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Preparing for your appointment
By Mayo Clinic staffYou may first be seen at the hospital if you've had a stroke. Or, if your symptoms are mild, you may start by first seeing your family doctor or a general practitioner. However, you'll likely be referred to a doctor who specializes in disorders of the nervous system (neurologist).
Because appointments can be brief, and there's often a lot of ground to cover, it's a good idea to be well prepared for your appointment. Here's some information to help you get ready, and what to expect from your doctor.
What you can do
- Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
- Write down key personal information, including any major stresses or recent life changes.
- Make a list of all medications, as well as any vitamins or supplements, that you're taking.
- Ask a family member or friend to come with you, if possible. It can be difficult to recall all the information provided to you 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 ahead of time will help you make the most of your time together. List your questions from most important to least important in case time runs out. For vascular dementia, some basic questions to ask your doctor include:
- What's the most likely cause of my symptoms?
- Are there other possible causes for my symptoms?
- What kinds of tests do I need? Do these tests require any special preparation?
- Is this condition temporary or long-lasting?
- What treatments are available, which do you recommend and will they interact with my other medicine?
- What types of side effects can I expect from treatment?
- What's my prognosis?
- How quickly will I lose my memory?
- Will I need nursing home care?
- Are there any alternatives to the primary approach that you're suggesting?
- I have other health conditions. How can I best manage them together?
- Are there any brochures or other printed material that I can take home with me? What Web sites do you recommend?
- Is there any increased risk to my children?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time that you don't understand something.
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:
- When did you first begin experiencing symptoms?
- Did your symptoms begin abruptly or slowly?
- Have your symptoms been continuous or occasional?
- Do you have a history of high blood pressure, elevated cholesterol, diabetes, heart disease or stroke?
- What were your first symptoms?
- Have other symptoms occurred since the first set of symptoms occurred?
- Dementia: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/dementias/detail_dementia.htm. Accessed March 14, 2009.
- Vascular dementia. Alzheimer's Association. http://www.alz.org/alzheimers_disease_vascular_dementia.asp. Accessed March 14, 2009.
- Bird TD, et al. Dementia. In: Fauci AS, et al.: Harrison's Principles of Internal Medicine. 17th ed. New York, N.Y.: McGraw-Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aID=2904052. Accessed March 11, 2009.
- Wright CB. Etiology, clinical manifestations, and diagnosis of vascular dementia. http://www.uptodate.com/home/index.html. Accessed March 12, 2009.
- Dementia. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec16/ch213/ch213c.html. Accessed March 14, 2009.
- Aricept (prescribing information). Woodcliff Lake, N.J.: Eisai Inc.; 2006. http://www.aricept.com/images/AriceptComboFullPINovember02006.pdf. Accessed March 12, 2009.
- Namenda (prescribing information). St. Louis, Mo.: Forrest Pharmaceuticals; 2007. http://www.frx.com/pi/namenda_pi.pdf. Accessed March 12, 2009.
- Aminoff MJ, et al. Disorders of cognitive function. In: Aminoff MJ, et al. Clinical Neurology. 6th ed. New York, N.Y.: McGraw-Hill Medical; 2005. http://www.accessmedicine.com/content.aspx?aID=2079000. Accessed March 11, 2009.
- Wright CB. Treatment and prevention of vascular dementia. http://www.uptodate.com/home/index.html. Accessed March 12, 2009.
