Clinical · Prescriber conversations

Second opinions: how to seek one without burning the first

Clinical › Prescriber conversations telehealth prior authorisation beginner friendly type 2 diabetes

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q.zhao_qaTL3Quality assurance15 Oct 2024#1

Second opinions: how to seek one without burning the first Writing it up because I had to work it out twice and would rather nobody else did.

The question about second opinions that I actually want answered is the second one below. The first is context and I have kept it short.

Both are stated with units, and I have said what I already checked so that nobody repeats it.

13 likes 21mo

b.oylerTL1Member1 Nov 2024#2

Clarifying indication: if a compound is approved for diabetes but you have obesity without diabetes, clarify whether your clinician considers this off-label use and what the evidence basis is.

Reporting the observation and leaving the explanation open deliberately.

1 like 21mo

s.roosTL213 Nov 2024#3

The opening post and I disagree about the size of the effect, not about the direction.

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

32 likes 20mo

desiccant_notesTL2Member24 Nov 2024#4

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.

This is the version I would want a new member to read first.

17 likes 20mo

e.mbekiTL24 Dec 2024#5

s.roos, post #3: The opening post and I disagree about the size of the effect, not about the direction. Take the actual numbers and the actual dates. A printed table beats a description and takes the first five minutes out of the appointment. Go to post

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.

Adding the caveat now so it does not have to be extracted later.

11 likes in reply to #3 20mo

microgramsTL214 Dec 2024#6

Collapsed as off-topic by two members at trust level 3 or above

That is the distinction I keep failing to hold on to. Written down now.

This topic was closed 180 days after the last reply. Closing is automatic for quiet topics so that a settled answer does not collect new questions underneath it. If you have a follow-up, open a new topic and link back to this one — that keeps both readable and gives your question its own title.

Moved from Special populations by dr_okonkwo. Category placement is not obvious from outside and getting it wrong is expected. This topic will get better answers here. The move is recorded in the public log citing R7.

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