Posted by Tabitha on July 26, 2016, at 11:26:52
In reply to when to reduce dosages..., posted by Christ_empowered on July 26, 2016, at 10:32:08
I've concluded that there's a class-based thing happening with meds, which is I think what you're saying about "knowing your place". When I see private practice docs in an upscale part of town, I feel like I'm being treated as if the goal is to get me at my best functioning, which leads to different Rx than if the goal is to get 100% control of my condition. They're willing to spend time with follow-ups and work to reduce side effects.
When I have seen pdocs in busy clinics, I feel that the attitude is that I don't deserve extra effort to mitigate side effects, and my concerns are often dismissed. I have seen friends who need to work with public assistance clinics, and the care they report sounds even worse than the worst I have experienced.
So my conclusion is that it's worth the extra effort to obtain private practice care. If that's not an option, then I would recommend doctor shopping within your available network, hoping you'll get lucky and find an exceptional one.
It also might help to get very clear in your communication with your pdoc about the sedating effects, and that you'd like to make changes to get yourself functioning at the best possible level. It may be possible to get a better outcome with your current pdoc by improving communication.
poster:Tabitha
thread:1090874
URL: http://www.dr-bob.org/babble/20160713/msgs/1090878.html