I had my annual physical this morning - 2nd time seeing my new Internist at KUSM-Wichita. Part of the routine was, as usual, carried out by a 3rd year Med student. She will make a good physician, I think. However, she was required to go over a couple of pieces of paper with me that were a hoot: 1) "targets" for good health that I should observe and 2) depression screening.
1) Self Care Plan for hyperlipidemia: "Targets" included weight (I already weigh less than the bottom of the range), blood pressure (my systolic is 14 above goal; diastolic is 6 below goal), LDL (I don't know what it is today - they just drew the blood!) but last year my LDL was 20 points below the goal; exercise (I already do more than goal); and dietary calories (I'm pretty well on or under goal). Oh! And they want blood pressure measurements daily. Are they kidding me?!!
2) Depression screening: I told them that the screening given last year was pretty silly - that I am not depressed, do not plan to kill myself (but, it's none of their business if I did - lol). We chatted for a few minutes, but did not fill in the questionnaire.
No, I don't want another colonoscopy (the one 20 years ago found exactly nothing). No, I don't want another bone density test (if my bones were brittle I would be breaking bones with my falls). No, just because you think you hear a little heart murmur (pulmonary valve you say? Usually, I've been told it might be mitral and/or aortic) does not mean I want another echocardiogram (the one 20 years ago showed no abnormalities).
The physician doesn't think that I come see her often enough. I think annually is too often. As long as I get my low-dose statin and hydrochlorothiazide RXs, I'll be happy to leave the physicians to their own devices. I let her know that I consider myself to be responsible for my health/lack thereof and she shouldn't worry her pretty little head. (Well...that's what I was thinking.) Dr G seems to be a dedicated physician and I'm sure that some of her elderly patients need a lot of testing and hand-holding. I've tried to, somewhat gently, let her know that I do not fall into that category.