Posted by Elizabeth on June 9, 2001, at 22:25:02
In reply to Re: Update: very very very very very long » Elizabeth, posted by shelliR on June 9, 2001, at 0:47:29
> Kids are getting oxycontin on the streets and crushing them, thus getting the effect of several doses worth at one time. It's very popular in high schools now, and there's been some deaths.
You can't inject sustained-release drugs safely, but OxyContin came in up to 160 mg strengths (until the govt put pressure on the drug company to pull them from the market). This is like 32 Percocets -- enough to kill a person with no tolerance, easily.
> I'm due. I've gone through the whole last year with absolutely no acceptance. And I have a dissociative disorder, DDNOS, so that's why the dissociative disorders unit.
What sort of DDNOS? "NOS" disorders could be a lot of different things. Sometimes they're unofficially recognised disorders, sometimes they're subclinical variations on clinically recognised disorders.
> Actually I think it's called The center for Abuse and Recovery now, and not everyone is diagnosed as dissociative, although most are.
PTSD, BPD, and dissociative disorders tend to get grouped together. Women's programs tend to focus on these issues (which is why I avoid them). McLean has both a Women's Partial Program (South Belknap, the house featured in _Girl, Interrupted_) and a Dissociative Disorders/Trauma inpatient program (Proctor 2). (I was in the Mood and Anxiety Disorders Program.)
> They make my body pulsate and shakey and I sort of feel like it's too hard to stay in my body., but nowhere else to go.
Huh. I had panic-like reactions on some of them, also blood pressure problems. But if I tried them now, without the Parnate, they might work.
> Right on target with the cocktail guy. He gives you a pie chart diagram-- serotonin, norepinephrine and dopamine- He's really into it. He wrote an article in for the health section of the Washington Post called the three tenors: http://groups.yahoo.com/group/a_new_voice/message/722
Ugh! That's so oversimplified. It also leaves out other systems, like the cholinergic and endogenous opioid systems.
> > Therapists shouldn't make threats like that. It's downright abusive. IMHO.
>
> Yes, we have a lot of disagreements, a few very bitter, but the truth is she is the therapist who has helped me the most so far. She has seen me lose so much ground in the last year and she is convinced it is the hydro, as was my pdoc.I dunno...sometimes, nonmedical therapists like to blame the meds (or the client!) for their ineffectiveness.
> From her point of view, "she is worried", and thus the threat. But I agree, it’s not right. But I also know she is not trying to be abusive; she is doing what she thinks is right.
Is there a way you could tell her that you think it's wrong to make threats to clients like that, without upsetting her? She's probably hurt other people that way too.
> Well, they get mostly people I assume whose doctors send them for evaluations and then get back to them to change med protocols.
Yeah, that's how I encountered Dr. Bodkin -- my pdoc knew him from residency.
> With me there would be no one to talk to (except me, of course). They don’t do any treatment.
The purpose would be to make a treatment plan (preferably in writing).
> My blood pressure fell to low. It was sort of fun. I was very floatly and felt very light, but not grounded enough.
That's what happened to me on Parnate + some of the stimulants, only I didn't feel good. I felt dizzy and my vision would go black when I stood up.
> I don’t understand why they’re not monitored for prescribing narcotics like all other doctors. They send you the medication., rather than the prescription. I wonder if there is no paper trail.
I don't know the details of online pharmacy/consultant businesses. I gather they tend to go out of business pretty fast if they prescribe controlled substances with a minimal (or no) consult, though.
> Actually, ten days is about standard there, but I get worried about my business so try to leave fast.
It's not the hospital that determines the standard amount of time; it's the insurance. My insurance approves 5 days at a time, then decides whether to approve more.
> The problem is that even if you go in voluntarily, they decide when to let you out.
Yes! That's called "conditional voluntary" admission in Massachusetts. It's not really voluntary at all -- if you try to leave, they can threaten to have you committed. I've never been in that situation, but my guess is that judges are more likely to side with the doctor than with the patient.
> Also last time it was not a good experience for me.
You're not alone. A lot of people have bad hospital experiences, especially those who like to have a say in their own treatment (hospital staff who don't know you seem to assume that you're just another ignorant patient).
I understand about not wanting phone calls in the hospital. But I would like to hear from you over email. It'd be nice to chat a little bit, at least now and after you get out.
> > ...... You seem like a good sort.
>
> That sounds very English to me!In fact, I picked it up ("a good sort") from an English ex-boyfriend. :-)
-elizabeth
poster:Elizabeth
thread:64320
URL: http://www.dr-bob.org/babble/20010605/msgs/65971.html