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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by inanimate peanut on August 11, 2010, at 0:42:56
I think the Nortriptyline is working (and I hope it will work for more than 2 days this time!!) I even felt good today even though I missed my parnate dose! Anyway, ordering it online is costing me about $200 per month whereas getting it under prescription would be free. So, I would really like to tell my doc about it and get her to prescribe it for me, but I'm worried about how she'll react. My appointment isn't until Aug 31 so I will have been on it almost 2 months before seeing her and I can show her all the temp and BP readings I've been keeping to show her that I've been fine. How do you think she'll respond? Worst case scenario is that she will take away my parnate until my blood levels of nortriptyline is zero (in which case I would find another doc) while the best case scenario is that she would see that it is safe now and prescribe it for me. What do people think? Should I tell her?
Posted by linkadge on August 11, 2010, at 10:03:43
In reply to nortriptyline working!- should I tell doc?, posted by inanimate peanut on August 11, 2010, at 0:42:56
I hate to say it, but in my experience, doctors take that kind of thing either ok, or horribly.
The problem is that you already requested nortriptyline and she refused to presrcibe it. When you go and get it on your own, its like saying "I don't trust your oppinion as a doctor, I just want the drugs".
Whether it works out or not, it is still a bit of a slap in the face on their part.
I had a doctor react terribly when I did this once. OTOH, I had another doctor who took it ok.
Its hard to know.
Linkadge
Posted by Phillipa on August 11, 2010, at 10:26:42
In reply to Re: nortriptyline working!- should I tell doc?, posted by linkadge on August 11, 2010, at 10:03:43
Peanut was thinking about you last night and wondering how you were doing. Wow it's been two months? Hard to believe. Do you feel that when your doc sees you he/she will notice you feel so much better. Then if they do they could see it's working and hence probably let you continue. That's just my opinion. As if the doc cares for you they'd want you to feel better. So I'd tell them. Worst scenario a new pdoc? Bob posted a list of the best docs state by state yesterday in a thread by a donald Klein whos a pdoc. Wonder if he would respond to you on that that as a pdocs opinion? Just a thought. Phillipa
Posted by morgan miller on August 12, 2010, at 0:59:25
In reply to nortriptyline working!- should I tell doc?, posted by inanimate peanut on August 11, 2010, at 0:42:56
Good to hear..Hope it continues to work for you!
I would work hard at finding a better doctor. I think Linkage is right, she might not take it so well. If you do decide to find another doctor, I would definitely tell your current doctor about Nortriptyline. I think you should just tell her regardless and see how she reacts. If she responds negatively, find another doc. If she responds favorably, then maybe continue to see her. Either way, you've got nothing to lose as far as I'm concerned.
Morgan
Posted by Willful on August 12, 2010, at 12:12:43
In reply to nortriptyline working!- should I tell doc?, posted by inanimate peanut on August 11, 2010, at 0:42:56
You should wait until it's worked for several weeks and you're confident of the response.
Then you really would have to consider how your pdoc will respond. You know here; we don't.
However, if I had told a patient that I wouldn't prescribe a med for safety reasons, and I thought the med was truly dangerous, I would feel that the patient had violated the basic trust necessary for a doctor patient relationship. I would not be able to work with a patient for whom I was prescribing potentially dangerous meds, who didn't respect my limits for what I could and couldn't recommend.
So I think I would refer you to someone else. But you seem not to respect your pdoc's opinion, so I don't understand why you would want to keep seeing her. I highly recommend you find a new pdoc, rather than return to her.
Willful
Posted by linkadge on August 12, 2010, at 18:57:10
In reply to Re: nortriptyline working!- should I tell doc?, posted by Willful on August 12, 2010, at 12:12:43
Yeah, the above poster has a good point. Make sure the med is really working before you tell the doctor.
Posted by bleauberry on August 13, 2010, at 18:51:14
In reply to nortriptyline working!- should I tell doc?, posted by inanimate peanut on August 11, 2010, at 0:42:56
I agree with everyone else here. Best to wait a good period of time to make sure this is long lasting and not just a temporary fluke.
The exact approach to use when telling the doctor will determine whether they get mad, resist, or cooperate. Obviously you want them to cooperate, so carefully chosen words will be very important.
Posted by morgan miller on August 13, 2010, at 20:15:33
In reply to nortriptyline working!- should I tell doc?, posted by inanimate peanut on August 11, 2010, at 0:42:56
Hey I.P., are you still feeling better?
Morgan
This is the end of the thread.
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