Thank you for your question. This is one of the most frustrating things that doctors can encounter in their practices. Pleas speak with your doctor
. They spend time working with a patient to help him or her to feel better and have a better quality of life, and then they end up not following the steps that are needed to get the results that they want. While this can happen for many reasons, it is difficult for doctors to know what to do in these situations. Fortunately, it is becoming easier for doctors to find out if and when patients are taking medications due to some of the electronic information that is able to be shared between doctors and pharmacies. With regards to follow up appointments with other specialists, this is also somewhat difficult. In general, a consulted physician will send a letter or notice of the visit that the patient had to the doctor. If the patient does not show up, this can be difficult as no such notice is generated. To some degree, this falls to the patient to take some accountability. Most doctors will work and follow up with their patients to some degree, and so to determine your doctor's preferences and accountability, please speak with your doctor.