What strategies do you use when Dr not listening or taking serious?

@rashida While I'm not a doctor, I can tell you that a DO is a Doctor of Osteopathic Medicine. Like an MD, a DO is a fully licensed physician, but they are trained with a focus on a whole-person approach to care and receive special training in the musculoskeletal system.
What is a Doctor of Osteopathic Medicine (DO)?
Doctors of Osteopathic Medicine (DOs) are fully licensed physicians who practice in all areas of medicine. They complete four years of medical school, followed by residency training in their chosen specialty.
KEY DIFFERENCES BETWEEN A DO AND AN MD
Philosophy of Care DOs are trained to look at the whole person, focusing on how lifestyle and environmental factors impact well-being. This is often referred to as a holistic approach.
Osteopathic Manipulative Treatment (OMT) In addition to standard medical training, DOs receive 300 to 500 hours of extra instruction in the musculoskeletal system. They learn hands-on techniques called OMT to diagnose, treat, and prevent illness or injury.
Primary Care Focus While DOs can specialize in any area of medicine—including surgery, pediatrics, and emergency medicine—a large percentage choose to practice in primary care.
If you have specific health concerns, it is always best to consult with a qualified healthcare professional.

@rashida
The problem began a few decades ago, when Doctors in private practice had to insure against malpractice. Lawyers lined up to sue; and premiums became unaffordable. Doctors werre attracted to working in hospital settings and in groups, which could insure them, However, the Doctors became unwitting captives of clinical priorities and processes, which were not prioritizing the welfare of the patient. Couple that with Medicare only reimbursing 25% of the cost of most procedures, and you have where we are today. Hospitals want the patient out in one day; and most Medicare Advantage contracts have raised the co-insurance $1,000/year for the past 5 years, making it basically unaffordable; along with increasing numbers of refusals for operations, (ask me how I know), so reputable doctors now need to spend time fighting refusals from the insurers to do important work to relieve suffering and restore decent health.

Medicare for all? Who do the ****crats think they are kidding? It's bad for the citizen and completely a budget-buster.

We are very lucky in the USA. I’ve had friend come here for treatments. What did your doctor do for you, proactively?

@clj9821 nothing

@sing26, venting is allowed. I can see you've been very frustrated with the care you've received, especially during your most recent visit to the emergency department where you were taken by ambulance.

Your question is "how do you get doctors to listen and hear you? How do you get them to take you seriously?"

You shared that you've lived with a heart defect that went undetected for 50 years. And that it is now changing into something new. Can you explain a bit more?

The better we understand your situation, perhaps the easier it would be for fellow patients here on the forum to help with ways to be better understood by your doctor to get the care you deserve. Will you share a bit more like:
What heart problem have you been diagnosed with?
What new symptoms or issues are you having?

@colleenyoung first let me clarify. The heart defect I had for 50ys. Was a AVNRT , it was fixed with an ablation. That was in 2010. But in 2009 I had a nervous breakdown, causing neurological damage. This was confirmed by the surgeon in 2010. He said it couldn't be repaired. So since 09 I have arrhythmias. They cause low BP. This last er trip was not the one by ambulance, they would have taken me to a hospital that has the cardo Dr that said I od on caffeine. So I had a friend take me to a different one. My BP was very high , 211/98, I had pressure and mild heart pain. I didn't think heartattack, but a definite serious problem. Normally I figure out and handle myself, can't depend on dr. I tried everything I knew and still BP was up and climbing. So now I'm back to on my own. Thanks for all the support ( I needed it) and advice. You can't make dr listen. I had a pcp years ago, she was experiencing all the same symptoms as I was. Her Dr accused her of overreacting and self diagnosing. They just don't care.

@sing26 Bottom line up front: If you don't think your doctor is listening, get a new doctor.
I started searching on the internet for a new cardio doctor and for other cardio institutions that I could go to for procedures.

For a little background, I live in a rural part of SW Colorado and my options for cardio care are limitied. When I was diagnosed with AFib the doctor I saw (was given to) didn't seem to listen and didn't want to be very proactive in care opportunities. My primary care provider was great and she got me on all of the meds I needed to control the AFib. I needed a great cardio team so I contacted University Health in Aurora, CO and they did a telehealth appointment and told me I was a candicate for pulse field ablation. Had to fly to Denver, but everything worked out. I now have two great cardio teams both of which are remote, but are able to provide the care that I need. This coupled with my primary care provider has me on the right path to controling my AFib.

@suerte Having a Physician that truly cares about you, as a patient, who listens to what you have to say, and who respects you enough, to treat you as a fellow human being, in need of advice and professional medical help, is of prime importance! A Doctor who takes the time, even under administrative time restraints, to show interest in helping you solve your symptom and signs concerns, is a keeper, in my opinion! I have had medical professionals be apathetic with me, and have, unfortunately, been dismissive of my comments! In those instances, I have, if possible, put in place, a plan to change to another medical professional! That can be risky, for several reasons! However, over the last 80 years, the best experiences that have benefited my health the most, is when I have researched and been seen by the best qualified medical professionals, that I have chosen as providing my medical care!

Some people on this site apparently live on another planet, one I would like to move to. These people talk about calling one’s doctor or choosing another, better doctor or about a doctor listening and caring well enough to arrange the best care, about the doc having the time to do that.

Here on earth, few humans have the luxury of such positive interactions with a competent and available physician. People like me are more and more dependent on AI and the luck of the draw at ERs and Urgent Care. Often we earthlings need care but are too sick to wait the many hours in the ER waiting room to see some random doctor who may or may not know what to do.

@foundryrat743 you are lucky to be able to choose. In Canada we can’t. We take whichever family physician we can find - sometimes waiting more than a year to find one. Family physician makes the referral to a specialist, and we take who we get.