New Symptoms: Obtaining a Diagnosis – Part I

"Mr. James, I understand you are having problems with your stomach. Tell me what has been going on," Dr. Brown says as he walks in the door.

"Well, I have this pain in my stomach. I'm not sure how to describe it. It started about 2 weeks ago - or was it three or four weeks ago. It comes and goes. I don't know what else I can say," Mr. James replies.

A little exaggerated, but not much - very little for the doctor to go on. He asks questions that may or may not be the right ones and may order numerous tests to make the diagnosis.

What can Mr. James do to increase his chance for a timely, accurate diagnosis?

Document symptoms as they occur. It's simple to do. Why don’t we do it? Laziness? Not necessary - I can remember? Won't help much?

Laziness – probably not, it is more about habit and not having a management system for our medical care.

Memory – if lucky, we’ll remember 50% of the details.

Helpfulness –accurate, complete information is key for an accurate diagnosis, fewer tests and appropriate treatment plan.

Still no diagnosis - take the following steps:
• Obtain copies of all test results & doctor notes.
• Research your chronic conditions and medications. You may find connections to them your doctor hadn’t considered or better words to communicate your symptoms.
Listen to your instincts, it may be time to:
• Get a second opinion
• Ask for a referral to a specialist
• Change providers if you feel he’s has reached the limits of his abilities, says you are anxious or that your problems are all in your head.

To learn more go to www.savvypatienttoolkit.com