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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 5 to 29 of 29. Go back in thread:
Posted by willyee on March 2, 2006, at 14:12:27
In reply to Re: Worst visit ever.........., posted by alohashirt on March 2, 2006, at 0:23:32
Unfortunatly im living in VABEACH and im close to house bound now,immense fear feels like it rpelaced all my blood i already made a call to a new doctor i just dont know what to do at this point my meds are just not working i dont know if i should up my parnate or up my klonopin but i have to do something.
Posted by Maxime on March 2, 2006, at 15:13:47
In reply to Worst visit ever.........., posted by willyee on March 1, 2006, at 23:37:22
I swear, lexapro is the drug of the month!
Hope you stay on the parnate.Maxime
Posted by Maxime on March 2, 2006, at 15:16:24
In reply to Re: Worst visit ever.........., posted by willyee on March 2, 2006, at 14:12:27
Don't take this the wrong way, but it's comforting to know that Parnate pooped out on someone else (again, I am sorry about that). When I finally got Parnate, I thought I would be able to stay on it forever. I've never heard of it pooping out on anyone before.
Hang in there.
Maxime
> Unfortunatly im living in VABEACH and im close to house bound now,immense fear feels like it rpelaced all my blood i already made a call to a new doctor i just dont know what to do at this point my meds are just not working i dont know if i should up my parnate or up my klonopin but i have to do something.
Posted by TylerJ on March 2, 2006, at 15:28:59
In reply to Re: Worst visit ever.........., posted by willyee on March 2, 2006, at 14:12:27
Yea, you definitely need a new pdoc Willyee. She sounds like a real Bitc* ! It's like she's trying to punish you or something..i don't get that b.s. at all. You're not a candidate for Emsam? What the hell's up with that? I say get a new doc who is MAOI oriented and get on the "Patch" asap. Don't mean to be negative but Lexapro? I wouldn't do it. I tried it about 5 yrs. ago and it didn't work for ME at all. Take care Willyee, things will get better...hopefully soon!
Tyler
Posted by forgetful mary on March 2, 2006, at 16:32:48
In reply to Re: Worst visit ever.......... » willyee, posted by TylerJ on March 2, 2006, at 15:28:59
Get thee to a new Pdoc.....It's bad enough to deal with depression , never mind an intolerant, egotistical pdoc who knows less than their patients!!!....Get a load of this pdoc in the news today:
"Santa Ana - A renowned psychiatrist lost up to $3m over 10 years to a Nigerian internet scam, his son alleges in a lawsuit.
Dr Louis A Gottschalk, an 89-year-old neuroscientist who works at the University of California, Irvine medical plaza that bears his name, acknowledged losing $900 000 to "some bad investments," according to court papers.
Guy Gottschalk filed a lawsuit last month asking a judge to remove his father as administrator of the family's $8m partnership. He alleges his father destroyed bank records to cover up his losses. "and I ask you,
Who is running the asylum???
(Nothing personal Dr Bob!!!)
Posted by willyee on March 2, 2006, at 17:02:54
In reply to Re: Worst visit ever.........., posted by forgetful mary on March 2, 2006, at 16:32:48
Thanks for the messages,im trying to make my mom understand this,im glad she started going with me to visits so she knew i was being honest at how horrid the sessions are,i mean she cuts me off,she dominants the conversation,shes always late,and she gets me so nervous i forget what to say.
Her words were she said if i coninued to fail on parnate before she left she was taking me off cause she said no other doc would presccribe it,also she said she personaly wanted me on lexapro.
Im unstable now and going two weeks off parnate will kill the little lifei hae left,i hope this new doc im seeing listens.
Im also shocked cause she knew nothing of the patch,I TOLD HER about,on and on for months,and she anchwledged my desire for it,then she read on it,prob a paragraph and told me TWICE no and its not even out yet.She also said maois are not gonna be used a lot reffering to the patch,meanwhile the whole idea of the patch is to make it a mainstream drug.
Im really scrwed now not sure what to expect .
Posted by tessellated on March 2, 2006, at 17:57:12
In reply to Re: Worst visit ever.........., posted by willyee on March 2, 2006, at 17:02:54
W,
THERE IS LIFE AFTER PARNATE.
-crap i use to snort that stuff, gives you red boogas, eaccchkkk.nevertheless I love bitching about psychiatry so freak her.
you need to move on regardless, and she's prob not the one to ask for referrals, as she's just going to turn into a flippin answering service. i cannot stand that aspect. i think they do this particularly if they deal w/addiction. its the most passive pavlovian way they assert themselves.
i just signed up with a new pdoc based almost entirely upon his voice mail system....
ps: don't take the red boogies as medical advice in fact i strongly recommend against it.
Posted by linkadge on March 2, 2006, at 19:03:06
In reply to Re: Worst visit ever.........., posted by willyee on March 2, 2006, at 17:02:32
Thats absolute B.S. that a doctor would not prescribe it. Doctors are hesitant to start parnate in sombody who's never taken it before, but for somebody like you, who has taken it so long, and knows the diet etc. most doctors would not have a problem continuing with what has been working for you.
Linkadge
Posted by Phillipa on March 2, 2006, at 20:26:51
In reply to Re: Worst visit ever.......... » willyee, posted by linkadge on March 2, 2006, at 19:03:06
Willyee I know one pdoc that still has one patient on an MAOI in Greenville NC. Fondly, Phillipa E-mail me I'll give your her name.Old too but good.
Posted by linkadge on March 3, 2006, at 9:36:50
In reply to Re: Worst visit ever.........., posted by Phillipa on March 2, 2006, at 20:26:51
MAOI prescrption varies from doctor to doctor. Some believe in them and will try them very quickly.
The doctor who prescribed parnate to me, did so on the first visit.
Linkadge
Posted by TylerJ on March 3, 2006, at 10:03:48
In reply to Re: Worst visit ever.........., posted by tessellated on March 2, 2006, at 17:57:12
> W,
> THERE IS LIFE AFTER PARNATE.
> -crap i use to snort that stuff, gives you red boogas, eaccchkkk.
>
> nevertheless I love bitching about psychiatry so freak her.
>
> you need to move on regardless, and she's prob not the one to ask for referrals, as she's just going to turn into a flippin answering service. i cannot stand that aspect. i think they do this particularly if they deal w/addiction. its the most passive pavlovian way they assert themselves.
>
> i just signed up with a new pdoc based almost entirely upon his voice mail system....
>
> ps: don't take the red boogies as medical advice in fact i strongly recommend against it.You really snorted Parnate? LOL
How did it make you feel. Excuse me, but I have a sudden urge to blow my nose! Take care.Tyler :)
Posted by Racer on March 3, 2006, at 12:52:18
In reply to Re: Worst visit ever.........., posted by willyee on March 2, 2006, at 17:02:32
>
> Her words were she said if i coninued to fail on parnate before she left she was taking me off cause she said no other doc would presccribe it,also she said she personaly wanted me on lexapro.
>I agree with what others have said, and what you already know: this is not the pdoc for you.
>
>
>
> Im also shocked cause she knew nothing of the patch,I TOLD HER about,on and on for months,and she anchwledged my desire for it,then she read on it,prob a paragraph and told me TWICE no and its not even out yet.
>(Disclaimer: please read this next part with an open mind. It's not meant as criticism, just as an alternate view of the interactions.)
You say that you're the one who told her about the patch, and that you told her about it "on and on for months," and that you were explaining it to her. Do you think that she might have been reacting to that? A lot of doctors do, in a knee jerk sort of a way, "I'm the one who went to Med School here -- stop trying to tell me how to do my job."
In one sense, they're right. They've been through med school, and passed enough tests to prove that they've learned something -- and the important thing that sets that apart is that they have the structure and context for the information we can read on the net. We may be more informed than many people out there, but for most of us it's not in a complete matrix of information. It's rather isolated bits, hanging around out of context. (And even if it's not, the doctors rarely know that. I've got friends with doctorates in sciences who get the same treatment from doctors.)
I guess what I'm trying to get across is that you may have inadvertantly triggered some of her own ego issues, by "telling" her about things, rather than asking. That's happened to me, and it's not fun. Doctors will get into power struggles with patients, and while it's supposed to be their responsibility to avoid it, sometimes it ends up being up to us to get out of it. What I've done that has worked well for me is to say something more like, "I've read about this new drug, it's this sort of medication, and I wondered if you thought, since I'd responded well to a similar sort of med, that it might be helpful for me?" That's worked a whole lot better than the alternative...
Hope that helps, and good luck with your new pdoc, whoever it is.
Posted by Chairman_MAO on March 3, 2006, at 13:47:08
In reply to Re: Worst visit ever.........., posted by willyee on March 2, 2006, at 14:12:27
I feel for you. I really do. What you described is a travesty and I really do not know what to say except that I am in a similar situation myself.
The maximum safe dosage of tranylcypromine is actually _180-200mg/day_. Most psychiatrists are utterly incompetent and have less knowledge of pharmacology than a first-year pharmacy student, it seems.
I have a feeling you are looking for something that no dose of parnate is going to provide. The good effect will last longer at 200mg/day, but you will eventually crash at some point. Please try Nardil 1mg/kg if at all you can. Forget the side effects right now. I have learned that the hard way.
Posted by forgetful mary on March 3, 2006, at 17:35:14
In reply to Re: Worst visit ever.......... » willyee, posted by Chairman_MAO on March 3, 2006, at 13:47:08
There are a lot of BAD Pdocs out there, sad but true One has to keep looking til they find a good one. The best one I ever had admitted that it was a crap shoot as to which med would work or not. Most won't admit that they know less than anyone as to how you will react to it. And I think oftentimes those suffering DO know more than the supposed experts. Who is more expert?, one who has to live and deal with the illness and thus has more at stake or one who merely cares for those suffering. Keep looking and don't let the turkeys get you down. I'm reminded of the pdoc years ago who was treating a student , she was a Harvard Doc and became her male patient's "surrogate mother" through therapy. Talk about a Loony Tune!! She was sued by his family after he committed suicide and they got millions. BUT she was allowed to continue practicing as a therapist although not as a Pdoc. Scary that docs like her are out there!!! Trust your own instincts about this doc and CAN HER !!!
Posted by tessellated on March 3, 2006, at 17:51:27
In reply to Re: Worst visit ever.......... » willyee, posted by Chairman_MAO on March 3, 2006, at 13:47:08
i'm not one for conservative approaches, but i can mention that i had one of the more unfortunate, though totally fascinating, and expensive side effects from high dose (self prescribed) parnate: PSYCHOSIS. I believe that at high doses over 100mg, it does begin to function quite like amphetamines, triggering the dopamine receptors quite heavily and causing a supersensitivity. i think they can begin almost to self stimulate creating a dream/awake stake.
i don't know if the psychotic break was from stopping parnate, or upping it. this is common with ampetamines (and used to induce models of schizo in rats in order to develop antiPsychotics). Aside from being locked up and force administered seroquel, i would not persononally take that road again.
psychosis is not like simply hallucinating off a typtamine, fungi, or cacti, etc...it's like being those dudes in the middle of traffic talking to invisible people, tweakers as they say.
i have no idea what dose i was up to, no how long i went without sleep, though i would expect around 150mg/day. now we all have dif physiology, but there is a rule: you have to pay to play.
with this med as with others it does require respect, as it is a valuable agent. i myself would not want the task to oversee someone at the 150mg level unless they were in patient-
think about the worries, the possibilities, the random unknowns...ideally meds are a stop gap. get you to the next pay check. etc. to look at them as being necessary for years should not be a default decision rather only pure serious desperation.
The mind is a truly wonderous and resilliant organ with amazing self healing capacity if given the chance.
Give it that.
> I feel for you. I really do. What you described is a travesty and I really do not know what to say except that I am in a similar situation myself.
>
> The maximum safe dosage of tranylcypromine is actually _180-200mg/day_. Most psychiatrists are utterly incompetent and have less knowledge of pharmacology than a first-year pharmacy student, it seems.
>
> I have a feeling you are looking for something that no dose of parnate is going to provide. The good effect will last longer at 200mg/day, but you will eventually crash at some point. Please try Nardil 1mg/kg if at all you can. Forget the side effects right now. I have learned that the hard way.
Posted by tessellated on March 3, 2006, at 18:11:40
In reply to Re: Worst visit ever.......... » tessellated, posted by TylerJ on March 3, 2006, at 10:03:48
p.s: taking p up the nose is similar to snorting fruit punch koolaid. you cry, drip, RALPHHH...
never tried smoking it, nor as a suppository.
think its been proven pointless, though snorting deprenyl seemed curious. I suppose these approaches could work like a do it yourself emsam right? Avoid the stomach tyramine-and surrender your nose or *ss to science.
oh how about crunchin up what ever maoi and then sticking it it into a gummy worm, then using a cheese shredder nick off some skin, lick the worm, and stick it on the wound? repeat as necessary. the maoi leech system...
kidding peeps-hope i dont get banned...
this is all in the quest of being stupid.though i could come up with these all day.
Posted by greywolf on March 3, 2006, at 19:28:31
In reply to Re: Worst visit ever..high dose parnate, posted by tessellated on March 3, 2006, at 17:51:27
This will sound trite, but your doc probably just did you a favor. It takes time to even get in to consult with a new psydoc, and the way she treated you has given you motivation to get moving on the issue immediately. With any luck, you'll be ready to roll with a new and, hopefully, more understanding doc before she even leaves town.
Good luck.
Posted by cecilia on March 4, 2006, at 2:15:26
In reply to Re: Worst visit ever.......... » willyee, posted by Racer on March 3, 2006, at 12:52:18
You're right, the biggest part of dealing with doctors is making them think things are their idea. Nurses quickly learn to play the same game with doctors to get what they need for their patients. I just don't get why they have such huge egos, from reading Psycho-Babble, it's pretty obvious that for pdocs at least their success rate isn't that hot. ( And surgeons, of course are even worse.) Cecilia
Posted by willyee on March 4, 2006, at 6:43:27
In reply to Re: Worst visit ever..high dose parnate, posted by greywolf on March 3, 2006, at 19:28:31
You couldent more correct there,i remeber saying to her well my friend has seen your co-worker ann xxx and i actualy had a conversation with her outside for 30 min concerning the un conventional methods i use maois etc,and she did not seem shocked or anything,im sure on ur notes shed be more than willing to keep me where i am?
Should i even though still am seeing u get the ball rolling and make an appt to discuss things with her?
My doc then says....."no just hang on till im leaving" wt....... is she crazy,this isnt a game,i dont have weeks in fact depening on ones condition a day can be the differecne of endng up in a ward,which i dont wanna do.
So i of course made an appt with another doc,i just hope hes willing to work with me phillpa u ever seen dr shetty i remeber we spoke of him.
Posted by willyee on March 4, 2006, at 8:22:11
In reply to Re: Worst visit ever..high dose parnate, posted by tessellated on March 3, 2006, at 17:51:27
I agree,chairman might be an exception as others,but for the most part i did not like going above a 100,i do like however havign the option of going up and near 100,which would range from 8- to 100 mg max but never at a single dose,the most i dose at a single dose is 40 mg.
Posted by Phillipa on March 4, 2006, at 17:47:52
In reply to Re: Worst visit ever..high dose parnate, posted by willyee on March 4, 2006, at 8:22:11
Willyee I don't recall a Dr. Shetty. I remember Dr. Wallace now he is old and might still be praticing and be familiar with the MAOI's. Then Dominion Psych had a large practice and still exists off Laskin Rd. And King-Jones and your old friend. But that's all I remember Sheety doesn't ring a bell. Maybe look up the names and E-mail them to me. sorry willyee
Posted by Enigma on March 21, 2006, at 8:49:55
In reply to Re: Worst visit ever..........Racer, posted by cecilia on March 4, 2006, at 2:15:26
OMG, I saw this post and just HAD to respond.
Besides some other software engineers I've met (I'm one too, unfortunately), doctors have some of the biggest ego's around.
They care more about their ego, and being self-righteous than actually solving their patients problems. Personally, I'd rather be treated by a nurse, ANY DAY. And HELL YES, their success rates are so god damn low, you gotta wonder how they can justify their amazing egos.
One thing I really wish is that depression patients could go take some tests, and certify themselves with the ability to prescribe for THEMSELVES. It's ridiculous how much more I know about meds than my so-called (ego-maniacal) doctors. I've been to about 10 differnt p-docs too. Could my luck really be that bad? I have horror-stories from *most* of them.
I even had one doc refuse to treat me, because, without saying it in so many words, HE DIDN'T KNOW HOW. Can you believe that?? He didn't want to deal with a treament resistant patient (NOT MY FAULT), and just pushed me off to another office, that's even worse that he was.All the docs I've seen do 0 research, don't listen to their patients, only work a few days a week, and yet get paid silly amounts of money, are demand ungodly undeserved respect, if not worship!!
Honestly, I almost PUNCHED my PCP in the face, twice. He cut me off numerous times when I was explaining my symptoms (when I was miserably ill mind you), then speaks to me as if I was a child, actually, a 'retarded' child. I'd give ya his direct quotes, but it's too painful to write down! I'll never see that jerk again. I still am going to call and complain about him. His ego is larger than Hitler's and his success rate is pretty much < 10% to boot.
Bah.. now I'm upset again. :( Just thinking about the medical field makes me furious. I wish I had the time and money to go back to school, become a doc, and show these idiots how it's supposed to be done!!!
Posted by deniseuk on March 22, 2006, at 8:37:06
In reply to Re: Worst visit ever..........Racer, posted by Enigma on March 21, 2006, at 8:49:55
I've got one more experience to add. When my depression started again about five years ago, I went to see my GP who is a so called expert in psychiatry.
I told him that my antidepressants had once worked very well and very quickly, he questioned me about this suggesting that it might have been a placebo effect then went on to say (and I quote), "you're like this everytime you come to see me"!!! In Gods name did he think I went to see him just to pay a social visit???
I've never been to see him since but it frightens me the attitude some Psychiatrists and GPs have and they practically hold your life in their hands when you're feeling vulnerable and lacking in hope yourself.
Denise
Posted by deniseuk on March 22, 2006, at 8:46:19
In reply to Re: Worst visit ever..........Racer, posted by deniseuk on March 22, 2006, at 8:37:06
It's very true, with some Psychiatrists you have to really try and pander to their ego.
Everything I have ever suggested to my current psychiatrist, he sort of shakes his head and negative about it immediately. I can never understand him very well because his English is not very clear and I'm often suggesting things to him that he's never heard of.
When I do suggest things to him that our outside his sphere of experience he just shakes his said and says either it's not contradicted or it's still in trials. He never goes out of his way to find out about new research or new treatments and I sometimes think I know more than him out of need really. His need is not so great as mine.
Like this guy said to me, he wishes you could put doctors and psychiatrists in some kind of depression stimulator then they'd know what it feels like, the sense of desperation you feel and the sense of urgency.
Another (good) psychiatrist said to me that people only start running around doing things if you're laid in bed and not drinking and eating but if you suffer from chronic TRD but still able to function nobody really gives a damn.
Denise
Posted by CEK on March 26, 2006, at 21:49:23
In reply to Re: Worst visit ever..........Racer, posted by deniseuk on March 22, 2006, at 8:46:19
Just wanted to mention that even if you are laid up because of your condition they still don't give a crap. If their money is not effected, they don't care. I don't think some of these doctors are in it because they want to help people. It's all about the money. They don't care about anyone but their selves. And Enigma is right. I have to say that I've had the same experience with the psychiatrist that I saw for the first time last week, he kept cutting me off!!! This man knew nothing about me and my condition yet he thought he could cut me off and in 20min prescribe me drugs that could have powerful effects on my life! He didn't want to know about me condition only what I've taken and how it worked. I couldn't even tell him everything. It's always like you're under the clock, hurry, hurry, hurry. It's hard to talk to someone that treats you like you are stupid and don't matter to them. I feel very intimidated by doctors that act like they think they are God. They give you the medicine, give you no information about it and send you on. If we don't do research on what we take we would know nothing about any of it! Psychiatrists should be made to read websites like this to improve their so called bedside mannor. I think they forget that they are being paid to help people, not to be an ahole. We get enough of that for free.
This is the end of the thread.
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