The six keys to preparing for a doctor's appointment
In today's managed care environment, the time you spend face-to-face with your physician is limited. To get the most from your health care providers (HCPs) and an accurate diagnosis, preparation is the key. Good preparation will also go a long way to alleviate any anxiety you may be feeling about the appointment.
You increase the likelihood of an accurate diagnosis if you come prepared with the details and history of your problem, anticipate questions, know your medications and bring medical records. These six tips can help you make the most of your appointment.
1. Organize your history
The majority of the work lies in your description of the problem. While it's true that a physician gleans additional information from the physical exam, laboratory and imaging tests, the history provides valuable direction. The more organized your presentation, the easier it will be for your provider to arrive at a diagnosis. Helpful suggestions:
- Keep a journal of your symptoms.
- Ask a relative or friend to help you prepare for and/or accompany you to the appointment. Physicians appreciate an accurate history whether it comes from the patient or someone who clearly knows the problem. If someone does accompany you, be sure there's unified agreement to the story to avoid disagreements in the exam room.
- Be specific. Telling the doctor you "feel ill" is not as helpful as, "I feel warm, ache all over, especially in my back and I'm coughing up yellow stuff." Give as much information as you can
- Talk first about the problem that worries you most. If you have more than one problem, prepare a separate history for each. Present them one at a time so you don't confuse your HCP and strive to make it clear and complete.
2. Anticipate what the doctor will ask
Be prepared to answer specific questions about your symptoms. For example, if you are experiencing pain, your HCP may ask:
- Where is the pain most severe?
- When did it start?
- Does anything trigger it?
- Is there anything you do to bring it on, make it better, make it worse?
- Is it present every day, or do you have pain-free days?
- Is it worst in the morning, as the day goes on, or constant?
- On a scale of 1-10, how severe is the pain?
- Is it constant or off and on?
- Do you have any other symptoms with it such as chest pain, shortness of breath?
- Does the pain stay in one area or spread to other areas?
- Does it interfere with your daily routine?
- What has been its course? Is it stable or getting worse?
- Is this a new symptom or a recurrence of a previous problem?
These questions apply to most problems or symptoms. If you've thought about how you would answer them ahead of time, you'll be prepared. Taking less time to respond to these questions may leave more time to discuss your concerns before the end of the appointment.
3. Know your medications
Each doctor needs to know what drugs you are taking, including those prescribed by other physicians. Bring ALL your medications -- prescription, non-prescription, vitamins, herbs, minerals -- in their original containers to your appointment. This way the doctor understands the medication dosage, frequency and your need for refills.
For all your regular medications, keep an updated card in your wallet or purse with the names of the drugs, dosage and frequency. This helps your physician avoid potential drug interactions. It's not uncommon for patients to be seen by several specialists, each of whom prescribes different medications.
4. Bring your medical records
Bring copies of medical records from other physicians with you, including the results of any imaging studies such as X-rays or MRIs. If another physician has referred you, try to expedite the exchange of medical records. Very often, you must authorize the release of your records to the new physician. Not every doctor's office will anticipate this or contact you beforehand to arrange for the transfer of records. Call ahead and ask how these arrangements should be made. The successful transfer of your records may help you avoid the expense and medical risk of repeat diagnostic tests.
If your health insurance allows a consultation with a specialist, your first visit may be your only one with that doctor, so it helps to be as prepared as possible.
5. Request a verbal summary of follow-up instructions
While many HCPs are aware of the need to restate treatment plans or medication adjustments, others may not do so. Sometimes time restrictions decrease the amount of verbal reinforcement the doctor can offer.
Ask for a brief summary of the provider's instructions to make sure all points are covered and necessary prescriptions filled out. Ask what kind of follow-up is needed. Be prepared to take notes.
6. Ask these questions during your visit
- Is further diagnostic evaluation necessary?
- What can I expect in the future?
- Is there treatment available to modify the course?
- How long before I should see the effects of the medication?
- Under what circumstances should I notify the doctor?
Your physician needs your help. If your expectation is that all you have to do is show up for an appointment and the doctor will do the rest, your visit is likely to be a frustrating one, and you may put yourself at risk for misdiagnosis.