Nice lead-in to a discussion of shared decisions. Thank you. I’m in the category where I have to doctor-shop. With my clinical and didactic background, I have to find a doc who won’t become paternalistic and drop into Cell A every time. With my current PCP, if I’m going to ask him for a change of therapy I come in with citations and refe…
Nice lead-in to a discussion of shared decisions. Thank you. I’m in the category where I have to doctor-shop. With my clinical and didactic background, I have to find a doc who won’t become paternalistic and drop into Cell A every time. With my current PCP, if I’m going to ask him for a change of therapy I come in with citations and references. And the fact that he listens to some of the same podcasts that I follow helps: I can reference a specific podcast (he’s started writing those down) and he can check my interpretation. In general terms, we reach consensus, and most of my requests, even those I’m pretty solid on, can be swayed if he’s uncomfortable with the change. About the only place we’ve disagreed significantly is that he wants me on a statin, and I’m intolerant, something he’s finally accepted and noted on the chart. He still wants me on a PCSK9-i, but can’t justify it in terms of my lipid profile. I know he gets pinged by the QA folks for that shortcoming on his part on a quarterly basis, but there’s no reason for me to be miserable and unable to keep up with my normal exercise regimen due to myalgia and brain-fog.
Nice lead-in to a discussion of shared decisions. Thank you. I’m in the category where I have to doctor-shop. With my clinical and didactic background, I have to find a doc who won’t become paternalistic and drop into Cell A every time. With my current PCP, if I’m going to ask him for a change of therapy I come in with citations and references. And the fact that he listens to some of the same podcasts that I follow helps: I can reference a specific podcast (he’s started writing those down) and he can check my interpretation. In general terms, we reach consensus, and most of my requests, even those I’m pretty solid on, can be swayed if he’s uncomfortable with the change. About the only place we’ve disagreed significantly is that he wants me on a statin, and I’m intolerant, something he’s finally accepted and noted on the chart. He still wants me on a PCSK9-i, but can’t justify it in terms of my lipid profile. I know he gets pinged by the QA folks for that shortcoming on his part on a quarterly basis, but there’s no reason for me to be miserable and unable to keep up with my normal exercise regimen due to myalgia and brain-fog.
Anyway, thanks for a good discussion.