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Clinical · Prescriber conversations · continued

Coming back to: Preparing for an appointment: one page, three questions posts 91–120

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

LW
l.wikstromTL22 Nov 2024 · edited#91
OTeixeira, post #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. Go to post

This is the first time the answer has come with its own limits attached. Appreciated.

1 like in reply to #29 21mo
VN
v.nascimentoTL24 Nov 2024#92

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 21mo
NR
n.rahimiTL25 Nov 2024#93

Everything in post #89 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.

Flagging that the sources on this are thinner than the confidence in the thread suggests.

21 likes 21mo
PA
p.amankwahTL26 Nov 2024#94
v.bergstrom, post #60: Bringing a record of symptoms with dates and severities makes an assessment materially easier and is the single most useful preparation. Go to post

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

I would want the raw data before agreeing with my own summary of it.

9 likes in reply to #60 21mo
DO
d.oyelaranTL3Pharmacist8 Nov 2024#95
b.dumitru, post #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. Go to post

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

The mechanism is plausible, which is not the same as established.

0 likes in reply to #20 21mo
CT
c.tullochTL29 Nov 2024#96

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

I am not the right person to answer the follow-up to this.

30 likes 21mo
K
KLindqvistTL4 Moderator11 Nov 2024#97

Answering the question post #93 raises rather than the one it answers.

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

15 likes 21mo
FK
f.kimaniTL212 Nov 2024#98
SA
s.achebeTL213 Nov 2024#99

Where I part company with post #97, 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.

I checked the source rather than the summary, and they differ.

5 likes 20mo
V
VThorvaldsenTL3Regular15 Nov 2024 · edited#100

Fair, and the limits you put on it are the part I will remember.

0 likes 20mo
ED
e.dalgleishTL3Regular16 Nov 2024#101

Everything in post #97 holds. The case it does not cover is the one I have.

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

A qualification I should have led with rather than closed on.

29 likes 20mo
SS
s.salgadoTL217 Nov 2024#102
c.grimaldi, post #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. Go to post

Narrowing post #101, because the general version has more than one answer.

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

14 likes in reply to #36 20mo
D
DOdendaalTL3Regular19 Nov 2024#103
blank_injection, post #13: 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. Go to post

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

I would treat the number as indicative rather than as a measurement.

5 likes in reply to #13 20mo
MB
ma.balogunTL220 Nov 2024#104

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

I have separated what I observed from what I concluded, which does not always happen.

0 likes 20mo
SF
sterile_fileTL3Regular21 Nov 2024 · edited#105

Answering the question post #101 raises rather than the one it answers.

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.

21 likes 20mo
CM
c.marchettiTL223 Nov 2024#106

Adding a note of thanks rather than an opinion. I did not know most of that.

9 likes 20mo
AS
a.stephanopoulosTL3Regular24 Nov 2024#107
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 question phrased as "what would you want to see before considering X" is answerable and is not a request for X.

I have no interest in any supplier named above.

2 likes in reply to #2 20mo
LC
l.cabreraTL225 Nov 2024#108

Building on post #105 rather than restating it.

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.

0 likes 20mo
BJ
b.jankowiakTL3Regular27 Nov 2024#109
a.cardoso, post #85: 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

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.

Adding this to the thread rather than to the wiki, because I am not confident enough for the wiki.

0 likes in reply to #85 20mo
JF
j.falkTL228 Nov 2024#110
f.sjoberg, post #61: 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

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

I would put this at better than even and not much better.

27 likes in reply to #61 20mo
OL
o.lindgrenTL2Regular29 Nov 2024 · edited#111

Post #108 is right about the mechanism and I think understates the practical bit.

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

The conclusion is tentative; the arithmetic underneath it is not.

0 likes 20mo
NV
n.vukovicTL21 Dec 2024#112

Coming back to post #110, because the follow-up matters more than the original answer.

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 would rather say I do not know than round it up to an answer.

1 like 20mo
P
preregisteredTL3Research methods2 Dec 2024#113
q.zhao_qa, post #17: 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 confident version of this sentence would be wrong, so here is the hedged one. Go to post

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

6 likes in reply to #17 20mo
NC
n.cardosoTL23 Dec 2024#114
a.delgado, post #42: That matches what I have seen, for whatever a single anecdote is worth. 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.

15 likes in reply to #42 20mo
PE
ppm_errorTL3Analytical chemist5 Dec 2024#115

Post #112 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.

It is the kind of thing that is obvious once and never again.

30 likes 20mo
AP
a.pereiraTL26 Dec 2024#116

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.

Where I would look next, rather than where I would stop.

0 likes 20mo
MS
m.strand_rphTL3Pharmacist7 Dec 2024#117
a.schaeffer, post #5: 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. Go to post

Understood, and I withdraw the assumption I opened with.

3 likes in reply to #5 20mo
BV
b.vanheckeTL28 Dec 2024#118

Post #114 and I disagree about the size of the effect, not about the direction.

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.

The step people skip is the one I have spelled out.

10 likes 20mo
DB
d.bramleyTL3Regular10 Dec 2024#119

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

The reasoning is more useful than the number, which is why I have shown it.

0 likes 20mo
VK
v.kjaerTL211 Dec 2024 · edited#120

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

5 likes 20mo