Posted by willyee on September 28, 2006, at 6:31:47
In reply to Re: Leaving out something » willyee, posted by JOP on September 27, 2006, at 13:03:37
> > I think one thing we leave out here is a major factor,thats actualy obtaining any recomandation a few might through at you.
> >
> > Me for example,one user here is having good results using the emsam patch at a fair dose,and substiting or balancing the rest with the deprenyl drops.I actualy thought of this myself.
> >
> > Lets say i choose to go ahead and do this,i need to firtst make an appt,wait for that,speak to my doc,propse the patch,HOPE the doc feels its ok,then more than likly will be told to taper off and will not recieve the patch until at LEAST next visit.
> >
> > Now in my case id have to recieve the deprenyl on my own,but in any other cocktail case youd be approaching the doc about two new drugs,docs for some reason love to,when they do give in,do so partialy,like you want x and y,they give you x and tell you well speak about y later on,meanwhile that was your plan to use both x and y,without it,you cant do what you had hoped to do.
> >
> >
> > The time lentgh in all this is absurd,if your were hanging off a thread,its unlikly youd have the strentgh and patieance to wait this out.
> >
> >
> > Most people are usualy able to do this by stock piling old meds.Not that im advocating that,but i think it is a very very long process when your on a ineffective drug to switch,least for me it is.
>
> I totally know what you are saying on this one! There are ways around this however. For example in the city where I live there are two large university medical centers that have excellent psych departments. One in particular is known to be very aggressive in the practice of psychopharmacology and more often than not upon first visit you can leave with a cocktail of medications as long as you see the right doctor (once again a case of not what you know, but who you know). I generally have found that doctors who are aggressive with medications are excellent listeners and will listen to my thoughts on a reasonable treatment plan. In fact one time a new doctor I was consulting looked at me and said, “you’ve been depressed longer than I’ve been practicing medicine so I guess you know better than me what works and what doesn’t for you.”
>
> I realize that many doctors like to take the low and slow approach and I can respect that in cases that are not refractory. However, there are those of us where the standard method of treatment can be as aggravating as the illness itself. Certainly, all of these medications should be treated with respect, but as I like to tell my doctor, “if the odds of it killing me are only slightly higher than the odds that it just might possibly help, then I think it’s worth trying.” Sounds very illogical I know, but when there’s nowhere else to go, you gotta start taking some risks and the “good” doctors will totally respect this attitude.
>
> Good luck!
>
>I think you are very lucky to find the one you have,im envious in a good way of course,unfortunatly my sessions seem to go so quick and if i try to be aggressive it usualy turns into a power struggle i will loose,so i learned for me most of the time being or acting like im in the presence of royality and being humble seems to get them to listen at least a lil more.
Trust me i have tried the agressive approach,and for me,and again this is my scenerios,it seems to anger the docs and they seem reluctant and kinda almost blame me for "reading" too much.
I remember one docter said,"well thats your problem,you read to much into this stuff,thats your anxiety doing it" lol i ask or would have liked to,well who wouldent want to learn about something that is causing them such misery.
I dont believe we have any major facilities close by other than the main hospitals which are filled with 19 old interns who patronize you.
I however will keep on searching,thanks,i agree with you totaly.
poster:willyee
thread:689469
URL: http://www.dr-bob.org/babble/20060927/msgs/689822.html