Preparation is the key to helping the physician help you

First and foremost, you have a complex condition that requires the expertise of a specialist that focuses on Chronic Fatigue Syndrome/Fibromyalgia treatments and therapies. The doctor you choose should be up to date on the latest research, testing and treatment methodologies. The "experts" are not necessarily a particular subspecialty; it is more important that they actively focus their practices on these two complex conditions.

Additionally, don't expect your FMS/CFS doctor to be your family doctor. It is important that you consult your primary care physician at all times for your immediate medical care. Many symptoms of CFS and/or FM are very similar or the same as very serious conditions. Your primary care physician is the best qualified to diagnose and order the appropriate testing to be sure you are not suffering from a life-threatening condition.

That being said, there are activities that you can do that will make your relationship with your FM/CFS doctor more productive:

• Gather up all your medical records from your previous treatments. The ones you do not have, your physician can request with your signature. You may want to address this with the office staff ahead of time so the process can be accomplished before your appointment.
  1. Organize your records by type (i.e. blood test results, MRIs, Scans etc.)
  2. Organize each subsection by date (i.e. more recent blood test on top of pile)
  3. Be ready to sign a release so your doctor can acquire records you might not have with you. By signing a medical record release, the records will be sent directly to your physician - thus saving time
  4. Prepare an outline so that you can ask questions in an organized fashion. This will help you feel more relaxed and in control - thus minimizing your stress load.
• Make a listing of all the medications you are currently taking. Make sure to carefully write down the dosages and the frequency rate (i.e. 1x a day etc.) of each medication. All this information should be on each label. If you are not sure, put your medications into a ziploc bags and bring them with you on your first appointment.
• Make a listing of all the vitamins and minerals you currently take daily. Remember to note the dosage size and strength.
• Discuss payment of services issues. Many doctors who successful treat Fibromyalgia and/or Chronic Fatigue do not accept insurance. Most expect payment upon rendering of services and will provide you with a bill that you can turn into your insurance company for possible coverage.
• Finally, call your physicians office and ask that they mail you any forms or questionnaires to you so you can complete them before your appointment. This way, you can arrive in time, refreshed and focused for your conversation with your doctor.

If you take the time to prepare for your appointment, you will not be harried or stressed which can frequently aggravate your condition. It will also keep you mind clear to hear and speak with your physician.