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medication but never misses a refill on his skin
cream, is a disaster waiting to happen.
4. Respect your doctor's limits. A former patient of
mine moved across the country and had to find a
new physician. She found one who seemed open,
so she asked him, "Do you have any problem with
the fact that I practice consensual dominance and
submission?" He quickly responded "No," then
thought a minute and added, "As long as you
aren't into that asphyxiation stuff." Arguing at
that point about why choking scenes turned her
on was not likely to have much effect. Instead, a
simple "Well, I do enjoy that, so I will seek another
physician," was a more reasonable response. This
doctor did a good job of stating his limits, and
the patient did a good job of respecting them.
(Just for the record, asphyxiation scenes are more
dangerous than many people realize ­ so if you
insist on doing them, recognize that you may be
sustaining cumulative damage.)
5. Understand the time constraints. As stated earlier,
the only way to make a living in managed care is
to increase one's panel of patients. By doing so,
the physician takes on the responsibility of taking
care of those patients. As the number of patients
increase, so does the pressure to decrease the time
spent with each patient. Most physicians try to
see four to six patients per hour, and some try to
see more ­ so, at best, you have fifteen minutes
with the physician. You can help speed the
appointment along by being organized, knowing
what information you want to give your doctor,