![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by Gracie2 on February 21, 2003, at 4:27:22
As I see it, the biggest problem with psychology today is lack of patient information. I have no statistics to quote, but from my own experience and from reading the postings here on PB over the years, I have a pretty strong opinion on this.
I'm sure that most psychiatrists would agree that a major cause of treatment failure is patient noncompliance. A huge reason for noncompliance is lack of patient information. I consider myself to be a well-read and fairly intelligent individual, albeit with a serious mental condition. I also have over 20 years experience in the medical profession, although not a profession much related to psychology. And still, even after the books I've read in an attempt to learn more about bipolar disease, I'm STILL being surprised about some very basic truths concerning this illness, things my doctors never bothered to mention.
For instance, on my last visit to my latest psychiatrist, who seems to be extremely competent if somewhat of a crabby-ass, he demanded again to know exactly how much coffee I drink every day. And there's no way to tell him because I drink the stuff all day long, pots of Starbucks espresso, although when he told me to cut down I started to dilute the coffee more and more as the day went on with decaff and hot milk. I thought that was a pretty clever way to wean myself but this doctor, he still isn't happy. Finally I sort of yelled at him, "What difference does it make how much coffee I drink!" So then he tells me that coffee can induce mania. NOW he tells me. I've been under psychiatric care for about 3 years now and this is a newsflash.
I assume that a person with regular thought-processes might just know this. But ever since Army basic training, when your day can often start at 4:00 am, I've been swilling this stuff like water. That makes 25 years of swilling, so coffee doesn't have any meaning for me anymore unless it's not there. You know, like oxygen. (I believe difficulty in moderation is a classic bipolar symptom.) So when this doctor told me to cut down on coffee, I figured it was because he thought it might make it difficult for me to sleep. And since I was sleeping well on Seroquel, cutting down on coffee didn't seem very important.
In my own troubled mind, I had never connected coffee and mania. I knew it was probably a good idea, but it was also sort of like telling a preteen to never have sex before marriage, without offering any reasons for it. Education is important, really important if you want a thinking person to comply.I rarely visit Psycho-Babble anymore because my own medication issues have been resolved, and a majority of the posts there have to do with confusion, misinformation and despair over drug reactions. This is, of course, the purpose of the site, but a lot of this suffering could be avoided if the doctors prescribing these medications would make an effort to educate the patient about these drugs. I've worked in doctors'
offices for many years and I'm familiar with their routine; I know it isn't possible for a doctor, these days, to sit back and chat, to go into great detail about every patient's condition and medications during a routine appointment. However, it is quite possible for every doctor to
to give the patient educational material or, at the very least, a single sheet of paper listing educational sources that the patient can refer to. I believe that most doctors in every speciality underestimate the ability, the
willingness and the need for patients to learn about their condition and treatment.Right now, general patient information is pretty much limited to the pamphlets you can pick up in the waiting room of doctors' offices. While these pamphlets are a useful introduction to a patient's condition or medication, and suitable for patients who are unable or unwilling to learn more, many people need much more information. I believe that the trend towards patient self-education is not related to a lack of faith in their doctor's expertise or even distrust in the current medical system, but a direct result of today's assembly-line patient care. When things go as they should and usually do, the average person in America has access to not only competent medical care, but groundbreaking and state-of-the-art diagnostic tests and treatment.
With all the grousing about malpractice, insurance costs, drug companies and so forth, we tend to lose sight of the big picture, how fortunate we really are. However, due to sheer numbers, there is limited personal interaction between doctor and patient. We enter the medical machine with a problem and, if all goes well, we're spit out at the end feeling better. And we often go through the whole process scared shitless, because we don't know what's happening.As long as the system is in place, why not make it better? Even when you discount people as individuals and think in terms of strictly numbers, our entire medical system is based on the success or failure of specific treatments for a diagnosed condition.
Often success depends on patient compliance, a willingness to follow doctor's orders. Almost any patient would be motivated to comply if he really understood the consequences of not following the doctor's directions or disregarding the labels on pill bottles.While there is no need to go into the kind of detailed information available in a PDR, I believe every patient diagnosed with a specific condition and every patient prescribed any medication should, at the very least, recieve a
list of educational sources. Depending on the severity of a patient's condition, from an annoying rash to something as devestating as cerebral palsy, patients and their families need to know about illness and treatment. They need to know why a specific medical condition occurs, what factors did or may have contributed to their illness. They need to know what symptoms may warrant immediate medical attention and which symptoms are fairly normal for a diagnosed condition. They should understand the basic reasons for a prescribed treatment and the expected results of such treatment, including a fair estimate of how long it should or might take to see visible improvement. They should know the possible results of ignoring medical advice.Damn! You've just witnessed a pretty big relapse and it's all my fault for drinking coffee and alcohol after my doctor told me not to. It's now 4:00 am and I'm ready to clean the whole house.
I'll be sorry later. But at least I understand why I feel this way, that I made the decision at some point, myself, to keep drinking and writing
even when I knew this would happen. A year ago, I probably would have felt that I was just hopelessly crazy and there was no point in continuing to live. Now I know better.-Gracie
Posted by Dinah on February 21, 2003, at 9:52:51
In reply to The biggest problem with psychology today, posted by Gracie2 on February 21, 2003, at 4:27:22
Understanding that means you're worlds ahead of where you were.
My psychiatrist did mention the cofee thing, along with lots of things, but he doesn't press it. With the drugs I take, sometimes in a low period caffeine is all that gets me through.
And sometimes I deliberately induce hypomania by not taking my meds, downing the coca cola, and skimping on sleep. Is it a bad idea? Sure. But desperate people do desperate things.
Says a desperate person. :)
Posted by justyourlaugh on February 21, 2003, at 17:31:02
In reply to The biggest problem with psychology today, posted by Gracie2 on February 21, 2003, at 4:27:22
gracie,
after 6 days in the hospital.i asked for a medical
texbook,or a medication chart...something to put it in my control....i found a cupboard with information pamphelets gallore!
i sat on the floor,in the middle of the "common"room and read,and read and read and cried:(
how dare these(nurses)hold back on me....knowledge is the key..
afterthat day...i know now i am not the only tainted one...and "some"nurses are so harmful...should be trained to have compasion,
when all is hate,
jyl
Posted by justyourlaugh on February 21, 2003, at 17:35:50
In reply to Re: The biggest problem with psychology today, posted by Dinah on February 21, 2003, at 9:52:51
dinah,
i truely understand,
being awake for "sometime"is its own high...
my pdoc knows i will not talk about me...
i just tell him how i feel....he scribbles his little notes...i feel so useless.....
j
Posted by KrissyP on March 9, 2003, at 0:31:12
In reply to The biggest problem with psychology today, posted by Gracie2 on February 21, 2003, at 4:27:22
Hi, I am new to this board ( I post on Psych-Babble) but I hear you! Sometimes, though, we as patients have to be proactive and find this info ourselves. So what then do we pay our docs for?
I am a "non-compliant patient" and have been shunned because of it. I'm happy to say that I have gotten better because every time I go off meds-I am not ready to-suffering bad consequences. I think I have learned my lesson.
I also thin that a huge reason for noncompliance, at least in my case, was PRIDE. I didn't want to be labeled "psyho" or a "loon" because I have to take psych meds. I am learning to live with this fact as I am still suffering but not as much. I also have learned not to put up with the "crabby-ass" docs-PERIOD. FORGET EM AND MOVE ON-HARD AS IT SOUNDS. These types of docs don't deserve to help us if it is strictly "about the almighty dollar"
You say, " I know it isn't possible for a doctor, these days, to sit back and chat, to go into great detail about every patient's condition and medications during a routine appointment..."- I think this SHOULD be the case-I mean we are talking about our lives, functioning, well-being not to mention our emotional state which this example doesn't helpw ith. But you're right, I agree, "there is limited personal interaction between doctor and patient".-for many reasons.
Hang in there,
Kristen:-)----------------------------------------------------------------------------------------As I see it, the biggest problem with psychology today is lack of patient information. I have no statistics to quote, but from my own experience and from reading the postings here on PB over the years, I have a pretty strong opinion on this.
I'm sure that most psychiatrists would agree that a major cause of treatment failure is patient noncompliance. A huge reason for noncompliance is lack of patient information. I consider myself to be a well-read and fairly intelligent individual, albeit with a serious mental condition. I also have over 20 years experience in the medical profession, although not a profession much related to psychology. And still, even after the books I've read in an attempt to learn more about bipolar disease, I'm STILL being surprised about some very basic truths concerning this illness, things my doctors never bothered to mention.
For instance, on my last visit to my latest psychiatrist, who seems to be extremely competent if somewhat of a crabby-ass, he demanded again to know exactly how much coffee I drink every day. And there's no way to tell him because I drink the stuff all day long, pots of Starbucks espresso, although when he told me to cut down I started to dilute the coffee more and more as the day went on with decaff and hot milk. I thought that was a pretty clever way to wean myself but this doctor, he still isn't happy. Finally I sort of yelled at him, "What difference does it make how much coffee I drink!" So then he tells me that coffee can induce mania. NOW he tells me. I've been under psychiatric care for about 3 years now and this is a newsflash.
I assume that a person with regular thought-processes might just know this. But ever since Army basic training, when your day can often start at 4:00 am, I've been swilling this stuff like water. That makes 25 years of swilling, so coffee doesn't have any meaning for me anymore unless it's not there. You know, like oxygen. (I believe difficulty in moderation is a classic bipolar symptom.) So when this doctor told me to cut down on coffee, I figured it was because he thought it might make it difficult for me to sleep. And since I was sleeping well on Seroquel, cutting down on coffee didn't seem very important.
> In my own troubled mind, I had never connected coffee and mania. I knew it was probably a good idea, but it was also sort of like telling a preteen to never have sex before marriage, without offering any reasons for it. Education is important, really important if you want a thinking person to comply.
>
> I rarely visit Psycho-Babble anymore because my own medication issues have been resolved, and a majority of the posts there have to do with confusion, misinformation and despair over drug reactions. This is, of course, the purpose of the site, but a lot of this suffering could be avoided if the doctors prescribing these medications would make an effort to educate the patient about these drugs. I've worked in doctors'
> offices for many years and I'm familiar with their routine; I know it isn't possible for a doctor, these days, to sit back and chat, to go into great detail about every patient's condition and medications during a routine appointment. However, it is quite possible for every doctor to
> to give the patient educational material or, at the very least, a single sheet of paper listing educational sources that the patient can refer to. I believe that most doctors in every speciality underestimate the ability, the
> willingness and the need for patients to learn about their condition and treatment.
>
> Right now, general patient information is pretty much limited to the pamphlets you can pick up in the waiting room of doctors' offices. While these pamphlets are a useful introduction to a patient's condition or medication, and suitable for patients who are unable or unwilling to learn more, many people need much more information. I believe that the trend towards patient self-education is not related to a lack of faith in their doctor's expertise or even distrust in the current medical system, but a direct result of today's assembly-line patient care. When things go as they should and usually do, the average person in America has access to not only competent medical care, but groundbreaking and state-of-the-art diagnostic tests and treatment.
> With all the grousing about malpractice, insurance costs, drug companies and so forth, we tend to lose sight of the big picture, how fortunate we really are. However, due to sheer numbers, there is limited personal interaction between doctor and patient. We enter the medical machine with a problem and, if all goes well, we're spit out at the end feeling better. And we often go through the whole process scared shitless, because we don't know what's happening.
>
> As long as the system is in place, why not make it better? Even when you discount people as individuals and think in terms of strictly numbers, our entire medical system is based on the success or failure of specific treatments for a diagnosed condition.
> Often success depends on patient compliance, a willingness to follow doctor's orders. Almost any patient would be motivated to comply if he really understood the consequences of not following the doctor's directions or disregarding the labels on pill bottles.
>
> While there is no need to go into the kind of detailed information available in a PDR, I believe every patient diagnosed with a specific condition and every patient prescribed any medication should, at the very least, recieve a
> list of educational sources. Depending on the severity of a patient's condition, from an annoying rash to something as devestating as cerebral palsy, patients and their families need to know about illness and treatment. They need to know why a specific medical condition occurs, what factors did or may have contributed to their illness. They need to know what symptoms may warrant immediate medical attention and which symptoms are fairly normal for a diagnosed condition. They should understand the basic reasons for a prescribed treatment and the expected results of such treatment, including a fair estimate of how long it should or might take to see visible improvement. They should know the possible results of ignoring medical advice.
>
> Damn! You've just witnessed a pretty big relapse and it's all my fault for drinking coffee and alcohol after my doctor told me not to. It's now 4:00 am and I'm ready to clean the whole house.
> I'll be sorry later. But at least I understand why I feel this way, that I made the decision at some point, myself, to keep drinking and writing
> even when I knew this would happen. A year ago, I probably would have felt that I was just hopelessly crazy and there was no point in continuing to live. Now I know better.
>
> -Gracie
>
>
>
>
Posted by noa on March 9, 2003, at 10:29:26
In reply to Re: The biggest problem with psychology today » Gracie2, posted by KrissyP on March 9, 2003, at 0:31:12
Yes, but Krissy, now you sound like you are ready to work with the doctor to take charge of the illness and your recovery, yes? It is hard, not a straight and easy path, and there can be lots of moments of discouragement.
I went through a bunch of med combos until I found this one, which works pretty well. I don't love it--I'd, of course, rather not be on any meds at all! And this combo is only "good enough for the meantime", with some lingering fallout from depression as well as those pesky side effects, but it is better than previous med combos, and my mood is decent enough, especially compared to when I was getting so many recurrences of the major depression (on top of dysthymia). Ie, I'm more stable.
But beleive me, I do await the day when a better option comes along!
I guess I feel it is really important to find a pdoc you can work with, in a collaborative manner, so that "compliance" won't be an issue--ie, if you have a doc who listens to your concerns and helps you become as educated as possible to make good decisions, there is no need to not comply, because you can feel some trust that you can work with the doc if there are med problems. Just don't stop and go--discuss with pdoc first.
Are you the one who said she couldn't get a hold of the pdoc by phone? Unfortunately, this is all too common. I recommend discussing this in first interveiw with potential pdoc--how responsive by phone. It may not be realistic to have a lot of phone access, but if there is a med emerg. he/she should get back to you. When I have something to discuss that isn't urgent, I will make an appointment, even if my reg. appointment isn't coming up for a while. Speaking of which, I think good pdocs will schedule frequent appointments with patients who are not stable on meds, or starting new ones, changing, etc.
Posted by kyp on March 9, 2003, at 11:06:04
In reply to Re: The biggest problem with psychology today » Gracie2, posted by KrissyP on March 9, 2003, at 0:31:12
It is difficult to do much of anything when you are depressed or sick feeling from meds. BUT by reading the PDR or having a friend being responsible enough to do it for you and informing you of what it says IS important (find one in the library or read your part at Borders bookstore) to know what it says about your meds. It is up to you to know all you can.
MANY times I have asked a specific med. related question and the doctor did not know off the top of his head and looked it up right there and found out for both of us. One even copied the info. for me to take home. I have had doctors tell me the side effect I was having does not come from the particular med. only to find out by talking to other people in the same situation, that they had the same reaction to it. The doctors do not know all the side effects from every med. esp. when there are new ones coming out all the time.
Also, the DSM IV is a resource that doctors use as their Bible to diagnose patients. Read this too to see why he thinks you should be diagnosed as you are. Kay Jamison wrote a huge book exhaustive of manic depression symptoms and treatment. The Bipolar Child might help you realize you have grown up with this and been showing signs for a long time. Putman among others, is an authority on DID. etc...Every illness has some guru "know it all."
The internet has a ton of information that explains med. reactions and side effects and reasons to take them.
The point being, if you spend all the money and time seeing doctors and buying meds. spend some time reading up on your diagnosis and medications you are using daily.Be informed. Don't trust someone else to give you all the information you need to make an informed decision about med. compliance. I have gone off my meds. several times KNOWING what I do about them and still did it because I wanted to, ie. feel more manic or less side effects and always return to the lesser of two evils.
Patient compliance is the number one block in a lot of mental illnesses I have observed. But don't quit out of ignorance or because your doctor did not take the time and energy to tell you.
A doctor hears your number one, maybe number two complaint about how you are feeling, if it is depression, he alters the meds. accordingly, if it is sleep, he alters it accordingly. Those two, I feel, are what they look at first since they are the most critical for staying alive. Then they wait to see if there is improvement. They look at drug interactions sometimes if they are on the ball etc.
You, be your most informed source for your health, be it mental or otherwise. How many times are people treated for cancer a day? Yet the ones who get informed are finding out information that sometimes saves their lives because there are so many factors that fit in with our body's health, only we can be the expert on it even though we don't have an M.D. behind our name, we can educate ourselves on the pertinent information and be able to make wise choices concerning patient compliance.
That's what I think.
Janet
Posted by KrissyP on March 9, 2003, at 16:15:35
In reply to Re: The biggest problem with psychology today » KrissyP, posted by noa on March 9, 2003, at 10:29:26
YES-I am ready to work more with my doc:-)
I think I was just getting the dicouragement you speak of because I am re-introducing the Effexor and the Lamictal back into my body. Yep, you hit the nail right on the head-I Would Rather Not BE on Meds-but I know at this time in my life I need to be!!!! I'm glad your combo is working
for you:-) I needed to hear you say "Just don't stop and go--discuss with pdoc first".-I TRULY believe I have learned my lesson.
>>Are you the one who said she couldn't get a hold of the pdoc by phone? Nope-wasn't me.
My psychiatrist( BTW is that 'pdoc"???) sees me every 4 weeks-and I like that!
I hang in there with you and hang in there with me-k?:-)
Thanks so much, Kristen
> Yes, but Krissy, now you sound like you are ready to work with the doctor to take charge of the illness and your recovery, yes? It is hard, not a straight and easy path, and there can be lots of moments of discouragement.
I went through a bunch of med combos until I found this one, which works pretty well. I don't love it--I'd, of course, rather not be on any meds at all! And this combo is only "good enough for the meantime", with some lingering fallout from depression as well as those pesky side effects, but it is better than previous med combos, and my mood is decent enough, especially compared to when I was getting so many recurrences of the major depression (on top of dysthymia). Ie, I'm more stable.
But beleive me, I do await the day when a better option comes along!
I guess I feel it is really important to find a pdoc you can work with, in a collaborative manner, so that "compliance" won't be an issue--ie, if you have a doc who listens to your concerns and helps you become as educated as possible to make good decisions, there is no need to not comply, because you can feel some trust that you can work with the doc if there are med problems. Just don't stop and go--discuss with pdoc first.
Are you the one who said she couldn't get a hold of the pdoc by phone? Unfortunately, this is all too common. I recommend discussing this in first interveiw with potential pdoc--how responsive by phone. It may not be realistic to have a lot of phone access, but if there is a med emerg. he/she should get back to you. When I have something to discuss that isn't urgent, I will make an appointment, even if my reg. appointment isn't coming up for a while. Speaking of which, I think good pdocs will schedule frequent appointments with patients who are not stable on meds, or starting new ones, changing, etc.
Posted by KrissyP on March 9, 2003, at 23:54:22
In reply to Re: The biggest problem ..., posted by kyp on March 9, 2003, at 11:06:04
Janet, Kay Jamison wrote a huge book exhaustive of manic depression symptoms and treatment?-(The Bipolar Child might help you realize you have grown up with this and been showing signs for a long time) REALLY??? I want to get it-sounds awesome. I know the DSMIV is a great tool, but there is so much info out there-it gets tedious.
DITTO DITTO DITTO to this>>"spend some time reading up on your diagnosis and medications you are using daily. Be informed. Don't trust someone else to give you all the information you need to make an informed decision about med. compliance. I have gone off my meds several times KNOWING what I do about them and still did it because I wanted to, ie. feel more manic or less side effects and always return to the lesser of two evils.-That's just what I do and just what I did:-)
Thanks for a great post-R U a doc?
Kristen
==================================================================================================The internet has a ton of information that explains med. reactions and side effects and reasons to take them.
The point being, if you spend all the money and time seeing doctors and buying meds. spend some time reading up on your diagnosis and medications you are using daily.
Be informed. Don't trust someone else to give you all the information you need to make an informed decision about med. compliance. I have gone off my meds. several times KNOWING what I do about them and still did it because I wanted to, ie. feel more manic or less side effects and always return to the lesser of two evils.
Patient compliance is the number one block in a lot of mental illnesses I have observed. But don't quit out of ignorance or because your doctor did not take the time and energy to tell you.
A doctor hears your number one, maybe number two complaint about how you are feeling, if it is depression, he alters the meds. accordingly, if it is sleep, he alters it accordingly. Those two, I feel, are what they look at first since they are the most critical for staying alive. Then they wait to see if there is improvement. They look at drug interactions sometimes if they are on the ball etc.
You, be your most informed source for your health, be it mental or otherwise. How many times are people treated for cancer a day? Yet the ones who get informed are finding out information that sometimes saves their lives because there are so many factors that fit in with our body's health, only we can be the expert on it even though we don't have an M.D. behind our name, we can educate ourselves on the pertinent information and be able to make wise choices concerning patient compliance.
> That's what I think.
> Janet
Posted by kyp on March 10, 2003, at 11:09:30
In reply to Re: The biggest problem ... » kyp, posted by KrissyP on March 9, 2003, at 23:54:22
KrissyP
Go to this site directly or at www.amazon.com . if it does not work. Or do a search there for manic depression books. Be sure to get the used books at a better price. On this page is also, "The Unquiet Mind", by Kay Jamison and "The Bipolar Child",by ? in addition to "Manic-Depressive Illness" by Kay Jamison (albeit written in 1990, still very informative).
Kay Jamison (has been busy in her life writing good books in addition to being a doctor with bipolar) also wrote, "Touched By Fire:Manic- Depressisve Illness and the Artistic Temperament", about famous people who have the symptoms and how it affected their lives.
"A Brilliant Madness", by Patty Duke is an interesting read about a famous person who has bipolar and what it has been like for her. A p.doc writes every other chapter to bring that point of view also, which is (again) informative.
No, I am not a doctor. I am (I feel) informed of the diagnosises of bipolar disorder,dissociative identity disorder, depression and anxiety - for these illneses have affected my family.
(NAMI) National Alliance for the Mentally Ill is a good, informative organization to help consumers and their families. There is even a Family to Family class that is free and lasts, I think about 10 weekly sessions, to inform family members of what it is like to have a mental illness and how to support them in a healthy way. They also have Peer to Peer classes that are for consumers.
A qoute from their site at www.nami.org
"With more than 220,000 members, NAMI is the nation's leading grassroots advocacy organization solely dedicated to improving the lives of persons with severe mental illnesses including schizophrenia, bipolar disorder (manic-depressive illness), major depression, obsessive-compulsive disorder, and severe anxiety disorders."They have chapters in every state and you would be surprised in how many little towns in addition to larger cities even.
The dbsalliance.org is another great organization that is informative and located all over the US. (Depression and Bipolar Support Alliance). Both of these groups are consumer led which is cool.
A quote from their site:
"Our mission: To improve the lives of people living with mood disorders".Concerning the NON med compliance, how did that work for you ? he he
I thought Nora had very good points about finding a doctor you can work with. Just out of rebellion, I have hurt myself in trying to lash out at a doctor I could not abide by and felt trapped by. (Consider this, I was in the hospital feeling too guinee-pigged, so I did not take my meds. one evening and he threatened to quit being my doctor. I thought I was going to die ! What does one do in a mental hospital without their doctor, I wondered ?)
It is so important to find a doctor you can abide by - out of trust and knowledge of his "stuff", not out of compliance.
Happy surfing
Janet (KYP)
Posted by Dr. Bob on March 11, 2003, at 8:13:12
In reply to Re: The biggest problem ..., posted by kyp on March 10, 2003, at 11:09:30
> On this page is also, "The Unquiet Mind", by Kay Jamison and "The Bipolar Child",by ? in addition to "Manic-Depressive Illness" by Kay Jamison
I'd just like to plug the double double quotes feature:http://www.dr-bob.org/babble/faq.html#amazon
But I don't mean to be pushy. Did you deliberately not use it to link to Amazon? If so, I'd be interested in why, over at Psycho-Babble Administration:
http://www.dr-bob.org/babble/admin/20020918/msgs/7717.html
Thanks!
Bob
Posted by Gracie2 on March 13, 2003, at 0:42:45
In reply to Re: double double quotes » kyp, posted by Dr. Bob on March 11, 2003, at 8:13:12
Hi Doc-
I understand your frustration, you've not only created one hell of a website with easy access to mental health information and even more importantly, you've put distressed and desperate people in touch with others who are going through the same experience. It must seem like the least that we can do to help you out in return is to read the headings and follow directions for double double quotes.And you are right, we should be more careful. I just wanted to assure you that nobody reads these directions and then purposely mentions a book without double double quotes. I'm guilty of that one myself. We zip past everything in search of a single soul who has bothered to answer our letters, we're so desperate to connect with someone that understands.
I guess you'll just have to keep reminding people
until they get the idea! It's not intentional. For many people in distress, your website is the last hope. There is no drama in this statement, it's a fact. Recently a well-known poster killed herself, and I gave it a really good try myself.
Why I woke up in ICU and she she never woke up at all, I don't know.Just keep reminding people, we'll catch on!
-Gracie
Posted by Dr. Bob on March 13, 2003, at 23:02:09
In reply to Come on, Doctor Bob, posted by Gracie2 on March 13, 2003, at 0:42:45
> I guess you'll just have to keep reminding people until they get the idea! It's not intentional.
I'm not assuming it's intentional. OK, I'll keep reminding people. :-)
Bob
This is the end of the thread.
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