Posted by ace on May 29, 2003, at 22:16:46
In reply to Saw new pdoc, said nothing more could be done...., posted by jerrympls on May 29, 2003, at 21:45:31
> Ugh. So, I finally saw my "new" psychiatrist today - due to the sheer luck of somone's cancellation - anyway, I filled out all the paperwork on my history w/ depression + anxiety including all the meds I've been on, ECT and the VNS implant. The nurse says to me - before she goes to get the dr. - "So, what do you want to get out of today's appointment?"
How condescending. You should of said "What do YOU think I want to get out of it?"
I respond: "Well, I'd like to talk to the dr. about treatment options including the possibilty of alterntative treatments and/or trying some off-lable meds.." to which she says: "Oh no - we can't do anything like that."
Um...why not? Typical psychiatric jumped-up nurse!
> Ugh. Actually, I was kind of expecting that kind of response so I didn't say anything except to give a "So, what do you want me to do then?" look -
>
> so, the dr. comes in and gets right to the point and says:
>
> "You're the man who's tried everything, and to be perfectly honest with you, I have no ideas as to how to treat you. You've been on everything. There's nothing more. That's psychiatry's dirty little secret: not everyone responds to treatment and some will will only achieve a very partial response if anything at all."
Lie. Simply not true. One must keep searching. If not monotherapy, try polypharmacy. If he has no ideas, then give him the flick...find a doc who has ideas and there are plenty. In my experience people only respond partially because of incompetence on the Dr's behalf. One pdoc said to me when I was on 200mg Zoloft and recieving little benifit for my OCD "At that dose no other drug would be better" Huh? I'm on Nardil now which kills OCD better than Zoloft ever came NEAR to killing. You see, this is why it is best to be proactive in your treatment. I have heard of people staying on meds for years with only partial responses. Why?> Talk about a mood lifter. It really didn't get to me -
Great attitude. Keep your head up!
I was prepared for inexperience w/ difficult to treat mood disorders and a quiet refusal to even consider something novel like Mirapex, etc.
>
> Honestly, I gotta respect that at least he was up front with me. The one good thing that came from the appointment was a referral to a pulmonologist to test me for sleep apnea (runs in my family and I have all the symptoms). So, hopefully I'll find out about that.
>
> In the meantime, the search continues for an experienced, compassionate and gutsy psychopharmocologist who will work with me to find something......at least so music will warm my soul again.....I'd settle for just that.....Good luck my friend....BTW have you tried the mighty MAOIs? MAOIs with augmentation?
> Thanks for listening....
>
> JerryAce.
poster:ace
thread:230097
URL: http://www.dr-bob.org/babble/20030525/msgs/230101.html