Dr. Bernadette Anderson Photo Credit: Stephanie Matthews

How can patients increase their chances of receiving better medical care?  Patient education that entails a better understanding of how doctors and medical professionals diagnose medical conditions is an empowering approach.

The starting point of treating patients begins with a provisional diagnosis. This initial assessment is made by a health care provider about what might be wrong with a patient, based on symptoms and medical history, according to Bernadette Anderson, MD, MPH a family physician and creator of Life in Harmony, an innovative action-oriented approach to well-being. 

“It’s an educated guess,” Dr. Anderson explained.

Dr. Anderson mentioned another key phase in unpacking what may be rooted in a patient’s medical concerns.

“A differential diagnosis is when a healthcare professional identifies possible diseases or conditions that could be causing a patient’s symptoms and narrows the list down based on further evaluation, tests and observations,” said Dr. Anderson.

However, in straightforward cases such as urinary tract infections when patients experience frequent urination and burning sensation during urination, the differential diagnosis process may not be as extensive as in more complex conditions with overlapping symptoms.

A final diagnosis is the conclusion reached about what is making someone sick.

“It is made after a thorough examination, assessment, diagnostic tests and labs. All available information is carefully considered. The final diagnosis is used to prescribe treatment,” said Dr. Anderson.

It is critical for a patient to accurately convey a clear and detailed list of symptoms to their healthcare provider.

“Without it, there can be delays in diagnosis and treatment, potentially leading to worsening health conditions,” said Dr. Anderson. 

“This reduces the chance of misinterpretation or oversight, ultimately preventing misdiagnosis.”

Dr. Anderson shared examples of steps that are taken by medical professionals to rule out conditions that share symptoms. They include taking a detailed medical history from the patient, including past illnesses, family history, and any relevant lifestyle factors; conducting a thorough physical examination of the patient to identify specific signs and symptoms related to the patient’s condition; and diagnostic tests, such as blood tests, imaging or biopsies to gather objective data about the patient’s health and rule out potential conditions. In some cases, patients may be referred to specialists for further evaluation or specialized tests to help confirm or rule out specific conditions. Dr. Anderson explained that depending on the initial findings and test results, healthcare providers may schedule follow-up evaluations to monitor the patient’s progress or conduct additional tests as needed.

When patients are unsatisfied with his or her doctor’s or medical provider’s explanation about a condition, he or she should remain proactive by not hesitating to ask questions, including why a particular diagnosis was made, what other possibilities exist and what further steps can be taken to confirm or rule out potential diagnoses, according to Dr. Anderson. Seeking second opinions from other healthcare providers can also provide additional perspectives and insights into their condition. Patients may request additional diagnostic tests or evaluations to further investigate their symptoms and help reach a conclusive diagnosis with other specialists. Dr. Anderson recommends that patients should keep detailed records of their symptoms, medical history, test results and any interactions with healthcare providers. 

“This information can be valuable in facilitating communication with their current provider or [for] seeking a second opinion,” she said.

Finally, patients should actively advocate for their own health by expressing their concerns, sharing relevant information, and participating in decision-making discussions with their healthcare team.

When a patient does not feel that his or her healthcare provider or doctor is taking their unimproved symptoms seriously, Dr. Anderson recommends openly communicating their concerns to their healthcare provider. 

“Patients should express their dissatisfaction with the lack of improvement in their symptoms and the need for further evaluation or intervention.”

Dr. Anderson further suggests that patients may also seek a second opinion from another healthcare provider, request a referral to a specialist who may have more expertise in managing their particular condition, or transfer care to another physician who can provide a fresh perspective on their condition and potentially explore alternative treatment options. 

Receiving effective healthcare delivery of services requires that both parties should work together to achieve the best possible outcomes.

“By fostering open communication, mutual respect, and shared decision-making, the collaborative relationship between patients and healthcare providers promotes better health outcomes and patient satisfaction,” Dr. Anderson reminds.

The medical expert authored “Fulfilled: 52 Prescriptions for Healing, Health, and Happiness.” Visit  www.Fulfilled52prescriptions.com to learn more about the book.

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