(Disclaimer, I am not offering medical advice. Only your doctor or health care provider can offer you medical advice. Nothing I am writing is to be intended as a means to treat/manage any condition)
Do you want to know a few simple things you can do to get better care when at your doctor's office?
1) Dress Up. You don't need to be in a suit and tie or a women's business suit. Understand that the more professional you look, the more seriously, the average doctor is to take you. Think about it, would you take a doctor more seriously if he/she was in shorts and a t-shirt and flip flops at your appointment or if he/she was in a white coat and professional dress? If you are in shorts and a t-shirt, your doctor is more likely to brush aside your concerns, think you're a drug seeker, etc. Dressing up takes another 5 minutes, but it's completely worth it.
2) Ask for a copy of your records. Any time you see ANY doctor, ask for a copy of any new records (labs, scans, progress notes, etc.). They are required by law to provide you with a copy (although if you're getting your whole chart all at once, it may take a little time and they are allowed to charge you a copying fee for expenses even though most offices don't if it's just a few pages). I would suggest that you be considerate and ask for your records either at the beginning and ask if you can have a copy when you're done (to give the busy staff warning) or ask for a copy and pick it up the next day or the next time you see the doctor. When you have a copy of your records, you can simply pass it to any new doctor and speed up the process of you getting an appointment (often you can't get one until they have records) and speed up the process of helping your doctor figure out what's going on. Also, this will save you money since you won't have to have a ton of repeated labs/scans (especially the more expensive ones).
3) Prepare. You wouldn't go into a school exam without preparing, so take a little time and prepare for your appointment. Write down a few things:
A) Medications (name, dosage, how often it's taken, and why it's taken)-including all vitamins/supplements/creams/patches/over the counter drugs.
B) Chief Complaint. Essentially, why are you there? Are you there because of a headache? Are you there because your husband/wife is forcing you to go? Your knee may be hurting, but are you at the doctor to get an STD test because you think you've picked something up? Then the STD test is what you're there for (not the knee, even if you tell the nurse your knee is hurting because you're embarrassed to say you think you have an STD).
C) Symptoms. Don't you hate it when you go in to see a doctor and when you're done, you remember that you forgot to tell the doctor the most important symptoms? Well, like as above, if you only tell the doctor about your knee hurting and forget to mention the ulcer on your genitals that you're afraid may be an STD, the doctor will be checking out your knee and not know to do a pelvic exam. Thus, write down all your symptoms, when they occur, what they're like, how long they last, what makes them worse/better, if they radiate anywhere, etc. The more simplified you make it for us, the better.
4) Ask Questions. If you don't understand something, ASK. You're not unintelligent because you didn't understand the big words we just used (and no, you're not dumb because you didn't understand something that you thought you should understand). Miscommunication is a HUGE problem. Ask the doctor to repeat something if you didn't catch it the 1st, second, or 43rd time.
5) Speak Up. If you're not sure about something, you don't feel like your needs are being met, etc., speak up, speak up, speak up.
6) If your concerns aren't being met/addressed, consider going elsewhere. You won't necessarily feel as if each doctor is right for you. Seeking a second opinion is alright. It's your body and ultimately, you're the one who has to deal with the consequences of what happens with it.
7) Bring a copy of your records. If you get any blood work or scans done, bring a copy of each to your doctor's. Often, the labs forget to send a copy and your doctor doesn't have the labs/scans. Bring a copy and save yourself the trouble.


Comments: 99
Conversely, I also learned a lesson a few years ago in Texas. If one is receiving some sort of assistance in healthcare, then one should NOT wear nice(r) clothes (or have them ironed!!!) because that makes it look like one doesn't really need the help. I was actually told that, "poor people don't iron their clothes."
Either way, for all you know, your doctor is treating you for high blood pressure. There's no clear way for you to necessarily know how seriously your doctor is taking you.
So yes, if you want to argue and say that you shouldn't have to dress up to see a doctor and they should take you seriously no matter what, you're welcome to feel that way. I agree that they SHOULD take you seriously. But remember, the more you do to help your situation (including increasing the likelihood your doctor takes your concerns more seriously and looks at them in depth), the better care you can get. It's up to you.
Sad, but true. People may not WANT to believe this and it may not hold true for individuals but as a generality, yes, doctors are people, too, and just as nutty and prone to stereotyping as the rest of us.
Consider this: perhaps their judgments and perceptions are subconscious, made without them thinking about it. Still....I'd rather get the best treatment so if I have to wear nicer clothes (while feeling terrible) to get it, I will.
I once walked into a hospital when I thought I was having a heart attack, no makeup, ratty clothes (hey, I was panicking). I walked out with two IV tube holders still stuck IN my arms, needles and all, under the bandages. I think they took one look at me and thought I was coming in off the streets. If I'd been in a business suit, you can BET I'd have gotten better treatment!
Don't want to dwell on clothing but the rest of your comments are also right on the money. People need to be their own best advocate. You take your health care seriously and I am willing to bet your health care provider will do the same.
Talk about ridiculous. I had to take off all of my clothes and wear the idiotic robe just so the doctor could talk to me and take some blood.
When my husband went for the EXACT same appointment, he got to keep all of his clothes on.
I've never gone back.
Also...the part knowing why you are going to the doctor in the first place. A "Because I'm sick." reason doesn't work. Nothing like trying to drag it out of a patient.
No long stories please, people. We don't want to know what happened last month when you had a stuffy nose when you at your uncles house(of which it only lasted a day)....What's going on with you NOW
I don't know if it works or not. I am one who tries to look at least decent unless I am practically dead. When I was so anemic, I did not care either way. Heck, they should be lucky I made it out the door that day.
Thank you Dan for putting this out there. Many points that many don't know about.
You other advice is very good. I can't agree with you more about writing things down to ask your Dr or share with him/her. No matter how well prepared you think you might be when you get in that office & the Dr walks in for the few minutes that you get to spend together, you most likely will forget something! And ask ask ask! Questions are good communication between you & your Dr. Don't feel embarassed to jot down a few notes while talking. Comes in handy if you forget to ask for your "after visit summary"
I think everyone who reads your post will have a much improved "next visit" with their Dr. And those Dr's will have you to thank for making their job easier!
Very good advice Dan. Thanks for sharing!
Doctors do respond to intelligent questions from well attired patients. Both do make a difference.
My doctor and I shake hands goodbye as I leave. I appreciate the respect.
Great write-up, Dan.
you know everybody out here in SoCal wears flip flops and shorts and t-shirts!
so if we want the best attention from the other human in the room, we should do what we can to satisify their psycho needs..so they will help us with our physical ones.....
I went with my son today.....he told the dr about a certain med he needed..whcih he has been given before...but when the scripts were finally given to him....that was not included, which means more trouble for my son when he tries to get a refill on the script he has on file....drs memories aren't perfect...and I have had drs tell me that they can only address one complaint each visit.....I have had a few address two...but they don't want to give more than a few minutes per visit, so they only will listen to one or two complaints...pick the two that are most troublesome...and know the others will cost another payment...whether co or in full.
Thanks, Dan for the advise....even when we know something..it can be good to be reminded occasionally
I am always polite and dress well at all times. I'm certainly not going to make more effort to dress myself to see a doctor than I would do to conduct a meeting at my place of work.
I know how to marshall my thoughts in order to put across my complaint/case. Most adults, do!
And what keeps doctors from getting all those germs brought in to them by the sickest people on the planet? I can't even take the bus and pick up something, usually.
: )
I don't think the way I dress would make a difference if a doctor feels I'm serious about why I'm in an office. I would worry if he came into the room in shorts because he can afford a pair of pants and the white coat, after all I pay for that and his college education. If I don't have "good" clothes, then it's because I can't afford them and you get what you see when I walk into a room.
But the questions are valid. I have or went to a doctor once, told him of a problem I was having once in a while, he looked at me, said he never heard of that and went on talking about other stuff with no offer to figure out what happened. I haven't been back, and haven't seen a doctor in 7 yrs because of that. There too many around here but they all cost too much to walk into the room.
But I like this list of questions, I will save it in case I ever see a doctor again.
I'm sorry, but a patient doesn't need an entire hour for a runny nose or cough. What possibly can the doctor be doing/talking about that takes that long to diagnose and treat this? Even for an annual pap smear, it doesn't take this long.....Not unless the patient specifically has other things to discuss. Does she actually spend this much time with EVERY patient or does she just allow this much time, if needed?
I agree, a lot of docs don't spend enough time with the patient and rush in and out. I worked for one like that, but there are so many good doc's that do give ample time and your still out in a reasonable amount of time.
This is really interesting and I have to commend her for giving such good care and still keep her head above water.
But if I'm going in for other reasons (routine exam or other problem where I'm feeling OK), then I'll probably dress better. I think your other points are pretty well taken. I really should write things down before going in to the see the doctor, as I'm always forgetting to mention something!
If I don't start feeling better by tomorrow (instead of getting worse), I'm going to have to find a medical care facility to visit., as I'm feeling pretty rotten right now. :(