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Re: Medical Records and Toby

Posted by DL on March 23, 1999, at 22:33:30

In reply to Re: Medical Records, posted by Toby on March 23, 1999, at 15:39:44

Hey Toby,--are you still having problems with this site? I have really missed your input. Am still hangin in there waiting for that appt in April.. Any comments on Q's below?

>>when it's about you, it isn't the same, no matter how intelligent you are, no matter how mentally healthy you've become, no matter how technically unemotional the report is.

This is true. We all create our own life story--by selectively attending to some things and ignoring or repressing others. At times this is a protective instinct and allows us to survive overwhelming times. I can imagine that if I were to read records from 2 years ago (when I was not sleeping at all and in an abusive situation)--written by someone who could see objectively all that was there----I don't know if my self esteem could survive it.

But, I am still curious to see somethings:
--I never saw a treatment plan--yet I saw a therapist for a few years. I know now that insurance co's require them. I would like to see if there are some in my records.

--I saw a psychiatrist every few months during the same time. He usually wasn't sure who I was when Icame in after 8 wks or so. I know once he forgot to write down a prescription and it caused all sorts of problems for me when he was away...Ususally he just asked me what script I needed. .I wonder if he put anything in his records? There was always another pt. immediately after me. I'm curious just to see if there are records!

--Is it ok to ask the new therapist to discuss the records being sent to her--with me?

--Still have that extra weight. Not good for self-image. Doesn't want to leave me. You gave me suggestions before, but MD was not interested. I have 2 names from the new therapist-to-be for MD's and may call and switch. Knowing my sensitive system, any ideas for me to take to a new psychiatrist?

--Any guidelines on how long to take Remeron? It's been almost 6 mos now. Do you have experience with people who stopped it and continued to sleep well?--and continued with the lower levels of anxiety?

--My jaw has become very painful. One side only opens enough to talk without pain. Eating can be quite a chore since Ican't open far enough for a sandwich etc. unless I squish it. If I force it to open more it is so painful--including right into my ear, and just locks up. Always had some off and on "hitching" there but not painful until a few wks ago. Is this just stress? The REmeron seems to help with mental stress but not physical stress.--Not sure who you go to for this if it continues.

>> my point is that psychiatrists do many things that patients do not understand and may not like; that's the nature of the treatment of the mind but that does not make those actions unethical or unreasonable.

If you use the perspective that all psychiatrists are as caring, knowledgeable, up-to -date, and attentive as you, then this applies. however I suspect there are some psychiatrists out there (like the one I have seen for the past few years?) who don't fit that description and for one reason or another are not able to be ethical or reasonable or helpful????

Is there some form of peer review for psychiatrists and therapists?




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