Nobody, especially older adults, should try to navigate the system alone. Everyone should have a health buddy, someone who serves as an extra pair of eyes, ears and, perhaps, hands, taking notes about the visit.
Today the total time spent in an office visit may be a few minutes more than years past, but the eye-to-eye contact is less thanks to the computer and the typing demands of the electronic health record. Most of us would rather talk to someone looking at us than someone facing a computer, rapidly taking notes.
This octogenarian thought I had magical powers and could guess just by looking at her what was wrong or what care was necessary. She wanted to believe I would know which of the many things wrong with her was important—that I would know best. I had patients who wouldn't point out a breast lump, for example, hoping that if I didn't find it on an exam, it might not be important.
In truth, physicians need to take time during office visits to learn more about what truly matters to their patients. This takes time and isn't typically done during routine appointments. A health buddy can help start these important conversations. Remember: A health buddy is indispensable after leaving the doctor's office, helping follow through on what the health care professional advises. Studies show that the average patient forgets half of what is said as soon as the appointment is over.
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