I also don't like the "one issue" restriction. I consider it a warning flag that this medical practice expects its doctors to spend no more than five minutes in the examination room with each patient before moving on. It's a way of saying, "Just bring us simple medical problems we can treat...
Best answer: I also don't like the "one issue" restriction. I consider it a warning flag that this medical practice expects its doctors to spend no more than five minutes in the examination room with each patient before moving on. It's a way of saying, "Just bring us simple medical problems we can treat fast and take the complicated stuff elsewhere."
This may not be the best doctor to evaluate you. Maybe you have no choice and must see this doctor.
You may indeed have just one medical issue. There are single medical issues which have several of your symptoms. I suggest, if you must see this doctor, that you go in with a written list of symptoms, and present or read it to the nurse who will screen you first. YOU assume that these symptoms ARE all related and fit ONE medical problem you need help with. In your case the list might be:
1. "Easy bruising and needlepoint red marks on the skin."
Bring this one up first on your list IF you have bruises and red marks the nurse and doctor can see--then they are not symptoms, but signs, which doctors take more seriously. Marks all over the body are diagnostically significant. But if none are visible now, just move this item down the list, and say it's been a problem lately.
"2. Constant strong ribcage pain, both sides, making it hard to inhale.
3. Constant strong headaches, back of head on left side.
4. Fatigue despite sleeping well.
5. Arm and leg pain radiating to hands and feet.
6. Bleeding between periods, passing clots."
Keep each list item short like that and wait for the nurse or doc to ask questions to get more info as they need.
If the intake nurse challenges your list and says, "Pick one thing (or three) thing(s) for the doctor to focus on," you should respond, "I believe these are all symptoms of one new illness. Please ask the doctor to consider all of them."
You may have a systemic illness. You may be reacting to migraine medication. Take a list of all medication names and doses you're taking, including over-the-counter supplements, with you to the appointment.
And I don't think despite another answer here that this is a medical emergency that needs to go to the ER. I don't think an ER would be at all helpful here. They would make sure, in light of your breathing complaint, that you were getting enough oxygen in your blood, and therefore had no immediate life-threatening issue, and send you on your way with a recommendation to make an appointment to see a family doctor. It would be a waste of time and money in my opinion to go to an ER. It's normal to feel it's hard to breathe with ribcage issues and therefore that's not a medical emergency in this context, unless you have other urgent symptoms you don't mention like coughing up blood. Chances are high you are getting enough oxygen in your bloodstream; it just hurts you to breathe.
Wishing you good luck, great care, good answers, and feeling much better very soon.