Things your doctor wants to tell you

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Patients want to get the most from their medical appointments, but sometimes it’s hard to bring up sensitive issues or to remember all the questions you’ve been storing up. Here are some tips from doctors themselves to encourage you to get the most out of every visit.

Don’t Be Embarrassed — We’ve Seen It Before

Whatever your symptoms, no matter how crazy, unusual, or embarrassing, your doctor has seen it before, and probably at least once or twice this week. “I want my patients to know that they can bring up any topic with me,” says Dr. Barry Egener, a Portland, Oregon internist and medical director of the Foundation for Medical Excellence.

“We see and hear everything, and it’s helpful for us to know what’s worrying you. If you’re not sure whether or not you should say something, you probably should say it. If you’re on the fence, bring it up. We accept that people come in with every potential history and past behavior,” he says.

Give Your Symptoms Context

Tell the doctor the story of your symptoms, and not just a list of them, urges Dr. Leana Wen, emergency room physician at George Washington University and co-author with Dr. Joshua Kosowsky of When Doctors Don’t Listen: How To Avoid Misdiagnoses and Unnecessary Tests. Instead of saying, “I have a headache,” start from the beginning. “A good story has a beginning, middle, and an end, and usually an element of surprise,” says Wen. “So if you say, ‘I’m someone who’s had migraines for 10 years, but for the last three days, I haven’t been able to get out of bed. I’m really worried that I have bleeding in my brain.’ you’re giving your doctor a lot of information in a context. It will help him or her diagnose you.”

TIP: Rehearse your story before you get to the doctor’s office so you can include all the information in the most concise form possible.

We Know Weight Is a Touchy Subject

If you are overweight, losing a relatively small amount of weight can make a big difference in your health. It can lower blood pressure, reduce pain and stress on joints and reduce the risk of diabetes, cardiovascular disease, even – some studies suggest – cancer.

But doctors realize that losing weight isn’t easy and that food can bring pleasure, draw families together and be a highlight of any trip, celebration, or any given day. “We also know that there are health consequences to being overweight,” Egener says. “We know that you cannot abstain from food the way you can abstain from drugs or alcohol. You need it to survive.” So when we ask you to lose weight, we’re not ignorant of how difficult it can be, but rather aware of the health benefits that you’ll gain if you can drop even a few pounds.

Don’t Use the Internet to Diagnose Yourself

If you search your symptoms on the Internet, you can come to some wild – and wrong – conclusions, says Wen. Have nausea and fatigue? Frequent headaches? That could be anything.

However, the web can be very helpful if you’ve already got a condition and are having new or odd symptoms, Wen says. But users beware. “All web information is not created equal. You have to understand what’s a testimonial versus a research site,” Egener says. In general, stick with government sites such as cdc.gov or Medlineplus.gov, where you can find the latest research and legitimate medical studies.

Use the Front Office to Your Advantage

“We have appointments of different lengths for different purposes,” Egener says. “It takes longer to do a physical, but we have a shorter appointment if you come in for a rash.” So, make sure to communicate effectively when calling for your appointment. For instance, say: “I have three things I want to talk to the doctor about.” If you hate waiting, ask for the first appointment of the morning or the first one after lunch.

Also important: You should have a clear list of things you want to discuss, and be aware that you may not get to all of them.

Lastly, the office staff will ask about insurance. If you don’t have any, say so, and then ask if there is a sliding fee scale. You may be able to negotiate a lower fee, Egener says.

Always seek the advice your personal physician. In an emergency dial 9-1-1.

Now is the time to share who you think is the best medical professional in Roxboro and Person County by voting in the 2018 Best Of Person County contest. Just visit www.personcountylife.com. Click on the Best of Person County banner at the top of the website and scroll down to the colorful category logos to access the ballot. It may just be what the doctor ordered!

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