Psycho-Babble Medication | about biological treatments | Framed
This thread | Show all | Post follow-up | Start new thread | List of forums | Search | FAQ

Thany You For Your Complements Steve and errata

Posted by Cam W. on March 3, 2001, at 1:20:39

>Dr. Bob is to be thanked that the general quality of the postings on this board, especially those by Cam W. are of a far higher caliber than those found anywhere else on the internet, and in Cam's case, dare I say
reflect a knowledge of pharmacology superior to that of many doctors

steve - You've made me blush. Actually, I just love my job (most of it, anyway). I have learned much from this site and feel that I owe it to Bob (and those who want to be educated about their treatment) to share what I have learned through extensive reading and personal clinical experience. I may not always be right, but I try to give as accurate information as the literature, my past observations, my memory, and the current laws allow.

I also believe that self-diagnosis (of which I have learned from my own experiences) and self-medication cannot be done unobjectively. One needs an objective viewpoint and therapy needs to be monitored. In my view, doctors are needed; but those with a disorder need to do research as well (blind faith in a doctor's orders - ie compliance to therapy without any additional work on the part of the patient - seldom results in full remission of the symptoms of a disorder). To resolve a disorder, or at least resolve it's symptoms as much as possible, requires hard work on the part of the patient. The patient who passively accepts treatment, WITHOUT working towards remission through changes in lifestyle (ie diet, exercise), taking medication properly, and doing the homework from psychotherapy sessions, will have a far worse outcome than those who actively engage in the above treatment factors.

A person with an affliction should try to find a doctor who has the clinical experience and open-mindedness to be able to assess and correctly monitor therapy on a case by case basis. This is not an easy process either (but is not impossible) and is made harder by the institution of HMOs in the U.S. In Canada, we have a little more freedom in which doctor we can see.

In other words, for treatment to be successful, both the doctor and the patient MUST have input into the treatment plan. The doctor's point-of-view is from clinical experience and evidence based knowledge of the
disorder and it's treatment. The patient's own belief system needs to be then entered into the equation. Both
the doctor's beliefs and the patient's beliefs have equal weight in this equation. A happy medium between
the two must be arrived at through education of the patient by the doctor and through the patient's own
research. The development of a treatment plan is arrived at through a concordance between both parties; with each party being an equal partner in the final decision. Honesty and openness in this partnership is a must.

To find a resolution may necessitate much trial and error and both parties need to try not to get frustrated. The initial attempts at symptom resolution may not work. Patience and perseverence are key factors. The correct combination of treatments (eg pharmacotherapy &/or psychotherapy, along with appropriate lifestyle changes) for any disorder must be developed on an individualized basis. Finding the right
combination may take considerable time and effort on the part of both the doctor and the patient. In a majority of cases, by using the above methods, the time to resolution may be greatly decreased.

I try to facilitate this process with what I have learned in my past 17 years of clinical pharmacy experience and passing along what I have learned about medications. I try to help posters cut through the jargon (ie interpret and define the scientific terminology) and state theories using plain english and metaphors, whenever possible. Sometimes it is hard to convert emotions or feelings into words; the same can be said physiologic mechanisms. There are times that I succeed, but there are other times that I fail miserably; but each time I try, I learn something. So, my giving of my knowledge on this site is not purely altruistic as it may seem; I am here to learn as much as the next guy.

I try not to let my emotions and passions get in the way (sometimes unsucessfully; as evinced by the number of 'please be civil' warnings I have accrued) and try to stay within the boundaries of my expertise. I will help where I can with my knowledge of medications, which is, in some instance deficient. I try to only answer posts to which I feel comfortable answering. I will not diagnose, nor will I try to hinder a doctor's treatment plan. I am only getting one side of the story and never a full medical history in any post. Therefore, I try to limit my answers to what the medications do, what,if any, drug interactions may occur, and what and why side effects occur. I may mention options, but try always to say to discuss these option with the poster's doctor and to get a second opinion.

Sorry for being so long-winded, but I thought that I should relate why I come to this site. I don't do it for
the praise (although steve's comments did catch me off guard and has made my night - compliments do make one feel great, even if they are a tad exaggerated, as I believe steve's was). There are many competent, knowledgeable drug people on this site, let alone on the internet, but I would like to thank you again for your kind comments, steve.

Sincerely - Cam

P.S. Is there anyone out there looking for a community pharmacist who specialize in community mental
health. I am looking for a position where I can play Aristotle to someone's Alexander the Great. ;^)

P.P.S. God, now I think I need a big jar of petroleum jelly so I can grease the sides my head so i can get it
through the door. =^P




Post a new follow-up

Your message only Include above post

Notify the administrators

They will then review this post with the posting guidelines in mind.

To contact them about something other than this post, please use this form instead.


Start a new thread

Google www
Search options and examples
[amazon] for

This thread | Show all | Post follow-up | Start new thread | FAQ
Psycho-Babble Medication | Framed

poster:Cam W. thread:55421