A review also helps avoid the prescribing cascade, which involves a physician adding additional drugs to a patient's regimen to treat side effects of other medications. 20 In scenario 3, the patient's ankle edema may be a side effect of the calcium channel blocker that was prescribed to treat her hypertension. The hypertension may be a side effect of her pain medication. Planning regular monitoring for certain medications is important. In scenario 5, if the patient is on lisinopril, she will need follow-up serum chemistries to assess for hyperkalemia or increased serum creatinine.
You say the Dr assumed you were a liar. Did you ask him if that is what he thought? We can’t know what people think, we need to ask them to really know. You also say you don’t talk to Dr’s like drug addicts do. How do you know how drug addicts talk to Dr’s? Have you asked any drug addicts how they talk to Dr’s? Part of the problem is with you. Change how you view the world and be clear about what you want and things will change. Ask for what you want and get Dr’s to tell you what it is they think. Never assume.