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Old 03-24-2013, 04:25 PM   #61
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Kahn...Insurance...you mentioned Federal, (I am too), so make sure you check your provider's list for your doctor. Your plan will spell out all the things that are covered.

That's a lot of advise you have gotten. Don't get cold feet or the One More Year syndrome. Yes...I know...I haven't been to the doc in about 3 years. Dentist...I try every 6 months or so for cleanings or cavities.
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Old 03-24-2013, 06:33 PM   #62
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Here's a basic checklist.
Annual Physical Exams: What to Expect

ooops...this has already been posted.

Great to see you back on the forum, Khan.
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Old 03-25-2013, 12:35 PM   #63
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Here's how it should NOT go!

The Doctor Sketch - It's Kevin - Episode 3 Preview - BBC Two - YouTube
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Old 03-27-2013, 02:59 AM   #64
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I'm scheduled to visit a doctor for the first time in ~20 years.
What should I talk about?
I have some minor things to be taken care of; I need some long term pain-killers.
Is there something I should ask about (I'm 62).
My insurance will pay for "a physical", what should that entail?
Finding the right doctor (in this case, Primary Care Physician) for you is important. You want someone who will listen, communicate well, answer all your questions, and whose skill & judgement you trust. A few articles that may help you in how to find the right doctor for you:

selecting a primary care physician - Google Search
selecting the best primary care physician for you - Google Search

Your first visit will likely be some sort of "get acquainted visit", which it should be. Some doctors charge for a "get acquainted" and some do not -- call and ask. If there is no charge for that visit, don't expect to discuss particulars; that will come next.

Hopefully, the first one you see will work out for you, but if not, don't be afraid to find another, even if it takes a few tries. This is important, and is SO worth the effort! I'm sure there are many folks here who've "fired" doctors that weren't a good mix for them for myriad reasons. If specialists become necessary later on, it's your PCP who will act as coordinator (quarterback), so s/he's got to be someone you can work with.

Other posters have covered the medical history, notes, exam & tests, etc. Medicine has changed a bit in 20 years. Most doctors nowadays (IME) prefer to limit visits to one or two medical issues. You can bring a list, but don't be surprised if the doc asks you to prioritize and pick one or two issues to discuss at this visit and leave the rest for subsequent visits.

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Originally Posted by Nikki J View Post
A note of caution you mention need for long term painkillers. Of course discuss your pain issues and how you have been trying to control it and that you need help dealing with it. Be careful though about requesting drugs. It is a sad fact that there are people who make the rounds of doctors under various guises seeking narcotics and many of us are very wary of new patients who are asking for drugs. I totally understand that you are not one of those people but I would bring it up gently and listen to your doctor's plans for pain management and work up and if necessary ask after that for medicine. This is a very tough issue because so many of us have been deceived too many times.
Congratulations on making the appointment and good luck!
I agree with most of this (from a pain patient's POV). A few articles that may help can be found here:

talk doctor pain - Google Search

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Old 03-29-2013, 05:15 PM   #65
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Went to doctor 26 March.
He did all sorts of stuff and asked all sorts of questions.
29 March went to clinic and gave blood and urine samples.
Scheduled for mammogram: 4 April.
Dr wants to schedule colonoscopy; requires someone for transportation after sedation.
Got shingles vaccine.
Would have been cheaper to die young.
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Old 03-29-2013, 05:18 PM   #66
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Would have been cheaper to die young.
Missed opportunities are a byproduct of growing old...
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Old 03-29-2013, 05:22 PM   #67
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Quote:
Originally Posted by Khan View Post
Went to doctor 26 March.
He did all sorts of stuff and asked all sorts of questions.
29 March went to clinic and gave blood and urine samples.
Scheduled for mammogram: 4 April.
Dr wants to schedule colonoscopy; requires someone for transportation after sedation.
Got shingles vaccine.
Would have been cheaper to die young.
Congratulations! I am glad you went ahead and saw the doctor. It's good that you got these things checked out so that you *don't* die young.
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Old 03-29-2013, 10:52 PM   #68
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Keep in mind that although preparing for a colonoscopy is a PITA you will only need to do that probably once more in your lifetime. The reason for the friend transport is the anesthesia, if you ever have surgery you will have the same need. Anesthesia is your friend!!

DH had a colonoscopy about 7 years ago. Last week he had copious blood in his stool and was hospitalized for a ASAP colonoscopy. It turned out to be diverticulitis. Now he is off aspirin and adding roughage to his diet. And, I drove him home.

So, a colonoscopy isn't just for finding cancer, it can diagnose other age related GI conditions that can help you live a better life.

Congratuations for taking the first step in maintaining your health!
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Old 03-30-2013, 08:22 AM   #69
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. . . for the doc to put you on a statin

This phrasing has always puzzled me. My doctor merely makes recommendations about drugs. I'm the one who decides if I will accept his recommendation and actually take them. I may be grossly misinformed, but I'm always in charge of my own life and health.
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Old 03-30-2013, 08:40 AM   #70
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My doctor merely makes recommendations about drugs. I'm the one who decides if I will accept his recommendation and actually take them.
Oh my, another misinformed layman...
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I love it when non clinicans provide medical advice here :-)
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Old 03-30-2013, 08:47 AM   #71
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This phrasing has always puzzled me. My doctor merely makes recommendations about drugs. I'm the one who decides if I will accept his recommendation and actually take them. I may be grossly misinformed, but I'm always in charge of my own life and health.

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Oh my, another misinformed layman...
On the contrary. Gumby wasn't giving doctor's advice, he was giving user advice on how to deal with a doctor.
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Old 03-30-2013, 10:01 AM   #72
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I'm glad you went Khan!

Preventative medicine is much cheaper. A friend's co-worker ignored his high blood pressure and diabetes and had a stroke. He's now mute and paralyzed on his right side.

Ambulance to the ER. Life flighted to a bigger hospital. One week in ICU. Back to regular hospital now for the last 3 weeks. Lots of uncertainties about care still. I'm guessing his bills will come in manilla envelopes.
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Old 03-30-2013, 10:17 AM   #73
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Quote:
Originally Posted by Khan View Post
Went to doctor 26 March.
He did all sorts of stuff and asked all sorts of questions.
29 March went to clinic and gave blood and urine samples.
Scheduled for mammogram: 4 April.
Dr wants to schedule colonoscopy; requires someone for transportation after sedation.
Got shingles vaccine.
Would have been cheaper to die young.
Khan,

not to infringe on your funny line but with the insurance you have you probably payed-will pay-next to nothing-but it was funny
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Old 03-31-2013, 01:52 AM   #74
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My doctor merely makes recommendations about drugs. I'm the one who decides if I will accept his recommendation and actually take them. I may be grossly misinformed, but I'm always in charge of my own life and health.
You might be surprised at the number/% of people who don't take charge, and unquestioningly acquiesce to anything anyone in the medical field says.

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Old 03-31-2013, 03:08 AM   #75
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You might be surprised at the number/% of people who don't take charge, and unquestioningly acquiesce to anything anyone in the medical field says.
My FIL (a mow-an-acre without blinking an eye kind of guy) degraded from the statins his doctor "put him on" to the point of being in a wheel chair before he challenged the doctor! When he said he was hurting when standing from a squat in the garden, I, a mere non-clinician, asked him what meds he was taking. He's not a complainer, so I knew it was "something". He told me about the statins and I said "I'd quit taking that stuff NOW". He said "but what about my 'numbers'", to which I replied, "numbers are no good if you're dead". It was a month later when he finally got off the statins. And it turns out his cholesterol/HDLC ratio was 2.8 at the time his doc "put him on" the statins. His doctor was trying to push LDL down below 100. Just nuts.

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Old 03-31-2013, 09:41 AM   #76
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You might be surprised at the number/% of people who don't take charge, and unquestioningly acquiesce to anything anyone in the medical field says.

Tyro
Worse, with multiple docs, med interactions can be serious.
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Old 03-31-2013, 07:24 PM   #77
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You might be surprised at the number/% of people who don't take charge, and unquestioningly acquiesce to anything anyone in the medical field says.

Tyro
To be clear, I take my doctor's recommendations very seriously; he is a trained professional. And I may very well do exactly as he recommends. But, in my view, the use of the phrase "the doctor put me on _____ " indicates someone who has abdicated their own responsibility for their health care, in a way that "I am taking ____" does not.
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Old 03-31-2013, 07:43 PM   #78
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Dr did acquiesce to my request for naprosyn.
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Old 03-31-2013, 07:43 PM   #79
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What is Dr looking for in eyes and ears?
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Old 03-31-2013, 07:55 PM   #80
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What is Dr looking for in eyes and ears?
Your soul?
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