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SKILL.md
Doctor Visit Prep Skill
The average appointment gives you a handful of minutes and interrupts your opening sentence fast — and most of that budget gets spent reconstructing a timeline you could have brought written down. This skill builds the one-page visit sheet clinicians actually want: symptoms in onset-duration-severity-pattern form, the medication list that's actually current, and the questions ranked so the important ones happen even if time doesn't. It prepares the communication; the medicine stays with the doctor.
What This Skill Produces
The symptom brief — each concern in clinical shape: what, since when, how bad (0–10), what makes it better/worse, what's changed
The current-state sheet — medications with doses (including supplements), allergies, relevant history, other clinicians involved
The ranked question list — top 3 first, because visits end mid-list
Advocacy scripts — the phrases for feeling dismissed, asking about alternatives, and getting findings documented
Required Inputs
Ask for these if not provided:
The reason for the visit — new problem, follow-up, annual, or the-thing-they're-worried-about (often different from the stated reason; ask gently)
The symptom story, unstructured — let them ramble; the skill does the structuring into timeline form
Medications and supplements as actually taken — not as prescribed; the gap is clinically relevant and the sheet records reality with the discrepancy noted for discussion
What they're afraid of — the unasked question ("could this be cancer?") is the visit's real agenda; putting it on paper is how it gets answered instead of orbited
Framework: The 12-Minute Rules
Timeline beats adjectives: "sharp right-side pain, started ~3 weeks ago, 6/10 at worst, worse after meals, new this year" is usable; "it hurts a lot lately" restarts the interview. Every symptom gets onset / severity / pattern / modifiers / trajectory.
Lead with the agenda: "I have three things: X, Y, and the one I'm most worried about is Z" — said in the first thirty seconds — is the single highest-leverage sentence in healthcare. The sheet opens with it, verbatim.
The worry goes on paper: unspoken fears drive unfocused visits. Naming the feared diagnosis lets the clinician address it directly — including the reassurance, which only lands when the fear was actually said.
The reality medication list: what's actually taken, including the skipped doses and the turmeric — with the as-prescribed gap flagged for honest discussion, not hidden. Interactions live in the gap between the two lists.
Advocacy is specific, not adversarial: "What else could this be?", "What would we expect to change if it's X?", "If this isn't better in [time], what's the next step?", and — when dismissed — "I'd like the chart to reflect that I raised this and we decided [outcome]." Documentation requests change conversations while staying collegial.
Output Format
Visit Sheet: [appointment, date] — bring printed or on phone
The Opening (say this first)
"I have [N] things today: [list]. The one I'm most worried about is [Z]."
Symptoms
Concern
Since
Severity (0–10)
Pattern / triggers
Changed how
Current State
Medications as actually taken: […, with as-prescribed gaps flagged] · Supplements: … · Allergies: … · Other clinicians/recent tests: …
Questions (in priority order)
[the must-answer] 2. … 3. … [rest below the line — asked if time allows]
If Needed — Advocacy Lines
Dismissed: "[the chart-documentation line]" · Alternatives: "What else could this be?" · Follow-up: "If this isn't better by [when], what's next?"
This sheet organizes communication with your clinician — it contains no medical advice, and the doctor's guidance supersedes anything in its structure.
Quality Checks
Every symptom has onset, severity, pattern, and trajectory — zero bare adjectives
The opening agenda sentence exists and includes the real worry
The medication list records reality, with prescription gaps flagged not hidden
Questions are ranked, top-3 above the line
The sheet fits one page — a sheet the visit can't absorb defeats itself
Anti-Patterns
Do not diagnose, suggest diagnoses, or rank likelihoods — structure the story; the medicine is the doctor's
Do not bury the scary question in item 7 — the worry leads or the visit orbits it
Do not sanitize the medication reality — the skipped doses are clinical data
Do not script confrontation — advocacy lines are collegial, specific, and documentable
Do not build a three-page dossier — one page is the format clinicians can actually use mid-visit