The Peptide CommonsEst. May 2024
Independent. We sell nothing and are affiliated with no manufacturer or pharmacy. Every moderation action is logged in public
Clinical · Prescriber conversations · continued

Coming back to: Preparing for an appointment: one page, three questions posts 31–60

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

NN
n.nybergTL23 Aug 2024#31
forest_plot, post #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. Go to post

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

On balance I think that is right, and I would not bet much on it.

1 like in reply to #11 2y
CL
c.lundgrenTL25 Aug 2024#32

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 took me longer than it should have to see that.

0 likes 2y
FV
f.villalobosTL26 Aug 2024#33

Where you have a specific worry, name it. "I am worried about X" is more useful to a clinician than a series of questions circling X.

17 likes 2y
TP
t.pereiraTL28 Aug 2024#34

Adding the measurement that post #31 says would settle it.

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

7 likes 2y
DO
dr_okonkwoTL4 Moderator10 Aug 2024 · edited#35
i.lehtinen, post #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. Go to post

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

Noting that the question and the thing people usually mean by it are different.

3 likes in reply to #16 2y
CG
c.grimaldiTL212 Aug 2024#36

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.

0 likes 2y
PW
PharmNotes_WhitfieldTL4Pharmacist13 Aug 2024#37

Right — I had this wrong and I am glad to have read it before it mattered.

24 likes 23mo
JF
j.fonsecaTL215 Aug 2024#38

Picking up post #35: that is the part I would want checked first.

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

Written quickly, so the reasoning may be tighter than the wording.

11 likes 23mo
FL
f.laurentTL217 Aug 2024#39

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.

6 likes 23mo
L
LundqvistTL2Member18 Aug 2024#40

Post #39 answers the question as asked. The question underneath it is different.

Preparing for an appointment: bring recent bloodwork, a list of current medications with doses and timing, and any questions written out. Written questions get better answers than questions asked on the fly.

The number is defensible. The precision I gave it is not.

1 like 23mo
LI
l.ibarraTL2Regular20 Aug 2024 · edited#41
s.grahame, post #21: 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. Go to post

Taking post #40 at face value and following it one step further.

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

That is the version I would defend. It is not the version I started with.

5 likes in reply to #21 23mo
AD
a.delgadoTL222 Aug 2024#42

That matches what I have seen, for whatever a single anecdote is worth.

14 likes 23mo
MH
m.haddadTL2Regular23 Aug 2024#43

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

29 likes 23mo
KM
k.marchandTL225 Aug 2024#44
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

A pharmacist can answer a great many of the questions people save for a prescriber, faster and often better, particularly about interactions and formulations.

On reflection I would soften that slightly.

0 likes in reply to #9 23mo
TH
TL4_HalvorsenTL4Leader · Journal club26 Aug 2024#45

Building on post #44 rather than restating it.

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.

9 likes 23mo
HL
h.lindqvistTL228 Aug 2024#46

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.

20 likes 23mo
AD
appeals_deskTL3Regular30 Aug 2024#47

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

That has been true for the cases I have seen and I have not seen many.

0 likes 23mo
AK
a.kirchnerTL231 Aug 2024#48
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

Everything in post #46 holds. The case it does not cover is the one I have.

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

I have changed my mind on this once already, so take it as current rather than settled.

0 likes in reply to #14 23mo
C
chromatogramTL4Analytical chemist2 Sep 2024#49

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

13 likes 23mo
MA
m.adeyemiTL23 Sep 2024#50

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.

I looked this up rather than remembered it, which is the right order.

27 likes 23mo
AS
a.schaefferTL25 Sep 2024#51
HK
h.kimaniTL26 Sep 2024#52

Taking post #49 at face value and following it one step further.

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.

If anyone has run this properly I would rather read that than my own guess.

0 likes 23mo
B
BDraganovTL2Member8 Sep 2024#53

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

27 likes 23mo
JP
j.palaciosTL210 Sep 2024#54
j.fonseca, post #38: Picking up post #35: that is the part I would want checked first. A question phrased as "what would you want to see before considering X" is answerable and is not a request for X. Written quickly, so the reasoning may be tighter than the wording. Go to post

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

I have written this out at length because the short version keeps being misread.

13 likes in reply to #38 23mo
HA
h.almeidaTL2Member11 Sep 2024#55

Worth separating two things that post #53 runs together.

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

If anyone can point at the primary source I would be grateful.

4 likes 23mo
PN
p.novakTL213 Sep 2024#56

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

0 likes 22mo
TK
t.kulkarniTL3Regular14 Sep 2024#57
l.sarkissian, post #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. 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.

The general case is well covered; this is the awkward specific one.

0 likes in reply to #3 22mo
AV
a.vermeulenTL216 Sep 2024#58
appeals_desk, post #47: Bringing a record of symptoms with dates and severities makes an assessment materially easier and is the single most useful preparation. That has been true for the cases I have seen and I have not seen many. Go to post

Post #57 answers the question as asked. The question underneath it is different.

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

That is the shape of it. The detail is where I would expect to be corrected.

19 likes in reply to #47 22mo
RJ
r.jhannsdttirTL3Regular17 Sep 2024#59

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

8 likes 22mo
VB
v.bergstromTL219 Sep 2024#60