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Re: Obesity - Anxiety - Depression - Headaches » JESSsMom

Posted by Racer on July 22, 2008, at 9:40:45

In reply to Re: Obesity - Anxiety - Depression - Headaches, posted by JESSsMom on July 21, 2008, at 21:13:44

> PDoc was clear in no uncertain terms that he is a Pdoc and not a bariatric doctor or a pain management doc when I brought my obesity and Meridia up, along with my chronic pain.
>
>
> I will have to see a bariatric doc and a pain management doc in addition to my PDoc.


Meg, I hope you'll thank your pdoc for me. The anger I felt when I read your post woke me up better than coffee would this morning. That's a good service he provided.

And at the risk of breaking some of the rules that I help enforce around here, I'm going to offer my opinion. And I will do my best to remain civil while doing so.

I am not impressed by this doctor's attitude. I've read a lot of things written by doctors where they discuss the practice of some psychiatrists to prescribe medications which impact other body systems, without addressing that impact. Many of the articles describe that practice in less than complimentary terms. Some use words like "irresponsible" to describe that practice. I am singularly unimpressed by the behavior you've reported here.

I realize that there are often practical considerations which impact decisions regarding choice of doctors. My advice would be to find another doctor, if that is at all possible for you. Even if it's inconvenient for you, if it is possible, it's probably worth it. EVERY pdoc I've seen for years now has told me, when I brought it up, that we would address weight gain from meds if it occurred. They have described the ways that they would address it. They have offered lists of medications they would use to mitigate weight gain, and they have described ways to address other adverse effects -- such as sedation -- as well. And they've followed up on it. If your pdoc has simply said, "That's not my specialty," I am -- at the risk of sounding ridiculous for repeating myself -- singularly unimpressed.

I'm very sorry that you have run into this, and I wish I could send you my pdoc -- who would NOT dismiss your legitimate concerns in this manner.

I wish you the best, and hope that you receive the care you deserve.


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