| What's your relationship with your health care provider? Do 
                    you talk about your health problems openly and honestly, or 
                    do you keep most of your opinions and feelings inside - perhaps 
                    out of fear that your doctor "won't listen" or "won't understand"? 
                   
 Communication 
                    is the key to optimizing treatment, say Swiss researchers 
                    after conducting a controlled clinical trial on rheumatoid 
                    arthritis (RA) sufferers. Findings suggest that feedback sessions 
                    should be held on a monthly basis between patients and their 
                    doctors, due to the changing patterns of RA and the uniqueness 
                    of its effect on each patient. The trial, which included 228 
                    patients and 48 rheumatologists, used a rheumatoid arthritis 
                    disease activity index (RADAI) questionnaire. Patients who 
                    saw the largest advantage of feedback were those with "high 
                    disease activity," with a reduction of more than three points 
                    in their RADAI scores.   While the stats indicate success through patient-to-doctor 
                    updates, they echo a common complaint among health care administrators: 
                    "Tell us what's wrong - on an ongoing basis."
 The doctor-patient relationship is one of the keys to making 
                    sure you stay healthy, and if you have an illness or disease 
                    that requires constant assessment, it's an even more important 
                    tool to get you back on the road to health. If you don't feel 
                    comfortable talking to your doctor - or if you don't think 
                    your doctor is comfortable or interested in talking/listening 
                    to you - try to open the communication lines, or find another 
                    doctor. Your health is that important. Reference:  Fransen J, Stucki G, Twisk J, et al. Effectiveness 
                    of a measurement feedback system on outcome in rheumatoid 
                    arthritis: a controlled clinical trial. Annals of the Rheumatic 
                    Diseases July 2003: Volume 62, pp.624 - 629.  To learn more about chiropractic, visit www.chiroweb.com. 
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