- Family Elder
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- Joined: Thu Dec 03, 2009 3:00 pm
- Location: south western pa.
A week ago I wrote about this very thing happening,
Most Neurologist Plan to Prescribe Oral MS Drug
I think your Neurologist falls into this category, don’t you? I mean, just because it’s more “efficacious and more convenient” to swallow a pill than inject a needle into ourselves, we’re going to be “nudged” toward the easy way. “Just pop a pill.” Regardless of the side effects??????“almost 60% of neurologists expressed unaided concern about the side effects/safety of oral MS therapies.
Despite their concerns, the vast majority of neurologists expect to prescribe these drugs
expected to be highly efficacious and more convenient for patients than available inject able therapies.”
Thank you for taping the conversation and sharing it with the rest of us. From previous conversation with my PRIOR neurologist, I'm sure if I chose to see him again, we'd have the same dialoge as you and your neurologist.NEURO: I’m OK about this, what I would say is that there are going to be tablets available in about a years time. The drug will be Fingolimod. Both it and Cladribine cause more infections than normal, they suppress the immune system and so they may not be as safe that way, than the injections. If you’re not tolerating the injections then it’s another choice for you.
No, no, what I mean is, we’ve got these pills arriving, they’re pretty good, but they may give you different side effects, you know? But we’ll use them if we need to.
- Family Elder
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- Joined: Wed Mar 17, 2010 3:00 pm
- Location: Kanata, Ontario, Canada
And if you think they're not taping you: I know the dicta-phone installation guy. I had one neurologist who used to go over a transcript from last time for the first half of every appointment. It got to be harder and harder to get an appointment because of waiting for the transcription to be done. I would say this guy was in danger of fundamental disappearance.*
* Like my boss used to say "in danger of disappearing up his own fundament". Or in other words, performing an anatomical impossibility upon himself...
Not a doctor.
I read this over on facebook and pardon the intrusion, I looked into your profile as I would have sworn we shared the same doctor. Are there memo's circulating?
To share one of my own personal favorites.. in response to the question "Dr...what is your opinion of ccsvi?" he replied.."what do you do for a living?".. puzzled, I answered.. to which he responded .."and how would you like it if someone told you how to do your job?"
I am in western Canada..
I was thinking this morning, which I do way too much, that in Canada we have essentially created a medical monster. Patients are 'numbers' within quotas. In countries with 'pay as you go' health services you are the 'customer' and as such, as in any other sales/purchase transaction, are in a position to expect satisfactory service or go elsewhere. Although the burden of payment is undesireable the power as a consumer is the opposite. I would imagine, and could be mistaken as oft I am, that this would allow healthy and respectful dialogue with your potential provider. Access to a second opinion could be just that. Here in Canada we are herded through the system. 'Get 'em in..get 'em out'.
Sound second opinions are rare as records follow the patient and doctors are reticent to discredit a colleague. Dialogue and discussion, particularly with specialists when this is most important, regarding method of diagnosis and course of treatment is barely tolerated. Provincial Health boards set the rules and the doctors must follow or else. For us, the patients, it's take it or leave it or...go somewhere else.
Canada is wrought with the practice of 'symptomatic medicine' This to the detriment of an insufficient pool of resources.
I will end this rant with.. there are many good and caring doctors in our system and we are lucky that they choose to stay. It is the 'system' I attack. My/our frustrations must be magnified thousandfold by those shackled and longing to help.
If it did come down to it, which it won't (no names as you say) you could always say that you have to record stuff on account of cognitive troubles, trouble remembering events, what was said and so on..ConstableComfortable wrote:I guess it would be if it was for a national newspaper or something similar. Also there are no names named so no libel I'm guessing??Motiak wrote:Is it legal to record someone without their consent? Just saying, seems kind of dicey.
The law varies depending on where you are. In Canada, it is legal to tape as long as one party to the coversation knows it is being taped. Laws in US vary from state to state. I don't know what the law is in Britain, where I think ConstableComfortable may be based.Motiak wrote:Is it legal to record someone without their consent? Just saying, seems kind of dicey.
Even though I may legally be able to tape someone without their knowledge, I usually ask permission before I do.
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