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Message: <blockquote data-quote="DCUKMod" data-source="post: 2212203" data-attributes="member: 345386">Personally, in that circumstance, I would take the slip of paper, or whatever it is, and put it behind my own list in my hand, showing him, politely, discreetly, but unmistakably where you prioritise his action.It's your appointment. You need to develop strategies, and where necessary challenge his strategies for rationale.At my recent mega appointment, the Endo wanted to defer action until a bone scan was done, which would take "a few weeks". I asked if he expected to see a worrying outcome from the scan.  Answer:  "No". I then asked what rate of degradation of bone density was usually exhibited on the proposed deferred meds.  Answer:  "Very slow". So my response was, "what exactly is the clinically material and significant impact of deferring prescribing?  What material harm could be done in 6-8 weeks?"  His answer: "None".I then looked him in the eye and asked what advantage there was, to me, in deferring prescribing.  He gave in.i usually come out of these meetings tired.  But it's important.  A 4 minute consultation isn't a consultation in my view, never mind covering multiple topics.</blockquote>

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