who is in control?

By Roses4me Latest Reply 2012-08-07 00:36:43 -0500
Started 2012-07-23 18:56:12 -0500

new diastolic dysfunction heart failure. pcp, heart failure clinic, and cardiologist keep changing my meds.

who should i listen to?

pcp handles my work paperwork.

5 replies

Perplexed 2012-08-06 02:33:22 -0500 Report

Who is in control??


It is your body and your health and well-being. No doctor can make you do something you don't want to do. If "it" doesn't make sense to you, don't do "it" unless and until the doctor DOES make it make sense to you.

Insist on an explanation for WHY your meds are being changed. Why aren't the current med(s) satisfactory? What improvement do "they" expect from the new med(s)? How long on the new med(s) until you can expect to see any results, good or bad?

HeartHawk has given you some good advice. Good luck!

HeartHawk 2012-08-07 00:36:43 -0500 Report


As has perplexed! I know its tough to stand up to docs but just remember - they work for you. Frankly, you sometimes have to be a little arrogant and have a big ego to work in a job where lives are on the line. But, that does not mean you have to let arrogant docs intimidate you. Here is a secret. Healthcare is competitive and most of these docs have admnstrators who are their technical bosses. I can't tell you how many docs I have taken to the "woodshed" by taking my complaints up the corporate ladder. Funny how their attitude changes when their paycheck are threatened!


arkansasurviver 2012-07-26 17:33:00 -0500 Report

It may not be right for you but in my situation my cardiologist knows the most in my care. I also have been with my cardiologist for almost 30 years and trust him over my pcp.

HeartHawk 2012-07-23 23:05:39 -0500 Report


Excellent question that illustrates part of the problem with traditional healthcare. Your PCP (primary care physician) is supposed to be the "referee" who provides "continuum of care" (the official term). This means he or she must be a "big picture" person who sees what all your docs do and makes certain the specialists do not doing something that would be dangerous in combination.

For your heart care I would always trust the cardiologist but do check with your PCP to make certain there are no treatments that would cause a problem when taken together.

The best solution is to educate yourself and ask your own questions of all your docs. Basic medicine is really not hard if you study. Yeah, your docs each had to study hard and for a long time so they can treat thousands of diseases for hundreds if not thousands of patients. You have the luxury of focusing on yearself.

Think of yourself as an informed consumer who hires a general contractor (your PCP) who in turns manages all the specialists (like a contractor manages electricians and plumbers). But remember, the "general contractor" (PCP) might not have the specialized knowledge of an electrician (cardiologist). But, just like any uninformed consumer, you can get ripped off, if you are ignorant. In this case though, we are talking about your health, not just money. Be a smart and studious consumer and don't get ripped off!