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Doctor questions
Old 03-22-2013, 04:34 PM   #1
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Doctor questions

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?
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Old 03-22-2013, 04:50 PM   #2
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I'm surprised the Dr is seeing you without first running a complete set of Lab tests on you first.

If nothing is ailing you, you can always talk about the weather...
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Old 03-22-2013, 05:00 PM   #3
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There you go Khan.

Annual Physical Exams: What to Expect

I disagree with the idea of starting with lab tests. The most important part of the investigation is the history. If there are issues you would like your doctor to focus on, make a list.

Best of luck!
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Old 03-22-2013, 05:02 PM   #4
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The physical should include as a minimum: complete blood work, a physical examination, and an EKG.
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Old 03-22-2013, 05:08 PM   #5
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I agree with Meadbh re: the Webmd link. Additionally, I would recommend the AAFP guidelines and relevant materials http://www.aafp.org/afp/topicModules...cModuleId=64#2 check the adult section.

good luck, and take care.

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There you go Khan.

Annual Physical Exams: What to Expect

I disagree with the idea of starting with lab tests. The most important part of the investigation is the history. If there are issues you would like your doctor to focus on, make a list.

Best of luck!
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Old 03-22-2013, 05:13 PM   #6
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For a first visit in 20 years, I would order lab tests during the first visit, including CBC, CMP, A1c, liver function, lipid panel, urinalysis and pap at the very least. I think it may be the first time I disagree with you :-) mammography etc are next, depending on age and hx / HPI / ROS

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I disagree with the idea of starting with lab tests.

Best of luck!
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Old 03-22-2013, 05:15 PM   #7
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There you go Khan.

Annual Physical Exams: What to Expect

I disagree with the idea of starting with lab tests. The most important part of the investigation is the history. If there are issues you would like your doctor to focus on, make a list.

Best of luck!
+1
You might want to jot down and bring along your family medical history, your history, and the screenings you have had. Also write down all the questions you have had about your health over the past few years. Finally, remember to ask what screenings you should have in the next year.
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Old 03-22-2013, 05:17 PM   #8
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I love it when non clinicans provide medical advice here :-) Khan should ask for -and get - basic labs for a first visit in 20 years. I recommend no breakfast before her appointment.
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+1
You might want to jot down and bring along your family medical history, your history, and the screenings you have had. Also write down all the questions you have had about your health over the past few years. Finally, remember to ask what screenings you should have in the next year.
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Old 03-22-2013, 05:21 PM   #9
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I love it when non clinicans provide medical advice here :-) Khan should ask for -and get - basic labs for a first visit in 20 years. I recommend no breakfast before her appointment.
Well, even we non-clinicians go to the doctor, even after 20 years. And often wish we had asked about something in particular. I don't see anyone giving "medical advice."
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Old 03-22-2013, 05:22 PM   #10
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Various folks, especially the dentist, have urged me to get a doctor. I guess is a required for the aged.

One thing I am much interested in is shingles vaccine; also wonder if should get hep A & B vaccines.

Assume will have to negotiate "physical" with Dr and Ins.
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Old 03-22-2013, 05:24 PM   #11
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I love it when non clinicans provide medical advice here :-) Khan should ask for -and get - basic labs for a first visit in 20 years. I recommend no breakfast before her appointment.
Just curious, how would you order tests for a prospective patient you have not seen yet?

I have switched docs over the years for many reasons, often result of several hundred mile moves across state lines.

None have ordered anything until after the first look see.
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Old 03-22-2013, 05:24 PM   #12
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I wrote this jokingly, no offense meant to anyone.
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Well, even we non-clinicians go to the doctor, even after 20 years. And often wish we had asked about something in particular. I don't see anyone giving "medical advice."
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Old 03-22-2013, 05:24 PM   #13
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I love it when non clinicans provide medical advice here :-) Khan should ask for -and get - basic labs for a first visit in 20 years. I recommend no breakfast before her appointment.
None of the folks contacted suggested non eating.
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Old 03-22-2013, 05:24 PM   #14
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Khan, I would definitely take notes ahead of time about your family's medical history, which you've discussed here as it relates to your own issues, so the doc can check for those and advise re treatments, preventionary measures, etc.
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Old 03-22-2013, 05:26 PM   #15
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I would order those during the first visit or I would not see the patient. I would document these orders in her chart too. I would not order anything before seeing the patient, this is correct.

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Just curious, how would you order tests for a prospective patient you have not seen yet?

I have switched docs over the years for many reasons, often result of several hunfred mile moves across stae lines.

None have ordered anything until after the first look see.
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Old 03-22-2013, 05:27 PM   #16
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Lipid panel.
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None of the folks contacted suggested non eating.
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Old 03-22-2013, 05:28 PM   #17
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Khan, I would definitely take notes ahead of time about your family's medical history, which you've discussed here as it relates to your own issues, so the doc can check for those and advise re treatments, preventionary measures, etc.

+1

The doctor will have no medical history to draw upon, not even your own history.

In the past you have told us here about family medical history and the doctor needs to know that also.
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Old 03-22-2013, 05:31 PM   #18
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+1

The doctor will have no medical history to draw upon, not even your own history.

In the past you have told us here about family medical history and the doctor needs to know that also.
They did send me some forms to fill out.
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Old 03-22-2013, 05:35 PM   #19
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They did send me some forms to fill out.
Perfect. It is tough when you arrive at the surgery and have that form to fill out, puts the pressure on the old memory cells
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Old 03-22-2013, 05:39 PM   #20
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Perfect. It is tough when you arrive at the surgery and have that form to fill out, puts the pressure on the old memory cells
Uh, Yanks may not understand that "surgery" to Brits means the doc's office.
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