My trip to the doctor yesterday reminded me of the importance of partnering with your doctor on your medical care. I recently read an article that reported a study done on how little time the doctor has during your eight minute appointment to assess your condition, order tests and treatments, and prescribe medications. I don’t know about you, but I want to make the most of my time and get the best quality care at the same time.For a number of years, I’d been keeping track of my 85 year-old mother’s medical records. She has multiple medical conditions and sees a primary care physician, neurologist, cardiologist, ophthalmologist, pulmonologist, psychiatrist, podiatrist, dentist, and orthopedic surgeon. With so many doctors and multiple appointments throughout the year, I found it necessary to get organized. So I created a medical binder with divider tabs for personal information, financial information, health & medical information, care log, medication log, appointment log, calendar, and lab results. At the end of the first year, I filled a 2” binder. Putting a medical binder together may sound like a lot of work, but I soon found that having the binder made my life a whole lot easier.It was only after my heart attack that I realized it was just as important for me to start my own medical binder. Of course, my binder is not as extensive as my mother’s, but is just as valuable when it comes to talking with my doctor.If you find yourself stressing out every time you have a doctor’s appointment, or can’t remember all the medications you are currently taking – including all your vitamins and supplements, you might want to consider creating a medical binder for yourself. I’ve created a number of templates and have placed them on my webpage in pdf format in case you are interested in downloading the forms and putting a binder together for yourself. You will need Adobe Acrobat Reader to view the files. They can be downloaded at:Medical FormsHere’s a description of my medical binder.My binder has five tabs: Personal Information, Medicines, Doctor Appointments, Test Results, and Labs Reports.Personal Information:Section 1: Personal Information: name, address, home phone no., cell phone no., work phone no., social security no., health insurance company and policy no., medicare no. (if applicable), medical record number (some clinics provide this to all their patients), and pharmacy name and phone number.Section 2: Emergency Contacts: three family member’s names, addresses and phone numbers (I include my husband’s name and work address and phone no. here), four neighbor’s or friend’s names, addresses and phone numbers.Section 3: Health and Medical Information: name, address, phone no., and fax no. of each of your doctors; your preferred hospital name, address, and phone no; photocopies of your health insurance cards (including medicare card, if applicable). In addition, you may want to include: a copy of your living will or advance health directive (if you have one); list of drug and food allergies; list of medical problems or physical disabilities you have (include if you wear dentures or have a removable partial or wear contacts); list of past surgeries (including the type of surgery and date)Before I go on, let me explain why it is important to have all the information in one place. Say you are home and fall. You can reach the phone and call someone, but when help arrives, you need to be taken to the emergency room. If you have all this information in one place, that person can grab your binder, drive you to the hospital, have all the information needed to admit you, and can call any close relative or friend to either update them on your condition or ask them to feed the cat, water the plants, or whatever little tasks may need to be done in your absence.MedicinesUnder the medicine tab, I include a list of current medications, dosage, date the medication was started, and an explanation of what the medication if for.Whenever I discontinue a medication or am prescribed a new one, I update this list. I also carry a copy of this list in my wallet, right behind my driver’s license in case I am in an accident.I also include a history of my heart medications. On this list I include the medication, dosage, dated started or stopped and the side effects or reason for stopping the medication.This history of medications can be helpful if you are seeing a doctor other than your normal physician who does not have your complete chart in front of him or her.I also keep photocopies of all the prescriptions I receive from my doctor as a cross-reference for how many refills were issued and as a reminder to call the doctor if I need a new script.AppointmentsWhenever I have an appointment with any of my physicians, I take an appointment log form with me to the appointment. I complete the following information before seeing the doctor: my name, appointment date, appointment time, doctor’s name, Top 4 concerns I want to address. The form also includes a section for notes, follow up instructions, and return appointment date and time. I write all my notes on this log form during the appointment then place it in my binder when I return home.These logs are invaluable. It helps me remember names of over-the-counter medications my doctor may have mentioned; helps me keep track of my pulse, blood pressure and weight over time; and has even helped trigger other questions I need to ask.Test ResultsIt is very important, especially for someone with heart disease, to keep a file of your test results. You may need them if you are out of town and go to a different hospital for treatment, or you may want to take copies if you travel out of the country in case of an emergency.What I include under this tab are any test results that are not lab reports: doctor’s progress notes from a previous visit, EKGs, echocardiogram, mammogram report, colonoscopy report, etc.Lab ReportsUnder this tab I include the results of all my lab work. This way I can keep track of my cholesterol, white and red blood count, and the dozens of other indicators the doctors look at to determine your overall health.May you stay healthy and informed about your health.
Posted: July 12th, 2007 under heart disease.
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