In my opinion, the reality (at least in the US) is that MOST doctors see us like we are on an assembly line.
A patient is seen every 15-30 minutes and, unless the patient initiates it, there is very little discussion. For an annual "wellness" visit, patients are usually seen by a Nurse Practitioner who takes blood pressure, etc, and might suggest blood work for cholesterol, iron, thyroid, etc.
At the GI appt, the Dr takes a brief look at the patient's chart. (Hopefully they remember seeing you in the past.)
I have found that if I want to be sure that necessary blood work related to UC is done, I bring a copy of any test results that are recent and ask if any additional tests should be done. Most discussion is initiated by me.
What it comes down to is that the individual patient is responsible for his/her health.
You should always ask that copies of test results be sent to you. (In Massachusetts, a (privacy) release must be signed at the time of testing to get a copy.) You can't accurately "interpret" the results by looking at the internet but you can make a note of talking points to discuss with your doctor.
I trust nothing that is produced by going to the ER.
I wouldn't go there unless it truly is an "emergency". Experience has taught me that you have no idea of the quality of care you will receive which is largely dependent on the experience of the person who treats you. It's "luck of the draw".
My 2 cents....
Diagnosed pancolitis 12/2003, Colazal generic (balsalazide).
Benebiotic probiotic, multi-vitamin with iron, Starwest organic slippery elm powder, L-Glutamine, fish oil, whey shakes and transdermal LDN. Avoid lactose and most gluten products.