Posted by MarkinBoston on March 28, 2001, at 18:06:08
In reply to Bad doctors (Dr. Bob, someone, help!), posted by PhoenixGirl on March 28, 2001, at 16:37:15
Hi!
I've had plenty of Dr.'s with too much ego compared to how little they keep up on literature. The HMO system doesn't give them much time and often the only information source are drug salesmen.
Aside from that, Effexor is perhaps the single most effective AD. It does affect all three neurotransmitters and is on the speedy side. Without rocking your med cocktail too much by taking out one drug that does not seem to help you much, and replacing its DO agonism with Provigil, and NE agonism with Effexor (once you're up to a high enough dose), it seems like a reasonable strategy. Unless you've tried Effexor before and not felt better, I think its worth a try and you should bear with him a little, no matter how lacking his communication skills may be.
His abilities as a doctor don't even matter much here. Effexor has the highest probablity of working, so most anyone treatment-resistant ought to be tried on it first. Excepting contraindications, history is of modest importance even. Today's medical insurance system does not allow him time to scratch the surface of your long history and med combos. It may be even too confusing to gleen much from, so he would want a fresh start.
In the mean time, call around looking for good word of mouth referals of doctors with the style you want.
poster:MarkinBoston
thread:57824
URL: http://www.dr-bob.org/babble/20010327/msgs/57840.html