Posted by Greg on April 21, 2003, at 20:41:46
In reply to Should I be annoyed with pdoc?, posted by Dinah on April 21, 2003, at 19:48:57
Dinah,
Yes, I can see you being annoyed. But I'm curious, is 5 minutes standard for your visits with your pdoc? My appts with my Psych generally run about 15, and if I have med issues I need to discuss with him we'll extend that a bit. IMHO, 5 minutes with a pdoc or Psych isn't sufficient under any circumstance.
I don't know what your insurance situation is like or what kind of relationship you have with your pdoc, but can you talk to him about getting more time? This seems a bit *revolving door* to me. Make sure you're getting your money's worth Dinah.
Be good,
Greg> After my tongue thrusting incident, I was a bit concerned about taking Risperdal. My pdoc appt was today and I discussed my concerns with him. He said that there was no chance of permanent movement disorder since I was taking the lowest dose on an as needed basis. He said I'd have to be on it for six months or so continuously to have any real risk of permanent problems.
>
> Well, I'm not sure about that, but the thing that really annoys me is this. He gave me a prescription for seroquel instead, saying it was less likely to cause trouble. I just did a bit of research this evening and found that was true. But I also found that placebo controlled studies showed a 17% increase in triglycerides and an 11% increase in cholesterol (that was not dependent on weight gain) in three to six week studies. My triglycerides are already high, my internist is trying to get them under control, and I'm just shy of prediabetic.
>
> Now, I may or may not have told him this. I think I gave him copy of my last test results because of elevated liver enzymes and to show the depakote levels. But whether or not I did, I'm a large person. It wouldn't take a large cognitive leap to guess that I might have trouble with triglycerides and cholesterol. I'm really annoyed that he didn't inform me. I'm wondering if our five minute sessions are really sufficient (seven minutes today due to meds change).
>
> Is my annoyance justified? Maybe I'm reading outdated Seroquel information. Or maybe it really is normal not to mention these things.
poster:Greg
thread:221270
URL: http://www.dr-bob.org/babble/20030417/msgs/221281.html