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Looking at the Options

Once you have determined the problem, the next step is for you and your doctor to look at your treatment options. Your doctor may recommend one or more of the following:

  • Behavior change (for example: eating a healthier diet, getting more exercise, quitting smoking)
  • Prescription medicine
  • Non-prescription ("over-the-counter") medicines
  • Surgery
  • Rehabilitation (such as physical therapy)
  • Other treatments (for example, chiropractic services, massage, or acupuncture)
  • "Watchful waiting." (You and your doctor keep track of your symptoms and watch for any changes. If there are changes, then treatment might be the next step).


Not all treatments have been proven by research studies to work -- or to be the best treatment for what you have. "Clinical practice guidelines" can help doctors and patients make the right treatment choices for some conditions. Some of these guidelines are based on scientific evidence about which treatments work for certain conditions and which do not. Ask your doctor if there are evidence-based guidelines on treatments for your condition.

Ask about any books or special materials that can help you decide which treatment is best for you. For example, "shared decision-making programs" use video, audio, and computer graphics to help patients make decisions based on science and on their own values and preferences. Self-help groups, patient organizations (such as the American Cancer Society and the American Diabetes Association), other Internet sites (such as Healthfinder), and your library are other sources of information.

All treatments have benefits and risks. To learn more about them you may want to ask your doctor:

  • What is the recommended treatment? Are there other choices?
  • What are the chances the treatment will work?
  • What are the expected results? When will I see them?
  • What are the risks?
  • What are the benefits?
  • Are there any side effects? (Most treatments have them.)
  • What can be done about them?
  • Is the treatment painful? How can the pain be controlled?
  • What happens if I choose to have no treatment at all?
  • How much does the treatment cost? Will my health plan pay?

Once you have the answers to these questions, you might want to make a chart of "Benefits and Risks" or "Pros and Cons" to help you decide if the treatment is right for you. Here is a sample chart:

Benefits (Pros)
Risks (Cons)
  • Treatment has worked well for others with my condition.

  • The medicine only needs to be taken once a day.

  • No major side effects are expected.
  • Some minor side effects (rash, stomach upset) could be troubling.

  • The medicine is costly.

 
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