Doctors Resisting Changes?

After having had epilepsy for nearly 30 years, and dealing with some fine and almost-fine neurologists, I can't help always wondering why today's neuros are not ever too willing to listen to our requests to change, lessen, or discontinue certain drugs. Is is maybe because the typical patient does not report his/her drugs side effects? Or has it something to do with the doctor's assumption that the "typical" patient is always searching for an answer? I have started to think that a large percentage of neurologists tend to lean toward the "more is better" train of thought. That is, "If the seizures aren't gone entirely, why shouldn't I just UP this patient's amount of daily intake?". Yet I am not shortsighted enough to begin playing doctor on my own and changing what I've been instructed (recommended?) to take. Being a doctor is a profession, and while it is highly respected, a neurologist has a ton of work to do within one day. Possibly being a bit more specific about our ideas about trying different drugs in different quantities should be brought up with more confidence. Let's hear from you! --George