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on
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at
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Jan Bayer, MSW, CSW
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mention earlier in your check-up. withhold any information, even
Passive patients may get lots of if it's not medical but is having a
medical advice and prescription major effect on your lifestyle.
drugs, but they may not get the Your doctor should know if you've
doctor's complete attention and lost your job or your dad died be-
they don't always get the best re- cause stress can produce all sorts
of symptoms.
sults.
"And finally, before your doc-
Few would accuse Rose Lieber-
tor leaves the room, ques-
man of being wimpy about
tion her about when you
taking charge of her
A thor ough
require a follow up visit,
health.
discu ssion
"One time I remember should b e part . whether she'll be calling
waiting in a doctor's office of the e xam. you about the results of
the exams, and what
and then waiting even
should you be aware of in
more in the examining
room," recalls health insurance your condition."
"I ask my doctors questions all
expert and patient advocate
Mrs. Lieberman. "Rather than the time," says Marsha Gordon
lie on the examining table, I sat of Birmingham. "One of my ma-
on that little stool the doctor jor concerns at this time of my life
usually sits on, and when the is breast cancer, and even though
doctor finally entered the room, I don't have any symptoms, I al-
I moved the stool in front of the ways ask about my mammogram
results and about the latest re-
door and said:
"I've waited a long time for you search.
"If something is bothering me,
and I'm expecting that you'll have
I come prepared to ask ques-
the time to spend on me."
Mrs. Lieberman advises jot- tions."
Dr. Richard Kushner, a gen-
ting down your medical concerns
about a month before the ap- eral practitioner and pediatrician
pointment so that you don't for- at the Redford Clinic, says,
get anything or remember a "Without a doubt, I appreciate
symptom at the very end of the well-informed patients who take
responsibility for their health
visit.
She also recommends asking care.
13y the same token, some pa-
other people who are close to you
if they've seen any changes or tients have an attitude. They're
have any concerns about your the ones who have prediagnosed
health and behavior. Often it's themselves, and arrive at the
easier for someone else to see un- checkup demanding an antibiot-
usual symptoms, particularly fol- ic, or decongestant, or a pain med-
ication. It's my job as the medical
lowing an emotional crisis.
"And if you're going to the doc- expert to make the diagnosis and
tor for an annual check-up, be I don't prescribe drugs casually.
prepared to wait," advises Mrs. There's a difference between be-
Lieberman. "Bring a book, knit- ing wisely assertive and aggres-
ting, your office work, a lap-top sively not-so-smart.
Dr. David Rosenberg tells his
and be pleasantly surprised if you
patients to bring in all their
don't have to wait."
For better office visits, Dr. medications each and every vis-
Donald R. Powell, president for it. Dr. Rosenberg, who has a
the American Institute for Pre- family practice and specializes
ventative Medicine in Farming- in geriatrics in West Bloomfield,
ton Hills, gives three bits of says that many of a patient's
symptoms can be attributed to
advice.
"First, don't pretend you un- medication. "This is especially
derstand what your doctor is say- true for elderly patients who are
ing if you don't know. She won't probably seeing more than one
know unless you tell her and she specialist, and each is prescrib-
probably has more than one way ing one kind of medication or an-
other. I want to see the whole
to describe your condition.
"Secondly," he says, "don't picture at a checkup and ques-