Your first visit

It is not short and it does not end with a prescription. What to bring so the first conversation can be as substantial as possible.

What to bring with you

The more complete your file, the more substantial the first conversation can be. If something is missing it is not a problem — it may simply mean a second visit to complete the picture.

Pathology report (biopsy or surgical specimen) — the single most important document. If molecular testing was done, bring that too.
Imaging — CT, MRI, PET-CT, mammograms. Bring the discs or the files, not only the written reports.
Recent blood tests.
A list of every medication you take — including supplements and herbal products. These matter, because they can interact.
Discharge summaries and reports from previous admissions.
Insurance details (social security number, insurance booklet or private cover).

How long it takes and what happens

The first visit is not short and does not end with a prescription. It covers a full history, clinical examination, review of the tests you brought, and a discussion of where things stand and what the options are.

In a number of cases the conclusion of the first visit is that further tests are needed before a plan can be finalised. That is normal, not a delay.

Bring someone with you

It is among the most useful practical suggestions: bring someone with you. In a conversation carrying a lot of new information, two people remember more than one.

Write your questions down before you come. In the consulting room, under stress and with a lot of information, the questions you had in mind are often forgotten — which is a shame, because the time is there to answer them.

Good questions to start with

What exactly is the type and stage? What does that mean in practice?
What are the treatment options, and why is this one being proposed?
What is this treatment aiming to achieve?
How will it affect my daily life and my work?
Is there a clinical trial that applies to me?
Who do I call, and when, if something is not right?

Frequently asked questions

Will I need to repeat tests I have already had?

Usually not, provided they are recent and available. Occasionally a reference pathologist is asked to re-examine the tissue, or additional molecular testing is done on the same material — without a new biopsy.

Can I come for a second opinion?

Of course. A second opinion is your right and is treated as a positive step, not as a challenge. Bring your file as described above.