1) A reader writes: “I’m curious to get your take on what three (or more) things patients (especially those with complicated histories or who need a lot of care) can do to make it easier for you to do your job.”

Ok, here goes:

i) Bring an accurate, updated medication list to every office visit.

ii) Understand that only up to 3 issues can be adequately discussed during a 15-minute office visit. Prioritize which issues are most important to you and address them first. Schedule another appointment if there are more than 3 issues.

iii) Ensure that consultants send a copy of their note, tests, and lab reports to your primary care physician in a timely fashion.

2) A reader writes: “Almost all doctors say that people should ask questions about all tests, procedures and drugs so they can make informed choices when advised about medical care.

However when in their own office, many doctors do not give their patients a choice but instead give ‘orders’. How are we going to rein in costs and reform the medical care system if people are not encouraged to ask questions and explore their choices?”

Good question. Patients are being encouraged to take more responsibility for their health care. It is a good idea to question the necessity and risks of the test, as well as the repercussions of not undergoing the test.

Various studies have shown that more tests do not equate to better medicine. If a physician does not, or is unwilling to, discuss testing to your satisfaction, it is time to find another opinion.