Posted by ace on February 27, 2003, at 19:25:45
In reply to Re: Is diagnosis important ? ?stjames, posted by IsoM on February 27, 2003, at 11:34:39
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> Seeing the number of absolutely "nutty" pdocs I've seen, I'd rather take my chances with trying a few GPs until I found one who's familiar with depression. Even though medicare covers both, if one doesn't have medicare where they live, GPs are much cheaper too.This is so well put Isom. Out of 10 or so pdocs I've seen 1 or 2 have been well-balanced. Their behaviour towards me over the years has been disgusting -- everything from misdiagnosis (I'm 100% certain I know more on OCD than a lot of them), abuse (calling me 'wierd' 'unusual'), dishonesty (telling a doc one thing, telling me the complete opposite), close-minded refusing MAOI treatment - the drug that finally worked for me, telling me 'I ask stupid questions'.
Some I have seen seem to be really on the verge of insanity themselves, no lie. Really unhinged people.
It's funny, every single drug ever prescribed too me by those rascals has either had minimal effect or made me worse. Now that I am educated and have studied some psychopharmacology I have found a lovely well balanced GP who had no probs with prescribing an MAOI. If he sees I've researched the drug thoroughly and is appropriate or not dangerous he will happily prescribe what I want. Simply, I have never had such a good theraputic relationship.
BTW, my GP concurs with everything I think about pdocs. He is an old GP, so he has seen a lot. He believes well over 50% have major psychiatric issues. The most well balanced one he ever met killed his wife, 2 daughters and himself. And this guy treated others!
Also my GP was upset with what a pdoc said to him about me via referal paper. It stated 'I was unusual' My pdoc thought that comment very unfair. BTW, the reason that ratbag pdoc said that was because he saw I wanted an active part in my treatment and disagreed about SSRIs. I basically challenged his power and that is how he reacted. Real professional.
> I've also found many pdocs who are older don't bother keeping up to date on new meds or developments. Many couldn't be bothered. They already have a comfortable patient load & make enough not to care. I've seen pdocs who simply transfer a non-reponsive patient on to the university hospital rather than try new meds or spend more time tackling a tougher case.
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> These aren't just my experiences but have been garnered from friends & acquaintances who've been to many of the pdocs here.As an aside, a friends sister of mine was crying in great anxiety and pain. She was told to 'grow up'. She wrote to the pdoc later and he sent a paltry letter saying 'thankyou for letting me know your progress'
> YES, in theory, a pdoc should be the one to go too, not a GP. In practice, there's many GPs who have spent a lot of time familiarizing themselves with mental disorders & meds to understand their patient's concerns & sometimes those of family & friends of their own.
Once again, your comments are spot on. I will have a GP any day over some psycho pdoc. You are wright too- contrary to what st-james said a lot of GPs are extremely familiar with psychiatric diagnosis and practices etc. They also see a lot of psych patients themselves (not everyone can pay for a whore docter...oops..I ment psych doctor!) Older ones I believe are better than some shrinks.Please tell me what you think! We definately are like-minded!
God Bless,
Ace.
poster:ace
thread:203746
URL: http://www.dr-bob.org/babble/20030224/msgs/204469.html