Angie's List Tips > May 2009 > How to be a better patient

Posted: 5/29/2009 4:40:54 PM | 4 comments
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Various studies have shown that, on average, patients spend less than 15 minutes with their doctor on any given visit.

With so little time to address your health care, it’s important you maximize what time you do spend with your doctor by being a well-prepared patient.

Keep in mind that your doctor works for you. No one person has more information about your medical history than your doctor and the more your doctor knows about you, the better equipped he or she is diagnose and treat you.

If you have concerns, speak up. If you don’t think you’re getting top-notch care, talk to your doctor and see if you can find out the root of the problem. If you’re still not satisfied, check doctor ratings on Angie's List to find a new doctor.

6 steps to forge a strong relationship with your doctor:
  1. Schedule a regular checkup: The easiest way to build a relationship is to see your doctor regularly. Scheduling a yearly exam – or more, depending on your medical condition – is important to maintaining a familiar relationship and in monitoring your evolving health.
  2. Know your vitals: Keep track of things like blood pressure, weight, cholesterol and other vital statistics. Knowing this information, where you are and where you need to be, is vital itself.
  3. Bring your medications: By bringing in any prescription or over-the-counter medications you take, your doctor can identify any potential unsafe interactions and ensure you are taking medications that best meet your health needs.
  4. Be prepared to ask questions: Make a list of questions or health concerns you may have before your exam. List them in order of importance to you so you address your top concerns early in the appointment. If you don’t get to all of your questions, schedule a follow-up appointment.
  5. Take notes: When your doctor shares information with you about your health, write it down. “Temporal arteritis” sounds an awful lot like “temporary arthritis,” but the two terms have vastly different meanings and it’s important you’re clear in understanding what your doctor says. Taking notes can serve as a reminder to ask follow-up questions during your visit or to help you research more later on your own.
  6. Be honest: Some ailments might be embarrassing and some pains may not seem significant, but if you don’t tell your doctor the whole truth, you’re limiting his or her potential to help you. Doctors aren’t mind readers, and they need as much good information as you can give them. Err on the side of confiding too much rather than holding back. If you’re not comfortable sharing intimate information, you may want to find another doctor who can make you more comfortable.
Comments
L. H. Neuhaus
Very good article! I hope a lot of people read it and take it to heart. I'm a Benefits Manager and encourage my employees to be proactive about their health in all ways. One suggestion: pharmacists know prescription drugs and supplements much better than doctors and are usually glad to discuss meds and interactions with patients, assuming one comes on a day and at a time of day when the pharmacist isn't normally really busy. People should avoid the beginning of the month and the end of the month, early morning, lunchtime and right after work if at all possible -- mid-morning and mid-afternoon usually work best, even if one has to call the pharmacist on the phone if onecan't come in personally.

If you haven't done an article encouraging the use of generic drugs and pill splitting a double dose pill to get two full doses form one pill when possible, please consider it. Both of these things save patients and medical plans a LOT of money. The Veterans' Administration requires patients to split pills when the pills are a type that permits it and the patient is mentally and physically capable of it or has a family member who can do it. It saves millions of dollars for the VA each year.
6/14/2009 11:41:08 PM
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Don Harte, D.C.
My advice is not to be a medical patient, in the common, all-accepting manner of most people. Ask, and research ALL of the side effects of every drug and every surgery, current or proposed. Do not let the doctor shine you on with the popular "one in a million" response. Depending upon one's reference, medical mistakes kill between 98,000 and over a million Americans a year, making Medicine between the fourth and the first leading cause of death.

You might consider asking about "cause." You might consider asking why you are being told to take a drug for the rest of your life, and why you must "learn to live with" your particular condition.

You might consider straight chiropractic care, which deals with "cause." As a chiropractor, I remove interference to the nervous system, allowing the body to heal itself.
7/21/2009 4:11:08 PM
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DB
Could one of you brilliant doctors explain to me how or why you can never be punctual. The waiting times are very unappreciated. If you are going to blame it on people not showing up for their appointments on time then make them suffer, not me. Do all of you have the attitude that because you went to med school your time is too precious and everyone should wait on you. Or are you just too busy thinking about how you can rip off the insurance company or what sports car you are going to get next. That is exactly the feeling I got from the last dip doctor I went to. Won't go back. They played the waiting game with me 3 times. So yeah that is roughly 3 - 4 hours of paid time off wasted waiting on you. That is the main reason I suffer through something as long as I possibly can instead of going to the dr office. I know it is not good for my body, but I don't really know that the doctors these days are much better. You people get paid way more than you deserve or work in my opinion.
9/8/2009 12:54:30 PM
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MH
Re DB's comment...
As a nurse practitioner, I can say that most medical offices aren't thinking about how to rip off insurance companies but instead spend hours and hours jumping through the hoops required by insurance companies in order to participate in various health insurance plans. I started practice in 1980 and watched how, over time, the insurance companies came to dictate medical care. They did it under the guise of saving health care dollars, which instead they simply redirected to themselves and their staggeringly overpaid executives, and improving patient care. Instead, hundreds of hospitals have closed in the past two decades, and there are not enough nurses to take care of patients in the hospitals remaining. Insurance companies led the way in the crazy thinking that resulted in such low nurse:patient ratios in hospitals these days.

You are probably also unaware that they dictate things like how much a doctor (or nurse practitioner or other provider) can charge, what percentage of that they'll pay (and for primary care providers it's definitely not enough to drive a sports car!), and what kind of waiting period is acceptable for a follow-up appointment, new patient, urgent visit, etc., which may crowd our schedules (making it hard to stay punctual). They decide what tests are acceptable for what symptoms, which may go against the doctor's opinion, but tough luck for the patient. The same thing with treatment. Your doctor thinks you need physical therapy for that knee? Too bad. The insurance company thinks you shouldn't need it for that condition. Limp instead.

Often they treat doctor's offices the same way they treat plan members in that they refuse payment for nit-picky reasons, requiring repeated submission of forms. This is a transparent tactic to require more work on the part of the office staff, which raises costs for the office, a cost that is often passed on in higher fees. Not always, though. I personally know one physician who has literally gone without a paycheck during stingy insurance payment months. Of course, she insists on spending more than the insurance-company mandated 10 minutes with each patient and that means fewer patients and less revenue. When doctors don't cave to the insurance companies' dictates, they suffer for it.

If you have not caught on to the fact that insurance companies rule health care, you are not paying attention. If you don't believe me, keep an open mind and ask a doctor. But s/he may not say much because if word gets back to the insurance company, s/he may be dropped from the insurance company's panel of doctors.

It's a very hard time to be practicing medicine and most patients don't have a clue.
3/3/2010 1:49:11 PM
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