History

History

By Marcos Otero, Gulf Coast Immediate Care Center, Fort Walton Beach

History is defined as the whole series of past events connected with someone or something. Sounds simple, does it not? Yet for so many it is difficult. History is instrumental for medical professionals in determining what ails you.

There have been so many times when we ask for information that we get answers like more or less. “Huh, what does that mean?” I ask.

It is your responsibility as a patient to provide your history. There are several basic questions we will ask. Other question will depend on answers we get from you. Examples of these are:

Why are you here? This is straight forward. Yet you would not believe the times I have heard – “I do not know!” You should know what hurts or what is bothering you. It should not be a game of guessing. You may not know what your diagnosis is but you should know that your throat hurts or if your foot hurts etc.

When did this start? Again, this should be easy, but I often get answers like some time. Is that some time one minute, one hour, one month, one year, or ten years ago?

What makes it better or worse? This helps us decide what kind of work up may be needed.

Family history – This may be more difficult for some. Many may not know what diseases are in the family but if known this helps especially with diseases that can travel within families.

Current medications – What medications do you take? Answers like a small yellow one and a green one does not help. It is advised that you bring in all your medications and supplements with you each visit or at least an updated list of these. The dose and how often and for what the medication is taken should be listed and known.

Allergies! This is important to know. Many medications may have cross reactivity with others. I cannot guess what you are allergic to. If the reaction is serious enough this should also be listed on your medication list and maybe you should also wear an allergy bracelet.

Based on what, where, when, etc. a medical provider begins his differential diagnosis process. Therefore, it is very important that patients be as clear as possible.