By: Emma Brown
I am, by all accounts, an intelligent, successful woman with a college degree. So why do I become a blithering idiot every time my GI doctor steps into my examining room?
It may be because I know that his time with me is limited. Possibly it is because I know that I am going to have to discuss very personal matters (my pooping) with him. I am confident that the fact that he is fully clothed while I sit shivering on a table covered only in a paper smock does not help matters. Whatever the reason, however, I know the moment that door opens, my mind is going to go completely blank and I am going to feel like a first grader in the principal’s office.
It happened again today.
I have been waiting several weeks for this appointment. I have been suffering far too long with chronic diarrhea, gas, bloating and nausea. Frankly, I am miserable for a significant portion of each day, and none of the over-the-counter medications have helped me at all.
Sure enough, when he walked into the examination room this morning and asked how I was feeling, all I could think to say in response was “fine.” If I’m fine, then why in the world was I sitting in that room with exam table paper stuck to the backs of my legs?
It didn’t get any better as he proceeded to ask me the standard medical history questions.
Doctor: When did these symptoms first start?
Me: Uhmmm, maybe two months ago? Wait, no, it was at my nephew’s birthday party… that was May or June… no, October!
Doctor: What medications have you tried?
Me: Well, I tried the blue round one. Do you know that one? And the orange oval one for gas. Oh, yes, and my primary care doctor put me on a prescription medication that I take twice a day… hold on, the name is right on the tip of my tongue…
We continued like that for my allotted 15 minutes. What a waste of time for both of us! The doctor was no closer to understanding my problem, and I was no closer to getting better. Studies have shown that 85-95% of diagnoses can be made simply by taking a thorough medical history. With that in mind, I have vowed to be totally prepared going into my next gastroenterology appointment.
The minute that I got home, I got on my computer to find out what information my GI doctor would find useful in assessing and diagnosing me. I collected quite a list, and I will share it with you so that you can get the most out of your next doctor visit.
1. In the weeks leading up to my next appointment, I am going to keep a “Food & Mood” journal. I will write down everything that I eat and drink, including any medicines I take. I will also write how I feel both emotionally and physically. The journal will be a great way for the doctor to understand my daily symptoms and pinpoint trends or habits that may be causing them.
2. I will obtain copies of any lab work or x-rays that I have had, and forward them to my GI doctor so that he can take a look at them before my appointment.
3. A day or two before the appointment, I will begin to make a list of all pertinent information that my doctor will need in order to assess my complete medical history.
A. I will list all of my symptoms, even seemingly unrelated symptoms such as headaches, difficulty sleeping and a diminished sex drive – which can be helpful in diagnosing stomach problems. I plan to take one of several online quizzes that will allow me to explore and document my symptoms. I will print them out to take to the appointment. The one that I plan to use was found here: http://sucroseintolerance.com/ .
B. I will list all my prescription medications, over-the-counter drugs and even herbal remedies that I have taken. I will include the dosage and frequency. In the case of a prescription medication, I’ll include the name of the prescribing physician.
C. I will list any allergies that I have. This includes allergies to medications as well as insects, plants and even allergic asthma.
D. I will list all of my hospitalizations. This may include recent incidents involving my stomach, but the list should also include any surgeries that I have had in my lifetime. For instance, the fact that I had my appendix removed when I was 13 may actually be affecting my digestive tract.
E. I will provide a truthful report of other factors in my life.
a. How much stress I am under both at work and at home.
b. Any smoking, drinking or illegal drug use (no, 2/day, never – in case you are wondering).
c. Any problems with sleep, exercise or sex.
4. I will make a list of any concerns or questions that I want to ask. Too often I have remembered an important question as I was walking out of the doctor’s office. It is crucial that I ask questions during the appointment. Medical questions can be complicated, and I understand the answers much better when the doctor is explaining them to me face to face.
Wow! That is a lot of information. Even if I could keep my wits about me when my GI doctor walks into the exam room, I would never be able to remember all of those facts and questions. Any or all of the information on my list may be the key to diagnosing my digestive issues and getting me on the path to wellness. Alexander Graham Bell wrote, “Before anything else, preparation is the key to success.” In my next appointment, I think that preparation may just be my key to a healthy gut.
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