Patient & Doctor Value Visit

Visits to your doctor or any healthcare provider can be frustrating and time consuming for all involved.  These are some things you can do to make it an easier and more productive.

One of the first things you want to do is make a written or typed medical history to take with you, especially if this is your first visit to a new doctor. Make a copy for you and your doctor. You both will be able to refer to it as needed. This will save valuable time, and give you and your doctor more time to talk instead of flipping through your medical record. It can be difficult trying to "remember" what test or procedure you had 10 years ago or even last year.

It is a good to make appointments when you are well and stable.  Keep a list of things you want to talk to your doctor about. Update the list before each visit. This way you will be able to keep track of what has been discussed, and what needs to be discussed. Try to talk about the most important things first especially those that need immediate attention. Each time you go for your visit, you can refer to your list and take up where you left off. Be sure to express your immediate concerns first. We all know how short a doctor visit can be.

Request copies of your medical records from all your doctors. "The medical record is the cornerstone of keeping track of everything pertaining to your health." This gives you a complete assessment of all your medical problems. You will be able to check the accuracy of your records, and bring any errors or absent information to your doctor's attention. Let your doctor know about anything you do not understand, or if there is something you are unable to read due to poor handwriting. It is surprising to see how many doctors are often unable to read their own writing.

Schedule your appointment for first available times in the morning or afternoon.*  This will likely ensure that you will be seen on time with a shorter wait time and longer visit.  It will help you and your doctor focus on your total health care versus acute, intermittent health concerns that can easily take up your whole time. Unless an emergency arises, the wait should be less than 15 minutes.  If there is an emergency you should be notified and given the option of waiting or rescheduling, or going elsewhere for treatment. 

The easiest thing you can do is be on time.  Best health!

*How to Make Your Doctor Appointment http://bit.ly/akMrpX

by J.L, Richardson, M.D., family medicine expert and author of Patient Handbook to Medical Care: Your Personal Health Guide, honorable mention of Writer's Digest International Self-Published Book Award** and Indie Excellence Award finalist.

(**Written by a reliable source, this book is the perfect quick reference for all of those squeamish people who hate going to the doctor. I am one of those people. I hate wondering why a certain test was performed, exactly what a common diagnosis may mean, what the proper specialist for my malady might be called, and negotiating the maze of health insurance forms and other paperwork that seems to accompany my ailment; thereby adding insult to injury. To avoid the mystery, misery, and tedium of the wellness process, I often remain sick in order to forego or delay much needed medical appointments. The author writes for people like me; she writes in a calming, professional tone and explains, in as simple and non-threatening a manner as possible, what I can expect along every step of the healing process. By learning to keep a medical diary, knowing what to expect of my medical staff as well as how to decode their complicated language, and then by understanding the basics of the complex American healthcare system, I can take charge of my own healthcare. This little book provides me with all the tools necessary to do just that. ~Writer's Digest)

Free Book Read: Audible and Visual Health Literacy

Health literacy is very important.  It is essential in keeping yourself healthy.  Reading is the best way to be health literate.  Reading in itself is an intangible vitamin that should be ingested daily.  

Patient Handbook to Medical Care: Your Personal Health Guide is available to help you with basic health literacy in seeking medical care.  This book is a medical reference book.  It is meant to be read and referred to as needed.  This book may be accessed for free on Kindle Unlimited as a visual read. An audible read is available through BlogTalkRadio as Patient Handbook to Medical Care.

Learn good health.  Be health literate.  Best health!

Author Reading from "Patient Handbook to Medical Care"

In recognition of World Read Aloud Day this excerpt from Patient Handbook to Medical Care: Your Personal Health Guide is available for your listening.  Chapter 3, The Doctor Visit: History and Physical http://bit.ly/fXIuZY
Take charge of your health care with health literacy.  Reading and knowing as much as you can about your health keeps you informed.  This allows for you to get what is best for you.  Best health!

Timely Tip: Your Medical To-Do List

As  you think over things to discuss with your doctor, you may be amazed to see how many are unresolved, and fortunately not life-threatening. It can be a task to try to get them all taken care of in a timely manner.
Make your medical to-do list before doctor visits. Update it after your doctor visits.  Keep your notes together in a folder (off computer and/or on computer), or notebook.  This creates an overview of your medical issues.  It will also help you keep up with the unresolved as well as resolved issues. Best health!

Patient Doctor Commuincation: Listening Is Primary

In this ever changing world of new technology conversations with your doctor face to face are becoming less frequent.  Prior to modern technological advances, most talking to your doctor was done in person during the office or home visit.  Any talk after the visit was by phone, fax, and/or postal mail.  Today this has expanded to e-mail, electronic health records (EHRs), and telemedicine.  Many patients feel that face doctor time is too short and often overshadowed by intense study of the chart and other distractions.  Many doctors overlook the fact that what you have to say will help them diagnose you. 

Studies have shown that missed diagnoses are more likely if the doctor has failed to listen to the patient.  Distractions like patient chart review, interruptions during the office visit, leaving the room to take care of something else, and more decreases the patient’s time.  This unprofessional, unmannerable behavior leaves the patient at a disadvantage.  After getting ready for the appointment and being transported and possibly waiting over one hour to see the doctor, the patient gets an average of less than five minutes of fifteen minute visit to talk.  This is a major faux pas. Patients are able to help lead the doctor to correct diagnoses and treatment over 90% of the time if they listen to the patient.  Less listening invites more unnecessary tests, procedures, and incorrect diagnoses than one can imagine as the doctor tries to rule out what is wrong.

Listening to patients’ history and doing a comprehensive physical exam contributes more to getting the correct diagnosis.  Blood and diagnostic tests add to this; however, if the patient doctor communication is unclear, these could be the wrong tests.  For the patients’ best interest (and less misdiagnosis for patients, malpractice for doctors) communication must be a priority.  The following suggestions for doctors will help:

• Avoid distractions when you are with a patient.
• Give more time for those that need it like hearing impaired, elderly, illiterate.  If hearing impaired, write down conversation to each other.
• Listen intently to patients without interruption when they are talking.  More important information and more information will be obtained that way.
• Take more time to answer questions.  Use patient information handouts as applicable (include books, CDs, websites, etc.on pages)) for more reliable factual information
• Review patients’ medical record before you see them.  The more you see them the better you will get to know them requiring less chart review before each visit.

Doctor and patient communication is important in every patient’s health care.  Miscommunication can lead to adverse outcomes, inaccurate diagnosis, improper treatment, and poor overall health care.  Listening is a primary diagnostic tool that should be used all the times.  Best health!

Mobile Healthcare:Telemedicine Telehealth

If you could visit your doctor 24/7 how much money and time could you save?  Telemedicine healthcare makes this possible.  Telemedicine makes virtual reality a reality as real as visiting your doctor in the office.  Through your smart phone, tablet or computer you can make a doctor visit.  No travel time. No wait time. Just quality doctor time.

Telemedicine is a billion dollar business that is becoming a trend in our connected world of convenience and crucial time management.  It entails the use of electronic communications to monitor and improve a patient’s health status.  In addition to saving money for patients and all providers (including insurance companies, hospitals, clinics), there is better access for everyone. Studies have shown that overall quality of care improves as patients are given more of the attention they deserve to make their healthcare experience more beneficial. .  It is helpful for patients in remote areas with limited or no transportation and those with chronic conditions that limit their ability to make an in person office visit.   

As telehealth develops, doctors and patients will find even greater access with connectivity via personal electronic health devices and applications (apps, for short).  Telemonitoring allows patient and doctor to check and follow together such parameters as blood pressure, blood sugar, and much more in real time together.  If that noon time blood sugar is too high, your doctor can be aware and advise accordingly at the time of occurrence instead of on the next appointment in 2 weeks.  This alone saves the patient’s health as well as travel time, office visit wait time, and the money to do all of this.  It potentially avoids an emergency room visit and hospital admission. 

In addition to patient care, doctors are able to communicate in a more timely, efficient manner with other doctors and health facilities.  The CT scan you had this morning is can be viewed by your doctor within minutes after completion instead of days after. Mobile collaboration allows your doctor to discuss your health case with other healthcare professionals like specialists (in the same or different locations) to determine the plan for your care.  This can actually happen the same day a test is done!  This eliminates delays in care that could be life threatening to a patient. 

As costs for telemedicine access decrease and more insurance companies/plans reimburse, it will become the portal of choice for many patients, doctors, and other healthcare providers.  Your doctor visit time can be more about you at your convenience in your home.  Best health!

Family Health: How to Keep Your Health History

Your medical history is the cornerstone of your medical record.

Use it to keep up with your health. Update your medical history often especially as new treatment plans and healthcare issues arise.  Copy and complete the following assessment to keep up with your family's health and medical history. 

MEDICAL HISTORY

 

NAME____________________________

DATE OF BIRTH_____________________________

 

INSURANCE COMPANY___________________

INSURANCE ID #________________________

PHONE______________   FAX__________________

ADDRESS__________________________

CITY_____________STATE___________

ZIP________________COUNTRY__________

EMAIL___________________________

 

PAST MEDICAL HISTORY

ALLERGIES______________________________________________________________________________________

_______________________________________________________________________________________________

DRUGREACTIONS________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

DIAGNOSES & MEDICAL CONDITIONS (include year diagnosed)

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

SURGERY/ OPERATIONS (include year done)

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

MEDICATIONS (list prescription, over-the-counter, foods, herbs

also write dosage and how often taken)

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PAST MEDICATIONS (list anything you have taken and stopped – note why it was stopped)

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

FAMILY HISTORY (list medical conditions in family members – list ages, list if deceased and reason)

MOTHER____AGE________

LIVING: YES___NO____

FATHER____AGE_________

LIVING: YES___NO____

______________________________________________________________________________________________

SISTERS_____AGES_________

LIVING: YES___NO____
_______________________________________________________________________________________________

BROTHERS __AGES_________

LIVING: YES___NO___

_______________________________________________________________________________________________

GRANDMOTHER (Mother’s mother) AGE__________LIVING: YES___NO___

_______________________________________________________________________________________________

GRANDMOTHER (Father’s mother)  AGE__________LIVING: YES__ NO___

_______________________________________________________________________________________________

GRANDFATHER (Mother’s father)    AGE__________LIVING: YES___NO___

 

GRANDFATHER (Father’s father)    AGE___________LIVING: YES___NO___
______________________________________________________________________________________________

 

OTHER RELATIVES (list any more sisters, brothers, great grandparents, etc. especially those with medical conditions)_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

OTHER MEDICAL TREATMENTS (list any other treatments like prayer, massage, chiropractor, exercise, physical therapy, etc.)___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

SOCIAL HISTORY

Home:  lives alone___ 

             lives with family___

             lives with friend____

             lives in facility_____facility name, address____________________year moved in____________

Marital: Single___Married____Divorced___Widow/Widower_____

Use of cane___ walker___ wheelchair___prosthetic_____

Other___________________________________________

Alcohol consumption: 

   How many times per day/week/year?________________

   How much per drink?____________________________

Cigarette use: Yes___ No___

   How many per day?________

   At what age did you start?_______

Sexual:  Are you active? Yes___No___

Drug use: Yes___ No___

 

OCCUPATIONS/ JOBS/SCHOOLING

___________________________________________________________________________________________________________________________________

 

MY MEDICAL NOTES

Use extra page to list any other medical history

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

How to Make Your Doctor Visit Easier

Visits to your doctor or any healthcare provider can be frustrating and time consuming for all involved.  These are some things you can do to make it an easier and more productive.

One of the first things you want to do is make a written or typed medical history to take with you, especially if this is your first visit to a new doctor. Make a copy for you and your doctor. You both will be able to refer to it as needed. This will save valuable time, and give you and your doctor more time to talk instead of flipping through your medical record. It can be difficult trying to "remember" what test or procedure you had 10 years ago or even last year.

It is a good to make appointments when you are well and stable.  Keep a list of things you want to talk to your doctor about. Update the list before each visit. This way you will be able to keep track of what has been discussed, and what needs to be discussed. Try to talk about the most important things first especially those that need immediate attention. Each time you go for your visit, you can refer to your list and take up where you left off. Be sure to express your immediate concerns first. We all know how short a doctor visit can be.

Request copies of your medical records from all your doctors. "The medical record is the cornerstone of keeping track of everything pertaining to your health." This gives you a complete assessment of all your medical problems. You will be able to check the accuracy of your records, and bring any errors or absent information to your doctor's attention. Let your doctor know about anything you do not understand, or if there is something you are unable to read due to poor handwriting. It is surprising to see how many doctors are often unable to read their own writing.

Schedule your appointment for first available times in the morning or afternoon.*  This will likely ensure that you will be seen on time with a shorter wait time and longer visit.  It will help you and your doctor focus on your total health care versus acute, intermittent health concerns that can easily take up your whole time. Unless an emergency arises, the wait should be less than 15 minutes.  If there is an emergency you should be notified and given the option of waiting or rescheduling, or going elsewhere for treatment. 

The easiest thing you can do is be on time.  Best health!

*How to Make Your Doctor Appointment http://bit.ly/akMrpX

by J.L, Richardson, M.D., family medicine expert and author of Patient Handbook to Medical Care: Your Personal Health Guide, honorable mention of Writer's Digest International Self-Published Book Award** and Indie Excellence Award finalist.

(**Written by a reliable source, this book is the perfect quick reference for all of those squeamish people who hate going to the doctor. I am one of those people. I hate wondering why a certain test was performed, exactly what a common diagnosis may mean, what the proper specialist for my malady might be called, and negotiating the maze of health insurance forms and other paperwork that seems to accompany my ailment; thereby adding insult to injury. To avoid the mystery, misery, and tedium of the wellness process, I often remain sick in order to forego or delay much needed medical appointments. The author writes for people like me; she writes in a calming, professional tone and explains, in as simple and non-threatening a manner as possible, what I can expect along every step of the healing process. By learning to keep a medical diary, knowing what to expect of my medical staff as well as how to decode their complicated language, and then by understanding the basics of the complex American healthcare system, I can take charge of my own healthcare. This little book provides me with all the tools necessary to do just that. ~Writer's Digest)

Making the Most of Your Doctor Visit

When you go to your doctor or health care provider, you should be prepared.  This is one way you can be sure that your doctor visit focuses on your most important health issues. The following suggestions will help you get the most out of your doctor vist.

• Be on time.
• Make a list of things you want to talk to your doctor about. Update the list before each visit. This way you will be able to keep track of what has been discussed, and what needs to be discussed. Try to talk about the most important things first especially those that need immediate attention. Each time you go for your visit, you can refer to your list and take up where you left off. Be sure to express your immediate concerns first. We all know how short a doctor visit can be.
• Make a written or typed medical history* to take with you, especially if this is your first visit to a new doctor. Make a copy for you and your doctor. You both will be able to refer to it as needed. This will save valuable time, and give you and your doctor more time to talk instead of flipping through your medical record. It can be difficult trying to "remember" what test or procedure you had 10 years ago.
• Get copies of your medical records from all your doctors. "The medical record is the cornerstone of keeping track of everything pertaining to your health." You will be able to check the accuracy of your records, and bring any errors or absent information to your doctor's attention. Let your doctor know about anything you do not understand, or if there is something you are unable to read due to legibility. It is surprising to see how many doctors are often unable to read their own handwriting.
• Take advantage of the time your doctor takes looking through your medical chart during your visit by taking your own notes especially questions. As much as 1/3 of your visit time can be consumed by this alone.
• Allow each other to talk without interruption. 
• Bring a trustwothy companion.

Click on "Comments" below to add your tips or ask questions.


*medical history form http://www.mypatienthandbook.com/

Your Health & Medical History

One of the first things your doctors and healthcare providers want to know is why you made your appointment. Once you answer this question (hopefully before interruption) there will be questions about your general health and wellness, as well as more information about your reason for the visit. For specific concerns you may be asked:

• How long has this been going on?
• What have you done for it?
• Have you had it before?
• Where does it bother you?
• How often does it occur?
• What makes it better or worse?
• Are there any other symptoms?

You will be asked about how the other parts of the body are working, such as your eyes, ears, heart, breathing, and so on. This is called the “review of systems” (ROS). If there are any problems not related to your main problem, now is the time to let the doctor know.
This will be followed by your past medical history (PMH), which includes:

1. Diseases you have (high blood pressure, sugar diabetes, arthritis, cancer, depression,
   etc.), or have had that are better or gone (including childhood diseases such as
   measles, mumps, and inherited disease)
2. Operations and times you were in the hospital (including accidents)
3. Medication, including prescription, over-the counter (don’t forget about vitamins),
   natural (garlic, aloe), and herbal
4. Allergies and reactions to anything and what it did to you (for example: breaking out in a
   rash, swelling, itching, upset stomach, etc.)
5. Smoking, alcohol, drug use (how much,
   how often)
6. Shots (childhood, flu, last tetanus, etc.)
7. Sexual (active, using protection, number of partners, diseases)—in females this will also
   include menstrual period, pregnancy, last mammogram, and Pap test
8. Family history (conditions that run in family
   such as cancer, high blood pressure, etc.)
9. Social history—your job or jobs; family; marital status; living arrangement (house,
   apartment, alone, etc.); transportation (drive self, public transport, walk); ambulation
   (use walker, wheelchair); disability (deaf, blind, amputee, etc.) Religion, ethnic customs, and traditions

If there is anything left out or that you feel the doctor should know, now is the time to speak up. It is sometimes hard to get someone’s full attention, so take advantage of it while you have it. Some doctors’ offices will have you fill out forms asking the above questions or will ask you the questions and fill out the form for you. This is not a substitute for the doctor’s personalinterview and questions.

Writing or typing this information is a sure way to keep all of your PMH. Make a copy for your doctor. While talking you both can refer to this vital source of health information. This is part of your medical record.

Best health!

Use this handy form to get you started http://bit.ly/bEvHk6

How To Make Your Doctor Appointment

The doctor in charge of your overall care is
called a primary care physician (PCP). Your first
office visit with a new doctor is the most
important one. This is when you get to know
your doctor and supply information about your
medical background. This visit may be for a
specific problem or for a complete checkup (that
is, a complete physical exam—CPE).

For a specific problem, you might only get an
examination of your complaints, symptoms
(what is bothering you), and of other areas that
the doctor knows to check depending on your
symptoms. In this case, you are usually given a
later appointment (typically in two to six weeks)
for the CPE, but ideally you would have the CPE
on your first visit. It is a good idea to make an
appointment with your doctor while you are
well. This will help you and your physician focus
on your total healthcare more clearly and without
distraction.

Schedules usually have 15-, 30-, and 60-
minute time slots. The longer times are usually
for patients who need a CPE. When you call for
your first appointment, let the doctor’s office
know if that is what you want. That way you will
not be put in a 15-minute slot, the time usually
allowed for a routine visit. Doctors’ schedules can
be very frustrating for patients, doctors, and staff.
This can lead to longer waits and shorter visits.
Being on time is important for both patients and
doctors.

Unless an emergency arises, the wait to see the
doctor should be no longer than thirty minutes.
If there is an emergency, waiting patients should
be given the option of continuing to wait,
rescheduling, or going elsewhere for treatment. If
you really have to see the doctor, just be prepared
to wait, and pray that the magazines are up-todate.
You can bring your own items to read, your
laptop, a CD or tape player with earphones, or
you can strike up conversation with other
patients. Listening and talking with others in the
waiting room is a great way to gather and share
information. Also, take the time to observe. Take
a look around the doctor’s office and watch how
things take place.

Some of the many reasons for a doctor’s
“tardiness” include overbooking patients, double
booking (scheduling two patients at the same
time), “pre-booking” (scheduling appointments
before the doctor gets in), and emergencies. If
you belong to a managed healthcare plan like an
HMO (Health Maintenance Organization), the
doctor usually has little, if any, say over the
schedule because success is equated with seeing
as many patients as possible. Also, the doctor
may be an employee. The doctor who works for
someone else cannot be solely blamed because
the staff also works for someone else.

Before managed care most doctors ran their offices and
hired employees themselves. This means that the
doctor was responsible for the whole office and
the way it was managed. If your doctor is an
employee and waiting is an issue, please let the
doctor, office supervisor, and health plan know
what has happened. The doctor will then be in a
position to let the employer know there is a
scheduling problem. This should help improve
wait time and any related problems.

Best health!

by J.L. Richardson, M.D., family medicine doctor and author of Patient Handbook to Medical Care: Your Personal Health Guide.

www.mypatienthandbook.com
www.twitter.com/MD4U
www.blogtalkradio.com/drjfpmd

Doctor Visit Tips

Going to the doctor can be quite a challenge. These tips will help you make the most of your doctor visit.

One of the first things you want to do is make a written or typed medical history* to take with you, especially if this is your first visit to a new doctor. Make a copy for you and your doctor. You both will be able to refer to it as needed. This will save valuable time, and give you and your doctor more time to talk instead of flipping through your medical record. It can be difficult trying to "remember" what test or procedure you had 10 years ago.

Start keeping a list of things you want to talk to your doctor about. Update the list before each visit. This way you will be able to keep track of what has been discussed, and what needs to be discussed. Try to talk about the most important things first especially those that need immediate attention. Each time you go for your visit, you can refer to your list and take up where you left off. Be sure to express your immediate concerns first. We all know how short a doctor visit can be.

Request copies of your medical records from all your doctors. "The medical record is the cornerstone of keeping track of everything pertaining to your health." You will be able to check the accuracy of your records, and bring any errors or absent information to your doctor's attention. Let your doctor know about anything you do not understand, or if there is something you are unable to read due to legibility. It is surprising to see how many doctors are often unable to read their own handwriting.

Stay on top of your health care with these tips. After all, great health is true wealth!

Click on "Comments" below to add your tips and questions.

by J. L. Richardson, MD, family medicine doctor and author of Patient Handbook to Medical Care: Your Personal Health Guide, the perfect tool for helping you make your medical visits the best.

http://www.mypatienthandbook.com/
www.twitter.com/MD4U
www.blogtalkradio.com/drjfpmd



More tools to help you with your doctor visits:

http://www.mypatienthandbook.com/ - *medical history form on website.

Medical record release form - http://office.microsoft.com/en-us/templates/TC010234611033.aspx?CategoryID=CT101433201033

Medical tests A to Z - http://www.medicinenet.com/procedures_and_tests/article.htm

Specialists A to Z - http://www.healthadvantage.org/body.cfm?id=85

Doctor-Patient Communication Suboptimal, Part 2

When you go to see the doctor you expect compassion, kindness and time! Doctors are walking out the door while you speak. There is little time for much more. Unprofessional hurried behavior is the norm amongst many physicians, while their health care extenders - nurses, physician assistants, nurse assistants - are reported as having much more bedside manner that shows true compassion. Is it really okay to be an unprofessional professional?

Is is okay for your doctor to come in and say, "How you doing dawg?" ? Meanwhile you look around to see if you are in the veterinarian's office by mistake...without your dog. All of a sudden this middle-aged man has finally joined the hip hop now generation. A "How u doin'?" a la Wendy Williams would have been really nice.

Is eight minutes really long enough for a doctor visit? This includes only the conversation without an exam. After repeatedly interrupting you and being interrupted this decreases to three to four minutes. The doctor has just enough time to meet the objective of writing that medical note about you that you may never get to see yet it determines your destiny.

Is it okay for your doctor to admit that she is a "bad doctor" because she admits that she is not keeping a list of all the medicine samples she has given you over the years? There is no documentation in your medical records of all the current medication you are taking. "Bad doctor" by self admission raises a red flag for sure. It seems "bad medicine" is more like it.

As has been said many times, many ways...YOU are your best advocate. It is up to you to be sure that you know all the medicines you are taking and to know your complete medical history. It is up to you to be informed and educated about all of this. Waiting for your doctor may be very hazardous to your health.

by J. L. Richardson, MD family physician, patient advocate, and author of Patient Handbook to Medical Care: Your Personal Health Guide, the book that tells you how to be your best advocate from medical records to medical exams to medical tests and more.

http://www.mypatienthandbook.com/
www.twitter.com/MD4U
www.blogtalkradio.com/drjfpmd

5 Medical Money Savers

Here are five medical money savers to help you spend your health dollars wisely.

1. Keep weight stable. It is the healthy thing to do. This will save on grocery and clothing expenses. Long term savings on medical expenses.
2. Get prescription meds in bulk quantity of 100 versus thirty day supply especially if you are paying for your meds.Buy nonprescription medical items in bulk when on sale. You will be amazed at your savings when you buy a six to twelve month supply on sale. This tip is also effective for emergency preparedness.
3. Check with your state provisions for health care. Many states have low cost insurance plans available. Check what your state has to offer by contacting the state health agency.
4. Talk with your doctor by phone, fax, and email to save on the cost of an office visit payment. Just think about the number of office visits you have been to where all you did was talk (after waiting for a long while). Save your time and money.
5. For blood pressure checks, get yourself a home blood pressure monitor. Call in your readings. Many doctors will discover that your blood pressure is actually stable when the stress of the doctor's white coat is absent. For diabetics, a home glucometer is very useful for monitoring blood sugar.

Invest in your most important asset - YOU.
Great health is true wealth!

J.L. Richardson, MD, family medicine expert, is the author of the award winning, Patient Handbook to Medical Care: Your Personal Health Guide.

Tips for Your Doctor Visit

Going to the doctor can be quite a challenge. "Patient Handbook to Medical Care: Your Personal Health Guide" is the perfect tool for patients to make their visits worthwhile.

One of the first things you want to do is make a written or typed medical history to take with you, especially if this is your first visit to a new doctor. Make a copy for you and your doctor. You both will be able to refer to it as needed. This will save valuable time, and give you and your doctor more time to talk instead of flipping through your medical record. It can be difficult trying to "remember" what test or procedure you had 10 years ago.

Start keeping a list of things you want to talk to your doctor about. Update the list before each visit. This way you will be able to keep track of what has been discussed, and what needs to be discussed. Try to talk about the most important things first especially those that need immediate attention. Each time you go for your visit, you can refer to your list and take up where you left off. Be sure to express your immediate concerns first. We all know how short a doctor visit can be.

Request copies of your medical records from all your doctors. "The medical record is the cornerstone of keeping track of everything pertaining to your health." You will be able to check the accuracy of your records, and bring any errors or absent information to your doctor's attention. Let your doctor know about anything you do not understand, or if there is something you are unable to read due to legibility. It is surprising to see how many doctors are often unable to read their own handwriting.

Stay on top of your health care with these tips. After all, great health is true wealth!

P.S. What tips do you have for doctor visits? Share your tips for doctor visits. Click on "comments".

http://www.mypatienthandbook.com/

Doctor Search on the Internet - Healthy Thing to Do?

Have you looked your doctors up on the Internet? When you do, you may find incomplete inconsistencies. Many web sites had no listing for several doctors I was looking up. So I looked at some others.

I went to the state medical board pages. I found that some doctors listed on the other web pages were not listed on the state board pages. Another doctor is listed with an active and an inactive license (several are listed like this). This doctor’s medical education and training have been done overseas. Some doctors have no residency training listed. This doctor has been in practice for 45 years, and is licensed in two countries and two other states. The doctor’s address is listed as a PO Box.

The type of information listed was different amongst the states. For instance, one state listed one line of information – license number, status of license, present location, disciplinary action (yes or no, not what), date of issue and expiration. Another state gives this plus the doctor’s education and training information, details of disciplinary legal action, other states/ countries where licensed, and board certification status. There were inactive licenses that were listed as active in another state’s information.

These incomplete inconsistencies are rather consistent. Do you know about your doctor’s background? Is your doctor properly trained and licensed? Which information is correct?

The American Medical Association (AMA) has a page with links to the state boards for licensing. Check your doctor at http://www.ama-assn.org/ama/pub/category/2645.html. Compare it to the information at “doctor finder” sites. Incomplete inconsistency.

J.L. Richardson, MD is a family medicine doctor and author of "Patient Handbook to Medical Care: Your Personal Health Guide".
http://www.mypatienthandbook.com

Self Check You

We the people of this mighty fine country vow to take the absolute best care of our most important asset - US. A nation is as great as its assets. We have so many. As long as us Americans stay healthy, we will stay wealthy.

True wealth is great health. It is time for you to take responsibility for your health. It is time for you to know what your health numbers are. It is time for you to know your medical conditions, risk factors, and family medical history.

Give yourself a medical checkup. Start by writing or typing or recording your medical history - medical conditions, surgery, treatments, family history. Add your medication. Save it. Update it. Add to it. Correct it. Keep it current. Keep a copy in a secure place.

Examine as much of yourself as you can. Look at your skin, hair, nails, eyes, teeth, and every part of your body that is visible to you. Make note of any abnormalities. Make note of any symptoms you have - new, old and ongoing. Go through each body system. Add this information to your medical history. Add to this your doctors' and health care providers' names, phone number, land address, and email address.

Call your doctor for an appointment for a comprehensive CPE (complete physical exam). Take your information and notes with you on your appointment. Review everything with your doctor. Take notes.

Sign a medical record release to obtain a copy of your medical record from each doctor you see at the time of the visit.

Be sure to schedule a follow-up appointment within a month or less to go over everything with your doctor. Get copies of your information including blood tests, and any other tests as well as medical notes.

Take charge. Be the healthiest you can be - as a person, as a nation.

Great health is true wealth!

J. L. Richardson, M.D., family physician patient advocate, is author of Patient Handbook to Medical Care: Your Personal Health Guide.

Doctor Visit Tips

Going to the doctor can be quite a challenge. These tips will help you make the most of your doctor visit.

One of the first things you want to do is make a written or typed medical history* to take with you, especially if this is your first visit to a new doctor. Make a copy for you and your doctor. You both will be able to refer to it as needed. This will save valuable time, and give you and your doctor more time to talk instead of flipping through your medical record. It can be difficult trying to "remember" what test or procedure you had 10 years ago.

Start keeping a list of things you want to talk to your doctor about. Update the list before each visit. This way you will be able to keep track of what has been discussed, and what needs to be discussed. Try to talk about the most important things first especially those that need immediate attention. Each time you go for your visit, you can refer to your list and take up where you left off. Be sure to express your immediate concerns first. We all know how short a doctor visit can be.

Request copies of your medical records from all your doctors. "The medical record is the cornerstone of keeping track of everything pertaining to your health." You will be able to check the accuracy of your records, and bring any errors or absent information to your doctor's attention. Let your doctor know about anything you do not understand, or if there is something you are unable to read due to legibility. It is surprising to see how many doctors are often unable to read their own handwriting.

Stay on top of your health care with these tips. After all, great health is true wealth!

Click on "Comments" below and add your tips, and ask questions.

by J. L. Richardson, MD, author of "Patient Handbook to Medical Care: Your Personal Health Guide", the perfect tool for helping you make your medical visits worthwhile.

http://www.mypatienthandbook.com - *medical history form on website. Click on this link.

Patient Grievance

You arrive at your doctor's office for an appointment. You arrive at the scheduled time. You make your co-payment. You wait for 45 minutes before you are taken into the exam room. The doctor enters in a frenzied panic about 15 minutes later. He tells you that you must reschedule because there is not enough time for him to see you. After persistent banter back and forth, your "official" doctor visit begins.

Once the visit starts, there are multiple interruptions from the staff. The doctor does not have the results of your tests. He fumbles persistently through the chart ignoring your presence. You look over your list and move on to the second item while test results are being located. Another interruption puts these results in your doctor's hands. Since you have not heard about these tests done a month ago, you assume all is okay. You assume wrong again.

As the doctor comes to his senses and recoups his professional demeanor, you continue with your list of items to discuss. After 30 minutes you have it all together - copies of test results, prescriptions, and a plan for follow-up on all that is necessary. You are asked to schedule your next appointment in one month at the doctor's convenience. There is no one at the front desk to give you an appointment.

Doctor visits like this are far too common to ignore. In this instance, the patient had an abnormal test that would have been ignored for a longer time. The unprofessional encounter amplified the patient's stress and blood pressure. It may have been easier for the doctor for the patient to reschedule, but would it have been the right thing to do, and the best thing to do?

Doctors would you?
1) keep arguing with the patient until blood pressure reaches 160/120
2) blame the patient for waiting one hour to be seen
3) see the patient
4) see the 2 drug reps and make the patient reschedule
5) apologize for unprofessional rudeness.

Patients would you?
1) reschedule appointment
2) let the doctor know you were on time - deal with it
3) continue talking with doctor instead of wasting time
4) stand up for your rights
5) file patient grievance with insurance company, state medical board.

Filing a patient grievance/complaint is a smart thing to do. A grievance is a request for an investigation of a complaint about a possible risk to the health, safety, or well-being of a patient; or a situation where the patient is unnecessarily at high risk. Check with with your health insurance provider to find out the details for reporting unacceptable medical services that may threaten your life. In addition, it may save other lives as well since about 15% of JCAHO sentinel events reported are from responsible patients who speak up.

by J. L. Richardson, M.D., family physician, patient advocate (specializing in grievenace process and medical record review), patient, and author of Patient Handbook to Medical Care: Your Personal Health Guide, and upcoming Patient Handbook to Surgery: Surviving Your Operation.