Posted by Mitch on November 27, 2001, at 23:18:07
In reply to Re: depression subtypes and med responses, posted by sjb on November 27, 2001, at 14:47:33
> > It's not your job do your homework, it's your doctor's (although a lot of people do reading on the side).
>
> Yeah, in an ideal world. It's been my experience that if I wait for them to get up-to-date on all the research and new stuff on my particular problem, I'll be even more disappointed and frustrated. I look up information on my problem(s) just like most folks.
>
> Popular PDoc's have a lot of patients and treat many disorders. I do not think it is realistic for them to be up on the latest for each and every disorder and to spend a lot of time researching for each patient. I have, however, been disappointed when I think, as I often do, that they are not doing enough for the patient outside of the session.
>
> The bottom line is that this is a business. I still can't get over how you go in there, share the most intimate things and then, ok, times up, you hand over a check and then you pass the next patient waiting to go in on the way out. I also am surprised that some folks on this board are scared to tell their PDocs if they are not getting better because they don't want to let them down. Hello. I don't think so. We whine and cry at the same time they mull over the options they want on their new Mercedez, Lexus, Beemer, whatever, and life goes on.
>
> I believe most of them do want us to get better, if for no other reason than a patient who makes progress, gives them a sense of accomplishment and adds to their ego. However, most aren't loosing any sleep over any of these, even though a lot of us are.
I agree with you about the *expectations* of the patient toward your doctor about this issue. Perhaps when "pdocs" start to commonly be specialists in specific disorders (schizophrenia, bipolar, personality disorders, panic, mixed/atypical dx, etc.) ..as neurologists specialize in epilepsy, parkinsons's, neuropathic pain, etc., will we start to see an up-to-date fully informed pdoc in front of us. AND, if that pdoc can see that we should be seeing a different pdoc instead-there will be no ego/transferance issues to get in the way of a referral. There is far too much "data smog" out there if you take all of the mental pathology in total and try to deal with everything for everybody. There are too many potential med combinations and limited time to play trial and error ad infinitum.Mitch
poster:Mitch
thread:84318
URL: http://www.dr-bob.org/babble/20011123/msgs/85361.html