Healthwisery

The first rule of medications is to know why you need each drug before you put it in your mouth, rub it on your skin, or whatever. The same as with medical tests, there are a few things you always need to know about medications.

Learn the basics.

• What is the name of the drug and why do I need it?

• How long does it take to work?

• How long will I need to take it?

• How do I take it (with food, etc.)?

• Are there non-drug alternatives?

Consider the risks and benefits.

• How much will this drug help?

• Are there side effects or other risks?

• Could this drug react with other drugs that I am currently taking? Continue reading ‘Guidelines About Medications’ »

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Medical tests are important tools, but they have limits. Some people think that the more tests they have, the better off they’ll be. Wise consumers know medical tests have costs and risks as well as benefits. To help your doctor make good choices about tests for you, you need to:

Learn the basics.

• What is the name of the test and why do I need it?

• If the test is positive, what will the doctor do differently?

• What could happen if I don’t have the test?

Consider the risks and benefits.

• How accurate is the test? How often does it indicate a problem exists when there is none (false positive)? How often does it say there is no problem when there is one (false negative)?

• Is the test painful? What can go wrong?

How will I feel afterward? Are there less risky alternatives? Continue reading ‘Shared Decisions About Medical Tests’ »

Except in an emergency, you cannot be given a treatment or test without your “informed consent.” You must be informed of the risks and agree to the treatment. In a partnership, however, informed consent may not be enough. The real goal is shared decision-making, where you actively participate in every medical decision.

Why should you help make decisions with your doctor? Aren’t you paying him or her to know what to do? Well, the choices aren’t always black and white. With many health problems, there is more than one option. Consider these examples:

• You have moderately high blood pressure (160/95). Your doctor says that exercise and diet might bring it down, but most people don’t succeed that way. Your doctor recommends that you start on medication to control it. You would rather try exercise and lose weight than take pills for the rest of your life. The best decision depends on your values.

• Your three-year-old has a headache and a fever. The doctor says it’s probably nothing to worry about. Then you mention your hunch that it might be meningitis. Some testing may be appropriate.

• You have been suffering from carpal tunnel syndrome for several months. Your doctor is now recommending a wrist splint and a steroid injection. You would prefer Continue reading ‘The Wise Medical Consumer: Share in Every Medical Decision’ »

The quality and the cost of medical care depend more on you than on your doctor.
To become a wise medical consumer, start with three basic principles:

* Work in partnership with your doctor and health care team.
* Share in every medical decision.
* Become skilled at obtaining medical care.

By following these three principles, you will gain more control over the quality and cost of your health care than you have ever had before.

Work in Partnership With Your Doctor

Good partnerships are based on a common goal, shared effort, and good communication. If you and your doctor can make these things happen, you will both gain from the partnership. You will get better care and your doctor will practice good medicine.

Five Ways to Be a Good Partner

1. Take good care of yourself. Both you and your doctor would prefer that you don’t get sick in the first place. And if problems arise, you both want a return to good health as soon as possible.

2. At the first sign of a health problem, observe and record your symptoms. Your record of symptoms will help both you and your doctor make an accurate diagnosis. And the better job you do recording early symptoms, the better you and your doctor can manage the problem later.

- Keep written notes on the symptoms. Record when, how long, how painful, etc., for each symptom.

- Note anything unusual that might be related to the problem.

- Measure and record vital signs.

- Add regular updates and watch your progress. Are your symptoms getting better or worse? Continue reading ‘The Wise Medical Consumer: Work in Partnership With Your Doctor’ »

If you don’t have a family doctor (primary care physician), now is the time to get one. Everyone needs a regular doctor. A host of specialists working on separate health problems may not see the whole picture. In choosing a doctor there are lots of questions to ask, but these three matter the most:

- Is this doctor well-trained and experienced?

- Is this doctor available when needed?

- Will this doctor work in partnership with me?

Training and Experience

For most people, a good choice for a family doctor is a board-certified family practice doctor or internist. For children and teens, a pediatrician is a good choice. These doctors have broad knowledge about medical problems.

Availability

Because health problems rarely develop when it’s convenient, it helps to have a doctor who can see you when needed. Call or visit the office. Tell the clinic receptionist that you are looking for a new doctor.Ask these questions: Continue reading ‘How to Finding the Right Doctor’ »