Where a decision rests on a guideline, asking which guideline is entirely reasonable and usually answered directly.
23 likes 14mo
Clinical · Prescriber conversations · continued
Asking about a compound your prescriber has not heard of posts 61–90
This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.
Building on post #61 rather than restating it.
If time runs out, asking what to do next — book again, phone, message — is better than leaving with unfinished business.
10 likes 14mo
t.lindqvist, post #33: Post #31 is the version of this I will quote in future. One addition. Asking what monitoring is planned and why makes the monitoring make sense, and makes it likelier to happen. Go to post
Everything in post #61 holds. The case it does not cover is the one I have.
Prescription logistics: confirm whether it will be filled locally, requires mail order, or will be prescribed off-label and needs a compounding pharmacy. Different paths have different implications.
Posted with less confidence than the sentence structure implies.
Post #64 is the version of this I will quote in future. One addition.
Where you disagree, saying so plainly and asking for the reasoning is better than agreeing and not following the plan.
I would put this at better than even and not much better.
15 likes 13mo
v.krastev, post #42: Written summaries after an appointment are available in many systems and are worth asking for, because recollection of a consultation is unreliable. Two people can read the same figure differently here and both be reasonable. Go to post
Bringing a record of symptoms with dates and severities makes an assessment materially easier and is the single most useful preparation.
Old habit: I write down the expected answer before I calculate it.
A question phrased as "what would you want to see before considering X" is answerable and is not a request for X.
I have said this before in a thread nobody could find, so it is worth repeating.
1 like 13mo
I had written a reply contradicting post #66 and deleted it. Here is what survived.
Prescription logistics: confirm whether it will be filled locally, requires mail order, or will be prescribed off-label and needs a compounding pharmacy. Different paths have different implications.
It cost nothing to check and would have cost something not to.
0 likes 13mo
Bringing a record of symptoms with dates and severities makes an assessment materially easier and is the single most useful preparation.
Two sources, same conclusion, and I could not rule out that one copied the other.
22 likes 13mo
a.kirchner, post #15: A pharmacist can answer a great many of the questions people save for a prescriber, faster and often better, particularly about interactions and formulations. The honest answer is that it depends, and here is what it depends on. Go to post
This follows post #68 rather than contradicting it.
Prescription logistics: confirm whether it will be filled locally, requires mail order, or will be prescribed off-label and needs a compounding pharmacy. Different paths have different implications.
i.broberg, post #31: Prescription logistics: confirm whether it will be filled locally, requires mail order, or will be prescribed off-label and needs a compounding pharmacy. Different paths have different implications. I am reporting what happened, not recommending it. Go to post
A pharmacist can answer a great many of the questions people save for a prescriber, faster and often better, particularly about interactions and formulations.
This settles it for me, at least until somebody posts a reason it should not.
11 likes 13mo
Collapsed as off-topic by two members at trust level 3 or above
Post #75 and I disagree about the size of the effect, not about the direction.
Bringing a record of symptoms with dates and severities makes an assessment materially easier and is the single most useful preparation.
Asking about monitoring: understand what lab work will be done, how often, and what you will be monitored for. A plan is better than ad-hoc monitoring.
I would put a moderate confidence on that and no more.
17 likes 13mo
t.lindqvist, post #33: Post #31 is the version of this I will quote in future. One addition. Asking what monitoring is planned and why makes the monitoring make sense, and makes it likelier to happen. Go to post
Asking what monitoring is planned and why makes the monitoring make sense, and makes it likelier to happen.
Someone should write this up properly, and it should probably not be me.
Post #78 put the caveat in the right place and I want to underline it.
Prescription logistics: confirm whether it will be filled locally, requires mail order, or will be prescribed off-label and needs a compounding pharmacy. Different paths have different implications.
I am not the right person to answer the follow-up to this.
3 likes 13mo
Post #79 answers the question as asked. The question underneath it is different.
Bringing a record of symptoms with dates and severities makes an assessment materially easier and is the single most useful preparation.
The interesting part of this is the exception, and I do not understand the exception.
20 likes 13mo
a.kwiatkowski, post #56: A pharmacist can answer a great many of the questions people save for a prescriber, faster and often better, particularly about interactions and formulations. I would treat that as a working assumption and revisit it. Go to post
Reading rather than contributing, but this is the most useful thread I have found on it.
Coming back to post #82, because the follow-up matters more than the original answer.
Bringing a record of symptoms with dates and severities makes an assessment materially easier and is the single most useful preparation.
The evidence for this is thinner than the way I have phrased it suggests.
0 likes 13mo
A question phrased as "what would you want to see before considering X" is answerable and is not a request for X.
Noting that the question and the thing people usually mean by it are different.
27 likes 13mo
cannula_trace, post #86: A question phrased as "what would you want to see before considering X" is answerable and is not a request for X. Noting that the question and the thing people usually mean by it are different. Go to post
Prescription logistics: confirm whether it will be filled locally, requires mail order, or will be prescribed off-label and needs a compounding pharmacy. Different paths have different implications.
This follows post #87 rather than contradicting it.
Clarifying indication: if a compound is approved for diabetes but you have obesity without diabetes, clarify whether your clinician considers this off-label use and what the evidence basis is.
I have written this out at length because the short version keeps being misread.
2 likes 13mo
Collapsed as off-topic by two members at trust level 3 or above
Asking about the plan if the first approach does not work is a good use of an appointment and is rarely done.