What a good consultation looks like from the other side — that is the question, and I have not found it answered plainly anywhere I have looked.
Something about good consultation does not reconcile and I would like a second pair of eyes before I decide which half is wrong.
Two sources, both reputable, giving figures that cannot both be right unless they are measuring different quantities. My suspicion is that they are, and I cannot see how.
Good consultation would be much easier to settle if anyone reported the denominator. Almost nobody reports the denominator.
On post #2 — agreed on the reasoning, with one qualification.
The strongest argument against my own position on good consultation, stated as well as I can state it, since nobody else has yet.
Adding the measurement that post #4 says would settle it.
Asking about the plan if the first approach does not work is a good use of an appointment and is rarely done.
Post #7 is the version of this I will quote in future. One addition.
Having read the whole good consultation thread before replying: the question in the first post has not actually been answered yet, and three of us have answered a nearby one instead.
Where I part company with post #7, and it is a narrow parting.
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.
Second-hand, so weight it accordingly.
Reading this good consultation thread as someone who came in with a fixed view: the third and seventh replies moved me and the confident ones did not.
The number people quote for good consultation is a central estimate presented without its interval, and the interval is wide enough that the estimate is nearly uninformative on its own.
On post #9 — agreed on the reasoning, with one qualification.
Written summaries after an appointment are available in many systems and are worth asking for, because recollection of a consultation is unreliable.
On reflection I would soften that slightly.
On good consultation, I would rather understate and be corrected upward than overstate and be quoted. That is a house style here and it is a good one.
What I would check first on good consultation is whether the thing being measured moved or whether the way of measuring it moved. Those look identical in a graph.
Post #13 is the version of this I will quote in future. One addition.
Discussing side effects: be specific. "Nausea" is less useful than "I have nausea worst 24 to 36 hours after injection, severity 2 to 3 out of 4, stable over weeks". That description helps determine whether to adjust dose or dose timing.
Quietly grateful for the plain phrasing. Not every thread gets that.
Filing a mild objection to the consensus on good consultation. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit.
Worth separating two things that post #22 runs together.
Discussing side effects: be specific. "Nausea" is less useful than "I have nausea worst 24 to 36 hours after injection, severity 2 to 3 out of 4, stable over weeks". That description helps determine whether to adjust dose or dose timing.
I had written a reply contradicting post #24 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.
I have seen it go both ways, which is why I hedge.
Picking up post #26: that is the part I would want checked first.
Something worth flagging about good consultation: the strongest-sounding claims in this thread are the ones with no source attached, which is the usual pattern and not a coincidence.
Reframing good consultation slightly, because I think the disagreement is about the question rather than the answer. If the question is "does it happen", yes. If it is "how often", nobody here knows.
Everything in post #28 holds. The case it does not cover is the one I have.
Practical experience of good consultation, offered as one case with the conditions stated, not as a general finding. Conditions first, because they are what make it interpretable.