47, ?ZaWeAMM.W.M00,305.2= .0,,MMard4,== Checklist For Office Visits Office Visits Making the most out of regular checkups is not difficult if the patient comes prepared. * Be prompt (even though you know you may be kept waiting). You might need the extra time to fill out new medical and in- surance forms. * Listen carefully. Don't try to second-guess your doctor and make sure you understand what she is recommending and why, and what you can expect. Ask questions if you don't un- derstand. * You may want to take notes, take a tape recorder, or bring a spouse or friend to help you re- member everything that was discussed. * Prioritize your concerns. Tell your doctor the main problem, describe the symptoms, and what you would like to see hap- , pen as the end result. If you've made a list, show it to your doc- tor. * Rehearse your answers. Be able to answer: What is your problem? How long have you had it? What does it feel like? How often does it occur? Does medication make it better? Do 65 other members of your family have the same problem? 2 6- * Make a list of your concerns and your symptoms. Be thor- ough, but don't over-do it. * Know your body. Learn how your body works, particularly the heart and circulatory sys- Dr. Raymond Weitzman: Physicians want to listen. RUTHAN BRODSKY SPECIAL TO THE JEWISH NEWS T he scenarios are familiar: a stuffy, packed waiting room, a one-hour wait in a cold cubicle just large enough for an examination table and a few frayed Reader's Digests dated 1995. The scene switches to a patient receiving a rushed medical exam - by a harried physician assisted by an officious technician, and ends with a very frustrated pa- tient showing signs of hostility and resentment. Today, growing numbers of us are unwilling to accept this pic- ture. And rather than just being passive and complaining, we're taking more responsibility for our own medical care by collecting in- formation and questioning our doctors. For the successful, the quest for the best care is a doctor-pa- tient partnership in which mu- great opportunities for us to take tually respectful dialogue is the charge of our own health. And rule and the growing range of tra- doctors who want to stay in prac- ditional and alternative thera- tice will have to meet these ex- pies is jointly explored. pectations or they'll lose patients. Big business has been mar- For patients, the problem is keting this posture. switching doctors Now available to con- Dr. Raymo nd Weitzman may not be conve- sumers are medical exami nes Rose nient or even smart. reference books on CD- Lieberm an's hands. That doesn't mean ROMS, Internet chat that we can't work rooms for medical information better with our long-time physi- and health support groups, pa- cians and even retrain a few in tient education videotapes and some of the more common com- cable TV showing open heart plaint areas. surgeries. Even the elaborate "Think of your office visit as two-page ads of pharmaceutical if you were attending a business companies for prescription drugs, meeting," recommends Dr. Ray- once assigned only to profession- mond Weitzman, a physician in al medical publications, have Southfield specializing in inter- made their way into consumer nal medicine and rheumatology. magazines. "Even if you have multiple com- This growing emphasis on the plaints, be definite about your patient's role in health care offers goals and priorities for that office visit and know what you want to achieve before you leave the office. "Make sure you tell your physician everything up front because my job as physician is to analyze the information patients provide, and tie that data to the body's systems so that I can diagnose their cause and recommend treatment," Dr. Weitzman says. "What I hate most is at the end of a check up when a patient tells me, By the way, I have this oth- er pain I didn't tell you about.' That pain might have influenced all my earlier analyses." In a situation like this, both the patient and physician have lost time. That's not to say you shouldn't tell your doctor a detail or an incident that you forgot to OFFICE VISITS page 66 tem, the urinary and repro- _ ductive SYgtems, and the , 1 -;) digestive tract. Becoming fa: cr) miliar with'your body and its ftmctions will make discussions with your doctor less intimi- dating and more informative. * Take responsibility for your treatment. Discuss alternative .fc options and do your homework at the library or on the Inter- net. 05