Posted by Maxime on April 1, 2005, at 0:31:01
In reply to Hospital and Cytomel » Maxime, posted by barbaracat on March 31, 2005, at 16:16:52
Hi Barbara:
If I went to the hospital and said that I was suicidal I would be seen by a doctor and then by a social worker or psych nurse. They would then talk to the pdoc on call. Unless I am going to kill myself when I leave the hospital they will tell me to leave. I may not even be seen by a pdoc. I could lie and say "yes, when I go out the doors of the hospital I am going to "fill in the blank". But I am not going to lie. Of course if I was going psychotic or manic they would put me on a 24 hour hold. I have the unfortunate "luck" of seeming very together when I am really losing it. I had one pdoc when I lived in Alberta who finally realised it. When I would go into the hospital she would tell the pdoc in charge of my case to be cautious of that and not to be fooled. I miss her. She was a great pdoc. She was very caring and she did excellent psychotherapy with me.
I have asked my endo twice to put me on the cytomel in combination with the Synthroid. He won't do it. My pdoc called him and asked ... he won't do it. The only good thing is that he does like my TSH to be borderline hyperthyroid. Not that it does any good.
Thanks for your input Barbara. I appreciate it.
Maxi
> Hi Maxine,
> Ooh, my heart goes out to you. Sometimes it's so uncomfortable to be alive and to have a fumbling pdoc you don't have confidence in makes it seem even more bleak. I simply do not understand how some of these folks made it through the rigours of medical school.
>
> About hospitalization, I've been through 2, most recently late January. It was basically a Zen, minimalist experience, a time out of time fueled by plenty of lorazepam. Didn't 'help' me, but gave me a time out to reasses things, and I must admit, a hidden motive was to drive the screws of awareness into my husband's brain that things really have been that bad for me.
>
> If you think you need to be hospitalized, is it so different in Canada as in the US? We merely have to show up at the Emergency Room stating we're suicidal, and they have to admit you. No matter what you're financial status is, each state has money earmarked for this and it's usually better for the patient financially and the level of care than relying on what's allowed by insurance. This was told to me by a pretty open mental health care worker, that hospitals must take you and ER depts are the place to go. The fact that you're admitting you have plans to your current pdoc and he's not taking it seriously is cause for concern. There must be a way to find out for sure that you have this recourse if you need it.
>
> > As for the thyroid situation.
>
> **Thyroid, very very important, mucho important. Mine has been hypo most of my life and since starting Lithium, has bounced all over. I have fibromyalgia and the symptoms are identical to low thryoid. My TSH literally ping-pongs. Long story short, I've tried Armour and the others and the ratio of T3 is far too high for my bipolar anxiety in these natural formulations. What has worked very well is Synthroid with a small about (10mg) of Cytomel. I've had numerous trials of T4 alone and it just didn't work. T3 alone, ick, too much anxiety. But the two have been very stable and the fibro symtpoms are all but gone. My TSH is very low, skimming hyper, which is where I feel best.
>
> I really encourage you to insist on a trial of Cytomel. No matter what your doctor thinks of it, the important thing is what you think of it. Hang in there. - Barbara
poster:Maxime
thread:477221
URL: http://www.dr-bob.org/babble/20050330/msgs/478401.html