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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by becksA on January 24, 2007, at 1:36:21
I always do. My last one seemed to disagree with it, in a subtle manner, which I easily picked up on), inferring that it may be unprofessional and not to rely on it too seriously. My pdoc now thinks it is great that I have outside opinions. Even greater, we have wonderful insightful discussions when I bring in things I learn off this. Anybody else?
Posted by shadowplayers721 on January 24, 2007, at 1:53:57
In reply to Telling your pdoc about this board, posted by becksA on January 24, 2007, at 1:36:21
I've told my doctors about these boards. They say they don't have the time to read. That sounds dangerous to me.
Posted by blueberry1 on January 24, 2007, at 4:36:48
In reply to Telling your pdoc about this board, posted by becksA on January 24, 2007, at 1:36:21
My doc thanked me for bringing her so much insightful information over the years. She says she thinks about things we discussed every time she runs into a difficult patient. I never told her though that things I learned and shared with her were things I learned at pbabble.
If you want to know what goes on in the REAL world, psychobabble rocks!
Posted by Quintal on January 24, 2007, at 8:52:45
In reply to Telling your pdoc about this board, posted by becksA on January 24, 2007, at 1:36:21
My first pdoc was interested in tianeptine which I learned about form this board. The next two were tolerant of it but the last (newly graduated) pdoc was very hostile and suspicious of me having any sort of insider knowledge. He went as far as saying I only entered into mental healthcare services to obtain psychoactive drugs and had no real psychiatric problems. He discharged me on this basis and now my GP believes him she's being very condescending toward me - she recorded the Lamictal rash I developed into my notes under 'Personality Disorder' leaving me with no medical treatment and an accusation of malingering/self-harm for the incident.
It's wonderful when you have a pdoc that's willing to communicate openly with you. I had that kind of working relationship with my first pdoc and made good progress, but this last one seems to have done all he can to disparage me for having (it seems) greater awareness than some areas of his profession than himself. I'm not alone in having this experience - others have reported similar problems with pdocs in the UK.
Q
Posted by becksA on January 24, 2007, at 10:31:04
In reply to Re: Telling your pdoc about this board » becksA, posted by Quintal on January 24, 2007, at 8:52:45
I can relate. I spent 9 years living in England and it was extremely hard to find a good pdoc. (The best one we could find was about an hour away from me, and even he was terrible, unwilling to prescribe anything but SSRI's etc). Not sure about the laws there, maybe they face more severe penalty if anything goes wrong. In any case, I AM lucky to find this pdoc, he's great, open to very many things, really cares about me, returns phone calls within a matter of a couple of hours, and loves the idea of me having a 3rd party (pbabble) to talk to.
Posted by Phillipa on January 24, 2007, at 11:10:57
In reply to Re: Telling your pdoc about this board, posted by becksA on January 24, 2007, at 10:31:04
I've brought info from the site to mine she just puts the info in my file. Love Phillipa
Posted by notfred on January 24, 2007, at 13:37:49
In reply to Telling your pdoc about this board, posted by becksA on January 24, 2007, at 1:36:21
I have not brought in or discussed anything from this list but I often discuss studies and papers
I find on the internet, provided they are from well known journals and other peer reviewed stuff.
Posted by yxibow on January 24, 2007, at 19:05:12
In reply to Re: Telling your pdoc about this board, posted by notfred on January 24, 2007, at 13:37:49
I've told my doctor about this board, I think he vaguely has heard of it. He wasn't able to attend the session at APA because of conflicts.
Some of the information that I post comes from this psychopharmacologist's practice because he has seen a wide amount of patients in his years and though I have frustration with my disorder as a whole I have trust in him and his competence having been at [institution X] which is one of the leading places in the country. Similar posts come from others I have encountered in consultation at [institution Y], also a known place.
But I also gather information from medical journals which I have access to.
I consider a number of the postings on here to be "case reports" -- that is, they're interesting, they're probably useful to cogitate about, but everybody has a different body and so just because someone has been helped or hindered by BlockbusterdrugXR, doesn't mean that it will do the same thing for me.
When I get a greater number of people who have the same results to various treatments (e.g., a number of people seem to respond in a depressive manner to Klonopin), I take it with more care -- nonetheless, if it hasn't affected me, all I can say is that so many percent of the population will develop such and such side effect.
I often give more into the board than I take back simply because my disorder is so complicated that it is hard to describe what visual Somatiform NOS is. But I don't mind helping people who may be less informed about their treatment than they should be, as I believe in "informed consent", meaning you at least know that a particular medication could develop a side effect and you consent to take it consistently and with free will.
As for my doctors response to what I read on the board, I don't think there is anything particularly negative other than the usual reminder that if he hasn't heard much about Drug Z, but person X on the board has taken it, he might prescribe it although with reservation and with low dosage, but he is fairly conservative about things simply because of the sheer number of medications I'm on at the same time and problems we've had adjusting all of them.
And frustrated as I am, I must agree somewhat even though just like everyone else on the board, there is this dichotomy of wanting to know when the next antidepressant, anxiolytic, or other medication to come out, and yet also say at the same time that just released and tried Newdrug X has been known to turn your skin green and grow elves out of your head (humour).-- tidings
Jay
Posted by mindevolution on January 25, 2007, at 1:22:03
In reply to Re: Telling your pdoc about this board » becksA, posted by Quintal on January 24, 2007, at 8:52:45
> My first pdoc was interested in tianeptine which I learned about form this board. The next two were tolerant of it but the last (newly graduated) pdoc was very hostile and suspicious of me having any sort of insider knowledge. He went as far as saying I only entered into mental healthcare services to obtain psychoactive drugs and had no real psychiatric problems. He discharged me on this basis and now my GP believes him she's being very condescending toward me - she recorded the Lamictal rash I developed into my notes under 'Personality Disorder' leaving me with no medical treatment and an accusation of malingering/self-harm for the incident.
lol, personality disorder, ha! you non conformist. maybe there's a lesson in there about young docs in general?
Posted by sdb on January 25, 2007, at 20:07:25
In reply to Telling your pdoc about this board, posted by becksA on January 24, 2007, at 1:36:21
> My pdoc now thinks it is great that I have outside opinions.
I like the idea of a self-help group and pbabble seems to be something like that. In psychiatry it can probably work better compared with other medical disciplines. If pbabble really helps is difficult to say because of how to measure that.
Twenty independent opinions in the cyberspace can be better than a second professional opinion in the cyberspace. You could consider pbabble as a form of meta-analysis. Of course there's concern of misinformation but in other real not cyberspace self-help groups this can happen too. I am more concerned about doctors give advice in the internet in other disciplines than psychiatry because of responsibility, precision, measurements and much more. An advice is more personal thus is not simple information/education.
sdb
This is the end of the thread.
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