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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by g_g_g_unit on November 2, 2009, at 15:00:18
when a patient is hospitalized for a psychiatric illness, by their own admission, do they cede all free will over to the hospital psychiatrist? i.e. do they have any say over what they are prescribed, what may have worked in the past, etc. or is the hospital basically free to consult the patient's prior treatment professionals and prescribe at will? this is of course assuming that the patient (i.e. me) does not exhibit any psychotic features, and expresses a suitable grip on reality.
i am just curious because i feel so angry about the way my Parnate trial was conducted that i am on the verge of giving up. i know part of this is withdrawal (Nardil's was hell). but i also have no real faith in any treatment options left to me, outside of going back on Nardil. i just don't know if i could handle going through the titration period on my own, so i was wondering if i was hospitalized and told them i had a positive response to it in the past, i could rapidly be titrated to a high dose and monitored for insomnia, etc.
or would a public hospital simply go by-the-book w/r/t OCD and put me on Paxil or something?
Posted by Phillipa on November 2, 2009, at 15:18:57
In reply to question about hospitalization, posted by g_g_g_unit on November 2, 2009, at 15:00:18
Are you in the states? Does your doc that gave you the parnate and nardil live in same place, have priveledges at that hospital? If so you should be fine. If you voluntarily admit self through your pdoc even if he's not in that hospital he could work with the docs there. Now not saying all personell nurses etc would know those meds. But a through history and meds that worked and didn't would be in your history on your chart and seen by the pdoc. If feeling unsafe I think you need to get your pdoc on phone now say emergency and get help now before too late. Also if want twitter and facebook off your posts go to change setting like you would for babblemail and take that option off if you don't want this thread possibly sent. Just a thought. But seriously get help now. Do you feel really suicidal and have a plan? If so this thread needs a trigger warning. ggg hope others read soon. Love Phillipa hang in there.
Posted by g_g_g_unit on November 2, 2009, at 15:33:48
In reply to Re: question about hospitalization » g_g_g_unit, posted by Phillipa on November 2, 2009, at 15:18:57
i do not want to disclose where i live, but it isn't the states or Europe.
you see, the problem is that i left the pdoc who gave me Nardil without saying anything. i found him difficult to work with. the pdoc who prescribed me Parnate really wants me on Anafranil and an antipsychotic, so i know that if he oversaw my hospitalization, that's what he'd use. sounds like a recipe for zombification in my opinion.
i am not suicidal. in fact, i might even be okay, but depressed, in a week or two. right now i am looking for a doctor who will try amphetamine with memantine, and have an appointment next week with an ADHD specialist.
i just want to clue myself up on the hospital protocol in case it comes to that.
Posted by g_g_g_unit on November 2, 2009, at 15:46:57
In reply to Re: question about hospitalization » Phillipa, posted by g_g_g_unit on November 2, 2009, at 15:33:48
oh and thanks for the tip about tweet/facebook. have turned them off.
if the worst comes to the worst, my parents have offered to contact the pdoc who prescribed me Nardil. i feel guilty for coming off it, but med-phobia is part of my condition, so i guess i'm not strictly to blame (trying to deal with it in CBT now). and i guess if my situation was truly dire, he couldn't refuse me service, or could he? we never ended things on a bad note. i just stopped going back.
Posted by Maxime on November 2, 2009, at 16:41:34
In reply to question about hospitalization, posted by g_g_g_unit on November 2, 2009, at 15:00:18
I've been hospitalized over 10 times for depression. In most cases they will listen to you if you say that a certain med has worked in the past. Because of course they want to find something that works. That's the way it worked in my hospitalizations anyway.
I am sorry that you are in this bad place right now. I really feel for you. Babble mail me with any questions. I am always here for you.
Posted by Maxime on November 2, 2009, at 16:43:12
In reply to Re: question about hospitalization, posted by g_g_g_unit on November 2, 2009, at 15:46:57
I am sure he would be willing to see you no problem and that you could get back on the Nardil.
Posted by g_g_g_unit on November 2, 2009, at 17:15:30
In reply to question about hospitalization, posted by g_g_g_unit on November 2, 2009, at 15:00:18
thanks Maxime, it helps knowing people out there care. i rang the hospital and they said that due to limited space they only admit highly-at-risk cases. i guess i more couldn't bear the thought of waiting weeks to titrate Nardil, if it came to that, since i already do nothing all day; i had read about people being placed on high doses of drugs upon being hospitalized for depression, so thought that a hospital environment would let me reach a therapeutic dose much quicker. so i guess i would just be taking advantage of the service in a way .. i don't know. i'll have to see how i feel once Parnate is out my system.
Posted by Maxime on November 2, 2009, at 17:19:51
In reply to Re: question about hospitalization » g_g_g_unit, posted by g_g_g_unit on November 2, 2009, at 17:15:30
You only option would be to go to the ER and say that you are suicidal. Then they have to admit you. But I don't know if you want to go that route.
Posted by Phillipa on November 2, 2009, at 20:44:07
In reply to Re: question about hospitalization » g_g_g_unit, posted by Maxime on November 2, 2009, at 17:19:51
That's fine no disclosing where you are from. I'd listen to those from your origin. Phillipa
Posted by Phidippus on November 2, 2009, at 20:57:40
In reply to question about hospitalization, posted by g_g_g_unit on November 2, 2009, at 15:00:18
>i.e. do they have any say over what they are prescribed
I've always had a say over what I take or don't take in the hospital.
>what may have worked in the past, etc. or is the hospital basically free to consult the patient's prior treatment professionals and prescribe at will?
Hospitals usually check in with current treatment professionals, I don't know about priot treatment professional.
this is of course assuming that the patient (i.e. me) does not exhibit any psychotic features, and expresses a suitable grip on reality.
>i was wondering if i was hospitalized and told them i had a positive response to it in the past, i could rapidly be titrated to a high dose and monitored for insomnia, etc.
Yes, absolutely.
P
Posted by g_g_g_unit on November 2, 2009, at 22:39:49
In reply to Re: question about hospitalization » g_g_g_unit, posted by Phidippus on November 2, 2009, at 20:57:40
thanks. that's interesting. my impression was that the patient usually had their meds selected for them, based on what their current treatment professional or whatever decided.
the nurse i spoke to did mention it could be a pretty traumatic experience and should be a last-resort.
Posted by Phidippus on November 2, 2009, at 23:26:52
In reply to Re: question about hospitalization » Phidippus, posted by g_g_g_unit on November 2, 2009, at 22:39:49
> thanks. that's interesting. my impression was that the patient usually had their meds selected for them, based on what their current treatment professional or whatever decided.
I've always been able to discuss with the doctor assigned me different drug options...Do you want Abilify or Haldol? Sort of thing. They do reserve the right to deny you, but since you were on Parnate before and felt better, they'd probably prescribe it.
> the nurse i spoke to did mention it could be a pretty traumatic experience and should be a last-resort.
Usually phospitals will have two units - one for those with psychotic symptoms and the other for the suicidals.
The unit you want to be on is the suicidals'. Its usually quiet over there. The side with the people talking to themselves or yelling at the staff is no fun. Just check into an ER and tell them you've been having lots of suicidal thoughts and don't feel safe. Be sure to tell them you're not hearing or seeing things or that you're the King of Siam.
P
Posted by g_g_g_unit on November 3, 2009, at 0:26:41
In reply to Re: question about hospitalization » g_g_g_unit, posted by Phidippus on November 2, 2009, at 23:26:52
>
> I've always been able to discuss with the doctor assigned me different drug options...Do you want Abilify or Haldol? Sort of thing. They do reserve the right to deny you, but since you were on Parnate before and felt better, they'd probably prescribe it.
>i don't mean to be pedantic, but it's Nardil i felt better on - or the closest thing to it (i lasted 3 months, before dropping out due to just feeling really drugged out). i'm coming off Parnate at the moment because i felt really horrible in general, and not drugged out - more like suicidally depressed, etc.
i've never actually remained on any anti-depressant very long because i'm so obsessively averse to side-effects. but i think of everything, Nardil had the best potential. it just needs a much quicker titration, and someone to force me to remain on it until i feel okay.
>
> Usually phospitals will have two units - one for those with psychotic symptoms and the other for the suicidals.
>
> The unit you want to be on is the suicidals'. Its usually quiet over there. The side with the people talking to themselves or yelling at the staff is no fun. Just check into an ER and tell them you've been having lots of suicidal thoughts and don't feel safe. Be sure to tell them you're not hearing or seeing things or that you're the King of Siam.
>
> Pthanks for the tip. i've spoken to my parents about this and they're okay with me admitting myself.
Posted by manic666 on November 3, 2009, at 13:01:44
In reply to Re: question about hospitalization, posted by g_g_g_unit on November 3, 2009, at 0:26:41
the way you are comeing across you dont need the mental ward ,it is not a place to be if your in control, its a last resort.its a safe place if suicidal an out your tree .bbbbbbbbut if your not i dont even want to talk about it. thats how much i hate it.
Posted by g_g_g_unit on November 4, 2009, at 3:40:45
In reply to Re: question about hospitalization, posted by manic666 on November 3, 2009, at 13:01:44
anxiety makes me feel out of control (that i could lose my mind at any minute), but you're right, i'm probably more 'here' than i realise
Posted by manic 666 on November 4, 2009, at 4:09:15
In reply to Re: question about hospitalization » manic666, posted by g_g_g_unit on November 4, 2009, at 3:40:45
keep thinking like that , an you will come out the other side. to go into hospital , is the biggist shock you will get in your life. an if your ok mentally you will be out the door pronto.We often think we are near the end , but when you are you wont even no, as your brain shuts down an they sectioned you.then an only then hospital is a cool place
This is the end of the thread.
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