Posted by Karen44 on July 24, 2006, at 23:09:04
In reply to Re: What to do about med's when Pdoc abandons you, posted by SLS on July 24, 2006, at 3:39:56
> If you don't have refills on your prescriptions, and you have no intention of returning to this doctor, I would call the doctor's secretary, explain the situation, and ask that prescriptions be called into the pharmacy until you can find a new doctor. You could, of course, use a GP to prescribe these medications by showing him the presription bottles or by having him consult with your ex-pdoc. The GP might also be a source of a referral.
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> Lamictal, being an anticonvulsant, carries the risk of producing a seizure if discontinued abruptly. I have seen it tapered rapidly, though. The problem with this, though, is that it often produces a rebound depression or worsening of depression. Still, you can use all the help you can get, and cannot afford to make things worse. It is difficult to know whether or not Lamictal is helping.
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> What other drugs are you taking?
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> Perhaps you don't have to cut off your relationship with this doctor just yet. Maybe you can use him as a sort of home-base until you find someone else. In the meantime you can begin the process of searching for another doctor. People here can advise you on how to go about doing that.
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> - ScottI have only got part of a starter packet. I don't have a script, and so I am worried about what could happen when that is done. He won't take any messages from me, but I am supposed to see him on August 4th. He does therapy with me as well, or at least tries. I think he should stick to medications and consultation-liason psychiatry. He's not the best therapist in the world, not even close, but I have borne my soul to him and discussed things I never discussed before, and so it is very difficult for him to say we are at an impasse, and so I should find someone else to see. This is the same person who several months ago said I was working really hard and had made progress faster than he would have expected. I am really confused and feel like sh*t because the Lamictal is not helping. I am on the second week of 25 mg. per day. Perhaps that won't cause problems if I have to quit. He told me to go to the University of Chicago Hospital if I thought I needed to be in the hospital. He used to be there, and I was there for one week a year ago. He knows how horrible the experience was, given that they had sex offenders on the unit who were scaring the crap out of the students from U of C who were patients there. I reported it, and things did change, but the nursing staff were pissed with me for making sure their little darlings were removed from the unit. Enough. I am off topic. I was thinking I would beg and not let him ever see my anger (the reason he thinks we are at an impasse - becuase of my strong feelings toward him. It is just hard to change and basically have a doctor say, I don't want to work with you anymore. You put me in a bind, and so I can't help you. If he is going to do therapy, then he should understand what that is all about. Thanks to all; I may have to see if another doctor will prescribe something. In the meantime, I am so damn depressed I can hardly stand it, and I have to go into the University of Chicago Hospital Thursday for a broncoscopy because I have been coughing up blood. CT says not cancer. Thanks to all; my psychiatrist just has bad timing--starting a new med and extremely depressed, my brohter died last week, and I am going in for this damn procedure, and now my psychiatrist says don't darken my doorstep. He told me if this new doctor can't work with me, then I need to find someone who can.
poster:Karen44
thread:669879
URL: http://www.dr-bob.org/babble/20060724/msgs/670215.html