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Re: Compliancy versus abuse madeline

Posted by yxibow on May 25, 2006, at 2:21:46

In reply to Compliancy versus abuse, posted by madeline on May 24, 2006, at 21:37:39

> Personally, I cringe when I hear the phrase "Patient was non-compliant with treatment plan X"
>
> Compliancy suggests a obediance and submission, which should not be the therapeutic model.

To a tee it may sound so, but it really just means that a patient, paying money for advice, goes to a doctor, who suggests from their knowledge, treatment plan X as you say, and the patient tosses the pills down the garbage disposal. That is what the statement means.

It has nothing to do with submission. It has to do with the saying, you hire a dog to bark, but then you bark yourself.


Sure, a doctor patient relationship should be one of equal communication.

I think my doctor summed up our relation with regards to medication once that he, as the one who holds a DEA license and could be in jeopardy of losing it if we went with some bizarre plan that I suggested that he never had skill with, may be in charge with driving the bus, but there's nothing wrong with me, the patient glancing over to make sure he's not making a wrong curve on the steering wheel.


> Taking a medication against or not in accordance with a physician's direction constitutes abuse of that drug. It may sound harsh, but it is true.

Completely agreed. And sometimes some of us stray here and there, and I've owned up to taking medication from prior plans.

> That's why communication (and I CAN'T stress this enough!) between the patient and the physician is absolutely essential.

Most assuredly.


> That way the patient won't feel pushed and ordered around and the doctor won't have a patient abusing a drug under their care.

Agreed.


> If you can't talk to your physician, the find another one. It may be your choice, but it is also your health.


And its easy to say -- but some people have limited resources to be able to find one. Here in this case, she needs one that accepts Medicaire. In the most sophisticated urban places in this country you may find a handful of doctors who will take it, but its a hard thing to find. If its something she wants to do, its something she will do under her own right.

I think that discussing with the nurse practicioner is the right thing and I do hope you hear back from her or your doctor, Jan.

Antipsychotics are not just used for psychosis. However I understand your trepidation. That's why I think I will just finish this thread by saying that you and him are in the same office together. Say something for the time that he gives you. I know you have the power in you to speak up and inquire.

Best wishes

-- Jay

 

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Psycho-Babble Medication | Framed

poster:yxibow thread:647429
URL: http://www.dr-bob.org/babble/20060520/msgs/648244.html