaHkhj ik’OkZ ÁHkko g® tkrs gaS &
bl Ádkj lcd lh[ks tk ldrs gaSA vkids }kjk
yh xà nokv®a ds fdUgha lafnX/k ik’OkZ ÁHkkoksa ;k
d®Ã vU¸k ckr] ftlds ckjs esa vki fpafrr gaS] ds
ckjs esa vius fpfdRLkdksa d® crkuk lqfuf’Pkr djsaA
vkids }kjk yh xà nokv®a ds fdUgha lafnX/k
ik’OkZ ÁHkkoksa ;k d®Ã vU¸k ckr] ftlds ckjs
esa vki fpafrr gaS] ds ckjs esa vius fpfdRLkdksa
d® crkuk lqfuf’Pkr djsaA
fpfdRLkdksa d® vius [kqn ds dk;Z dh
leh{kk djuh pkfg,
lHkh fpfdRLkdksa d® vius Án’kZu dh leh{kk djus
ds fy, okf”kZd ewY¸kkadu djuk pkfg, v©j mu
{ks«kksa d® igpkuuk pkfg,] tgak os vius dk;Z
d® fodflr ¼csgrj½ dj ldrs gaSA mUgsa iakp
o”kksZa esa de ls de ,d ckj vius j®fx;ksa ls
v©ipkfjd Q+hMcSd ¼lq>ko½ Hkh eakxus pkfg,A
vki Á’Ukkofy;ksa d® iwjk djds v©j ,slk Ãekunkjh
v©j Li”V :i ls djds enn dj ldrs gaSA
fpfdRLkd vius dk;Z v©j ifj.kkeksa dh leh{kk
djrs gaS v©j vius Án’kZu dh vU¸k fpfdRLkdksa
v©j vU¸k Vheksa ds lkFk rqyuk djrs gaSA vius
dke dh bl leh{kk ls os vius dk;Z ds mu {ks«kksa
d® igpkurs gaS] tgak os csgrj dj ldrs gaSA
lkekU¸kr;k] vkidk uke v©j d®Ã vU¸k fooj.k]
ftuls vkidh igpku g® ldrh gS] d® bl rjhds
ls mi;®x fd, tkus ls igys vfHkys[kksa ls gVk
fy;k tkrk gSA ysfdu dHkh&dHkh ;g O¸kkogkfjd
ugha g®rk gSA vki vius vfHkys[kksa d® mi;®x
djus nsus ds fy, lger g®dj fpfdRLkdksa d®
vius Án’kZu d® csgrj djus esa enn dj ldrs
gaSA
fpfdRLkdksa d® vki v©j vkids
djhch y®xksa ds Áfr fouEkz g®uk
pkfg, v©j mudk fygkt j[kuk
pkfg, v©j xfjek v©j lEEkku
ds lkFk vkils O;ogkj djuk
pkfg,A
vkid® Hkh vius fpfdRLkdksa ds
Áfr fouEkz g®uk pkfg, v©j muds
Áfr lEEkku fn[kkuk pkfg,A
fpfdRLkdksa d® j®fx;ksa dk O;fäxr :i ls mipkj djuk pkfg,
fpfdRLkdksa d® vkidh ckr lquuh pkfg, v©j
vkids Á’Ukksa v©j fparkv®a dk mŸkj nsuk pkfg,A
fpfdRLkdksa d® vkid® tkudkjh v©j lykg d®
bl <ax ls nsuk pkfg,] fd vki mUgsa le> ldsaA
;fn vkid® ckrphr ds laca/k esa lgk;rk dh
vko’¸kdrk g® ¼mnkgj.k ds fy,] ,d iath—r
gLrk{kfjr fd;k gqvk Hkk”kk vuqoknd½A r® vius
fpfdRLkd] Iz©fDVl ;k fpfdRLkky; d® bl ckjs esa
igys ls crk,aA fdUgha rduhdh ‘kCnksa ;k fof’k”V
‘kCnkoyh lfgr ,slh fdlh ckr d® fpfdRLkd ls
le>kus ds fy, dgsa] ftls vki u le>rs gksaA
fpfdRLkdksa }kjk vkid® mu mipkj fodYiksa ds
ckjs esa crk;k tk,xk] t® vkids fy, dke djsaxs
¼vljdkjh gksaxs½ ;k ;fn d®Ã mipkj miyC/k ugha
gS] rks og ;g Hkh le>k,xkA
os ,d mipkj fodYi dh lykg ns ldrs gaS]
ysfdu ;g fu.kZ; djuk vki ij fuHkZj djrk
gS] fd vki d©u lk fodYi pkgrs gaS v©j vki
mipkj u djkus dk fu.kZ; ys ldrs gaSA vkid®
;g lqfuf’Pkr djuk pkfg,] fd vki nokv®a d®
ysus ds rjhds ls lacaf/kr funsZ’kksa dk ikyu djsaxs
;k fdlh fpfdRLkk ÁfØ;k ds igys v©j ckn esa
D¸kk djuk pkfg,] bl laca/k esa lykg dk ikyu
djsaxsA
fpfdRLkdksa d® vki v©j vkids djhch y®xksa ds
Áfr fouEkz g®uk pkfg, v©j mudk fygkt j[kuk
pkfg, v©j xfjek v©j lEEkku ds lkFk vkils
O;ogkj djuk pkfg,A vkid® Hkh vius fpfdRLkdksa
ds Áfr fouEkz g®uk pkfg, v©j muds Áfr lEEkku
fn[kkuk pkfg,A
fpfdRLkdksa d® Ãekunkj v©j fo’Okkl;®X¸k g®uk pkfg,
fpfdRLkdksa d® vius lHkh j®fx;ksa dk Li”V :i
ls fcuk HksnHkko ds mipkj djuk pkfg,A ;fn
vkid® ,sls rjhds fn[kkà nsrs gaS] ftuls fpfdRLkd
viuh lsokv®a d® csgrj dj ldrs gaS] r® vkid®
muds ckjs esa mUgsa crkuk pkfg,A
vkids fpfdRLkd] vkids ckjs esa tkudkjh d®
lqjf{kr :i ls j[ksaxs] ysfdu mUgsa ;g lqfuf’Pkr
djus ds fy,] fd vkid® og ns[kHkky gkfly g®]
ftldh vkid® vko’¸kdrk gS] vius lgdfeZ;ksa
ds lkFk tkudkjh d® lk>k djus dh vko’¸kdrk
g®xhA mnkgj.k ds fy,] vker©j ij fjlsI’ku
¼LOkkxr½ deZpkjh] ckj&ckj fn, tkus okys uql[k+ksa
dks laHkky ldrs gSa] jsQs+jy ¼fdlh vU; ds ikl
Hkstus okys½ i«kksa d® Vkbi dj ldrs gaS v©j vU¸k
dkeksa d® dj ldrs gaS] ftldk vFkZ gS] fd mUgsa
vkids vfHkys[kksa d® ns[kus dh vko’¸kdrk gSA
;fn vkids ikl bl laca/k esa d®Ã fpark,a gaS] fd
vkids vfHkys[kksa d® d©u ns[k ldrk gS] r® vius
thih ;k vius Iz©fDVl ds Áca/kd ls ckr djsaA
vkids fpfdRLkdksa d® dkuwu dk ikyu djuk
pkfg, v©j foŸkh; v©j okf.kfT¸kd ekeyksa esa
Ãekunkjh ls dke djuk pkfg,A
fpfdRLkdksa d® vkids Áfr Ãekunkj v©j Li”V
g®uk pkfg,] ;fn vkidh ns[kHkky ;k mipkj ds
lkFk d®Ã xM+cM+ g® tkrh gSA os ;g le>k,axs]
fd D¸kk gqvk gS v©j tgak mfpr g®xk] ogak {kek
eakxsaxsA
vkids fpfdRLkd d® vius fo’Okkl d® vki
ij yknus dh d®f’k’k djus ds fy, ;k ;©u
laca/k LFkkfir djus ds fy, vkids lkFk vius
O¸kkolkf;d laca/k ;k laidZ dk mi;®x ugha djuk
pkfg,A
;fn vki mudh çfrfØ;k ls larq”V ugha gaS]
r® vki viuh fparkv®a d® LFkkuh; ,u,p,l
ÁfØ;kv®a ;k LFkkuh; j®xh laxBuksa ds ek/¸ke ls
mBk ldrs gaS] tSls fd%
■ baXY©.M esa gsYFkokp
;fn vki] fpfdRLkd }kjk dh xà fdlh pht ds
■ mÙkjh vk;jyS.M esa is’ksaV ,aM DYkk;UV laca/k esa fpafrr gaS] r® vki f’kdk;r ntZ djk
dkmafly
ldrs gaSA vker©j ij vkid® LFkkuh; :i ls
& vius thih Iz©fDVl ;k LFkkuh; vLirky esa ■ LdkWVyS.M esa is’ksaV ,Mokbl ,aM li®VZ f’kdk;r djuh pkfg,A
lfoZl
■
osYLk esa dE¸kqfuVh gsYFk dkmaflYlA
;fn vki vHkh Hkh fpafrr gaS] r® vki lh/ks
th,elh d® f’kdk;r dj ldrs gaSA
th,elh ds ckjs esa
,u,p,l ;k futh {ks= esa ;k r® ,d thih ;k
,d vLirky ds fpfdRLkd ds :i es]a dsoy gekjs
jftLVj esa ntZ fpfdRLkd gh ;wds esa dke dj
ldrs gaSA
gekjk dke gS] ekud LFkkfir djuk] fpfdRLkdksa
dh f’k{kk v©j Áf’k{k.k dh fuxjkuh djuk v©j ;g
lqfuf’Pkr djuk] fd ;wds esa nok dk dke djus
dk ykblsla j[kus okyk gj fpfdRLkd l{ke v©j
vi&Vw&MsV ¼v|ru½ g®A
LFkkuh; Lrj ij] vc ÁR¸®d fpfdRLkd dk ,d
ftEEksnkj vf/kdkjh gS & ,d ofj”B fpfdRLkd] t®
;g lqfuf’Pkr djrk gS] fd os vius d©’ky v©j
Kku d® v|ru j[kus lfgr gekjs ekudksa d® iwjk
dj jgs gaSA
fpfdRLkdksa v©j j®fx;ksa ds chp ds lac/a k esa fo’Okkl
cgqr t#jh gksrk gS v©j y®xksa ds fo’kky cgqer esa
;g vPNh rjg ls cuk jgrk gSA gkyakfd] tgak
fdlh j®xh ;k fj’rsnkj ds ikl fdlh fpfdRLkd ds
dk;Z ;k O¸kogkj ds ckjs esa d®Ã fpark ;k f’kdk;r
gS] ogak mUgsa vker©j ij LFkkuh; :i ls fucVk;k
tk ldrk gSA v©j ;fn d®Ã fpfdRLkd lqjf{kr
ugha gS & v©j mls fdlh vU¸k vLirky ;k thih
Iz©fDVl esa dke djus esa l{ke ugha g®uk pkfg, &
r® ;gh o® le; gS] tc th,elh gLr{ksi djsxhA
th,elh] ljdkj ls LOkra= gS] ysfdu ;g ;wds
laln ds Áfr tokcnsg gSA bls jftLVj fd, x,
fpfdRLkdksa }kjk Hkqxrku fd;k tkrk gSA
ge vkidh enn dSls dj ldrs gaS
vki www.gmc-uk.org/guidance ij mu ekudksa
ds ckjs esa tku ldrs gaS] ftudh ge vkids
fpfdRLkdksa ls vk’kk djrs gaSA
vki ;g irk yxk ldrs ga]S fd vkids fpfdRLkd us
dc v©j dgak ij f’k{kk IzkkIr dh Fkh v©j D¸kk mUgksua s
fo’ks”kK Áf’k{k.k d® iwjk fd;k gSA
vki mu ekeyksa d® i<+ ldrs gaS] tgak gesa
j®fx;ksa dh j{kk djus ds fy, dkjZokà djus dh
vko’¸kdrk gqbZA
;fn vki vius fpfdRLkd }kjk nh tkus okyh
ns[kHkky ;k mipkj ls [kq’k ugha ga]S r® vkid®
D¸kk djuk pkfg,
vf/kdak’k f’kdk;rksa v©j fVIif.k;ksa d® LFkkuh;
:i ls fucVk;k tk ldrk gSA ;fn vki bl ckjs
esa fuf’Pkr ugha gaS] fd vki fdlds ikl tk,a] r®
ge vkidh lgk;rk dj ldrs gaSA gekjh osclkbV
www.gmc-uk.org/patientshelp ij tk,a ;k gesa
0161 923 6602 ij dkWy djsaA
/;ku ns%a bl xkbM d® j®fx;ksa ds fy, rS;kj fd;k x;k gS & ;g fpfdRLkdksa ds fy, v©ipkfjd xkbM ugha gSA mUgsa xqM
esfMdy Iz©fDVl v©j blds lgk;d ekxZn’kZu esa fu/kkZfjr ekudksa v©j fl)kUrksa dk ikyu djuk pkfg,A
Ãesy% [email protected]
osclkbV% www.gmc-uk.org
VsyhQ®u% 0161 923 6602
tujy esfMdy dkmafly] 3 gkMZeSu LVªhV] eSupsLVj ,e3 3,MCY¸kw
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djk;k tk ldrk gSA oSdfYid Izkk:i dk vuqj®/k djus
ds fy,] —i;k 0161 923 6602 ij gesa dkWy djsa ;k
[email protected] ij gesa Ãesy djsaA
Ádk’ku vIz©y 2013
© 2013 tujy esfMdy dkmafly
bl nLrkost dh lkeXkzh d® fdlh Hkh Izkk:i ;k ek/¸ke esa eq¶r esa Áfrfyfi fd;k tk ldrk gS]
c’krsZ fd bls fcydqy lVhd :i esa Áfrfyfi fd;k tk, v©j ,d Hzkked lanHkZ esa ughaA bl
lkeXkzh d® th,elh dkWihjkbV ds :i esa vfHkLOkh—r fd;k x;k g®uk pkfg, v©j blesa nLrkost
ds ‘kh”kZd dk mYYks[k g®uk pkfg,A
th,elh ,d pSfjVh ¼lsok laLFkkUk½ gS] t® baXY©.M v©j osYLk ¼1089278½ v©j LdkWVyS.M
¼,llh037750½ esa iath—r gSA
d®M% GMC/WEFYD-H/1114