tag:blogger.com,1999:blog-8533911831400192848.post8665307358270116150..comments2023-10-20T06:48:05.682-04:00Comments on Here's Your Gold Watch - Rheutired: Things Are Different At The DoctorAnethttp://www.blogger.com/profile/02831501899415936152noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-8533911831400192848.post-8906312478708257572013-09-16T09:30:21.180-04:002013-09-16T09:30:21.180-04:00Thanks for the adding more information about using...Thanks for the adding more information about using folic and folinic acid. I have used 1 mg folic with methotrexate all along. If I continue to have sores I will talk to my rheumatologist next time about Folinic acid. That's a prescription drug here in Canada.<br />I told my Australian friend about your blog and she was delighted to read it. <br />It's great to get the depth and background on treatments and choices that you put in your blog. It seems to be what we might hear from our own doctors if they ever had enough time. Having facts written down also makes them much less "slippery",that is they are easier to remember and digest in print.Anethttps://www.blogger.com/profile/02831501899415936152noreply@blogger.comtag:blogger.com,1999:blog-8533911831400192848.post-40889296739958048512013-09-16T08:47:25.030-04:002013-09-16T08:47:25.030-04:00Hi Anet
I use folic acid as standard. Folinic aci...Hi Anet<br /><br />I use folic acid as standard. Folinic acid is more expensive and usually not needed, so I only use it sparingly. <br /><br />With the "less serious" side effects to Methotrexate, I do try to increase folic acid supplementation, or swap to folinic acid, or reduce the dose of Methotrexate or actually stop the Methotrexate and try a different strategy.Anonymoushttps://www.blogger.com/profile/17462900299392785481noreply@blogger.comtag:blogger.com,1999:blog-8533911831400192848.post-60443311852425077162013-09-14T13:56:58.148-04:002013-09-14T13:56:58.148-04:00Human centered makes sense to me, but it is hard t...Human centered makes sense to me, but it is hard to reach that point with some doctors until you have seen them a few times. Another way that things have changed is that as my experience widens I am able to add value to the conversations myself. That's part of what you are saying when you say human to human I think. <br /><br />Do you find your role as steward of scarce resources difficult? In Canada doctors are often gatekeepers and are being urged to help to conserve resources by the payor, which here is the government/taxpayer.<br />Thanks for the meaningful comment.Anethttps://www.blogger.com/profile/02831501899415936152noreply@blogger.comtag:blogger.com,1999:blog-8533911831400192848.post-68719966110310674532013-09-14T11:08:00.634-04:002013-09-14T11:08:00.634-04:00Human centered is another way to look at part of t...Human centered is another way to look at part of the patient and physician interaction. Not patient centered, not doctor centered, not payment centered, but human centered. As we act like neighborly humans in our interactions, we will migrate through several roles during the engagements (learner, teacher, consumer, consumer coach, steward of scarce resources, citizen, dog owner, patient, physician, life coach, etc.). I look for the human element in the patient and in me (I'm a Family Physician) so we start human and finish human to the extent possible in each encounter. Equals who care like neighbors should.A. Patrick Jonas, MDhttps://www.blogger.com/profile/15935504320560038973noreply@blogger.com