When it comes to diagnosing IPF and other respiratory conditions, it’s important that your doctor understands your symptoms, possible risk factors, and medical history. The more information you can provide your doctor, the better prepared he or she will be to make an accurate diagnosis. We’ll help you share this information with your doctor by creating a personalized Doctor Discussion Guide. All you need to do is:
- Step 1: Answer the questions below to pinpoint your symptoms, possible risk factors, and medical history.
- Step 2: Print or e-mail a copy of your completed guide and bring it to your next appointment to help start a conversation with your doctor.
Please answer questions: 2, 3, 4 and 5
What symptoms are you experiencing? Select all that apply.
Shortness of breath with or without activity that worsens over time
Dry, hacking cough that lasts a long time
Wet cough that produces mucus
Fatigue or generally not feeling well
Unexplained weight loss
Chest pain or tightness
Difficulty breathing during sleep (sleep apnea)
Clubbing (or widening) of the fingertips
Chronic heartburn/acid reflux (GERD)
Have you been treated for any of the following conditions (with treatments like inhalers, antibiotics, etc.) but have been unable to find relief from your symptoms?
Select all that apply.
Below is a record of your symptoms, risk factors, and medical history based on your answers to a few questions. We’ve also included a list of questions that you may want to ask your doctor. Be sure to print or e-mail this guide and bring it to your next appointment. That way, you’ll have the information you need to begin a more meaningful conversation with your doctor.
I experience the following symptoms:
I have been treated for the following conditions (with treatments like inhalers, antibiotics, etc.) but have been unable to find relief from my symptoms:
I currently smoke or have smoked in the past:
I have been regularly exposed to pollutants, such as:
I have family members who have been diagnosed with a respiratory disease:
I have family members who have been diagnosed with:
Questions for My Doctor
Below is a list of questions that you should be sure to ask your doctor. Please note that this list is not exhaustive. There are other possible questions that you may want to ask your doctor.
I’ve been experiencing symptoms for some time now and haven’t found relief from any treatments we’ve tried. Do you think I could be suffering from a condition that I haven’t been treated for?
When you listen to my lungs, do you hear a Velcro-like crackle? What does that mean? If not, what sounds—if any—do you hear?
Are there other tests we can do to help determine the cause of my symptoms?
Will I need to see a specialist? If so, can you refer me?
Get a Copy
Don't forget to print or e-mail your guide and take it
to your next appointment.