Monday, December 17, 2012

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Frequently Asked Questions

If you don’t see your question here, please take time to contact me. I am here to answer your questions.

“I'm sensitive to medications, and am prone to side effects. Is there any way to reduce my chances of having a side effect?”

There are some people that are very sensitive to medication. We can discuss options during consultations to reduce the possibility of side effects, such as starting at a lower dose or trying different medication as opposed to medication that caused problems in the past. We may also consider lifestyle changes, a medical work-up, or an evaluation of current medications and over-the-counter aids to ensure there is no drug interaction that could contribute to side effects. 
Additionally, we may discuss alternatives to medications that are helpful for many, such as yoga, meditation, aerobic exercise and dietary changes.

“I don't like to take medication. How long will I have to take medication?”

I have heard a few patients say that they don't mind taking medication because they feel so much better with the right medication, however most people tell me that they prefer not to take medicine long-term. I understand, because there is always a potential negative aspects to taking a medication. Part of my job is assisting you in determining whether it is in your best interest to continue with medication and for what period of time. Everyone is different and there is no one simple answer for anyone. We do have research showing that if someone goes off medication too quickly, their symptoms can return and be more difficult to improve. A part of my job is to provide you the information you need to make the changes in your life that will make it less likely you will need medication long-term.

“Is this medication going to affect me physically?”

Please inform me immediately if you are having unpleasant side effects that are effecting your lifestyle.  There are enough new medications available that there are always options to help reduce side effects of medications. If you feel any negative side effects at all I need to be informed and we will move forward from there.

“How often do we have to meet?” 

We meet again within a month after the initial appointment to reevaluate changes and progress. The actual schedule of our meetings, however, remains highly flexible depending on your preferences and needs at any given time. Work and family obligations are taken into account when scheduling follow-up appointments. If you are doing well on medication, we will need to meet at minimum once every three to four months; this is essential for maintaining good contact and oversight of your medication.

“What about medication refills?”

Medication refills are provided during your most recent visit. Dr Shelly will give you enough medication refills until you are due for a follow up visit. If you haven’t seen Dr Shelly for over 2 months, he is not comfortable in prescribing medication without assessing you as your mental state and requirement for medication might have changed since your last visit.

“Can I have a medication refill if I missed an appointment?” 

Dr Shelly provides refills only if you have a scheduled appointment. Medications are renewed during normal business hours, given there are no circumstances that complicate the process. If you find yourself without medication on a weekend or holiday, either call us to arrange an urgent appointment or see your GP.

“What do I do if I am running late in traffic for our appointment?” 

If you are running behind it is not a problem, as long as you don’t mind waiting if someone who is scheduled & arrives on time is seen before you. If you do not show for the appointment, you will be charged 100.000 IDR for missing it. There is no charge if you are simply late for the appointment and you are worked back into the schedule ASAP.

“How do I contact Dr Shelly?”

Dr Shelly can most easily be reached for Emergency situations by email or call (022) 4233777 / (022) 4239953 and leave a message. You will be called back ASAP.  Melinda 2 Staff

“Can I have a phone visit to replace an office visit?”

For patient care, safety, and liability, Dr Shelly cannot treat patients over the phone.

"My pharmacist says that the medication you prescribed is 'not covered' or requires a 'prior authorization.' What do I need to do next?"

Here is what you need to do:  firstly, notify me right away.  Second, be sure your pharmacy faxes me the paperwork to my fax number 07 3245 7898 or call 07 3245 3521 or 0477 017 070. 

Once I receive the pharmacy fax or phone call, I will arrange to re prescribe and fax/post prescription to the pharmacy.
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