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Joined: Sep 2005
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Chimpanzee
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The thing that irks me is that medications do not affect everyone the same. And there is always going to be at least one person who has a side effect that is diffferent from what is in the literature. That's why prescriptions have the wording "or any other side affects not listed here..."

If this doc is unwilling to even listen to differing side affects - then you definitely need to change! Psychiatrists seem to get the "God Syndrome" even worse than surgeons sometimes! smirk


Michelle Taylor
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I dont like trazadone, my mother used to take it for depression, and i am sure it made her worse, it didnt make her any better. I took imipramine for a short while, and i found that very good with few side effects.


why pay more ?

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I think I forgot to mention that I do see a therapist. I saw one about 15 years ago or so when my h and I first had problems in our marriage and she was wonderful.

Then when he and I finally split up 4 years ago, I called her again but she had retired so she referred me to a colleague. That one wasn't so good but it took me over a year (unfortunately) to realize that I just wasn't getting anywhere. She was very sweet and kind but just not effective. The goal of therapy is to reach the point where you don't NEED therapy anymore! So I tried my HMO. I was scheduled to see one guy but by accident (if you believe in accidents wink ) there was a mix-up in the schedule and I ended up seeing someone else. He turned out to be just the right person for me.

I feel so fortunate for that.

I don't know why it's taken me so long to seek out a different psych-doc for my meds. I think maybe when we're not feeling well, and not feeling strong, we are much less inclined to not only stand up for ourselves, but to even realize that we're not being treated well. Through reading your posts, my doctor's authoritarian behavior has become glaringly obvious.

Last Wednesday I requested a different doctor, but the procedure for that is not so simple. They have to send a message to my current doc, then she selects another doctor for me and goes over my history with that person. I would think a new doctor would be smart enough to read my chart and understand my history on their own, but that's not the way it works. So I'm now waiting for all that to happen and to get a new appointment. But I AM hopeful about seeing a new doctor and I'm looking forward to hearing what they suggest.

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Originally Posted By: joyseeker

Last Wednesday I requested a different doctor, but the procedure for that is not so simple. They have to send a message to my current doc, then she selects another doctor for me and goes over my history with that person. I would think a new doctor would be smart enough to read my chart and understand my history on their own, but that's not the way it works. So I'm now waiting for all that to happen and to get a new appointment. But I AM hopeful about seeing a new doctor and I'm looking forward to hearing what they suggest.


I'm glad you're looking for a new doctor; but why does your current doc have to "approve" your choice? It seems to me since you are not getting along well with this one, especially having trouble getting her to really listen to you - that anyone she chooses would tend to have the same ideals as she.


Michelle Taylor
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Yes, I was thinking the same thing, but having been with an HMO for many years I DO know that what's good for the patient is often not foremost in the minds of those making the rules. I'm hoping I misunderstood or the person who told me this was mistaken. But I am planning to ask my doc's nurse about this when she calls. (btw, the psych nurse works for ALL the docs, not just this one) This doctor has always struck me as sort of an odd bird and I wouldn't be surprised if at least some of her colleagues see her that way also.



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Sometimes we really do have to jump through hoops with HMOs, but other times they just take over, which is great. What state do you live? Some regions are a little different, but patients should still be able to be treated the same. What insurance company manages your HMO?

I live in Maryland and now have a new female, primary care doctor that I have had for about 6 years. She takes my complaints, as well as my suggestions and requests for further study, with sincere interest and concern. The male doctor I had for about 12 years prior was Canadian and was very "laid back" about my symptoms and complaints, therefore he rarely ordered any extra tests. He was a good example of a HMO doc, but I found that finding the right primary doc really makes all the difference. If I need to see a specialist, I see her and talk about it and she asks me where I prefer to go. The difference has been night and day. So, you might have to change your primary care doc, or even your site so that you will have a bigger choice of primary docs. You shouldn't have to wait around for them to "discuss" your history before you can get an appointment.

I am really happy to know that have been seeing a therapist along with your psychiatrist. Sometimes I think that the benefit of seeing some specialists is when you realize that you are no longer getting anything from them, that you have probably gotten so much better that you probably don't need them anymore. I was seeing a specialist in behovioral modification to help "teach" me to control my migraines. At some point, I realized that I was spinning my wheels and going nowhere because I could not modify my behavior to prevent a chemical, physical reaction called migraine. Years later I learned that I had them probably because I had a hole in my heart and "unoxygenated" blood was traveling to my brain (which caused my stroke).

So, if you feel that you are spinning your wheels and going nowhere with certain doctors or therapists or psychatrists, then, just switch. If your primary doctor won't move fast enough, then change primary doctors, too.

I am so sorry that you are having all this trouble right now. It sure does not help your emotions, feelings or mood when you have trouble getting appointments and getting docs to listen. I certainly hope and pray that you are in a state that has positive medical support. Keep us posted, okay?

Peace and Prayers.

Trish

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Thanks so much for all your support and concern.

I spoke to the nurse yesterday and she said she "put the referral through" so at least I know the process has been begun. As I understand it, now I wait for someone to call me to schedule an appointment. If I don't hear something within a day or two, I will call them again. I learned a long time ago that you often have to be the "squeaky wheel" with HMO's, but the downside of that is that when you're not feeling strong, it's really hard to be an advocate for yourself. The support I've gotten here really helps though. I push myself cuz I know I've got friends to report back to. smile


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I hope that you get a call back soon. I know all too well how frustrating waiting can be. I hope that you find a dr. that works with you and that you trust.


Don't be afraid that your life will end, be afraid that it will never begin.
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Good news! If the referral has been "put through", then you can speed the process up and find out which doctors YOU can call to make an appointment. They have a list of people that you can use and you can probably even look online and pick your own. They (your doctor's office) are having the referral office type up the referral, getting the name of the specialist, and mailing the forms to you, so you can hasten the process by making the calls yourself.

This gives YOU some choice in the matter, too. When you pick who you want and tell them, from their list, they can fax the referral to the doctor of your choice, or you can pick it up or wait for them to mail it to you. You really ARE in the driver's seat, but you just have to follow their rules. I wish you were close enough for me to help you. I would be glad to be an advocate for you.

I know that with everything that is going on how hard it is to get some of these things done. Just keep your head up and remember that we are here for you and our prayers are with you. Let us know if there is anything that we can do, okay? What state are you in? Do you live close to any of us? Connie is in Oklahoma, I'm in Maryland, and there are lots of us all around the country. Let us know where you are, okay? Best wishes and God bless you!

Trish


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As of yesterday (Friday), I still hadn't been called to schedule an appt with a new p-doc. Fortunately, I have an appt with my therapist on Monday afternoon, so I'm going to discuss this whole thing with him.

By the way, I live in California.

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