This episode explores why change is an unavoidable part of every medical encounter — and why long‑term adherence to treatment plans is often so poor. Patients come to us because something in their health has shifted, yet we frequently treat them as passive recipients of the changes we prescribe. Sustainable change requires partnership, not imposition.

We cover:

• Why every treatment requires change in habits, routines, or behaviour
• How doctors often expect patients to change without involving them in the process
• Why long‑term adherence can drop to 30% when plans aren’t co‑created
• The gap between the ideal world of shared decision‑making and real‑world time pressure
• Why parents often ask “What would you do?” out of fear and uncertainty
• How imposed plans become our plans, not their plans

Key takeaway:

Change is inevitable in healthcare — but lasting change only happens when children and parents understand, accept, and co‑create the plan. In upcoming episodes, we’ll explore two essential foundations of change‑management: persuasive communication and cognitive dissonance.

Tune in for a thoughtful look at how to make change feel possible, shared, and sustainable.

You can find this content also in my blog: https://wp.me/pfxEk2-8Y

Music by Sascha Ende via ende.app

Soli deo gratia

This episode explores why communication in paediatric care so often breaks down — not because doctors don’t explain enough, but because real‑world communication is full of mental “background noise.” While the ideal scenario assumes perfect listening and perfect understanding, the reality is far more complex. Parents and children arrive with their own storylines, worries, and assumptions, all of which distort how information is received.

We cover:

• The gap between ideal communication and real‑world communication
• Why information gets lost, distorted, or misunderstood
• How parents and children bring separate inner storylines into the consultation
• The impact of fear, distraction, and assumptions on comprehension
• Why doctors must compete with the “voice within” — without raising their own
• The need to understand predictable thought patterns to communicate effectively

Key takeaway:

Our current communication habits often fail because they ignore the mental background noise patients and parents bring into the room. To move closer to effective communication, we must understand — and work with — their inner storylines.

Tune in for a clear, practical look at why communication breaks and how to bridge the gap.

You can find this content also in my blog: https://wp.me/pfxEk2-8T

Music from Sascha Ende via ende.app

Soli deo gratia

This episode explores why communication between doctors and patients so often fails — even when clinicians believe they’ve explained everything clearly. Research shows that most medical information is forgotten immediately, much of what remains is remembered incorrectly, and long‑term adherence can drop as low as 30%. The problem isn’t that we don’t talk enough. It’s that we talk in ways patients cannot absorb.

We cover:

• Why 50–80% of medical information is forgotten right away
• How giving more information actually reduces understanding
• Why nearly half of remembered information is recalled incorrectly
• The emotional and cognitive overload that disrupts communication
• Why clinicians often end up exhausted while patients end up confused
• The shift from “talking more” to “talking better”

Key takeaway:

Effective communication isn’t about volume — it’s about clarity. When we speak in a way patients can truly receive, we replace confusion with understanding and build the foundation for cooperation.

Tune in for a practical, eye‑opening look at how to make communication work.

You can find this content also in my blog: https://wp.me/pfxEk2-8R

Music by Sascha Ende via ende.app

Soli deo gratia