Patients often hide information from the doctor or even deliberately distort it. Some are out of false fears and shame. And some decide for themselves what the doctor should know and what not.
Olga Aleksandrova, therapist of the highest qualification category at the Atlas Medical Center:
- If the doctor asks questions, then it is not out of idle curiosity and not in order to scold you or force you to make excuses for your (even not quite health) behavior. Just answer the directly posed question.
Has it been hurting for a long time?
Usually, patients go to doctors only when the situation becomes extremely difficult and the pain is very severe. They are afraid that the doctor will scold them for long neglect of their own health. Therefore, they lie: "Three days." And it has been hurting for six months already. You are misleading the doctor: believing, he can prescribe symptomatic drug therapy instead of deeper research.
When was the ultrasound done?
Quite often, patients do not have the results of the last ultrasound on their hands: this is, unfortunately, a problem. But if, for example, you have a cyst, it is very important for the doctor to know at least approximately how long it took to reach its size. And if you say that “there was nothing last year”, but in fact the last time you did an ultrasound examination about eight years ago, then the doctor will very wrongly imagine the growth rate of the neoplasm.
What medications are you taking?
Almost always, patients are silent about drugs that are taken without a doctor's prescription. It is clear that doctors do not approve of self-medication But it will be much worse if the medicine that the doctor prescribes for you is incompatible with the one that you yourself prescribed for yourself. The combination of certain drugs can harm your body.
Many people consider information that is not directly related to the specialization of a doctor unimportant. It would seem that it is hard to tell a gastroenterologist about the drugs that you are taking for bronchial asthma or joint pain. But everything is interconnected in the body - and the doctor needs information in order to build the correct treatment regimen. If the doctor knows about all the drugs you are taking, it will be easier for him to predict the options for negative consequences and prevent them.
You should not even be silent about multivitamin complexes, dietary supplements and decoctions: some plant substances can enhance the side effects of drugs.
Do you fulfill all the appointments?
Patients may not always admit to the doctor that they do not follow his recommendations or have violated the treatment regimen. Many adjust the doses themselves, some of the five prescribed drugs decide to limit themselves to three, and then complain that "I am being treated, I am being treated, but it does not get better."
With diabetes mellitus and various diseases of the gastrointestinal tract, a special diet is prescribed, and it is also an obligatory part of the treatment regimen. Not everyone can immediately give up their usual diet and switch to a healthier diet. But “I follow a diet, but my sugar is still increased” and “I do not follow a diet, and therefore my sugar is increased” - these are fundamentally different situations.
Some people miss the prescribed medication because they forget or because the medication is too unpleasant. Do not be silent about this at your next doctor's appointment. Firstly, the doctor may think that the treatment regimen does not work, since there is no result, and will increase the dose of active substances in the drugs or prescribe new ones, which can also negatively affect the body. Secondly, the doctor can help you find an alternative treatment: change the time of medication intake, advise other, no less effective forms.
Do you drink, smoke?
Almost all patients hide from the doctor the intake of alcohol, drugs and smoking. But alcohol in combination with certain medications can be fatal. Drugs interfere with the absorption of antibiotics, blood thinners, and pain relievers. In addition, drugs increase blood pressure and blood sugar levels, which are important to consider when diagnosing.
Have you come on an empty stomach?
Before surgery, you should not eat or drink 8-12 hours before surgery. Some patients hide the fact that shortly before the introduction of anesthesia, they had a snack or drank a little liquid. Such negligence can lead to serious consequences, since during the action of anesthesia, a person cannot control the swallowing process, and therefore vomiting, which can lead to the release of stomach contents into the respiratory tract and mechanical asphyxia.
There are two extremes that lead to misunderstanding. Or the doctor says nothing, believing that the patient is simply "obliged to do it." Or the doctor gives out a lot of information and uses special terms. Feel free to ask questions and ask to be repeated if you don't understand something. You can also write down what the doctor says with his hand on a piece of paper so that you can better study prescribed medications, possible tests and studies at home in a calm atmosphere. And it is better to ask the doctor for an extract with appointments.