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I fully understand the business aspect of things, however under "normal" circumstances we wouldn't be seeing these medical professionals if we were at our best.
I am HORRIBLE about follow up appointments. My doctor understood this about me and would not request another appointment unless it was absolutely necessary. He would decide my medications based upon the fact that I am virtually non-compliant. We discussed Lithium at one point but he said "you really need to do the follow up blood work for that and we both know you're not going to show up for that." It was not meant as an insult, merely a statement of fact. Plus, as I said, he knew me well.
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I've been married for 24 years and have four wonderful children.
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