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How Open are you with YOUR Dr.?
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arealgijoe posted:
Getting ready to head to my Dr. F/F apt this am. So far I have been very open with him, However this statin issue is a bugger. I am dead (puntended) set against going back on it after the problems with it. The problem is do I agree to take it with NO INTENTION of taking it, or be honest and open?

Personally I prefer to be open and honest, but sometimes in the past when I had a problem, with BS levels, they often did not believe it anyway when I said I WAS doing as instructed. When something comes up, thru no fault of mine, I get blamed anyway. Sometiems it seems futile or a catch-22.

I am thinkging of taking the he doesn't ask, I wont tell route, about both the statin and thyroid issue, seems like politicaly correct approach these days.

Doc like to hear how WELL we are doing and great everything is, even tho their function is to IMO SOLVE or at least try, problems, as wel as prevent problems. Of course there is always the easy road, just quit doctoring with a famdoc/PCP and go back to OTC insulins etc again, been there done that.

Gomer

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  • I am 100% open about everything w/ ALL Dr.s
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DavidHueben responded:
In my opinion, you (and everyone) should be 100% open with their doctors.

Failing do disclose things, such as your unilateral decision to discontinue the statin, ties the physician's hands when it comes to providing the best care. He/she will make decisions about your care based upon faulty information.

If you feel strongly about the statin, you should present and defend your case.

DMH
Watch what people are cynical about, and one can often discover what they lack. - General George Patton Jr
 
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laura2gemini2 responded:
I agree with being honest with the dr especially about medications. The pharmacists I work with here discover horrible side effects that people have because they dont tell their doctors about everything they take, or they say they are taking it and really arent which makes the dr increase dosage when labs come back. Case in point: someone is having troubles sleeping, and one of her dr's prescribes a sleeping pill. She also tells another one of her dr's who then prescribes a sedative, not knowing her other dr prescribed the sleeping pill. She takes both on the same night, and bad times ensue.

Besides, your doctor works for you, not the other way around.
 
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phototaker responded:
I totally believe in being very honest with my doctor, Gomer!
If I don't agree with something, I ask why they found this medicine or that one to work. I'm very sensitive to medicines and sometimes will break out taking them.

I agree if you feel strongly about something, fight for it.

I kept on pushing with my doctor to give me another bone density test, and she did. The test showed I "had" lost more bone density, still not osteoporosis, but close. Because of this, I have upped my weight bearing exercise,(zumba, hiking, and walking,) use more Vitamin D, and the right kind of calcium. I also just started some hip abductor machines with weights at the gym, the past few weeks. My hip area is the lowest for bone problems. I believe in being pro-active for my health, doing things "before" they happen, to prevent it happening.

I also update my doctors on things that are important, or if I learned something new that helped me with my diabetes, etc.
 
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arealgijoe responded:
Well I SURVIVED, so did Dr F/F........

I held my ground and Dr. F/F has moderated his tune. He suggested trying a non-statin, we agreed I would try and meet his goals on my own, I AKSED him to define the goals, and I would try to reach them on my own. So, in 3 months we will see.

I think I over intimidated him, I went in firm and confident and not about to capitulate, but with understanding as well.Over dressing, better than he does might have helped. I also had solid information on my side.

Later this month I will be seeing the ortho doc to see what we are, if anything, going to do about the bone tumor. They are usually no concern, but that was also the case with the lymphnode back in '82. THis is the same ortho he sent me to in '07 for the torn shoulder. I already know and trust him, he is a good comunicator and a very good doc in my opinion.

DH...I did NOT simply STOP the statin w/o reason, not to mention repeated previous attempts to get Dr. F/F to reconisder.

L2G2......Great example. It's not just Rx meds, even OTC herbals etc can alos cause serious problems.

Gomer .
 
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phototaker replied to arealgijoe's response:
By the way, both my heart doctor and my regular doctor wanted me to take the high dose of statins. I did fight this, but I gave in, as I am having no problems with my muscles. I AM having tests every 3 to 6 months on my liver, to make sure it's doing okay.
 
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xring responded:
I only see my endocrinologist once/year & she happens to agree with me about my health decisions, so honesty isn't an issue.

However, it's a different story with dentists. I've had the same experiences you've had with statins. When I need a root canal, most dentists will insist on starting antibiotics before or during treatment. It's known as "Practicing law, instead of practicing medicine." Besides the necessity being questionable, they cause me serious intestinal problems (similar to Januvia & Metformin), so I'll usually refuse to take them & some dentists may not start treatment unless I agree to, or it may affect how they do their job. After 22 root canals, (seven which were incomplete or incompetently done), I've learned that it's patience & persistence that determine the outcome, not antibiotics. In that particular situation, honesty is not the best policy. When I'm in severe pain from an infected tooth, I'm not going to search for a dentist who will agree to treat me without requiring that I start taking drugs first - especially when he trivializes the side effects they cause me (which several dentists have).

Out of the 22 root canals I've had, I only agreed to take antibiotics once during a recent one - & I almost ended up in the ER.
Politicians should serve two terms. One in office and one in prison
 
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arealgijoe replied to xring's response:
My current endo is happy with my diabetes management, so far. As long as I stay out of ER/hospital, have no hypos and my a1c is good, all seems well. He does remind me often I am not like most of his patients..nuttin new to me.

Antibiotics I have no problem with, have had problems from NOT taking an antibiotic before surgery or dental work. IN my case I ahve stenosis in 3 heart valves.. so routine for me for decades.

Xring .. Never heard of antibiotics causing such problems, but we are ALL different........

Gomer
 
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dianer01 responded:
I don't think I hold back much with my PCP. I do try to prioritize and bring up the most important issues when I am there. I am honest and forthright if I disagree with him or his reccomendation for medication. He has given me a degree of latitude with one of my diabetes meds because I have demonstrated a knowledge and understanding of how it works and the effective use. This forces me to be on the table with my use and results. I also respect this doctor as he has had no issue with referring me to a specialist when necessary and I have been very pleased with the level of care of the specialists he has referred me to.
 
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DavidHueben replied to xring's response:
It is customary to start a course of antibiotics prior to and following certain dental procedures such as root canals and wisdom tooth extractions when there is a presence of infection. It is not done as a matter of "practicing law", but rather as a prophylactic measure to prevent the spread of the infection to other parts of the body.

Oral infections, when they spread and become systemic, can be very serious. They can cause such serious complications as endocarditis, which can be life-threatening.

http://www.mayoclinic.com/health/endocarditis/DS00409

All the "patience and persistence" in the world is not going to correct those type of complications.

In my opinion, it would be better to be honest with the dentist about the side effects that you experience when taking antibiotics, rather than being deceptive. Perhaps an alternative therapy could be found. Health care providers need to have all the facts at hand before they undertake procedures.

Honesty with health care providers is always the best policy.

DMH
Watch what people are cynical about, and one can often discover what they lack. - General George Patton Jr
 
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betaquartz replied to xring's response:
At least you haven't been on Fostamax. You have to quit taking it for several months and have your system checked for its presence before most dentists will do surgery. Now how does this fit the strain here? If you don't tell your Dentist that you have been on it you could end up with no lower jaw. The medication can cause some form of deterioration of the jaw area after surgery.

I believe in following the "Nothing to Fear but Fear itself" principle when dealing with Dr.s. Most people won't tell and end up with trouble because the Dr. is ill informed. Tell all!
 
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nwsmom responded:
Sometimes I think my doctors wish I'd shut up! However, all of my records prior to the early '90s somehow disappeared...about the same time my then-doctor pulled a disappearing act for 7 or 8 years, so at times I need to fill my current doctor on ancient history. I know they wouldn't refer to those old records, but it would be nice to have them...they contain proof of some rather odd situations and conditions.
 
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DavidHueben replied to nwsmom's response:
Nwsmom:

Depending on the standards a given practice uses or is bound by, the timeframe for medical records retention ranges from about 8 - 10 years.

For example, if a practice/facility is bound by HIPAA laws, they must retain records for 6 years and 2 years after the patient dies.

You are lucky they have your records much past 1999!!!

David
Watch what people are cynical about, and one can often discover what they lack. - General George Patton Jr
 
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jambajuice responded:
I thoroughly answer all questions my doctor asks of me but offer no opinions or color it in any way...

I know what I know...

I'm interested in learning what my doctor thinks
...Where she goes with her discoveries.


She knows me well enough to know that I have little interest in taking supplements, vitamins, antibiotics or medications of any kind, but when she has recommended drugs, I don't fight her provided her recommendation is reasonable and justified.


The key thing is, when visiting your doctor, try to limit the number of medical experts in the room to one...

If your doctor seems disengaged or lacks courtesy, find another doctor. Unless you're married to them, no big thang...



I've been surprised to learn just how many people hold contempt for their doctors...

I've often wondered how one can hide such feelings (or maybe one doesn't)...

I've not had one unpleasant, contentious experience with any doctor I've visited. Just lucky I guess...
 
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cookiedog responded:
I am 100% honest with my doctors. A couple of points. First of all, no medical professional can make any patient do anything. All medical care requires implied or written consent. I would never, ever, ever accept medical care that I thought was against my best interests. I don't even understand why you would do something to your body you believe is harmful.

Secondly, failure to tell your doctor your full medical history can lead to serious consequences. You could neglect to mention an alternative medicine you are taking and suffer very dire consequences.

Thirdly, who would you ever choose to use a doctor you don't trust to have your best interests in mind?

I think you need to rethink your position.


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