Keys to a Successful Doctor's Appointment

Posted by John, Volunteer Mentor @johnbishop, Apr 17, 2024

It is not easy for many of us to talk with our doctors. So many questions, where do you start? We as patients really need to partner with our doctors and healthcare team for a successful outcome. How do we partner with our doctors for a better outcome?

Plan your conversation – Questions, concerns, symptoms, health history. For tips and tools see Tools for the Healthcare Visit - https://www.patientrevolution.org/tools

Do you wonder what questions the doctors would like to hear from you?
--- Video: Mayo Clinic experts share what they wish patients would ask:
https://www.mayoclinic.org/connected-care/mayo-clinic-experts-share-what-they-wish-patients-would-ask/vid-20487730

Interested in more discussions like this? Go to the Visiting Mayo Clinic Support Group.

It’s good to hear that some people are happy with their plans. I wish that were more universally true.

For me, I didn’t understand that my Kaiser Advantage plan wasn’t very good until I was sick. The care is parceled out very slowly, appointments have long waits, and you cannot go out of the network. I suppose if I’d done my homework better this would not have surprised me. However, until you are sick you may not even realize how limited you are. I know some people like Kaiser, so not all regions are as bad as mine.

Anyway, I finally got out of Kaiser, but there are challenges aplenty with finding good doctors accepting new patients, dealing with labs, specialists, etc. The “one stop shop” idea has it’s advantages, but I ended end up feeling captive of the system.
I’m happier going it on my own, but it isn’t easy.

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Profile picture for Colleen Young, Connect Director @colleenyoung

@walkinggirl, @virginiaj and @vic83, I appreciate the information you are sharing regarding insurance plans and Medicare. For people interested in continuing on this topic, please see these related discussions with helpful information:
- Does Mayo Clinic take Medicare?
https://connect.mayoclinic.org/discussion/does-mayo-clinic-take-medicare/
- What Insurance plans does Mayo Clinic cover?
https://connect.mayoclinic.org/discussion/insurance/
- Choosing best insurance and insurance at Mayo
https://connect.mayoclinic.org/discussion/insurance-2/
As @walkinggirl recommends, you can contact Mayo Clinic if you have questions about coverage and Mayo Clinic here:
https://www.mayoclinic.org/patient-visitor-guide/billing-insurance
And back to the discussion topic of successful doctor appointments, here is another related discussion:
- Your Tips on How to Get Off to the Best Start with a New Specialist
https://connect.mayoclinic.org/discussion/your-tips-on-how-to-get-off-to-the-best-start-with-a-new-specialist/
A few questions that I always add to my list for my doctor's appointment, especially when dealing with a new issue, include:
- What else do I need to know and didn't think to ask?
- What are the next steps? (Or if the doctor has laid out the next steps, I repeat them back in my own words. This allows the doctor to see if they forgot to tell me a step or if I misinterpreted the instruction.)

What are your go-to questions?

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As someone who tries to see both sides and understands there is always gray area, or as my husband so graciously points out that I play Devil's advocate too much, I will say that building a relationship with your doctor is key however I do understand that when stressed or scared it's difficult to be in the best mindset and "work on the relationship".

Someone earlier in the thread referred to visiting doctors as being like a business transaction. I agree, doctors need us to earn their salary, and we need them for medical care. It is a partnership and while I do believe you catch more flies with honey, I also have been on the side where I was in distress from pain and not able to think clear and concise, especially with one of my doctors who had zero bedside manner, that I think between the two of us it just did not work as well as I would have hoped. So, my husband joined me at some appointments not only to witness how my doctor was very fickle, but also to be my second set of ears and memory to retain the course of action.

Being prepared with a list of questions, symptoms, current meds, and concerns is helpful - not only for the patient, but the doctor, and when necessary another person to interpret or advocate. Bringing pen and paper to an appointment to take notes and repeating back what you're hearing is helpful as well. Communication is key.

Also, I understand doctors have time limited appointments based on what the appointment is for and that other patients are waiting so it is best to be mindful, clear and concise to make the most of your appointment. I do expect to be focused on when I'm in that room and receive the best quality care for my time, but also recognize I'm not the only one to be seen that day and equally try to be mindful of other patients. Courtesy goes a long way between patient and doctors alike. It's a two-way street.

At the end of the day doctors are like shoes they don't all fit the same. It's up to the patient to find their best fit.

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Profile picture for jboseck23 @jboseck23

I have a major Spinal Surgery scheduled in a couple of days. From my previous surgical experiences, hospitalists seem much more reluctant to treat pain, even surgical pain, when a patient carries a diagnosis of Fibromyalgia.

Any tips on how to help navigate through this situation, and yet still advocate for myself when my pain is not controlled?

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@jboseck23 What I always did when I was first diagnosed, with my new and unusual brain autoimmune disease, was to take a scholarly, legit article from a researcher at a reputable hospital with me or mail it in advance. Always got their attention! And, maybe talk to your surgeon in advance, and ask him to leave a specific order for the hospitalists about pain medication. Hope you have great luck in your future with medical care!

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Profile picture for rick137 @rick137

@dloos

My post was an interpretation of the recommendations on many PCRI videos.

A concept is one thing, implementing it another. For example, I fully agree that changing doctors is hard if not impossible. Anyone who has to remain the patient of a doctor who is dismissive/hostile truly has my condolences.

Perhaps I should have stated that patient involvement/knowledge has a spectrum from zero to what I stated as the maximum/gold/cadillac standard. I hope we would agree that anything is better than nothing.

I will post my experience after the treatment meeting next week, i.e. will all my effort have been worthwhile.
I

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@dloos
As expected the appointment went well. The Doctor agreed to have the appointment recorded. He first reviewed the PET/CT results, the colorized images were stunning, and then presented the initial treatment pathway of ADT simultaneous with proton therapy. The PET/CT scan showed the cancer had metastasized to the pelvic lymph nodes and pelvic wall. Good news and bad news. Bad it had metastasized as afar as it had, good that it had not metastasized further. I was started on HT the same day as the appointment.

There was simply not enough time to discuss in detail genetic testing and the treatment path after proton therapy is complete. Those questions will be addressed by a Medical Oncologist in an upcoming appointment.

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Profile picture for rick137 @rick137

@dloos
As expected the appointment went well. The Doctor agreed to have the appointment recorded. He first reviewed the PET/CT results, the colorized images were stunning, and then presented the initial treatment pathway of ADT simultaneous with proton therapy. The PET/CT scan showed the cancer had metastasized to the pelvic lymph nodes and pelvic wall. Good news and bad news. Bad it had metastasized as afar as it had, good that it had not metastasized further. I was started on HT the same day as the appointment.

There was simply not enough time to discuss in detail genetic testing and the treatment path after proton therapy is complete. Those questions will be addressed by a Medical Oncologist in an upcoming appointment.

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I’m glad to hear you had a good appointment.
I understand the “good news, bad news” thought. I have thus far mostly gotten “negative” results on testing. Everyone always congratulates me on finding NOTHING!
Of course no one wants terrible news, but we do want a direction for our care to proceed. I am still, along with my doctors, waiting/looking for that clue.
I wish you the best of luck in your treatment.

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This was great to watch. I give my dad doctors a list of questions before his visit. Bring his medical records folder with copies. None of the other office will send copies to the other doctor. So when the doctor enters I'll ask him/ her if they got a chance to review his test or read to specialist office notes and our letter of questions/concerns. . Because were not taught in high school of "how to take care Dad and his doctors" I'm always following Mayo Clinic, John Hopkins Clinic and Cleveland Clinic, also Board Speciality for answers.

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In a recent Mayo Clinic Minute Tips there is an article (with a video) about preparing for a medical appointment dealing with sensitive or personal information. The article contains some very worthwhile tips:
https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-minute-tips-to-prepare-for-a-sensitive-medical-appointment/

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Profile picture for dizzyprizzy @dizzyprizzy

I never have had a doctor that gave two hoots about my questions, especially if I researched and wrote them down. I don't even try anymore. It is pointless. I go to the internet and try to figure it out myself. I frankly wish it were different. I have 45 years of being managed by doctors who pontificate and leave as quickly as they are able to get onto the next billable 15 minutes.

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I switched my oncologist after 2 years cuz I felt like she wasn’t hearing me and she had horrible bedside manners

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I recently switched doctors to Oak street health. I brought my blood test results,the results of a varicose vein and a list of the meds I take. I asked many questions and was happy I did. My next app. Is for a wellness review. I like my doctor and I will share my next appointment with you.

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Profile picture for jnmy @jnmy

Karthik Giridhar, M.D., Medical Oncology: “ I love working with engaged patients. Patients that want to make sure that they're understanding why we're doing what we're recommending. “

@colleenyoung This is amazing and should be the approach for doctors and specialists alike. Unfortunately curiosity seems to be lacking n some primary care physicians. Of course they are busy. I was denied tests ( no sputum test although I asked three times ) and finally got an X-ray when I showed a photo of the sputum to the doctor. She had never asked for details.

Never was asked about consistency of phelgm and when I had told the individual about symptoms for over two years, I was told that colour of mucus isn’t always important and I might be causing symptoms through concern. Sputum was changing colour, had cough, experienced fatigue, among other symptoms. Assumptions were made.

Doctors are trained to be certain and some are reluctant to explore.

The physician was also reluctant to provide the results of the first X-ray but I asked again and got it. I could add more details here but I know others have had similar frustrating experiences. Now I have access to all tests and have a pulmonologist.

Having some notes and questions seemed to intimidate this doctor. University programs should address this while doctors are in training. Being curious and humble are such important qualities. Temperament of course can’t be taught, but a dose of self awareness would help.

New European research (2023) shows that colour of phelgm has been shown to be an indicator of infection and should be considered. Hope more doctors have access to and read the new research. It could make a difference with earlier diagnosis.

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The clinic I go to has always asked me if I cough up phlegm, what color is it. If it's yellow-green it's most likely a sinus infection.I have had a few in the past. The doctor writes a prescription of antibiotics.

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