"Clearly it should be an expectation that the DRT is monitored frequently (every week, perhaps), and changes made with smaller granularity than at present. If the health system does not provide this regular updating, we should deliver it ourselves."

Thoughtful summary john. I could agree with all your points.
The quote above I think is in the domain of self care. Personally I can never see a time when updating and adjusting my Meds will deliver a consistent response because of no 13 and that will vary from person to person. Our challenge must be to have our observations validated and to be accepted as equal partners in our health care.