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Manage your own medical journey - April, 2004

 
What can consumers of genetic services do to optimize the experience of living with a genetic condition and ensure they are receiving the best possible health care? Patricia Foote, author of How are you? Manage Your Own Medical Journey, shares her research on this topic. Patricia lives with von Hippel-Lindau disease.

Patient Strategies for Good Outcomes

 

Become the team leader of your medical team. Remember that you are paying, so hire professionals who are competent, compassionate and communicate well.

Understand your condition. Today, with the use of trustworthy sites on the internet such as the National Institutes of Health, the National Library of Medicine, the Office of Rare Diseases and the Genetic Alliance portal to more than 600 resource organizations, it is becoming easier to find quality information. Lay advocacy groups are becoming experts in their specific condition. This enables consumers to prepare for doctor visits with a list of intelligent questions and to have information about different treatment options, including clinical trials.

Manage the routines of dealing with your condition. Remember to take medications and attend medical appointments. Keep a health history form up-to-date so that this can be easily sent to new doctors and also for your own ease in remembering what screenings, medications, etc., you have had. Monitor diet, rest and exercise.

Acknowledge the emotions that come with the diagnosis of, or life with, a genetic condition. Recognize fear, anger, depression, frustration, and isolation. Seek professional help if things are really bad or perhaps locate a support group for people with your condition. Find ways to reduce stress that are enjoyable such as walking, reading, listening to music. Be sure to schedule a break for yourself if you are the primary caregiver.

Reach out to friends and family, even if activities have to be modified. Try to maintain relationships by clear communication: “I need,”  “I feel,” “I’m afraid of.” Be specific when asking for help: “Could you please go grocery shopping for me on Thursday?”  “I’d love it if you could prepare dinner on Thursday,”  “Will you please read the newspaper to me?”  “Will you just sit next to me, hold my hand and say nothing?”

Stay apprised of health insurance issues. For example, what procedures require pre-approval; what is your annual deductible; what is your lifetime cap; what protections do HIPPA and the new HHS Privacy Regulations offer?

Stay sensitive to privacy issues. Who needs to know the information? If in doubt, don’t disclose. Never give blanket disclosure authorization.

Maintain a positive outlook – an “I can do” attitude. Replace negative thoughts with positive action – not “why me?” but “what can I do?”

Designate someone to coordinate your medical management for you if you are unable to take on a proactive role.

Learn to accept your diagnosis and live your new life. Integrate the business of living with a chronic condition into your life and move on. Remember, you are much more than your disorder. Accept and understand what is “normal” for you, which may include an increased amount of time spent on medical issues and some physical discomfort. It may not always be possible to “win” the fight with a genetic condition – some are terminal. The knowledge gained from the battle could be considered precious, and victory a deeper love of those who shared the journey.

Realize that sometimes blessings and insights come from living with a genetic condition. Perhaps you learn to set priorities, value the use of time, become more empathetic, learn who your true friends are, and take care of unfinished business.

Think of all of the above in simplified terms: think of the five vowels – those little letters that all words need:

                           A     Attitude

                           E     Emotions

                           I      Information

                          O     Outcomes

                          U      Understanding

 

Maximizing the promises of medicine. A PBS TV special, Critical Condition, stated the following: “The quality of your healthcare depends as much on you as on your doctor, on your being informed, on your asking the right questions, on your being your own best advocate. Your life may hang in the balance.”

 

To reap the promises of medicine in the 21st Century, we must work proactively to manage our healthcare and live our lives to the fullest.