How do you tell your Doctor you want a change?

Goshes, don't be bashful! Just tell her you're getting impatient w/the lack of results or the slow response and would like to try something different, maybe something more aggressive and ask her waht she suggests. If there is a specific medication or treatment you'd like to try just tell her you were wondering about ..... whatever your interest is.

If she is even only half as good as you say she is she's not going to be at all offended or touchy about it. She might even welcome your willingness to get more aggressive or willing to try something else!

And, if put to her that way, she does take offense .... which I seriously doubt .... then she's not as good as you think she is. It would be unusual tho if she did.

you pay her..tell her u want a change..u gotta let these people know. If you don't let me tell you how this works. They go home to their nice 500k home, sit on their leather couch and have a great night, meanwhile you go home and shat your pants on the way. When you get in you notice all the bills for the crap they are doing that not working, but you remember you need to take a shower because you shat on yourself. The rest of the night you get up every other hour and barely make it while she is at home sleeping in her castle, full nights sleep.

I think I would call and ask for an appointment and let the person scheduling the appointment know that you have some things you want to discuss with the doc so that they schedule longer than a double booked 15 minute appointment. Then make some notes about what your symptoms are how much relief you are or are not getting from your current meds and then ask what the doctor thinks-when does she expect the current meds will start working better, does she think its time to try something else and if you have something specific you want to try what do you think about "name med here".
I would not try to bring all of this up in the usuall seven minute appointment as you won't get a thourough review like you are entitled to but you should be able to ask for a longer appointment when you call to schedule.
Sj

I have an appt for 9/2 and I'll bring it up.

I've tried the 'usual' drugs of asacol, balsaliside, colazol and low doses of pred.
With her we've done high doses of pred (60mg to taper), 6MP, doubled the 6MP and I developed jaundice and Remicade for 1.5yrs.
No positive results.
However, I really feel the damaged section that was removed with my surgery this past May was so far gone that NOTHING would have put it into remission. Now that it is gone, I'm feeling pretty good. I actually want to try no meds for a while. Or something lighter and less damaging to my system.

I've been reading here and have a list I've made:
Humira ~ must let remicade fade from system for min 4-6mo because of anti dsDNA something-or-other.
Methotrexate ~ takes 8-12wks to work but many here have had success. Is an anti-folate.
Imuran ~ metabolizes into 6MP, not interested.
Budesonide ~ can be used in place of prednisone.
These I've written down to ask about, but haven't done any research:
Cipro?
Cimzia, like Humira?
low dose Naltrexone? *interested in this one*
Librax?
Lialda?

I really feel the probiotics and getting my gas under control helped me to turn the corner for firmer BMs and I want this trend to continue.