INTRODUCTION:
The pace of life is getting faster. Everyone is in a
rush and nobody likes waiting; patients do not like to wait and physicians
do not like to keep patients waiting. Instead of spending time in the
waiting room counting the minutes, you may be able to better use the time
by preparing for the doctor visit. Advanced planning can help you get more
out of your visit.
Doctors
are trained to recognize disease states by the pattern of symptoms the
diseases create. If you have prepared for your doctor visit by listing
your symptoms, you will be better able to answer your doctor’s questions,
which can help him solve the puzzle and determine what's wrong with you.
Doctor Visit
Preparation: When You Are Sick
When a doctor visit is the result of an illness, the
patient wants to know, "What do I have?" In preparing for this type of
visit, the patient’s goal should be to help the physician answer that
question. Like a detective, the doctor will want to know all sorts of
things about your particular illness, such as how, what, when, and where
the symptoms are occurring in the body. Preparing outside the office in a
less rushed atmosphere allows for better recall. Sit, think, organize, and
write down your thoughts to answer the following types of questions:

-
What are
your symptoms?
-
When did
your symptoms begin?
-
Have you
ever had these symptoms in the past?
-
Can
you relate the onset to a new medicine, stress, injury?
-
What
were you doing at the onset of symptoms?
-
Have the
symptoms changed over time?
-
What
made your symptoms better or worse?
-
What
alarmed you enough to come to the doctor?
Doctor
Visit Preparation: Follow-Up Visit
Follow-up visits exist to help you and your doctor
evaluate treatment progress. Common questions at the follow-up visit are:
"How am
I doing?"

"Should
I be doing anything else?"
"When
will I be able to stop the treatment?"
The purpose of the visit is
different from the initial visit, and the preparation for the visit is
different. Just as there are patterns for the onset of an illness, there
are expected patterns for recovery. Your doctor will want to know if you
are progressing as expected. Often your condition changes, and you may not
notice gradual changes. A review of your previous notes will help you.
Sit, think, organize and write down your thoughts. Especially if you have
not improved, prepare for your visit using both questions for a sick visit
and some of the questions for a follow-up visit listed below. If you have
improved, the following type of questions may be used to monitor you
progress:

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How did
the symptom change since the last visit?
-
How did
you tolerate the new treatment (any medication side effects)?
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How
regularly were you able to take your medicine or treatment?
-
What
lifestyle changes , if any, were you able to make?
-
What new
symptoms did you notice?
-
What
continues to make your symptoms better or worse?
-
Where do
you have any residual symptoms?
-
When,
after starting treatment, did you notice a difference?
Doctor
Visit Preparation: Routine Visit
Sometimes patients see their doctors when they feel
well. This is the visit to discuss preventive medicine, ending certain
medications that you may be on, health maintenance issues (screening
tests), and advanced directives. Advanced directives include making out a
living will or designating a healthcare proxy, and making decisions about
whether you want to minimize heroic measures in the case of terminal
illness, such as shocking of the heart, CPR, mechanical ventilation, tube
feeds, etc. These are some of the type of questions to consider:

-
How you
are feeling on your current treatment?
-
Should
you make any lifestyle changes?
-
Do you
have any questions that have arisen from things your friends,
neighbors, or spouse have said, or things you have heard from the news
media?
-
What
preventive or screening tests should be done for you?
-
When
will you be able to decrease your frequency of doctor visits?
-
If you
take a lot of pills each day, is there a way you would be able to
change your medications to decrease the number of pills you take each
day?
A little preparation can go a
long way to make your visit with the doctor as productive and helpful
as possible.