I’d be interested in a post with any recommendations you may have for dealing with a Provider who is skeptical about proactive treatment? Based on some of your previous posts I’d likely benefit from a statin but my provider uses the ASCVD 10 year scores and I’m theoretically low risk even though I’m at 124 mg/dl LDL. Would rather not be that patient that says “I read on the internet that you should treat me”! I wonder if other subscribers may be in the same boat, all this knowledge is great but I can’t prescribe myself these treatments so any thoughts on finding/talking to providers might be helpful. Thanks!
It’s all about finding a doctor who you can work ‘with’ to achieve your goals. Your doctor is simply doing what a first pass of the guidelines suggest. I would start with trying to change the discussion to lifetime risk and see where both of you land. We have no certainties here and it’s all about trying to understand a spectrum of risk on both sides of the equation. Have a look at this Lifetime risk calculator https://u-prevent.com/calculators/lifeCvd
I tried the lifetime risk calculator. Thank you for the link. That was a bit different than the usual ones. I'm always fascinated by the seemingly important questions the calculators don't ask.
It's not that there aren't important metrics to include it's all about the metrics that we have a reasonably accurate model for. Many many holes in the calculations.
I’d be interested in a post with any recommendations you may have for dealing with a Provider who is skeptical about proactive treatment? Based on some of your previous posts I’d likely benefit from a statin but my provider uses the ASCVD 10 year scores and I’m theoretically low risk even though I’m at 124 mg/dl LDL. Would rather not be that patient that says “I read on the internet that you should treat me”! I wonder if other subscribers may be in the same boat, all this knowledge is great but I can’t prescribe myself these treatments so any thoughts on finding/talking to providers might be helpful. Thanks!
It’s all about finding a doctor who you can work ‘with’ to achieve your goals. Your doctor is simply doing what a first pass of the guidelines suggest. I would start with trying to change the discussion to lifetime risk and see where both of you land. We have no certainties here and it’s all about trying to understand a spectrum of risk on both sides of the equation. Have a look at this Lifetime risk calculator https://u-prevent.com/calculators/lifeCvd
I tried the lifetime risk calculator. Thank you for the link. That was a bit different than the usual ones. I'm always fascinated by the seemingly important questions the calculators don't ask.
It's not that there aren't important metrics to include it's all about the metrics that we have a reasonably accurate model for. Many many holes in the calculations.