Did the doc recommend a statin around the first pic, or second? ASCVD calculations don’t tell the whole picture. I can’t recall recommending a statin on the basis of cholesterol numbers alone. NNT not worth it IMHO.

I only work with acutely ill patients that are actively decompensating, or have a high chance of doing so. I am not talking preventative/maintenance medications. I’m talking about preventing celestial transfer medications.

I agree with you that many medications are often times not the answer and I frequently find myself consolidating/discontinuing unnecessary medications that others may have started. I tell patients my reasoning, give them my recs/educate, and tell them to have a conversation with their doc about it too.

Why do you feel that “recently” listening to doctors is a problem?