Posted by rvanson on March 31, 2007, at 1:15:14
In reply to and the verdict is..., posted by wishingstar on March 30, 2007, at 11:43:29
> Well, I saw my doctor. He was running 45 min late this morning... lovely. He asked what I thought would be good and I mentioned the MAOIs and parnate in particular, as you all suggested. He seemed somewhat okay with this idea but said he doesnt generally use them or know a lot about them.. but that he could learn as we went. Eh. He does use emsam but the cost makes that impossible for me. I explained that I wasnt sure another SSRI was the answer though as I've been on so many and never had any effect.
>
> So I walked out of my appointment with... drumroll... paxil. Another SSRI. I told him I wasnt sure it was the best choice but he was sold on it I guess. I'm taking 5mg for a week (I tend to have strong side effects so he wants me to start slowly), 10mg for 2 weeks, 15mg for a week, then holding at 20mg. My next appointment isnt until May 15.. thats the earlier I could get in.
>
> I'm thinking about finding a new pdoc. He asked if I'd be okay for 6 weeks and I said probably not, and I think I'll end up back inpatient within the next few months again.. but no response to that really. I know pills take so long to work and he cant speed that up, but I dont know. In the past I've been without meds for weeks when I started a new one, couldnt tolerate it, and couldnt get in any earlier to see the dr again. The office manager told me today to call the office because they always have someone on call or available for those situations.. but I've called 500 times before, explained my problem, and basically been told "sorry, nothing we can do". I was in inpatient a month ago, was released on no meds, and spend the entire last month on nothing because I couldnt get in before today, when a med could have at least been building up in my body is nothing else. It makes me so mad.
>
> Any thoughts?<<Yes I do. Pack up your bags and find a new Pdoc.
I will sum it up here, and it might seem a bit cruel, but I have dealt with these Pdocs for 27 years, and been left hanging in the lurch by them a couple of times over the years.
One of these docs went straight to work for one of the gaint pharmacuetical companies and left all his patients with a brief "good-bye" letter.
Thanks doc! We love ya !!
Anywho, here is my take on your issue with Mr. Pdoc:
Reason# 1 : You are doing all his work for him.
Reason# 2: He is taking the easy path with you.
Reason# 3: He is still using monotherapy?
Reason# 4: He is making you wait 6 weeks is-
way too long, for a start-up med.
Reason# 5: Problems & "No-Can-Do"? Bye-bye, doc!
Reason# 6: No back-up Pdoc? Bye-bye, doc !
Reason# 7: No MAOI experience, or even try? Bye!Reason# 8: The most important of all is that I believe that he lied to you about using MAOI's.
If he had ever used them in the past, he would not be so hesitant to Rx them now; therfore what he told you was a lie. (my own experiences)
Seriously, run, don't walk into the office of someone who cares, because this man obviously doesn't.
poster:rvanson
thread:745238
URL: http://www.dr-bob.org/babble/20070327/msgs/745677.html