Not a rant, an actual question about how this is supposed to work.
Portal exports often carry the numbers and not the notes, and the notes are where the reasoning is.
Ask for the refusal to be noted in the record. It changes the next conversation more than any argument.
Double appointments exist in a lot of practices. Paying for the longer slot is cheaper than two visits.
What worked for you, concretely?
Bring a list. Embarrassment makes everyone forget things, including you.
Sorry for the basic question, but how do you actually start one of these diaries? A fortnight in on a patient portal export and it lines up.
I would stop trying to convey how bad it is and start saying what you want them to do.
Print the page.
My pharmacist has become my actual doctor and I am at peace with it.
Sorry for the basic question, but how do you actually start one of these diaries?
Ten percent cuts. Slower is faster.
Same here.
Bring a list. Embarrassment makes everyone forget things, including you.
You have two changes at once here. You cannot attribute anything until one of them moves.
Ten percent cuts. Slower is faster.
How do you tell the difference between the drug working and just a good week?
My pharmacist has become my actual doctor and I am at peace with it. Not on a patient portal export but the pattern is familiar.
Half of what people describe as tolerance is a change in the underlying condition, and the two need different answers.