Will This Test Change the Plan of Care?

Lately, I have noticed when going to see any of my doctors, I am sometimes offered a choice of tests to be done. For example, when I had a severe ankle sprain, which wasn’t getting better after weeks of wearing a boot, the orthopedist (who I would like to mention owns the imaging suite) asked me if I “would like to get an MRI?” When asked how that would change the treatment plan, he responded, “It won’t, but some people want to get one.” Since when is this left up to the patient?

My internist, at the time of my annual physical, asked me, “What blood tests do you want today?” When I questioned him, he responded, “Do you want a blood count? Cholesterol testing? Vitamin D?” Most internists and doctors don’t leave it up to the patient, yet this “patient-directed” care, is becoming more prevalent. What does it mean for the patient?

It means we must all be informed and willing to educate ourselves.
I spoke with a friend this morning who injured her ankle six weeks ago. At the initial visit, they did three x-rays of her injured ankle, revealing a minor fracture on one of the views. She has been back two subsequent times and had three x-rays done each time, for a total of 9 films, only 3 showing the fracture. As with most people, she didn’t ask my favorite question: “Will this change the care I am receiving?” Most bones, particularly with those of us over 60, need a minimum of 6 weeks to heal. The additional six films were probably unnecessary and exposed her to excessive radiation. She is due for another visit next week and has decided she will only allow one x-ray or none and wait a few more weeks to be sure all is healing.

We must be more actively involved in our health care and ask questions. And if your provider gets annoyed, then maybe that is the time to find someone who is a “better fit” for you. Hire a patient advocate if you don’t feel you can sufficiently advocate for yourself. The money spent will be worth it. It’s an investment in yourself and your health. And the education you receive in the process will be worth every penny.