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Preparing for Office Visit
Your visit with an orthopaedic surgeon is an important meeting that can be
most effective if you plan ahead. It’s important that you give your
doctor the information he or she needs and that you understand what your doctor
is recommending. Research shows that patients who are more involved with their
care get better results. Lack of communication is a primary reason for medical
errors. The following checklist will help you and your doctor discuss the
issues most important for getting the most out of the visit.
- Find out the basics about the office. Where is it?
What time should you arrive? If you’re going to drive, where
can you park? Do you need to bring your insurance care or a managed
care medical referral?
- Schedule your appointment by phone or online.
If possible, fill out the Medical History
Form (PDF), Insurance
Form (PDF), and the Consent
to Treat Form (PDF) and give it
to the receptionist when you come to see the doctor. Based on the problem—for
example, a sore back, a trick knee, or painful finger—an amount of
time will be set aside for you. When you see the doctor try not to discuss
other problems, such as those darned bunions, or the achy elbow. There
will not be enough time to do both, and your doctor may lose sight of the
main reason you came. If you have more than one problem, tell the receptionist.
- Assemble your records such as relevant medical records
from other physicians; results and copies of X-rays; and other imaging
studies and lab tests and personally take the records to the doctor’s
office.
- Make written lists of: Medications, herbs, vitamin supplements and over-the-counter
medications you are taking Your medical history, such as prior treatments
for heart or thyroid problems or operations, even those not related to your
current problem. Your concerns about your condition (pains, loss of mobility
or function). All questions you may have.
- Consider asking a friend or family member to accompany
you. If you need a translator, ask another adult to come with you; don’t
rely on a child to translate.
- Dress appropriately. For spine and many problems involving
the arms and legs, you may be asked to disrobe. Wear loose clothing that’s
easy to take off and put on.
- Arrive early so you can complete any required forms or tests before
meeting with your doctor. You may fill out the Medical
History Form (PDF), Insurance
Form (PDF), and
the Consent to Treat Form (PDF) before
arriving.
- Be honest and complete in talking with your doctor.
Share your point of view and don’t hold back information about issues
such as incontinence, memory loss, sex, or other issues that you might
consider embarrassing.
- Stick to the point. It might be fun to share news about the children,
but keep it short to get the most out of your time with the doctor.
- Take notes on what the doctor tells you, and ask questions
if you don’t
understand a medical term, the reason for the doctor’s recommendations
or the instructions for taking medication.
- Ask what to expect from your treatment, what effect it will have on your
daily activities and what you can do to prevent further disability.
- Ask your doctor for handouts or brochures that you and your family members
can review at home. Your doctor may refer you to an Internet web site for
more information.
- Talk to the other members of the health care team, too, such as physician
assistants, nurses or therapists (speech, physical or occupational) to address
any questions or concerns.
- Review the materials the doctor gave you. If you
can’t remember
something, or if you don’t understand your notes, call the office
and speak to a member of your health care team.
- Follow the doctor’s instructions. Take the full course of medication
and make sure you follow the prescribed diet or exercise routine. Remember,
you’re a part of your health care team too.
- Keep your doctor informed of any changes in your condition.
- Follow up with your doctor on test results, adverse reactions to medication,
or any complications or worsening of your condition.
- Why is this procedure being recommended?
- Are there alternatives?
- What are the benefits of this procedure in terms of pain relief, functioning/mobility?
- How long will the benefit last?
- What are the risks involved?
- What is the success rate for this procedure?
- What is the procedure called?
- How is it done?
- Will the surgery need to be repeated after a certain amount of time?
- How many of these procedures are annually performed at this hospital?
- What percentage of patients improve following the procedure?
- What will happen if I don’t have the surgery
now?
- If I want a second opinion, whom can I consult?
- Will my doctor perform the operation or someone else?
- If someone else, when can I meet him or her?
- Is the doctor board-certified?
- How many similar procedures have been done by my doctor (or whoever will
perform the procedure?)
- What are the outcomes?
- Will I need any tests or medical evaluations prior to the surgery?
- What kind of anesthesia will be used? Are there possible after effects
or risks?
- Will I meet with the anesthesiologist in advance?
- Will her or she know my needs/allergies?
- What kind of implant or prosthesis will be used?
- What are the outcomes using this device?
- How long will it last?
- Will I have pain following the procedure?
- What pain relief or pain control measures will I be given?
- How long will the recovery take?
- What are my limitations during recovery?
- Will I need assistance at home afterwards?
- For how long?
- What will discharge instructions be?
- Will I have any disability following surgery?
- Will I need physical therapy?
- When can I return to work?
- When can I drive my car?
- When can I have sexual activity?
- Are there any written materials or videotapes about this surgery that
I can review?
As the patient, you should request and/or confirm that the surgeon will preoperatively
confirm and mark the surgical site.
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