Start by seeing your family doctor or a general practitioner if you have any signs or symptoms that worry you. Tell your doctor if you've been treated for cancer in the past, even if you received cancer treatment many years ago. If you're diagnosed with a bone metastasis, you'll be referred to a cancer specialist (oncologist).
Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be well prepared. Here's some information to help you get ready and know what to expect from your doctor.
What you can do
- Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet.
- Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment. Note how long you've been experiencing your symptoms and what makes the symptoms worse or better.
- Write down key personal information, including any major stresses or recent life changes.
- Make a list of all medications, vitamins or supplements that you're taking.
- Consider taking a family member or friend along. Sometimes it can be difficult to remember all the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.
- Write down questions to ask your doctor.
Your time with your doctor is limited, so preparing a list of questions can help you make the most of your time together. List your questions from most important to least important in case time runs out. For bone metastasis, some basic questions to ask your doctor include:
- What is likely causing my symptoms or condition?
- What are other possible causes for my symptoms or condition?
- What kinds of tests do I need?
- What is the best course of action?
- What are the alternatives to the primary approach that you're suggesting?
- Are there any experimental treatments or clinical trials available to me?
- I have these other health conditions. How will those affect my treatment?
- Are there any restrictions that I need to follow?
- Should I see a specialist? What will that cost, and will my insurance cover it?
- Is there a generic alternative to the medicine you're prescribing me?
- Are there brochures or other printed material that I can take with me? What websites do you recommend?
- What will determine whether I should plan for a follow-up visit?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions that occur to you during your appointment.
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may allow time later to cover other points you want to address. Your doctor may ask:
Apr. 27, 2012
- When did you first begin experiencing symptoms?
- Have your symptoms been continuous or occasional?
- How severe are your symptoms?
- What, if anything, seems to improve your symptoms?
- What, if anything, appears to worsen your symptoms?
- Walsh D, et al. Palliative Medicine. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05674-8..X5001-4&isbn=978-0-323-05674-8&uniqId=325267977-3. Accessed March 23, 2012.
- Abeloff MD, et al. Abeloff's Clinical Oncology. 4th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-4/0/1709/0.html. Accessed March 23, 2012.
- Canale ST, et al. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa.: Mosby Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-4/0/1584/0.html. Accessed April 3, 2012.
- Browner BD, et al. Skeletal Trauma. 4th ed. Philadelphia, Pa.: Saunders Elsevier; 2009. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-1-4160-2220-6..X1000-6&isbn=978-1-4160-2220-6&uniqId=327645813-3. Accessed April 3, 2012.
- Paes FM, et al. Radiopharmaceuticals: When and how to use them to treat metastatic bone pain. Supportive Oncology. 2011;9:197.
- Rosenthal D, et al. Critical review of the state of the art in interventional oncology: Benign and metastatic disease involving bone. Radiology. 2012;262:765.
- Metastatic cancer. National Cancer Institute. http://cancer.gov/cancertopics/factsheet/Sites-Types/metastatic. Accessed March 23, 2012.
- Moynihan TJ (expert opinion). Mayo Clinic, Rochester, Minn. April 9, 2012.
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