How to Take Charge of Your Health Care

By Joanna Schneider

Navigating the world of health care can be an overwhelming task.

How do I find the right doctor for me?
How do I know if I’m taking the right medications?
What if I want a second opinion?

To help you map this uncertain road, Jefferson City Magazine turned to local health care professionals to help answer these questions and more. So what are you waiting for? Read on.

Actively Participate in Your Patient/M.D. Relationship

Educating yourself about your medical conditions is the first step to taking charge of your health care, says Dr. Stanley Dorst, a family physician at Jefferson City Medical Group. It’s important to know what medicines you are on and what they are for, he adds.

In addition to being aware of your current medications, physicians and pharmacists say it’s important to know what medicines you have been on in the past and why you are no longer on them. Some items to make note of: Were they ineffective? What were the specific side effects? Was I allergic?

Dorst says it’s key to take responsibility for your own health and well-being. Know what needs to be done to monitor your condition; don’t just leave that to the doctor. Find out what tests and follow-up appointments might be needed, and keep track of when these are due.

And perhaps most importantly, be sure to ask questions about these things or about anything else you don’t understand about your medical conditions.

“Just remember there is no such thing as a stupid question, especially when it comes to your health,” Dorst says.

The bottom line is that you must take an active role in your health care, says Dr. Janet Theby, a board-certified family practice physician at St. Mary’s Medical Clinic. That way, you ensure the best possible care from your doctor.

“The more you engage in your health care by sharing information, asking questions, taking information with you and understanding follow-up plans, the better your care will be,” she says.

Theby suggests keeping the following in mind when meeting with your physician:

  • Bring a brief health history to your initial appointment. The history should include current and past medical concerns, surgeries, medications (what strength and how often you take them), vitamins and supplements and any side effects or allergies from medications. Consolidating information is key. Also, bring a list of all current specialists you are seeing.
  • If you have specific questions, write them down before your appointment. Be sure to put them in order of priority so that the most important questions are addressed right away. It might be necessary to schedule a follow-up appointment to continue your talk about other concerns, but making a list will help the physician be thorough with your care.
  • Don’t be afraid to speak up. It is important to let your doctor know if you don’t understand something. Otherwise, your doctor will think you understand everything that she/he has told you.
  • Written instructions are helpful and might be necessary to assure that instructions, scheduled appointments and medication changes are understood accurately. Ask how/when test results will be available. Clear expectations will decrease needless worry and serve as a safeguard for timely care.

“By doing these things, you will help streamline your care rather than it becoming fragmented and confusing,” Theby says. “Your personal physician will be better equipped to provide smooth, comprehensive care whether it is management of an acute/chronic illness or providing effective and efficient preventive care.”

Find the Right Doctor

Where is a good place to start? Ask friends and family if they have been happy with a physician they have worked with or know of someone who has been pleased with a physician in the area. Or, if you’re more tech-savvy, try surfing the Web and checking out the Web sites of local hospitals or nearby academic institutions.

“They will frequently have lists of their physicians in different specialties, including information about specific interest or advanced training,” Dorst says.

Get a Second Opinion

Before you do anything, do a little research about your condition because it might turn out that the physician gave you perfectly appropriate information. If you still have questions after reading about the condition from a reliable source (for example, WebMD or an accredited national organization), make a list of specific questions to ask the physician at a follow-up visit. These questions can be about things the physician said that you don’t understand or about things you have read or heard about the condition that he or she either didn’t address or contradicted.

If you still don’t feel comfortable with the diagnosis from your current doctor and would like a second opinion, Dorst suggests requesting a reference from your primary care physician.

Second opinions do serve an important role in patient care, Theby says. Many times they are mandatory for certain conditions or procedures. Consider seeking a second opinion when:

  • There is an abrupt life-changing diagnosis or major surgery.
  • There is a personal concern regarding the doctor’s experience or skill.
  • There is inadequate physician-patient communication.
  • You are not seeing improvement in your medical condition.
  • Anytime you are not satisfied with the information you have received from your doctor.

“The consultant should be independent of your personal doctor,” Theby says. “Most physicians would welcome a second option because it helps clarify difficult decision-making. Many times the specialist verifies the initial physician’s conclusions, giving everyone peace of mind. Even conflicting opinions are useful, as they can shed light on the complexity of the problem.”

Alternative Health Options

Alternative health options are becoming more and more popular. Most obvious, and so commonly recommended that they are no longer considered alternative, are diet and exercise. Also, quitting smoking and decreasing or stopping alcohol consumption can make a significant difference in many medical conditions.

Additionally, Dorst says many patients with musculoskeletal conditions benefit from manipulation from a competent chiropractor, osteopathic physicians and massage therapists. For chronic pain, acupuncture can also be effective. Many chronic conditions can cause anxiety or depression, and for this reason, Dorst suggests support groups or professional therapists.

Herbal treatments are a little trickier, Dorst explains.

“Many people think that because herbal treatments are natural, that means they are safe,” he says. “In fact, many things found in nature can be quite toxic. In addition, manufactured medications are not the only treatments that can have side effects — natural treatments have side effects also.”

Also problematic is the fact that there is usually not much research available on the effectiveness of herbal treatments, so there is more uncertainty about their effectiveness and safety. With this in mind, some herbal treatments have been demonstrated to be effective, and others are probably effective. Before trying an herbal treatment, read about possible side effects and toxicities just as you would do for any medical treatment.

Know Your Prescriptions

Medications can be a large part of your overall heath care plan, so it’s important to understand what medicines you are taking, why are you taking them and how your body reacts, says Whaley’s Pharmacist Miranda Henley.

To help patients keep track of their prescriptions and know the medications they are taking are what they need and working together properly, Henley suggests getting all your prescriptions from one pharmacy. This way, the pharmacists can make sure there are no interactions and no duplicate therapies.

You might see many different physicians for different conditions, and they might not know what the others are prescribing, but by going to the same pharmacy, you can assure that your medications are working together properly to improve your conditions, Henley explains. Also important is keeping an up-to-date list of medications that you can take to a doctor’s visit and have on hand in case of emergencies.

In what situation can a trip to the pharmacy take the place of a trip to the doctor?

“When patient’s questions or concerns are related to prescription or over-the-counter medications, a pharmacist is a great place to go,” Henley says. “Pharmacists are the medication experts on the health care team, so they should be your first stop when it comes to medication questions.”

Check with your pharmacist when you want to know what sort of specialist to see, says Uldis Pironis, a pharmacist at Jefferson City Apothecary with 40 years of experience.

“A pharmacist is a good second line of defense, and we can be a good place to start when you have questions,” Pironis says. n

Getting a Diagnosis: Top 10 Questions to Ask

Dr. Janet Theby shares this pocket-sized list of top 10 questions to ask when getting a diagnosis from your doctor.

  1. Is there any chance the medical problem could have a different diagnosis?
  2. Can you explain this in simpler terms so that I can share it with my family members?
  3. What is the usual treatment, including its risks and side effects?
  4. How will this treatment improve my health or quality of life?
  5. What lifestyle changes can I make to help get well?
  6. Are there alternative treatments available?
  7. What are the likely results if I wait or don’t have the treatment?
  8. Is there a need for a specialist?
  9. Where can I get more information on this subject?