Posted by yxibow on January 6, 2007, at 22:50:34
In reply to Re: Patient paid to accept neuroleptic depot injec » laima, posted by Quintal on January 6, 2007, at 22:38:32
> >And I keep mulling over my experience with the prima-donna psychiatrist who genuinely believed that if I felt zyprexa was making me feel bizarre, it was evidence of a developing psychosis and indicated that I needed even MORE. Meanwhile, I noticed she had a zyprexa pen and notepad.
>
> I had that exact experience with a cocky new psychiatry graduate who tried to tell me Zyprexa was a regular antidepressant like Prozac. When I corrected him he asked me how I knew that olanzapine was the generic name despite the fact that it was written in plain view on his desk top jotter and coffee mug. I did eventually take it and he refused to believe that 5mg was making me feel spaced out and drowsy. He also thought Zyprexa would cause no significant impairment in driving performance even if taken in the morning.
>
> I'm believing ever more strongly that they should really think about taking some of these drugs themselves before making comments like that.
>
> QYou will always find "green" (new) psychiatrists lulled by current medical practices but having no patient-hour experience themselves. The questions to ask are how much peer experience does your psychiatrist have? Do they have regular discussions and anonymous journal club meetings with other psychiatrists more experienced than themselves.
There is something to be said for conservatism in psychiatry even if it means that the Lyrica you ask for may not be given quite as soon as you would like because they don't have the patient-hours with that drug.
Example, myself -- I have to take on occasion atropine like agents such as Artane for sialorrhea due to complex adjustments in medication. I insisted that it didn't take effect until a higher dose and my doctor relented and gave me a larger prescription. Bottom line with all my medications I had chill spells. (slight to medium atropine toxicity -- mostly uncomfortableness) Mea culpa, and less was better. Nothing fatal, but my doctor who practices on the fairly conservative side since I will always have some side effect to a new drug, we agreed perhaps it was a bit too much.
But some doctors who aren't as experienced, just pull out the script pad once a month. Blame it on HMO style care.
-- tidings
poster:yxibow
thread:719688
URL: http://www.dr-bob.org/babble/20070101/msgs/720013.html