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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Tom Twilight on May 27, 2006, at 15:41:44
Hi everyone
Whats the best source for the top docs in the US?
I live in the UK, but I'm so fed up with the UK system that I think I'm going to travel to the US for treatment.
I've been thinking about this for a long time, but I've finally been forced to make a desision!
Posted by linkadge on May 27, 2006, at 19:02:40
In reply to List of top Pdocs in US-Canada?, posted by Tom Twilight on May 27, 2006, at 15:41:44
You here in Canada too? Yeah, the situation is really lousy. 3 minaute appointments once every 6 months for me is insufficiant. What can I do?
Linkadge
Posted by Tom Twilight on May 28, 2006, at 6:48:09
In reply to Re: List of top Pdocs in US-Canada? » Tom Twilight, posted by linkadge on May 27, 2006, at 19:02:40
> You here in Canada too? Yeah, the situation is really lousy. 3 minaute appointments once every 6 months for me is insufficiant. What can I do?
>
> LinkadgeNo
I live in the UK
If you think the situation is Cannada is bad you should try the UK!
Psych medicine is still in the dark ages here.....
Don't know why the system is so opaque here.Maybe people would start to get ideas as to how they should be treated.
Posted by Meri-Tuuli on May 28, 2006, at 8:56:48
In reply to Re: List of top Pdocs in US-Canada?-Linkadge, posted by Tom Twilight on May 28, 2006, at 6:48:09
Hi Tom!
Yeah, I've been thinking about going over to North America to get treated too. Its top of my list if I ever win the lottery!!!! LOL!!
I'm kicking myself for not getting an appointment or something when my bpyfriend was living and working in Boston and I went over once or twice a year. Oh well.
Speaking of which, I'd recommend going to Boston to see a pdoc purely because Boston has a European feel about it, and its very easy to get around with public transport and its not too big. New York freaked me out abit. Even the airport is well connected to the (cheap) subway system. And I bet there must be alot of pdocs around with Harvard, MIT, etc being located there. Also, I'm guessing the East coast is better, simply because the flights are alot cheaper than going to anywhere else.
> Psych medicine is still in the dark ages here.....
Yeah it definately is. I honestly can't believe how little pdocs here know about medications, and how stigmatised stimulants and benzos are. And they don't seem to be aware that you can actually combine the drugs too. Sometimes I wish I could print out some of the regimens that some babblers are on, and see what they say about them. I bet their eyes would pop out!! My pdoc is under the impression that reboxetine has been discontinued - well, its in the March edition of the BNF...
That said, I saw my pdoc on Thursday, and we talked for 35mins. And it was free!! And I honestly felt that he cared about me, and was a decent person.
Well anyway -- I wonder why the NHS is so in the dark ages re: psychiatry. I suppose its all to do with funding and the general set up of the system. I mean, if you're a pdoc here, its not as if your patients are going to go to another pdoc because you're not treating them well enough (in terms of medication etc). And because you're employed by the state, its not as if you depend upon patients for your income. So you don't need to bother that much about keeping up with the latest developments of medications etc or be that good. I'm begining to think that private healthcare is a good thing! That or performance related pay. Yeah, that woould be good.....
Kind regardsMeri
Posted by alohashirt on May 28, 2006, at 21:14:19
In reply to List of top Pdocs in US-Canada?, posted by Tom Twilight on May 27, 2006, at 15:41:44
> Hi everyone
>
> Whats the best source for the top docs in the US?It depends on what you mean by top doc.
Which of the following are important to?
1) upto date on current resesearch, medication choices
2) sympathetic, warm, flatters you
3) open to patient input
4) specialist in your presenting issue
5) popular with patients on the social registerMy disorder is ADHD combined type. I am looking for factors 1 and 4. I wouldn't trade away either for sympathy or openness.
Given these factors, my choices would include the following list:
Len Adler NYU Adult ADHD Clinic
http://www.med.nyu.edu/psych/psychiatrist/adhd.html
Ned Hallowell Boston ADHD Clinic
http://www.adhdboston.com/
Jeffrey Newcorn Mt Sinai Hospital, New York
Daniel Amen, Amen Clinic
Margaret D. Weiss, Vancouver CA
Dr. Scott Kollins, Duke University
Posted by pseudoname on May 29, 2006, at 9:44:03
In reply to List of top Pdocs in US-Canada?, posted by Tom Twilight on May 27, 2006, at 15:41:44
I think Aloha has it right: there are several domains. My own current pdoc would never be on any national list, but I love her because she's been so willing to try any unusual med I've suggested (with documentation, of course). That's what I want.
Psychology Today has a pdoc-rating site, but it was just patient input. It didn't have enough data, IMO.
My experience with one leading university-based depression center (not a student clinic) was not good: I got stuck with a green recruit, not the brain-scanning mad scientists I wanted to be treated by.
Speaking of Boston, McLean Hospital's been on the cutting edge of lots of research.
I recently read that psych patients just starting out should get at least two different consults, no matter how well-recommended the referred doc may be. So if you do come, it might be worth it to get at least 2 evaluations while you're here, if you can afford it.
Does Ivan Goldberg practice? Anybody know?
Posted by Tom Twilight on May 29, 2006, at 11:04:23
In reply to Re: List of top Pdocs in US-Canada?, posted by alohashirt on May 28, 2006, at 21:14:19
Hey everyone
Thanks for your responses
> Which of the following are important to?
> 1) upto date on current resesearch, medication choices
> 2) sympathetic, warm, flatters you
> 3) open to patient input
> 4) specialist in your presenting issue
> 5) popular with patients on the social registerEr all of them!
Seriously, it would be nice to have a doc who just took my suggestions serioulsy and was sympathetic
I'd apreciate not being rushed out of the office when the hour appointment was over because the doc was running late.
Thats what my last UK Pdoc was like!The reason I was asking for top Pdocs was just because theres a lot of feedback about them, so at least I'd have a rough idea of whether I was getting someone good or not
This is the end of the thread.
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