Scared of pdoc visit

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Vikki
January 12, 2009 - 1:54 pm
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Vikki
Total Posts: 24
Joined: 05-21-2008
Tomorrow is my first 'proper' visit to my new pdoc after the old one retired.

I say proper cause I've seen him befoer when work asked for a medical report, there he took all my history and so on but really it's just like starting again.

I'm worried for two reasons, firstly I can only really describe how I am now, he has no way of knowing how debilitating the condition was before I was medicated.

Second when I last saw him for the medical report he said he wanted to review my meds as he thought he could get 'just that little bit more' out of me...!

Now let me point something out to you here. Before being on my current medication I was either on a hight persueing my latest whim fully concentrated on it to the exclusion of everything else, or a blubbering mess who couldn't see the point in life and didn't want to carry on. That is until my ex left me and I became all-in-one perfectly suicidal and hyperactive in one go (my first mixed state) at which point i needed crisis intervention. At this point I couldn't look after myself or my children and had to live with my mom for a while.

After being medicated within a year I rebuilt my life, got a job as an investment analyst and now I'm living an almost normal life, bar my eccentricities and odd bad days.

I put this down to being on just the right meds. So rightly so I'm very protective of them, I'd hate to loose everything.

So I am scared of him changing my meds. I know he wants to change my Cymbalta and seroquel and up my depakote. Upping the depakote is fine but what on earth could he be changing my others for....I hope it's not lithium....



Current medications as of 01-12-2009
05-27-2008 - Present: Depakote, 250 mg. Twice a day
05-27-2008 - Present: Seroquel, 50 mg. Once a day at night
07-12-2008 - Present: Duloxetine, 60 mg. Once a day in morning

-----------
It's just not as easy as pulling yourself together nor does 'everyone has mood swings' come close.
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Vikki
Vikki
January 12, 2009 - 1:54 pm
Tomorrow is my first 'proper' visit to my new pdoc after the old one retired.

I say proper cause I've seen him befoer when work asked for a medical report, there he took all my history and so on but really it's just like starting again.

I'm worried for two reasons, firstly I can only really describe how I am now, he has no way of knowing how debilitating the condition was before I was medicated.

Second when I last saw him for the medical report he said he wanted to review my meds as he thought he could get 'just that little bit more' out of me...!

Now let me point something out to you here. Before being on my current medication I was either on a hight persueing my latest whim fully concentrated on it to the exclusion of everything else, or a blubbering mess who couldn't see the point in life and didn't want to carry on. That is until my ex left me and I became all-in-one perfectly suicidal and hyperactive in one go (my first mixed state) at which point i needed crisis intervention. At this point I couldn't look after myself or my children and had to live with my mom for a while.

After being medicated within a year I rebuilt my life, got a job as an investment analyst and now I'm living an almost normal life, bar my eccentricities and odd bad days.

I put this down to being on just the right meds. So rightly so I'm very protective of them, I'd hate to loose everything.

So I am scared of him changing my meds. I know he wants to change my Cymbalta and seroquel and up my depakote. Upping the depakote is fine but what on earth could he be changing my others for....I hope it's not lithium....



Current medications as of 01-12-2009
05-27-2008 - Present: Depakote, 250 mg. Twice a day
05-27-2008 - Present: Seroquel, 50 mg. Once a day at night
07-12-2008 - Present: Duloxetine, 60 mg. Once a day in morning

-----------
It's just not as easy as pulling yourself together nor does 'everyone has mood swings' come close.
Lizabeth
January 12, 2009 - 5:02 pm
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Lizabeth
Total Posts: 146
Joined: 01-04-2009
Until I got too sick to feel I could work safely, I was an RN. Just last week I was diagnosed with Bipolar 2. This diagnosis did not even exist while I was working; ten years ago one was either Depressed (me) or had full on Bipolar--there was only one kind. Also, there are lots of new medications out there--I learned that when my prescriber (I see a psych nurse practioner) went over mood stablilizers with me. When I was working, I went overboard keeping up with most of the new meds any patient I would see in a small hopital med surg unit might be on and I had Never Heard of some of the ones my person went over with me last week. Your Pdoc may think there is something better out there than what you are currently on.
That said, I hope your person works with you so you feel you are involved in the medication decision making--it works a lot better that way. TELL him how you feel about it---most wording in charts does not really convey the emotions behind things very well, even when, as in psych, the charters are trying to do so.


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Lizabeth
Lizabeth
January 12, 2009 - 5:02 pm
Until I got too sick to feel I could work safely, I was an RN. Just last week I was diagnosed with Bipolar 2. This diagnosis did not even exist while I was working; ten years ago one was either Depressed (me) or had full on Bipolar--there was only one kind. Also, there are lots of new medications out there--I learned that when my prescriber (I see a psych nurse practioner) went over mood stablilizers with me. When I was working, I went overboard keeping up with most of the new meds any patient I would see in a small hopital med surg unit might be on and I had Never Heard of some of the ones my person went over with me last week. Your Pdoc may think there is something better out there than what you are currently on.
That said, I hope your person works with you so you feel you are involved in the medication decision making--it works a lot better that way. TELL him how you feel about it---most wording in charts does not really convey the emotions behind things very well, even when, as in psych, the charters are trying to do so.


noctufaber
January 12, 2009 - 10:39 pm
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noctufaber
Total Posts: 20
Joined: 12-17-2004
Vikki,

Don't forget that your doctor is employed by you. You are the one paying for his advice. You are still in control. Nobody knows your personal health better than you do.

My wife and I had an experience with a doctor who wasn't meeting my wife's needs and she ended up getting hospitalized twice. We decided to find a different doctor which was initially against my wife's family's wishes. We pushed ahead with changing her doctor and we found a new doctor who listened to my wife. This new doctor turned out to be fantastic. He was kind, never judgmental, and he acted as if he was part of team (my wife and I were the other team members). Having the right doctor has made a huge difference for us. It sounds like your old doctor was a true healer. Perhaps your new doctor will work with you to ensure he doesn't upset your medicine cart too much. Good luck!


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noctufaber
noctufaber
January 12, 2009 - 10:39 pm
Vikki,

Don't forget that your doctor is employed by you. You are the one paying for his advice. You are still in control. Nobody knows your personal health better than you do.

My wife and I had an experience with a doctor who wasn't meeting my wife's needs and she ended up getting hospitalized twice. We decided to find a different doctor which was initially against my wife's family's wishes. We pushed ahead with changing her doctor and we found a new doctor who listened to my wife. This new doctor turned out to be fantastic. He was kind, never judgmental, and he acted as if he was part of team (my wife and I were the other team members). Having the right doctor has made a huge difference for us. It sounds like your old doctor was a true healer. Perhaps your new doctor will work with you to ensure he doesn't upset your medicine cart too much. Good luck!


Vikki
January 13, 2009 - 1:15 pm
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Vikki
Total Posts: 24
Joined: 05-21-2008
Lizbeth thanks, it must be a real eye opener for you.

Noctur- Sadly not over here in the UK the state employs the pdoc so you get what you're given and after my visit I'm quite happy.

I think it was about time my old doc retired as from my chart you'll see he once had me stop cymbalta cold turky and you can see the result.

We had a chat, he said he wanted to change my cyclothymia diagnosis to Bipolar and he wanted to increase my mood stabiliser depakote and also let me take seroquel whenever i need to for anxiety to help wean me off the codiene.

When I see him in 4 weeks he want's to look at changing the cymbalta to veneflaxine, whatever that is.

I really did feel part of the decision and thank god lithium wasn't mentioned!



Medications for July 2008
11-30-2007 - 07-08-2008:Duloxetine, 60 mg. Once a day in morning
05-27-2008 - Present:Depakote, 250 mg. Twice a day
05-27-2008 - Present:Seroquel, 50 mg. Once a day at night
05-27-2008 - Present:Depakote, 250 mg. Twice a day
05-27-2008 - Present:Seroquel, 50 mg. Once a day at night
05-27-2008 - Present:Depakote, 250 mg. Twice a day
05-27-2008 - Present:Seroquel, 50 mg. Once a day at night
07-12-2008 - Present:Duloxetine, 60 mg. Once a day in morning

-----------
It's just not as easy as pulling yourself together nor does 'everyone has mood swings' come close.
Spam? Offensive?
Vikki
Vikki
January 13, 2009 - 1:15 pm
Lizbeth thanks, it must be a real eye opener for you.

Noctur- Sadly not over here in the UK the state employs the pdoc so you get what you're given and after my visit I'm quite happy.

I think it was about time my old doc retired as from my chart you'll see he once had me stop cymbalta cold turky and you can see the result.

We had a chat, he said he wanted to change my cyclothymia diagnosis to Bipolar and he wanted to increase my mood stabiliser depakote and also let me take seroquel whenever i need to for anxiety to help wean me off the codiene.

When I see him in 4 weeks he want's to look at changing the cymbalta to veneflaxine, whatever that is.

I really did feel part of the decision and thank god lithium wasn't mentioned!



Medications for July 2008
11-30-2007 - 07-08-2008:Duloxetine, 60 mg. Once a day in morning
05-27-2008 - Present:Depakote, 250 mg. Twice a day
05-27-2008 - Present:Seroquel, 50 mg. Once a day at night
05-27-2008 - Present:Depakote, 250 mg. Twice a day
05-27-2008 - Present:Seroquel, 50 mg. Once a day at night
05-27-2008 - Present:Depakote, 250 mg. Twice a day
05-27-2008 - Present:Seroquel, 50 mg. Once a day at night
07-12-2008 - Present:Duloxetine, 60 mg. Once a day in morning

-----------
It's just not as easy as pulling yourself together nor does 'everyone has mood swings' come close.
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