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Social Services: Communicating with your doctor

April 27, 2006


This column examines ways in which New York State United Teachers' Social Services Department helps union members with decisions about counseling, elder care and other social issues — including tapping into networks of services in communities around New York state.

A physician's time is at a premium. In fact, sick patient consultations are typically scheduled for 15 minutes. So, getting the best results takes a proactive approach, good communication and a working partnership with your doctor.

Preparation is indispensable. Before your appointment:

• Write up your symptoms, their possible causes, and a list of questions and concerns. Then prioritize the list.

• Gather all your medical information: medical history; current medications, vitamins, and supplements; allergies; insurance details and card; pharmacy particulars.

• Ask a friend to accompany you, especially if your illness is complex or you feel intimidated by doctors.

• Call ahead to request any special assistance you might need.

• Wear loose clothing that is easy to take off and put on.

• Arrive early to complete paperwork for a first-time visit. Bring your iPod or a good book to make the inevitable waiting period more enjoyable. Or use the time to review your list of questions.

During the appointment:

• Be friendly and courteous, but firm in your requests.

• Discuss your topmost concerns first, and be concise.

• Honesty is crucial to obtaining the best care. Be sure to share information about issues that might be embarrassing, like incontinence or memory loss.

• Ask questions to determine your diagnosis, required testing, and all treatment options. If you don't understand your doctor, continue to ask questions until you do.

• Provide candid feedback about your medications or treatment.

• Take notes, or ask if you can record the interview.

• Ask the doctor to provide written instructions as well as printed information and other resources pertinent to your condition.

Keep in mind that you can contact your doctor or a nurse by phone or e-mail between visits if questions arise.

Remember, you're a consumer and your doctor is a paid consultant, not a superhuman. As a patient you have rights, are entitled to a second opinion and must be treated with respect.

If your experience is not satisfactory, try discussing the problem with your doctor or consider going to another physician who can better meet your needs.

Call NYSUT Social Services if you need to discuss how to communicate effectively with your doctor about your particular situation.

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