When you've had a chronic condition for years that relies on blood tests to gauge med dosage, you learn where your levels need to be to feel good. When my numbers got out of whack but still technically in allowable range, my doc initially refused to change my med. I had to push hard to get him to modify my dosage and I sensed that he wasn't happy about it. Of course, this is a new doc for me that I've seen twice in a 2 year span, so I suppose he thinks I just don't know what I'm talking about. But chronic conditions are different b/c people learn to manage them and docs should listen more carefully in that scenario.
This was a doctor in a very large practice group and the way I wanted to do it was against the group's policy so I went to a small one office 3 doc group and they had no problem with my request. The corporations are what is taking the compassion out of healthcare as they want everyone to fit on the assembly line. No room for individuality.