Jay and Charlie...
I try very hard to NEVER challenge a physician I've never seen before because
I need to know what this individual has to offer me. I believe if I go to a
new doctor and I have an "attitude," I'm doing an ill-service to myself (and
possibly to other patients). It's been my experience that IF I am warm and
open in the first office visit (and any subsequent visits), USUALLY the least
I'll end up with is an interesting-but-non-useful experience, and the best is
the establishment of a good working relationship.
This is the first time in years I've run up against an "I'M God and YOU are
the supplicant" type of MD, and I was STILL cordial as I let him know that I
consider us as working partners.
I belong to the "you catch more flies with honey" school, and ALWAYS try that
attitude before any other. I CAN come on strong when I have to, but as I said,
that's not my first (nor optimum) choice.
The new neuro will come around 'cause I'm going to MAKE him recognize that I'm
not going to "worship the font," but I'll do my best to let him keep HIS pride
and ego in tack while doing the same with my own.
Barb Mallut
[log in to unmask]
----------
From: Parkinson's Information Exchange on behalf of Dale Severance join list
Sent: Friday, August 29, 1997 5:09 AM
To: Multiple recipients of list PARKINSN
Subject: medical treatment by Dale Severance
Hi Barb:
This note is in response to you query.
My Movement disorder specialist is Dr. Efraim Perez. He obtained his movement
disorder training at the Parkinson Disease Foundation in NY City.
While training he was involved in the trials for Maripex and Ropinirole. I
have become real friendly with the doctor and have recently been asked to
join his surgical protocol team. I have confidence in his advice.
Last week at my 3 month visit we talked about starting Marapex and he
suggested that I delay for a while. For many years I have been taking
Sinamet, Pardoval and eldypryl. My body accommodates these drugs and they
work adequately. His suggestion was why try to accommodate a new drug before
the effectiveness of my current medicines are exhausted. He was also more
impressed with the results of the Ropinirole drug which was approved for
distribution this week. Much greater dosages of Ropinirole have been approved
by FDA than for marapex thus giving physicians greater latitude to tinker
with the best dosage to be effective in the individual patient.
I elected to increase pardoval 10 mg per day and hold marapex in reserve.
Dale Severance
[log in to unmask]
v
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Date: Fri, 29 Aug 97 19:20:59 UT
From: "Barbara Mallut" <[log in to unmask]>
Message-Id: <[log in to unmask]>
To: "Parkinson's Information Exchange" <[log in to unmask]>
Subject: RE: medical treatment by Dale Severance
Return-Path: [log in to unmask]
Jay and Charlie...
I try very hard to NEVER challenge a physician I've never seen before because
I need to know what this individual has to offer me. I believe if I go to a
new doctor and I have an "attitude," I'm doing an ill-service to myself (and
possibly to other patients). It's been my experience that IF I am warm and
open in the first office visit (and any subsequent visits), USUALLY the least
I'll end up with is an interesting-but-non-useful experience, and the best is
the establishment of a good working relationship.
This is the first time in years I've run up against an "I'M God and YOU are
the supplicant" type of MD, and I was STILL cordial as I let him know that I
consider us as working partners.
I belong to the "you catch more flies with honey" school, and ALWAYS try that
attitude before any other. I CAN come on strong when I have to, but as I said,
that's not my first (nor optimum) choice.
The new neuro will come around 'cause I'm going to MAKE him recognize that I'm
not going to "worship the font," but I'll do my best to let him keep HIS pride
and ego in tack while doing the same with my own.
Barb Mallut
[log in to unmask]
----------
From: Parkinson's Information Exchange on behalf of Dale Severance join list
Sent: Friday, August 29, 1997 5:09 AM
To: Multiple recipients of list PARKINSN
Subject: medical treatment by Dale Severance
Hi Barb:
This note is in response to you query.
My Movement disorder specialst is Dr. Efraim Perez. He obtained his movement
disorder training at the Parkinson Disease Foundation in NY City.
While training he was involved in the trials for Marapex and Ropinirole. I
have become real friendly with the doctor and have recently been asked to
join his surgical protocol team. I have confidence in his advice.
Last week at my 3 month visit we talked about starting Marapex and he
suggested that I delay for a while. For many years I have been taking
Sinamet, Pardoval and eldypryl. My body accomodates these drugs and they
work adequately. His suggestion was why try to accomodiate a new drug before
the effectiveness of my current medicines are exhausted. He was also more
impressed with the results of the Ropinirole drug which was approved for
distribution this week. Much greater dosages of Ropinirole have been approved
by FDA than for marapex thus giving physicans greater latitude to tinker
with the best dossage to be effective in the individual patient.
I elected to increase pardoval 10 mg per day and hold marapex in reserve.
Dale Severance
[log in to unmask]
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