Appointment Prep

A trip to the see the doctor – even for a “simple” follow-up appointment – is much more than quickly checking in at the front desk, then popping into the exam room for twenty minutes.

  • In my house, preparation begins in advance:
    • For new physicians, I have the office mail me the paperwork so that I can complete it accurately in a relaxed atmosphere.  I hate being told to check in half an hour early so that I can balance a clipboard on my lap to fill out paperwork.  It’s so much easier to take my time in the comfort of my own home.
    • For referrals, copies of x-rays, lab reports, etc. are needed.  I make a list of pertinent results and if it’s for something I don’t already have a copy of, phone the testing facility.  A disk with x-rays or MRI results is $30 for my personal records, but free if I’m taking the disk to a doctor.
    • I keep a running list of questions between appointments so that I’m able to sort through all of them and type out anything I need to ask the doctor. 
    • One doctor has me track a week’s worth of symptoms prior to every follow-up appointment.  That requires paying attention to symptoms for a week.  Answering, “It takes a while; I don’t know how long,” to a question that I know will be asked, would not be helpful to my doctor.  Instead of just enduring swollen hands in the morning, I have to watch the clock to know how long it takes for the swelling to go down enough that I can close my fist.  Instead of keeping off my feet as much as possible, dealing with the pain when I can’t, and avoiding trips up and down the stairs, I have to keep track of how long it takes until I can move around reasonably well.

  • The day before my appointment:
    • verify that I’ve completed the doctor’s paperwork
    • see how many refills I have left on my prescriptions (it says on the bottles)
    • type up my “why I’m here” half-sheet
    • arrange coverage (check schedules/assign work) for everyone while I’m away
    • find clothing for the appointment
    • write a check to cover my co-payment & put it with the paperwork
    • put MRI/x-ray disks and other pertinent test results with paperwork, if appropriate
    • sort through my running list of questions, and type out the ones that I want to ask the doctor at this appointment
    • put all paperwork into car, ready to leave in the morning
    • bake bread/cookies/cake for the office staff (except my FP’s office would prefer a vegetable tray)

 

  • The day of the appointment:
    • finalize coverage so that things run smoothly in my absence
    • allow adequate travel time (I try to be 15 minutes early, just in case traffic is slow)
    • take notes during the appointment so I don’t forget details later
    • review all notes at the end of the day; clarify anything that’s cryptic so I can I look back at a later date and know what it means

As for clothes selection, the doctor probably doesn’t care what I wear, but I try to anticipate what will be needed.  If my shoulders will be examined, then I wear an open blouse over a tank top; it’s easy to slip the blouse off so that my shoulders are available without having to change into a gown.  If my feet/ankles/knees will be examined, I need to wear socks instead of hose.  Since blood is almost always drawn, it’s important to select a top that allows access to my veins; tight cuffs and sleeves that won’t loosely roll above the elbow are definitely off-limits.  If x-rays will be ordered, it’s easiest to wear a sports bra under my top, and elastic waist on skirt/slacks so that there’s no metal anywhere; buttons interfere with chest x-rays, so blouses with buttons are out, too (unless the blouse is being worn as an easily removable jacket).  Of course one can always undress in the little changing room and wander around the hospital in those flimsy gowns, but it’s much easier to plan ahead and find an outfit that meets all these criteria.

Sometimes the doctor orders fasting blood work, so I try to schedule my appointments early in the day and wait to grab breakfast until after I’ve seen the doctor.  I get hungry, but this is much easier than having to make a separate trip on another day.  This also presents a small problem, since I take meds at every meal and try to eat/take pills at the same time every day.  Figuring it’s not the end of the world, I pack my day’s medications along with me so that I can take them as soon as my blood is drawn and I get some food into my stomach.

It’s time-consuming, but worth doing.  I feel like I’m prepared.  My doctors listen to me and address everything that needs to be dealt with.  They answer my questions.  My appointments go well.  At least they go well for me; I hope that my attention to detail in preparing for appointments doesn’t annoy my doctors.

There’s a post here giving a doctor’s perspective on getting the most from your appointments

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2 thoughts on “Appointment Prep

  1. I so admire your ability to prepare and organize for your appointments like you do. You’re always ready! When I’m referred to another doctor, I’ve always expected that the referring doc will send along the appropriate test results, etc. to the new doctor; perhaps I’m wrong to expect that? I actually CAN recall a few referral appointments where I was surprised to discover that the new doc didn’t have the appropriate info at hand. That’s only happened for me with the VA, though, and I figured it was just par for the course since it’s such a huge bureaucracy.

    This was a really informative post, Socks. You’ve helped me in the past with your organizational skills — I always have a running list of questions for my rheumy now, for instance. This post also helps me understand better why you don’t like having to go to the doc unless it’s something you think is serious. That’s a lot of prep for an appointment that may last only a half-hour and turn up nothing but a cold. ;)

    • I try to be ready :) It writes up as more work than it really is.

      I think sending info to the consulting physician varies from one doctor to the next. My FP has been pretty good about telling me that I need to get a disk from the x-ray place and take it with me to whomever he’s referring me to. Yesterday at the orthopod I discovered that he’d sent a couple pages of my daughter’s chart notes (but no lab results).

      When I make an appointment with a new place, it’s helpful to ask them what information they will need. That way I don’t forget to take some piece of evidence that they expect to be relevant.

      Hope you’re feeling okay after moving all that wood.

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