Posted by yxibow on September 14, 2008, at 23:24:30
In reply to shall i ask for seroquel back and lithium *NEW*, posted by Jeroen on September 14, 2008, at 16:08:13
> shall i ask for seroquel back for psychosis
> and lithium *NEW*
Lithium would be for treating BP better usually, although it also addresses suicidality, and requires lithium level monitoring -- its not an easy thing to jump into.
I am still puzzled by this merrygoround of 3-6 antipsychotics in the space of a month or so. That's not the acting length in psychotropic time. The idea is to make the least changes, and that the last change is the likely culprit, in general, in medicine, although that is not an absolute.
I also concur with the other poster about just what exactly is the EXACT diagnosis -- it just doesn't seem possible that western educated doctors would jump from DSM-IV diagnoses left and right weekly.
I'm also puzzled how there is internet access in a hospital.Here in the US, if you enter a hospital, first of all there are signs not to engage or to turn off cellphones, once you enter the protected corridors.
They can interfere with hospital monitors and internal communications. Besides deep underground in some hospitals they wouldn't get a signal anyway.
Which brings me to another puzzlement, as to how there is internet access inside a psychiatric ward, unless by my personal experience there is supervised visits down to arts and crafts or exercise rooms to break the monotony and help the patient feel better.
That's the only place I would imagine a hospital possibly having an internet terminal. I can't see WiFi or plugin jacks inside a hospital bedroom. There is enough spending on just the hospital maintenance itself, if you look inside US hospitals.
Now maybe your hospital is up to a better standard, or you are in an affiliated outlying supervised clinic.
Don't take this as an ad-hominem attack but it just is puzzling to me. If so, you should give yourself credit for the will to express yourself on here and the benefit you get from socializing online since you may or may not feel comfortable with other patients, although I think real-time socialization at the time of something that can be deeply depressing is very valuable.
If you want Seroquel back, then be so. But you have to give it a 30-60 day trial, and be discharged at some point during that time to your family or some supervised care. 60 days inside a hospital would rack up something like $300,000 in this country. And once you make that decision, I plead to you to try not to quit it on day 4 and ask for one of the sulpirides again. It will have no value.That will be the "neurotransmitter guessing game X factor" just as much as discovering what is the best diagnosis.
I don't like the principle of Occam's Razor personally applied to me, but that is another story, a personal partial disagreement with my own doctor, but it means that there are not necessarily tons of diagnoses but one disorder that causes multiple symptoms and is a key part of science and medicine.
-- best wishes
-- Jay
poster:yxibow
thread:851989
URL: http://www.dr-bob.org/babble/20080903/msgs/852068.html