Do you ever take a look at the notes your doctor or health practitioner writes during a medical visit? If not, it's worth considering checking them out. These medical notes are usually filled with valuable information about your health and reminders of the recommendations that were discussed. Medicalese is a language that includes difficult-to-pronounce illnesses, medications, and technical terms.
You may be surprised to find inaccurate information or unexpected language, tone, or even innuendo in your medical records. Was your past medical history truly "unremarkable"? Did you truly "deny" drinking alcohol? Did the note describe you as "unreliable"?
Here's how to decode unfamiliar jargon, comprehend some unexpected descriptors, and flag any mistakes you discover.

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What is included in a medical note?
A standard medical note contains several sections. These include:
* A description of the patient's current symptoms
* Past medical problems
* A list of medications taken
* Family medical history
* Social habits, such as smoking, drinking alcohol, or drug use
* Details of the physical examination
* Test results
* A discussion of the overall picture, along with recommendations for further evaluation or treatment.
Notes for new patients or annual exams are often more comprehensive. Follow-up notes may not include all of these points.
What may be confusing about medical notes?
Medical notes are not usually written in plain language because they are not primarily intended for a lay audience. As a result, you're likely to come across:
Medical jargon: You had an upset stomach and a fever. Doctors may say "dyspepsia" (upset stomach) and "febrile" (fever).
Complex disease names: Have you ever heard of "multicentric reticulohistiocytosis" or "progressive multifocal leukoencephalopathy?" These are just two of many examples.
The use of common language in unusual ways: For example, your medical history may be described as "unremarkable" and test results as "within normal limits" rather than "normal."
Abbreviations: You might see "VSS" and "RRR," which stand for "vital signs stable" and "regular rate and rhythm," respectively.
If you are having trouble understanding a note, your health issues, tests, or recommendations, contact your doctor's office for clarification. The more you are informed about your health and your treatment options, the better.