what is your experience in dealing with doctors who have a very conservative "wait-and-see" approach? In some ways, I think this is great because it could mean your body heals itself or with meds and no need for invasive testing or surgery. on the other hand, i sometimes think the doctor should be a little more aggressive in the diagnosis and treatment. for example, if i feel something is wrong with my pouch, the doctor gives me antibiotics. i ask him to scope me, and he says, "no, we will wait until your annual because it could cause more damage and irritation". so rather than go in and find the problem, he is treating me based on my clinical symptoms, like pouchitis and fistula.

is it because they see so many of these things in their practice and they KNOW that most of the time they can resolve with conservative measures? or they like a "wait and see approach" until things get worse and they HAVE to go in?

i understand their point that sometimes doing too much probing might worsen things, but sometimes i just want them to confirm with their own eyes what is going on!

anyone experience this or have any thoughts?

thanks! you always help me think clearer