Preparing for your appointmentBy Mayo Clinic staff
Make an appointment with your family doctor or a general practitioner if you or your child has signs and symptoms that worry you. If your doctor suspects acute lymphocytic leukemia, you'll likely be referred to a doctor who specializes in treating diseases and conditions of the blood and bone marrow (hematologist).
Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be well prepared. Here's some information to help you get ready, and what to expect from the doctor.
What you can do
- Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance.
- Write down any symptoms you or your child is experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
- Write down key personal information, including any major stresses or recent life changes in your life or your child's life.
- Make a list of all medications, as well as any vitamins or supplements, that you or your child is taking.
- Take a family member or friend along. Sometimes it can be difficult to absorb all the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.
- Write down questions to ask your doctor.
Time with the doctor is limited, so preparing a list of questions will help you make the most of your time together. List your questions from most important to least important in case time runs out. For acute lymphocytic leukemia, some basic questions to ask the doctor include:
- What is likely causing these symptoms?
- What are other possible causes for these symptoms?
- What kinds of tests are necessary?
- Is this condition likely temporary or chronic?
- What is the best course of action?
- What are the alternatives to the primary approach that you're suggesting?
- How can existing health conditions be best managed with ALL?
- Are there any restrictions that need to be followed?
- Is it necessary to see a specialist? What will that cost, and will my insurance cover it?
- Is there a generic alternative to the medicine you're prescribing?
- Are there any brochures or other printed material that I can take with me? What websites do you recommend?
- What will determine whether I should plan for a follow-up visit?
In addition to the questions that you've prepared to ask the doctor, don't hesitate to ask questions during the appointment any time you don't understand something.
What to expect from the doctor
The doctor is likely to ask you a number of questions. Being ready to answer them may allow time to cover other points you want to address. Your doctor may ask:
- When did symptoms begin?
- Have these symptoms been continuous or occasional?
- How severe are these symptoms?
- What, if anything, seems to improve these symptoms?
- What, if anything, appears to worsen these symptoms?
What you can do in the meantime
Avoid activity that seems to worsen any signs and symptoms. For instance, if you or your child is feeling fatigued, allow for more rest. Determine which of the day's activities are most important, and focus on accomplishing those tasks.
- Hoffman R, et al. Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2009. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-443-06715-0..X5001-8--TOP&isbn=978-0-443-06715-0&uniqId=230100505-56. Accessed July 31, 2012.
- Abeloff MD, et al. Abeloff's Clinical Oncology. 4th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-4/0/1709/0.html. Accessed July 31, 2012.
- Childhood acute lymphoblastic leukemia treatment (PDQ). National Cancer Institute. http://www.cancer.gov/cancertopics/pdq/treatment/childALL/HealthProfessional. Accessed July 31, 2012.
- Adult acute lymphoblastic leukemia treatment (PDQ). National Cancer Institute. http://www.cancer.gov/cancertopics/pdq/treatment/adultALL/HealthProfessional. Accessed July 31, 2012.
- Integrative medicine & complementary and alternative therapies as part of blood cancer care. The Leukemia & Lymphoma Society. http://www.lls.org/#/resourcecenter/freeeducationmaterials/treatment/integrativemedandcam. Accessed July 31, 2012.
- Fielding AK. Current therapeutic strategies in adult acute lymphoblastic leukemia. Hematology/Oncology Clinics of North America. 2011;25:1255.
- Tibes R (expert opinion). Mayo Clinic, Scottsdale/Phoenix, Ariz. Aug. 7, 2012.