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Clinical · Prescriber conversations

Coming back to: Preparing for an appointment: one page, three questions

MS
m.strand_rphTL3Pharmacist27 May 2024#1

Posting this under the heading it deserves: Preparing for an appointment: one page, three questions Everything below is what sits behind that.

A question about how to describe something to a clinician rather than about the thing itself.

I have a set of observations, dated, with what I was doing at the time. What I do not have is a sense of which parts are worth an appointment's limited minutes.

How would you prioritise this if it were yours to present?

0 likes 2.2y
TM
t.marchettiTL21 Jun 2024#2

Prescribers reading this subcategory consistently say the most difficult consultations are the ones where information is withheld rather than the ones with difficult questions.

0 likes 2.2y
LS
l.sarkissianTL2Member5 Jun 2024#3

A question phrased as "what would you want to see before considering X" is answerable and is not a request for X.

I have seen it go both ways, which is why I hedge.

8 likes 2.1y
CN
c.nybergTL28 Jun 2024#4

On post #2 — agreed on the reasoning, with one qualification.

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.

Anyone with a larger sample, please post it.

19 likes 2.1y
AS
a.schaefferTL2Member10 Jun 2024#5
t.marchetti, post #2: Prescribers reading this subcategory consistently say the most difficult consultations are the ones where information is withheld rather than the ones with difficult questions. Go to post

Post #4 answers the question as asked. The question underneath it is different.

Asking about the plan if the first approach does not work is a good use of an appointment and is rarely done.

The right answer here may simply be that it has not been measured.

27 likes in reply to #2 2.1y
NK
n.kirchnerTL213 Jun 2024#6

Bringing a record of symptoms with dates and severities makes an assessment materially easier and is the single most useful preparation.

0 likes 2.1y
IT
integrator_traceTL2Member16 Jun 2024#7

Reading rather than answering, but this is the post I would point somebody at.

4 likes 2.1y
AK
ak.kravchenkoTL218 Jun 2024 · edited#8
t.marchetti, post #2: Prescribers reading this subcategory consistently say the most difficult consultations are the ones where information is withheld rather than the ones with difficult questions. 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.

13 likes in reply to #2 2.1y
AD
ambient_draftTL3Regular20 Jun 2024#9

A question phrased as "what would you want to see before considering X" is answerable and is not a request for X.

Worth saying I have only my own numbers here, and n is small.

0 likes 2.1y
MA
mi.amankwahTL223 Jun 2024#10

Everything in post #6 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.

I keep a log of this specifically because memory is unreliable about it.

4 likes 2.1y
FP
forest_plotTL3Evidence synthesis25 Jun 2024#11

Where I part company with post #9, and it is a narrow parting.

Questions about dose: asking "how will we determine whether this dose is working for me" gets at the monitoring plan. Asking "can we start lower" or "can we escalate slower" opens that conversation.

7 likes 2.1y
NV
n.villalobosTL227 Jun 2024 · edited#12

Post #9 is the version of this I will quote in future. One addition.

A question phrased as "what would you want to see before considering X" is answerable and is not a request for X.

That is what the documentation says. What happens in practice is usually close.

1 like 2.1y
BI
blank_injectionTL2Analytical chemist29 Jun 2024#13
t.marchetti, post #2: Prescribers reading this subcategory consistently say the most difficult consultations are the ones where information is withheld rather than the ones with difficult questions. Go to post

Bringing a record of symptoms with dates and severities makes an assessment materially easier and is the single most useful preparation.

Marking that as an opinion rather than a finding.

0 likes in reply to #2 2.1y
HI
h.iyerTL22 Jul 2024#14
n.villalobos, post #12: Post #9 is the version of this I will quote in future. One addition. A question phrased as "what would you want to see before considering X" is answerable and is not a request for X. That is what the documentation says. What happens in practice is usually close. 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.

24 likes in reply to #12 2.1y
UC
unit_conversionTL3Regular4 Jul 2024#15

A second opinion is a normal part of medicine rather than an accusation, and asking how to obtain one is a legitimate question.

4 likes 2.1y
IL
i.lehtinenTL26 Jul 2024#16

Confirming post #13 from a second method, which matters more than confirming it from a second person.

Written summaries after an appointment are available in many systems and are worth asking for, because recollection of a consultation is unreliable.

0 likes 2.1y
QZ
q.zhao_qaTL38 Jul 2024#17
SA
s.antonsenTL210 Jul 2024#18
h.iyer, post #14: 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. Go to post

This is the sort of exchange that makes the archive worth searching.

18 likes in reply to #14 2y
NT
nl_translatorTL2Translator · NL12 Jul 2024 · edited#19

A question phrased as "what would you want to see before considering X" is answerable and is not a request for X.

That is one dataset and I would not build a rule on it.

2 likes 2y
BD
b.dumitruTL214 Jul 2024#20

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.

The answer changed when I changed how I was measuring, which was informative.

0 likes 2y
SG
s.grahameTL2Member16 Jul 2024#21
mi.amankwah, post #10: Everything in post #6 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. I keep a log of this specifically because memory is unreliable… Go to post

Building on post #19 rather than restating it.

Bringing a record of symptoms with dates and severities makes an assessment materially easier and is the single most useful preparation.

4 likes in reply to #10 2y
AK
ar.kravchenkoTL218 Jul 2024#22

Post #20 put the caveat in the right place and I want to underline it.

A question phrased as "what would you want to see before considering X" is answerable and is not a request for X.

12 likes 2y
CI
citation_indexTL2Member19 Jul 2024 · edited#23

Take the actual numbers and the actual dates. A printed table beats a description and takes the first five minutes out of the appointment.

Somebody will have a better source than mine, and I hope they post it.

0 likes 2y
ER
e.roosTL221 Jul 2024#24

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 is worth stating the boring hypothesis before the interesting one.

0 likes 2y
B
BirkelandTL3Regular23 Jul 2024#25
ambient_draft, post #9: A question phrased as "what would you want to see before considering X" is answerable and is not a request for X. Worth saying I have only my own numbers here, and n is small. Go to post

Bringing a record of symptoms with dates and severities makes an assessment materially easier and is the single most useful preparation.

This has been discussed before and I could not find the thread, so, again.

2 likes in reply to #9 2y
AK
a.kravchenkoTL225 Jul 2024#26

Where I part company with post #24, and it is a narrow parting.

Write the questions down in advance and put the most important one first. Appointments end and the order is what decides which questions get answered.

8 likes 2y
BJ
b.jankowiakTL3Regular27 Jul 2024#27

Following this. I have the same question and no better information than the first post.

26 likes 2y
VR
v.rautioTL229 Jul 2024#28

A question phrased as "what would you want to see before considering X" is answerable and is not a request for X.

It is worth checking rather than assuming, which costs nothing.

0 likes 2y
O
OTeixeiraTL3Regular30 Jul 2024#29

If the answer is no, asking for the reason is reasonable and the reason is usually specific. It is also what makes an appeal possible where one exists.

The interesting part of this is the exception, and I do not understand the exception.

11 likes 2y
IO
i.oseiTL21 Aug 2024#30
b.jankowiak, post #27: Following this. I have the same question and no better information than the first post. Go to post

Nothing here is medical advice, and this subcategory exists to help people ask better questions rather than to answer them.

Written from notes rather than memory, which is why the numbers are specific.

25 likes in reply to #27 2y