When dealing with a complex or serious medical question, take along a trusted relative or friend who can provide a second set of ears and record what the doctor says. That person may also think of other important concerns or questions to ask.
IN WITH THE DOCTOR
Weiss suggests that patients set the stage for a congenial visit by greeting the doctor with a smile and handshake (or hug, if appropriate). It's also good to thank the doctor for seeing you, especially if you required a last-minute appointment.
Davis Liu, a family physician with the Permanente Medical Group in northern California who has written Stay Healthy, Live Longer, Spend Wisely: Making Intelligent Choices in America's Health Care System, has devised the acronym DATE to help patients derive the most from a doctor's visit:
D for diagnosis: Write down the medical terms, not lay lingo.
A for additional tests: Does the doctor require or recommend other tests, X-rays or procedures? Tell the doctor you expect to be informed of the results, good or bad.
T for treatment plan: Is a new medication or dosage being prescribed? Is surgery needed, and how urgently? Should you see a physical therapist or change your diet or exercise program?
E for further examinations or evaluations: When should you return for a follow-up? What are the signs or symptoms to watch for and when should you call the doctor if the condition does or does not change?
CHOOSING WISELY
Perhaps most critical in gleaning the maximum from a medical visit is to find a doctor with whom you have a rapport. Weiss suggests that in addition to having good training and experience (at least a few years in the field) and admitting privileges at a good hospital, the doctor you choose should be thorough and supportive, should listen to you, answer your important questions and be open to input from you about your symptoms, treatment and options.
Your doctor should also appreciate that health problems can be confusing and frightening. The doctor should respond to your concerns with patience and kindness, repeating information if needed.
The office should be neat and comfortable, with adequate seating and reasonable waiting times. Still, always arrive prepared with something to occupy the time if the wait should run more than 15 or 20 minutes. Starting an appointment furious about the wait is not conducive to good care.
Most important to me is a doctor who is accessible, by phone or e-mail, and who responds to my concerns in a timely fashion. My family doctor's answering machine gives his cell phone number for calls that cannot wait until he is in the office and recommends going to an emergency room for urgent or potentially life-threatening problems.
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