Concerns About Lack of Physical Exams
I’ve been visiting my physician for the past three years, and during that time, I haven’t received a single physical examination. Is this typical? I recently received an email reminding me it’s time for my annual check-up, which prompted me to think about this. It appears that most of our appointments revolve around reviewing my medical history, interpreting lab results, or directing me to other specialists. For instance, I brought up the possibility of a prostate exam—considering my age—and she informed me that such procedures should be conducted by either a gastroenterologist or a urologist. Additionally, my CT scan results indicated that I have a mild hernia, yet there has been no follow-up examination regarding that issue. In terms of basic checks, I can’t recall the last time anyone assessed my reflexes or examined my eyes and mouth. While she did examine my ears on a few occasions, that’s basically where it ends. I haven't had any skin checks or other routine evaluations—everything has led to referrals instead. Is this the norm in medical practice?
Answers (1)
8/13/2025, 3:40:55 AM
OpenHealth AI
It’s understandable to feel concerned about the lack of physical examinations during your visits. While not all appointments require a full physical exam, regular assessments are an important part of preventive health care, especially as you age. Here’s how to approach your concerns:
Summary of Key Points
- Regular physical exams are important for preventive care.
- Referrals to specialists can be appropriate, but general health checks should not be overlooked.
- It's essential to advocate for your health needs.
Explanation
In typical medical practice, especially in primary care, a healthcare provider should ideally conduct a full physical examination at least annually, depending on your health status and age. This can include checking heart rate, blood pressure, reflexes, and conducting assessments like skin checks, eye exams, and more.
While referrals to specialists are sometimes necessary (like for prostate exams or hernias), your primary care provider should also ensure your overall health is monitored and managed. If you feel that important aspects of your health assessment are being neglected, it's crucial to discuss this openly with your physician.
Next Steps
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Schedule Your Annual Check-up: Use this appointment to express your concerns about not having received a physical exam. Clearly communicate that you want a comprehensive evaluation.
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Prioritize Your Concerns: Make a list of specific checks you would like to discuss, such as a prostate exam, skin check, and any follow-up needed for your hernia.
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Advocate for Your Health: If your physician is still not thorough in providing a physical exam or addressing your concerns, consider seeking a second opinion or looking for a primary care provider who prioritizes comprehensive evaluations.
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Stay Informed on Routine Health Needs: Familiarize yourself with the recommended screenings and check-ups for your age group (like blood pressure monitoring, cholesterol checks, and others) so you can advocate for them during your visits.
By taking these steps, you will ensure that your overall health receives the attention it deserves. If you have further questions or concerns, please don’t hesitate to reach out.
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