Sunday, May 15, 2011

Your next appointment will be...never

       When I was in 7th grade,  I went shopping at the mall with a friend. I tried on a shirt I liked, but I wasn't quite sure if I wanted to buy it, so I put in on hold.
        “We’ll keep this until we close at nine,” the saleswoman said to me pleasantly.
        “What happens if I decide I don’t want it?” I asked my friend, Amanda, a little too loudly.
        “Shhhhh, you just don’t come back.”
        You just don’t come back. It’s that easy! If you put something on hold and decide you don’t want it, you just don’t return to the store. A staff member will put it back on the rack where it will wait for somebody else to buy it.
        When I moved away for college, I started doctor shopping. Finding the right health care provider is important. You want to find someone with whom you feel comfortable. You need someone who cares about you, and seems to actually know a thing or two about medicine.
        When I don’t like a doctor, I just cancel my appointment and never re-schedule. I usually feel kind of bad about that though. Am I treating the doctor like that shirt I didn't want to buy.? I always assume that they have so many patients, they will never notice I’m gone. Do they deserve to know why I left though? Or do they just think nothing of it? People change doctors all the time. It’s that simple. Or is it?
        I really want feedback here because I seriously don’t know what’s proper. Is there some type of etiquette  we should follow when leaving a health care provider's practice?

Saturday, May 7, 2011

Why Do They Do That?

I found this article on MensHealth.com 


What Your Doctor Tests for During a Physical

By: Maggie Grodon


Blood-pressure check? No mystery there. Same for the trip to the scale—which is way off, of course. But what's with the penlight and little rubber mallet? Here's what your doctor's looking for when he . . . 

1. . . . asks you to say "ahh." 
He's looking for swelling or discoloration in your mouth and throat, which may indicate oral cancer. This test also checks if your palate and uvula—the punching bag at the back of your throat—contract at the same time. If they don't, your glossopharyngeal and vagus nerves may not be working properly. "This can signal problems such as a stroke, brain tumor, or multiple sclerosis," says David Deci, M. D., a professor of family medicine at the University of Wisconsin. 

2. . . . shines a penlight in your eyes. 
Your doc is testing your optic nerves, which transmit visual information to your brain, as well as the oculomotor nerves that control your eye muscles. "If your pupils don't dilate or dilate too much, that could indicate nerve damage," says Dr. Deci. That damage could involve the specific nerves or be centered in your brain, possibly as a result of a stroke or reduced bloodflow. 

3. . . . taps and presses on your abdomen. 
This helps detect an enlarged—and potentially infected—organ. "When I tap over your liver or spleen, the sound is dull. It becomes more resonant as I move off the organ, helping me gauge its size," says David Simel, M. D., chief of medicine at the Durham Veterans Affairs Medical Center. Your doc may also press in as you take a deep breath. This pushes your diaphragm down, shifting your liver and spleen so they're easier to feel. 

4. . . . hits your knee with a small mallet. 
This classic reflex test exposes nerve or metabolism problems. If you have lower-back pain, for example, and your leg barely budges when your doctor taps your knee, then some of your spinal nerves may be damaged, says Dr. Simel. An x-ray may be the next step. A karate kick could indicate an overactive thyroid. In that case, flooding hormones can make your reflexes more forceful.

Read more: http://www.menshealth.com/mhlists/medical_exam/index.php#ixzz1Lgu3CZ5x