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Another opinion was Re: GREAT advice!!

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NHS..first appt. is 15 minutes follow up 10 minutes !!!You 'focus'

on why you are there.

Gillian

> > I think Gillian gave Adam great advice about not spilling her

guts

> to the gastro doc(no pun intended though it did work out well).

From

> a nursing standpoint, I see physicians starting out their days

> already behind and soon overwhelmed with patients who have a 15

> minute appointment and 30 complaints. Mito is mind blowing to

> doctors who hear about it in their genetic rotation and never in a

> million years expected to see a confirmed patient.

> >

> > Automatically a red flag is raised that this person's care is

going

> to be difficult and they are constantly going to be seeing unusual

> complications. A second problem arises when there are so many

> specialists involved and A want to do this, but B thinks it will

> compromise his care of his system and then C thinks they are both

> wrong...once you reach the level that most of you are needing,

Alice

> is famous for advocating a case manager and now I totally agree

and

> see why. Medications alone, ordered for five seperate problems

from

> three different doctors could interact destroy the functioning you

> have left, not to mention kill you!

> >

> > Complicated patients need to be instructed as witnesses in a

trial

> are. Answer that question and offer no other information. I can

> anticipate what direction the doctor is going and what his next

> question is going to be...but answering it before he asks only

> confuses a tired mind. Always take an updated history and

medication

> list with you.

> >

> > Debra

> >

> >

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