You know the problem:
Either because your doctor is rushed, or you're scared or intimidated - or all of the above - you often come out of the doctor's office with your questions still unanswered. Maybe you even wonder if you've received good care.

Here's a solution:
Anticipate in advance the conversation stoppers that physicians often use as well as how you might reply to them. Such planning will give you more control over your session with the doctor, thus increasing the chances that you'll receive the information you need.

A few examples: 

"Yes, yes, I see . . ." the doctor says, interrupting you.  

 If this has ever happened to you, you're not alone. In a recent study, Dr. Howard Beckman of Wayne State University in Detroit found that doctors interrupt patients quickly, most often after only the first symptom is described.  To prevent misdiagnosis from this lack of information, Dr. Beckman recommends that patients prepare a written list of symptoms arranged in order of importance. At the beginning of an office visit you can say, "I have three symptoms. The first is . . ." Then, if interrupted, it will be easier to remind the doctor later, "Remember, I have two other symptoms I haven't told you about yet."

 "I'm sorry, but you can't come in with the patient."

 If you're feeling nervous or ill, it's easy to forget key questions or to misunderstand what the doctor says. So bringing a relative or good friend along - and not just to the waiting room - can be a good idea. But many physicians object to having anyone in the examining room.

 A good response is, "I'm really not up to par today and would like my husband to stay with me. I think he can help me understand and remember what you say better than if I were alone. " Or "I'm a little frightened and really need the support of my friend." 

"You have spellosis, complicated by epicilla."

 That's a nonsense diagnosis, but it probably makes as much sense as some real ones do when couched in medical dictionary language. Do not feel inadequate for not understanding - just ask the doctor to start all over again, this time in plain English. "It's nothing to worry about," or "No, it can't be that."

Without an adequate medical explanation - one you can easily understand - you probably will worry. So when the doctor doesn't give you reasons for the conclusion, you might say: "Would you please explain exactly why I shouldn't worry about this?" Or "I'd feel more comfortable if you would tell me why you think it's not that." If the response is "Well, that's just not likely to occur," insist on a better answer. "I really want to know
 the medical basis for your opinion." 

 "Here - I think this should take care of it," as you are handed a prescription.

 The following questions should help you get the necessary facts: "What is this called? Why do I need it? Is there a less expensive generic version that's safe to take? What do you expect the drug to do and how long before it takes effect? When should I call you if I'm not better? Are there any special instructions about when and how I should take this drug? Could it interact with other drugs that I take?" Your pharmacist can also answer many of these questions.

 "I wouldn't worry about the side effects of this medicine."

On the contrary, there are two good reasons to be aware of them. If a minor side effect occurs, it's comforting to know the cause. And because a major one might warrant a change in the medication, you need to know what to look out for. Try this response: "Even so, I'd really like to know any possible side effects. How likely are they? Which ones do you want to know about?" You can also get information on side effects in prescription medicine guides located in the reference department of most public libraries. 

"I'll order some tests."  

Sometimes physicians order a medical test without telling the patient much about it or realizing the needless worry this can cause. Getting a few details will help lower your anxiety level. "What is this test going to tell you? How accurate is it? Will it change my treatment? What will be done - is it risky or painful? Is there anything special I need to do beforehand?"

 "I think you should have this treatment."

Depending on your medical problem, choosing the right treatment can be very difficult. First, if you don't have a clear understanding of the condition being treated and its prognosis, speak up now. "Please tell me again exactly what I have and what's likely to happen." Then ask, "Are there other treatments for this?" If so, the following questions for each therapy, including the recommended one, will help you reach a decision: "What are the benefits and risks, and how likely is it to work? What can I expect? Are there any common side effects? How much time does the treatment take, and will I have to be in the hospital?"   If you're not satisfied with the responses, get a second opinion.

 "I don't think a second opinion will be necessary."

Most doctors have no objections to another opinion and will often make a referral. If yours feels otherwise, simply say, "I understand how you feel, but I need a second opinion for my peace of mind as well as my family's." Or if this is the case, "My insurance company requires a second opinion." 

"Call me if you're not feeling better," as the doctor is leaving the room.

 Before your doctor walks out the door, make sure you understand exactly what he or she means. "When should I call you if I keep feeling the same? If I get worse, should I let you know sooner? Are there any new things I should watch for and tell you about right away?"

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