Contents

Cover

Title Page

Dedication

Author’s Note

Preface

Part One: When All Is Well

Chapter 1: Where to Start

Patient Power Is Ultimate

Chapter 2: Unlearn What You Know about Being a Patient

Why I Use the Term “Provider”

White-Coat Syndrome

Paradigm Shift: From Reaction to Prevention

Adopt Rituals: The Art of Being a Patient

Increase Your Health Literacy

               Advocate for Yourself During Appointments

               Be an Upstreamist

Chapter 3: Appoint a Team

North Star: How to Choose a Primary Care Provider

               How Are We Doing It Now?

               Logistics of the Hunt

               What to Look For

               Do Away with the Term “Bedside Manner”

               Is It Better to See a Woman?

               Primary Care Models: The World Is Your Oyster

Other Medical Professionals

               Get a Mental Healthcare Provider Before You Need One

               Eyes and Teeth: The Medical Silos

               Befriend Your Pharmacist

               Alternative Care

Choosing an Advocate: Don’t Go to Appointments Alone

               Who Should It Be?

               How Can They Help?

               Special Circumstances

Chapter 4: Gather Provisions

Create a Medical Dossier

               The Healthbook

               Your Medical Records

               See What You’re Made Of

               Friends in the Digital Age

Your Smartphone as a Medical Device

               Virtual Toolbox

Genetic Testing: Is It Worth It?

               Interpretation

               Counseling

Stay on Nodding Terms with Reality

Choose an ER

Advance Directives

               Living Will

               Healthcare Power of Attorney

               POLST

Chapter 5: Drugs 101

Drug Nomenclature

Polypharmacy

Antidepressants

Part Two: When It’s Routine

Chapter 6: Making Your Way into the System

Tricks of Scheduling Appointments

Dress Up for Better Care

While You Wait

Intake Forms

Making the Most of Your Time at Appointments

The Intake Conversation

Chapter 7: How to Talk to Providers

Louis Washkansky and the Western

The Golden Tentacle

The Unique Role of Questions

Stories: Giving Yourself Context

               Don’t Go in Blind: There’s Not Enough Time

Part Three: Making the Most of Each Medical Encounter

Chapter 8: When Something Is Wrong

Creating an Elevator Complaint

Realities About Diagnosis

Chapter 9: Navigating Touchy Territory

Preventive Care Screenings

               Standard Recommendations

               Determining Your Risk Profile

Vaccines

               An Ode to the Flu Shot

Viruses and Bacteria

               Is This Viral or Bacterial?

               Antibiotics

               Suprainfections

               Should You Take the Full Course?

Sex

Trauma-Informed Care

Myths About Weight and Health

Chapter 10: How to Avoid a Wild-Goose Chase

Irritable Bowel Syndrome

Headaches

Lower Back Pain

Part Four: When It’s Chronic: Navigating Long-Term and Ongoing Medical Problems

Chapter 11: Brewing Problems

Specialists and Referrals

When You Can’t Get a Diagnosis

Chapter 12: A Field Guide for Pain

Describing Pain

Using Narrative to Communicate about Pain

               Pain Management in an Opioid Epidemic

               Other Pain Management Options

Chapter 13: Mastering Disease

Wading into the Literature

Clinical Trials

How to Be a Conduit

Peer Support

Part Five: When It’s an Emergency

Chapter 14: ER vs. Urgent Care vs. Wait Until Monday

Choose the ER If . . .

Choose Urgent Care If . . .

Can It Wait Until Monday?

Emergency Room Tips

Chapter 15: Am I Dying? (Emergency Preparedness, Extended)

Adverse Medication Reactions

Cardiac Emergencies

Chapter 16: Are They Dying? (Pedestrian Emergencies)

In These Situations, Time Is of the Essence

If You Witness an Emergency

Part Six: When You’re Having a Procedure

Chapter 17: Choosing If, Where, and Who

Second Opinions

How to Choose a Hospital

Care Pathways

How to Choose a Surgeon

The Days Leading Up to a Procedure

Informed Consent

Right Before Surgery

The Importance of Follow-Up Care

Part Seven: When You’re in the Hospital

Chapter 18: Bring Your Own Pillow

Elevated Homeostasis

Composition Book

Patient Mentality and the Spectrum of Assertiveness

Chapter 19: Culture, Checks, and Balances

Hospital Currency: The Order

Too Much Testing

Chain of Command

Take as Needed: The PRN

Bedside Report

Be a Good and Memorable Human

Before You Leave

Chapter 20: How to Be Vigilant

Storm of Errors

Medication Safety

Keep an Eye on Vitals

Nosocomial Nightmares

Wrong-Site, Wrong-Procedure, Wrong-Patient Errors

When No One Is Listening

Part Eight: When You’re Not the Patient: Family Members, Partners, and Friends

Chapter 21: You Define Family

The Patient’s Rights

How to Get Updates in the Hospital

Provide a Baseline

Resources for Caregivers

Chapter 22: When It’s Your Kid

Finding and Working with a Pediatrician

Vaccines: Myths and Facts

Pediatric Hospitalization

               When Should I Take My Kiddo to the ER?

Recommended Reading

Chapter 23: When You’re Getting Older (or When It’s Your Parent)

Switching to a Geriatrician

Questions Specific to Older Adult Patients

Too Many Medications

Symptoms in Older Adults

Get the Shingles Vaccine

Recognizing Delirium

Mental Health Support: A Cavalry for Loneliness

Communicable Disease and Compromised Immunity

Factor in Frailty

Familiarize Yourself with the Best Treatment Models

Getting to and From

End of Life

Part Nine: When You’re Not a Straight White Male

Chapter 24: The Female Patient

Pain and the Gender Gap

Gender Differences in Heart Attacks

Reproductive and Sexual Health

Chapter 25: When You’re Having a Baby

Choosing Who, Where, and How

If You Feel Like Something Isn’t Right

After Delivery

Chapter 26: Health Advocacy for LGBTQ Patients

Transgender Patients

Chapter 27: Implicit Bias and Systemic Oppression

Institutional Racism

If You Don’t Speak the Language

If You’re a Vet

If You Have a Substance-Abuse History

Part Ten: When You Have to Stand Up to the Industry

Chapter 28: How to Deal with Insurance

Insurance 101

What Plan Is Best for Me?

Radical Ways to Save Money

               Healthcare Bluebook

               Comb Over Your Bills

               Over-the-Counter Savvy

Getting Care When You’re Uninsured

Chapter 29: Big Pharma and the FDA

Drug Reps and Olive Garden: Conflicts of Interest

Evidence-Based or Marketing-Based?

Acknowledgments

Appendices

CDC Pediatric Vaccination Schedule

Routine Exam Schedule

What Type of Patient Am I?

Common Hospital Staff

Medical Jargon

Free Screenings and Services

Useless Tests

Medications Given Before, During, and After Procedures

Opioid Types and Side Effects

Notes

Index

About the Author

Copyright

About the Publisher