Your first visit

Before the appointment

• Gather relevant records. Ask the office which imaging, reports, biopsy results, and prior treatment records are needed, and how to send them. Images and the written radiology report provide different information; both may be helpful.
• Make a medication list. Include prescriptions, over-the-counter medicines, supplements, and allergies. Do not stop or change a medicine just to prepare for a consultation unless your care team instructs you to.
• Write down the story. Note your symptoms, when they began, what makes them better or worse, and the treatments you have tried.
• Bring your priorities and questions. Tell us what matters most to you—whether that is swallowing comfortably, breathing, understanding a scan, returning to activities, or weighing treatment choices.
• Consider a support person. A family member or someone you trust can help listen and take notes.

What we will discuss

The visit may include reviewing your history and available tests, examining you, and discussing whether more information is needed before a recommendation can be made.

When surgery is an option, the conversation should address its purpose, alternatives, potential benefits and risks, and what recovery could mean for you. Some conditions are better managed with observation, medication, or another treatment.

Questions worth asking

• What do we know, and what is still uncertain?
• What are my options, including treatment without surgery?
• Why do you recommend this approach for me?
• What are the important risks and tradeoffs?
• What help might I need during recovery?
• Who should I contact with questions after the visit?