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IMPORTANT was Re: GREAT advice!!/Debra

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Make sure you use the same pharmacist (chemist? for you UK folks) for

*ALL* of your medications - it's the pharmacist's job to look for

contraindications between your medications, and they can't do it if

you hop around to other pharmacies.

Some pharmacies will even keep a record of which herbs and over-the-

counter (not prescribed) drugs you are on to look for

contraindiations between those too (i.e., St. 's Wort comes to

mind).

Take care,

RH

> > 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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