Psycho-Babble Medication Thread 892411

Shown: posts 1 to 9 of 9. This is the beginning of the thread.

 

PDoc broke up with me today

Posted by garnet71 on April 23, 2009, at 19:31:36

The way this worked out was great, though I will miss my PDoc and PDocRN...

In the waiting room there was a woman with a Wyeth bag-so I started talking to her and asked what drug she was pushing...she said Pristiq, so I was asking her questions about it while waiting for my doc. On PDocs way out to get me, I heard him talking to her in the hallway and he said to quit bringing the Pristiq cause he had a stockpile of it.

So I hadn't talked to PDoc in 2 months, told him about the Ritalin, Wellbutrin, then the last one-Adderall. I told him about the bronchial spasms that led me to a physician to get Albuteral and almost landed in the ER, and that I had quit taking Adderall and asked him for Dextroamphetimine. He said "that's even worse" and instead suggested Pristiq..lol (I don't know if this was a coincidence or not).

I said isn't Pristiq the same as Effexor? He smiled and shook his head. I asked him - please tell me what is going on with me-why I don't have any motivation, concentration on important things etc., but am not depressed. I asked him if long-term use of SSRIs could have caused this...He said there was no way of knowing and that everything would always be trial and error...So I told him why I thought Dextroamphetamine might work out better and he didn't know anything about that, but agreed to let me try it. I said if I get adverse affects, I can just quit taking it. And I mentioned I was thinking about Provigil...and how I still liked the buspirone but was worried it wouldn't hold it for anxiety w/more stressors...And he was looking through all the pages of my med history.

He then said to me he'd prescribe the Dextroamphetimine, Buspar, and the Xanax but this is the last time he could see me. He said I was managing my own pharmacology, and said I'm going to send you to a buddy of mine-a psychopharmacologist who is up on the latest research and off-label/experimental treatments, etc. He told me his malpractice insurance isn't sufficient for these types of treatments. I was so thankful he was honest with me because the malpractice insurance thing explaines a lot. It might even explains why the last PDoc (empty office/waiting room PDoc) wouldn't give me anything but xxRIs.....So I asked him about the malpractice insurance and stuff.

Anyway, I hope I like his buddy. (Hope he is not too expensive but PDoc said he charges the same as him-will see). He's also an Indian guy like my PDoc. I prefer Indian doctors because they are always congenial and personable; maybe it has something to do with the culture? So I was happy about that. I never had one single caucasian PDoc (and all I witnessed who treated my sis) who I liked. Never. Not being racist here..I'm caucasian; like I said, maybe it's their culture -I love the Indian culture - or the way they are trained in medschool in India before they come here for their specialties. I don't know why that's important to me. I just have to have a PDoc who has a personality..lol. I've met some very mean ones.

That was kinda odd I just posted about psychopharmacologists, and that I had just posted about considering Effexor again. Well Effexor was next on my list if anxiety comes back, maybe Pristiq if I can get free samples...lol. I'll have to wait and see what new PDoc/Psychopharmacologist thinks a month from now.

Sorry that was long, but you guys are the only ones I could share my story with. :) I'll miss my PDoc and RN, but am happy about switching to a psychopharmacologist.

 

Re: PDoc broke up with me today

Posted by sowhysosad on April 23, 2009, at 20:25:04

In reply to PDoc broke up with me today, posted by garnet71 on April 23, 2009, at 19:31:36

> He then said to me he'd prescribe the Dextroamphetimine, Buspar, and the Xanax but this is the last time he could see me. He said I was managing my own pharmacology, and said I'm going to send you to a buddy of mine-a psychopharmacologist who is up on the latest research and off-label/experimental treatments, etc.

Great news - sounds like you'll be able to try some real cutting-edge treatments.

> He's also an Indian guy like my PDoc. I prefer Indian doctors because they are always congenial and personable; maybe it has something to do with the culture? So I was happy about that. I never had one single caucasian PDoc (and all I witnessed who treated my sis) who I liked. Never. Not being racist here..I'm caucasian; like I said, maybe it's their culture -I love the Indian culture - or the way they are trained in medschool in India before they come here for their specialties.

The junior pdoc I see is Indian too, and I know what you mean. Unfortunately he seems to be at a really early stage in his training as he doesn't know a great deal, but his personable and amenable manner goes a long way to compensate. He's a great listener and very considerate. My main family doctor is a British-born Gujarati and he has an excellent manner too.

Indian and Pakistani doctors and nurses have long been the backbone of the British health service, not to mention the huge number of British-born South Asians who also fill those roles. Supposedly Britain's membership of the EU has meant many doctors from Britain's former colonies missing out on internships in favour of graduates from mainland Europe - great shame if that's true.

 

Re: PDoc broke up with me today » sowhysosad

Posted by garnet71 on April 23, 2009, at 21:40:53

In reply to Re: PDoc broke up with me today, posted by sowhysosad on April 23, 2009, at 20:25:04

Yeah, I'm hoping he knows about nutritional psychology too; that would be great.

RE: your PDoc being inexpereinced, I think doctors fresh out of med school can be helpful (I mean imagine a doctor who went to med school 30 years ago and didn't keep up on latest research and medications?!?), but I personally prefer a mix of both young and old doctors; 2 bad we all can't have a team consisting of the 2. Maybe botique medical practices will one day have 'teams' of doctors evaluating us at the same time..Oh, another one of my entrepreneurial thoughts.lol

 

Re: PDoc broke up with me today

Posted by sowhysosad on April 23, 2009, at 22:17:50

In reply to Re: PDoc broke up with me today » sowhysosad, posted by garnet71 on April 23, 2009, at 21:40:53

Good point. Unfortunately this guy is SO unexperienced he has to consult a reference book for things like dosages and side effects that I know off the top of my head. But I can see how a "fresh mind" would be useful in some situations.

> RE: your PDoc being inexpereinced, I think doctors fresh out of med school can be helpful (I mean imagine a doctor who went to med school 30 years ago and didn't keep up on latest research and medications?!?), but I personally prefer a mix of both young and old doctors; 2 bad we all can't have a team consisting of the 2. Maybe botique medical practices will one day have 'teams' of doctors evaluating us at the same time..Oh, another one of my entrepreneurial thoughts.lol

 

Re: PDoc broke up with me today

Posted by Phillipa on April 24, 2009, at 0:19:36

In reply to Re: PDoc broke up with me today, posted by sowhysosad on April 23, 2009, at 22:17:50

Garnet I do the same thing pick the brains of drug reps was e-mailing with one he said he only knew what the drug companies taught him. Anyway I worked with Indian docs and they both went on the get certified in specialties. One here turned me down as on Medicaire and didn't want to do the paperwork. Also one here didn't want me as I knew too much about dosing of meds and what was normal. I like the older pdocs as they remember the benzos and use them. That's my experiences. The younger do use calculators one put me into withdrawal once. So will try and stick with older ones. Now don't forget to post about what you find to be the real differences between the psychopharmacologist and just pdoc. Love Phillipa

 

my: PDoc broke my spirit

Posted by manic666 on April 24, 2009, at 5:31:37

In reply to Re: PDoc broke up with me today, posted by sowhysosad on April 23, 2009, at 20:25:04

in ingland its the african docs i find , blunt an inpersonal.the guy that stopped my 10 loz was african an of little experience. they often try different med profestions before settleing for mental health,one used to be a gynocolagist, from one end of your body he finished up at the other.he said to me you sound agresive, i said to right , im in crisis hear an your a nob,he said your not addicted to lorazapam ,i said if im not on ten mg a day i have someone elses head. i took him into hospital a withdrawl programe off the internet , and he took it.he also took my bottle of brandy a day away but i think he got that bit right.when my follow up after hospitalization . he said manic you have learned a very valuable lesson in life,i said the biggest one ive learned off someone who took me to overdose, near death is that you are a f****ing waste of space

 

Re: PDoc broke up with me today

Posted by garnet71 on April 24, 2009, at 14:39:17

In reply to PDoc broke up with me today, posted by garnet71 on April 23, 2009, at 19:31:36

He charges $300 for the initial visit.

 

Re: PDoc broke up with me today

Posted by Zana on April 24, 2009, at 16:17:12

In reply to Re: PDoc broke up with me today, posted by garnet71 on April 24, 2009, at 14:39:17

Oh my god! That seems like a lot of money. And I assume he charges a lot for follow up visits which you will need. Do you have insurance that will cover any of it? What a drag. It just isn't right that you have to be rich to get good medical care. Hope you can find a way to swing it. Maybe a one time consultation would be worth it but then you still have to find a "regular" doc. Ug.

Let us know what you're going to do. You must be bummer. I know I would be.

Zana

 

Re: PDoc broke up with me today » garnet71

Posted by Amelia_in_StPaul on April 24, 2009, at 17:57:44

In reply to PDoc broke up with me today, posted by garnet71 on April 23, 2009, at 19:31:36

Garnet, what an incredibly honest moment you had with your pdoc! That does explain a helluva lot, and it's refreshing that he loosened the I'm-the-psychiatrist-you're-the-patient bind for a moment to just be real. Weird how good things can so often come out of the bad.

Do you know, this is funny. You love Indian docs. I'm finding I love South American docs. All but one of my caucasian pdocs have been too uptight, too unwilling to listen to the phenomenological experience of the patient. I had this one pdoc while in a partial program that I wanted, so badly, to have as an outpatient, but alas she is only inpatient. She would say stuff like this medical treatment is "bull--it" or the original (horrible) place I was inpatient is "totally f---ed up" and she "refused" to ever work there. Ha!!! Loved her.

I hope things go well with your new pdoc. Let us know!!! I'm dying to hear what new gold this alchemist will bring you.


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