Posted by bleauberry on January 10, 2008, at 20:46:38
In reply to Do you ever worry that your pdoc will get fed up, posted by kezia on January 8, 2008, at 15:21:34
I think I've had a couple pdocs who got fed up with me. They didn't seem to like the idea that the patient in front of them studied hundreds of pubmed clinical studies on meds and hundreds of research articles on the intricate mechanisms of drugs and hundreds of first hand reports of actual real world experiences of other people. I think they preferred patients to not know so much. I tended to debate and question and suggest. I don't think they liked that. Of course, I never would have had to debate, question, or suggest anything if they had been real good at what they did. So it didn't matter they were fed up with me. They were not worth paying in the first place.
I did have an awesome pdoc once. He was real old. I was afraid he wanted to give up on me because either I could not tolerate the meds he prescribed or I reacted negatively to them. It didn't phase him at all. He had seen it all for a lifetime. He knew his stuff. He got me on the right meds eventually, but then he retired!
There is a doctor involved with psychiatric problems of mercury toxic folks who knows that most of them will have intolerable or negative reactions to most meds. But he has the experience to know that if he tries 20 meds selected based on his career experience, 2 or 3 of them will end up being good. It's just a matter of not getting frustrated, knowing in advance there will be many failures before an eventual success. That kind of doctor is not likely to get fed up with you.
I think when a doc wants to give up on you there are obvious clues. They don't return your calls. They don't listen real close to what you say at appointments. They discard whatever suggestions you might have. They say there isn't much left. If that happens, it is an unintentional but glaring advertisement that they are in the lower quadrant of their profession's skill.
poster:bleauberry
thread:805127
URL: http://www.dr-bob.org/babble/20080105/msgs/805610.html