{"id":18546,"date":"2020-02-05T11:38:40","date_gmt":"2020-02-05T16:38:40","guid":{"rendered":"http:\/\/thepapergown.zocdoc.com\/?p=18546"},"modified":"2023-03-06T11:23:41","modified_gmt":"2023-03-06T16:23:41","slug":"what-to-include-in-your-family-medical-history","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/guides\/what-to-include-in-your-family-medical-history\/","title":{"rendered":"How to Put Together Your Family Medical History"},"content":{"rendered":"

Three years ago, <\/span>Jen Billock started experiencing intense, chronic pain in her abdomen and stopped being able to keep food down. While doctors thought her gallbladder was to blame, tests showed the organ was healthy. But they decided to operate after learning more about her family history: Billock\u2019s maternal grandmother and great aunt, as well as her paternal grandmother and several paternal aunts, all had their gallbladders removed.\u00a0<\/span><\/p>\n

Surgery revealed that Billock\u2019s gallbladder was diseased \u2014 pockmarked and filled with deposits. She now attributes her health to knowing and sharing her <\/span>family medical history<\/span><\/a>. \u201cI\u2019d asked my parents for it years ago,\u201d says Billock, 36, \u201cand I was grateful to have it.\u201d<\/span><\/p>\n

Why collect a family medical history?<\/h2>\n

Sometimes called a medical family tree, your <\/span>family medical history is a record of the diseases and health conditions your close family members have been diagnosed with.\u00a0<\/span><\/p>\n

A complete, detailed history helps doctors understand if you\u2019re at a heightened risk of developing certain diseases that tend to be passed down through the generations. <\/span>A family history of heart disease<\/span><\/a>, for example, can be as strong an indicator that you\u2019ll develop a heart issue as high cholesterol or blood pressure.\u00a0<\/span><\/p>\n

When your doctor knows you have a higher risk for a certain disease because of your family history, they might run tests they otherwise would have skipped, start screenings earlier than is typically recommended or more closely track certain metrics. Your doctor might also recommend lifestyle changes to help you lower your risk.\u00a0<\/span><\/p>\n

\u201cIn some cases, a family medical history is very important,\u201d says Jennifer Zweig, a family medicine doctor in Long Beach, California. \u201cIt helps paint a more complete picture of what\u2019s going on with a patient.\u201d<\/span><\/p>\n

For example, a patient whose parent had <\/span>colon cancer<\/span><\/a> should start getting colonoscopies 10 years before their parent was diagnosed. Knowing about <\/span>family members who died before age 50 from a heart attack<\/span><\/a> is also crucial, as it could suggest an underlying genetic issue affecting the heart. \u201cWe\u2019d take chest pain a lot more seriously with a patient like that,\u201d says Zweig, \u201cand likely work it up more.\u201d<\/span><\/p>\n

What information should I gather?<\/h2>\n

When gathering your family medical history, close relatives are the most important \u2014 your grandparents, parents, siblings, aunts and uncles and cousins. \u201cUsually when you go out more than two degrees, the risk is pretty mediated,\u201d says Zweig.<\/span><\/p>\n

Ask family members about major diseases like heart disease and cancer, chronic conditions such as asthma or allergies, and birth defects. Take special note of any conditions that developed early, like high blood pressure in one\u2019s 20s, or any issues that affect more than one relative.<\/span><\/p>\n

Whenever possible, include your family member\u2019s age at diagnosis, when they died and their cause of death. It\u2019s also helpful to include where the family member lived and their ethnicity, since some ethnic groups often have a <\/span>higher prevalence of certain diseases<\/span><\/a>. Keep information up to date and share any changes with your doctor.<\/span><\/p>\n

Zweig finds that patients often know about rare diseases that run in their family, but when it comes to more common, chronic conditions like diabetes, heart disease, cancer and strokes, people are less informed. What\u2019s more, patients who do have information on family members\u2019 chronic conditions usually don\u2019t have details.<\/span><\/p>\n

\u201cPatients typically have a vague awareness,\u201d Zweig says. It\u2019s not that useful to know your grandfather had heart disease. Instead, collect specific information, such as that your grandpa had a hole in his heart repaired, or that he had rheumatic heart disease or congestive heart failure.<\/span><\/p>\n

How should I collect the information?<\/h2>\n

The best way is to sit down with your relatives and take extensive notes.<\/span><\/p>\n

Some people create a document on their computer to share with close relatives. <\/span>Tools like the U.S. Surgeon General\u2019s <\/span>My Family Health Portrait<\/span><\/a> are also available.<\/span><\/p>\n

One of Zweig\u2019s patients with a family history of stomach cancer prepared a detailed information sheet on his close relatives\u2019 health and brought it to his appointment. \u201cIt was definitely very helpful,\u201d she says.<\/span><\/p>\n

When Kelly Campbell, who lives in Toronto, was thinking about starting a family, she sat down with her parents, who noted that her maternal grandfather had a history of blood clots. Campbell\u2019s mother also had a mini-stroke in her early 30s.\u00a0<\/span><\/p>\n

The information prompted Campbell\u2019s doctor to run a test to see if she might have a blood clotting disorder. Positive test results led the doctor to prescribe baby aspirin during her pregnancy and a blood-thinning drug postpartum. Campbell said she was glad she compiled the information before getting pregnant.<\/span><\/p>\n

What if my relatives aren’t alive or willing to talk, or I’m adopted?<\/h2>\n

If you can\u2019t have a conversation, you have a few options.<\/span><\/p>\n

If you\u2019re caring for an elderly relative who has granted you access to their medical records, those documents can be a valuable source of information. For relatives who\u2019ve died, obituaries and death records can sometimes offer useful information. Public records like death certificates are often available in county record offices.<\/span><\/p>\n

You can also use records to help substantiate or refute medical information that family members have shared with you. For years, Zweig kept a note in her own family medical history that her maternal great-grandfather died from diverticulitis, a condition in which parts of the intestine become inflamed or infected. But a family member later found a death certificate that showed he\u2019d actually died from a ruptured gallbladder.<\/span><\/p>\n

Still, <\/span>Zweig cautions that death certificates aren\u2019t always accurate. She fills out death certificates for her own patients<\/span> and those she sees in the hospital. For an elderly patient who dies alone at home, for example, the cause of death may not be certain. \u201cSometimes, it\u2019s really just your best guess,\u201d Zweig says.<\/span><\/p>\n

If you\u2019re adopted, your adoptive parents may have received medical information about your biological parents when they adopted you. See if they can dig up any documents. Adoption agencies may also keep medical information on file.<\/span><\/p>\n

In some cases, though, it may be impossible to create a complete family medical history. If that\u2019s the case, \u201cyou shouldn\u2019t stress too much,\u201d says Zweig, \u201cbecause most of our focus is on how the patient is feeling and what\u2019s going on with them right now.\u201d<\/span><\/p>\n

\n

Ready to book a doctor’s appointment? Visit Zocdoc.<\/span><\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"

What sort of health info are doctors looking for? How deep into your family tree should you go? <\/p>\n","protected":false},"author":41,"featured_media":18266,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[227],"tags":[81],"class_list":["post-18546","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guides","tag-preventive-care","reviewer-dr-nassim-assefi"],"yoast_head":"\nHow to Put Together Your Family Medical History - Guides<\/title>\n<meta name=\"description\" content=\"What sort of health info are doctors looking for? 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