When was the last time you took a good look at your medical records? If you’re like most people, the answer is probably “never.” Many of us leave the doctor’s office with a vague idea of what was discussed, but we rarely dive into the detailed notes our doctors write up afterward. However, those notes can be a goldmine of information about your health—packed with insights, reminders, and, yes, a fair share of medical jargon. Understanding them can be crucial for staying on top of your health.
Your medical records aren’t just a collection of test results and prescriptions.
They offer a comprehensive snapshot of your health, including current symptoms, past medical problems, medications, family medical history, social habits, details of physical examinations, and test results. These records can help you keep track of your health journey and remind you of recommendations or follow-ups that may have slipped your mind.
For example, you might find notes about a discussion you had with your doctor regarding a lifestyle change or a test they recommended you get in the future. These notes can be especially valuable if you visit multiple healthcare providers, as they provide a consistent record of your health history.
However, as helpful as these notes are, they can also be confusing. Medical language isn’t always straightforward, and you might encounter terms that leave you scratching your head. Let’s break down some common examples:
Terminology
You might come across technical names for conditions you’ve never heard of. If you see something unfamiliar, don’t be afraid to look it up or ask your doctor for clarification.
Unremarkable vs. Remarkable
These terms are often used in physical exam findings. “Unremarkable” means everything is normal—nothing to worry about. “Remarkable,” on the other hand, means that there’s something noteworthy, which could either be a cause for concern or simply something that requires further investigation.
Within Normal Limits (WNL)
This term is often used in test results. It means that the findings are normal based on standard medical guidelines. If something is “within normal limits,” it’s a good sign.
Reading your medical notes can also help you catch errors or misunderstandings.
Doctors are human, and mistakes can happen. If you notice something in your notes that seems off—like an incorrect medication listed, a symptom you never mentioned, or a test result that doesn’t match what you remember—it’s important to bring it to your doctor’s attention. Medical notes can usually be revised with clarifications or corrections added in an addendum at the end of a note.
Even if you don’t find any errors, reviewing your records can help you better understand your health and be more proactive in your care. It’s like having a personal health journal written by your doctor, all about you.
While it’s easy to search the internet for health information, remember that your medical notes are tailored specifically to you.
Unlike generic articles on trusted health sites or the often misleading information on social media, these notes reflect your unique health history and the conversations you’ve had with your healthcare providers. They are an invaluable resource for anyone looking to take charge of their health.
So, the next time you visit your doctor, take a few minutes to read through the notes they’ve written about your appointment.
You might learn something new about your health, spot an important reminder, or simply gain peace of mind knowing exactly what’s in your medical records. After all, staying informed is one of the best things you can do for your health and well-being.
September 2024
