Sep. 2--Precious moments are ones we remember because they make a
difference in our lives. And nothing makes a greater difference in our lives
than the state of our health. Yet on average, most of us have between 18 and
20 minutes to create a proactive partnership with our physician -- a
relationship that can maximize our health and help us avoid unnecessary
medical problems.
By itself, achieving sound physical health is a valuable goal. But
preventing medical problems can improve our financial health as well,
particularly if we carry surplus pounds since the cost of treating
weight-related medical conditions can quickly add up. The latest estimate
suggests that the tab for obesity-related medical care in the United States
may reach $147 billion in 2009.
By learning how to participate with our physician in crucial decisions
that affect our lives, we can improve our health and head off medical problems
and expenses.
Relying on their training and knowledge, physicians can provide valuable
insight into the state of our health, given our lifestyle, genetics and
medical history. Doctors can also help us assess future medical risks, such as
stroke, diabetes, certain cancers and cardiovascular disease. Armed with this
information, we can discuss resources, programs and changes we need to make to
reach our health goals.
But creating a partnership with our doctor isn't a given -- we have to
proactively manage the process.
In her book titled 7 Minutes!, Dr. Marisa C. Weiss explains why it is
hard for patients to maximize their time with physicians. She begins by
pointing out the imbalance of power: patients are the ones seeking help, while
the physician appears fully in control. Moreover, patients may have been
raised to defer to a physician and feel that asking questions or requesting
partnership is disrespectful.
Waiting for a physician in a chilly examining room in an undressed state
can make patients feel even more vulnerable. The language and medical terms
may seem foreign. And if patients first wait in the reception area for their
scheduled appointment and later in the examining room, they may conclude that
the doctor's time, not theirs, is more valuable. In this frame of mind,
patients may be reluctant to extend the interview by asking questions.
Although the obstacles identified by Dr. Weiss work against us, they
don't have to stop us from seeking ways to maintain our health and prevent
future medical problems.
Here are four tips to help assure the best possible outcome with your
doctor:
1. Select a Physician Partner: Find a doctor who is willing to be your
partner in managing your health. Some physicians work best when called upon to
address urgent medical problems. Others, while capable of addressing urgent
medical concerns, prefer to work on the front end of medical care -- that is,
on prevention. A physician with a passion for prevention makes a good partner
in managing your health.
2. Be Prepared: Before you go to the interview, prepare a list of
questions you have about your health and your weight-loss goals. For instance,
list any questions you have about medical conditions that would limit or
restrict your activities. In addition, bring a list of all medications that
you are taking -- prescriptions, over-the-counter medicine and nutritional
supplements. Some may be contraindicated; others may need to be reduced as you
lose weight. Call your doctor's office to see what tests can be completed
prior to your appointment. With these results immediately accessible, your
doctor can more accurately assess your condition during your examination.
3. Maximize the Interview: Discuss your reasons for wanting to make
changes and ask for help in setting realistic goals. Arrange for any
additional tests you will need and ask for copies of the results so you can
monitor your progress. If you suffer from depression, ask your doctor about
options for treatment. Find out if your doctor recommends exercise,
counseling, a prescription drug or some combination of treatments. If you feel
you will have trouble retaining information, bring a companion or take notes.
4. Follow Up: Establish a time line to periodically monitor your
progress. Ask if any ongoing tests will be needed and how the results might
affect your weight-loss goals. Ask if you can stop by your physician's office
for an official weigh-in once a week or once a month. If this option isn't
possible, schedule a future appointment so you and your physician can review
your progress and make appropriate adjustments.
Throughout her writing and in her practice, Dr. Weiss encourages patients
to take responsibility for the gift of life. She asserts that it is our job to
protect and cherish our health through the best care possible and reminds us
that although physicians have many patients, "There is only one of you . . .
You deserve the best."
According to Dr. Weiss, powerful medicine is knowing we have someone to
call, someone on whom we can depend and someone to help us find the best
possible care in a time of need. She underscores the importance of creating a
partnership with our physician -- a partnership that will enable us to enjoy a
longer, more joyful and more meaningful life.
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