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'Doctor, I have this pain …'
By Karen B. Siebert 

That nagging problem. You finally call your family physician. But how do you state your case? By describing your symptoms with accuracy and care.

Surprisingly, only 20% of the information your family physician needs to diagnose correctly comes from exams and tests. The rest comes from you! So what you share - and how you share it - are crucial. Luckily, you can be your own best advocate just by practicing a few fundamentals. Here's how.

Before you call for the appointment
Organize your thoughts. When did you first notice these symptoms? Have they been constant, or do they come and go? Are they getting more severe? Be prepared to summarize in a sentence or two so the nurse can forward your complaint quickly and precisely. If you have more than one concern, make sure the appointment is long enough, or even consider scheduling two appointments so that you have adequate time with the doctor.

During your doctor visit
Have a game plan and use notes to stick to it. Set down your goals for the appointment and be specific about what's bothering you. If you're tired, for instance, don't just say "I don't have any energy." Let your physician know that your restful nights have turned sleepless… or that you're short of breath just climbing stairs. Nuances can make a diagnostic difference, so you want to be precise.
Likewise, bring a list of your prescriptions and over-the-counter medications. Don't forget to mention the vitamins and supplements you're taking. Since drug and other interactions are potentially harmful, your doctor will want this information - to protect you.

Ask questions
Clarify. Don't hesitate to ask questions until you can summarize what you've heard. Your family physician may list many diagnostic and treatment details. So take notes. You'll have a record to review later.

A final word
Remember, the better you are in discussing your symptoms, the better your family physician will be in treating your ills. You're partners in health care - and communication is key.

Karen B. Siebert is a writer living in Prairie Village, Kan.

 ADDITIONAL INFORMATION
American Academy of Family Physicians
Medem, Inc.
Working Hearts Coalition
American Cancer Society