A script for when doctors dismiss you

I've started using this in appointments: 'I understand you may not have a diagnosis for me today. What I need is for this symptom to be documented in my notes, and to discuss what criteria would need to be met for a referral to [specialist]. Can we do that?' It's changed the dynamic. Doctors respond to precision. Vague complaints get vague responses. Specific requests get specific answers. Not always, but more often.

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