Choosing a Doctor
Nobody likes going to the doctor. Usually we're going either because we're too sick to do anything more worthwhile, we've gotten to an age where certain "uncomfortable" exams are necessary, or we partied a bit too hard and woke up with neither memory nor clothing. Despite all of these things, I think that the hardest part of going to the doctor is choosing one in the first place. Unless you have a friend or coworker that can recommend theirs, chances are you're going to have little or no idea what he or she is like until your first appointment.
Here's what you should look for during your first appointment:
1. Is this somebody that you can be honest with? Your doctor is going to find out the most about you not through examination but through your statements. Sure, your blood type, gender, height, weight, blood pressure, and lack of functioning pancreas are all pretty obvious by looking at you or doing simple tests. However, some of the most important factors influencing your health are pretty much impossible for your doctor to find out from a couple sporadic visits. Does your family have a history of heart disease? Are you sexually active? How often, and how much, do you drink? Do you smoke cigarettes? Do you abuse marijuana, cocaine, prescription drugs, or any other kind of drug? You should not be embarrassed telling this to your doctor. He or she is not there to pass judgment on you, but to help you survive and live a healthy life. This is absolutely imperative. If you feel like you can't tell these things to *anyone*, then you need to reassess how you're living. I am sexually active (though monogamous), I binge drink occasionally, I don't use any of the drugs listed above, and my doctor knows this.
2. Does your health insurance cover this doctor? Although this seems to be strictly financial on the surface, there are definitely health ramifications. There are a couple reasons your insurance might not cover this doctor: if you have an HMO, he or she may be "out of network", or your insurance may consider your doctor's practice a hospital visit. If this is the case, a routine appointment for a cold or the flu could set you back over a hundred dollars. For comparison, no matter what I see my doctor for, I am responsible for only a $10 copay.
How does this affect your health? Simply put, the more expensive it is to visit your doctor, the less you will go. You'll think, "Is it worth $150 to find out if this is strep throat or just a cold?" and more than likely you'll decide that it isn't. Money shouldn't factor into your healthcare (although apparently a lot of political candidates think it should) so choose a doctor that you can afford to see often without causing you financial stress.
3. Is this doctor okay with you having a separate endocrinologist? I *strongly* encourage all diabetics to see an endocrinologist that is an expert in diabetes; the details of that deserve a whole separate article. However, it is very important to make sure that your primary care physician (also known as GP, or General Practitioner) is okay with you seeing an outside doctor for your diabetes care. I was lucky enough to find a doctor that even encouraged it, asking me unprovoked during our first appointment whether I had an endocrinologist yet. It may be an ego issue, a control issue, or just a trust issue that makes some doctors uncomfortable...whatever it is, make sure your doctor doesn't have a problem with it.
4. Is the doctor overbooked? This is probably the easiest to tell without actually having to see the doctor in person. When you call to schedule your "new patient physical", do they ask you what your schedule is like next week, or next April? When you're sick, you need to see a doctor soon; while a waiting list may make a doctor seem popular, it can keep you from getting antibiotics or other health care in time and may mean this is not the doctor for you.
Choosing the right doctor is not easy. Look at it like a job interview; it will be a long relationship, and sticking with a doctor that is wrong for you doesn't help you, and definitely doesn't help the doctor. Be open, be honest, and if the answer to all the questions above is "Yes!", odds are you've found a great doctor that will help keep you healthy for a long time.
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