Posted by Garnet71 on August 13, 2009, at 23:39:30
In reply to Re: Provigil, Wellbutrin don't even help Motivation » Garnet71, posted by alchemy on August 12, 2009, at 0:34:38
Hey there again. I took SSRIs on/off for about 8 years...
The neuro/psych appt. was dissapointing. I mentioned the possibility of getting my prolactin tested (didn't give him reasons), and he said an endo. would be best suited to do that. Maybe he doesn't know of research that indicates SSRIs affect prolactin levels...As I have said many times before, there is little cross-disciplinary clinical practice with psych issues....
He didn't think much of my distorted vision-he noted one pupil was bigger than the other, but said the diff. (approx. one millimeter) is not enough to worry TOO much about....but it's strange he didn't investigate the bent lines I see; he shined lights in my pupils and tested for color differentials-that's it..other than talking to me.
I think I'll get a second opinion. I had told him of previous encounters with specialized eye doctors-how I'd been previously diagnosed w/occular migranes, and also that my father suffered from severe migrants--he seemed too satisfied with those assertions and was dismissive after I revealed this information and those encounters with previous docs (group think), but the (negative) MRI I had was about 5? years ago...I was suprised he did not order another, but I didn't feel too assertive with him so I didn't bother asking. I didn't feel comfortable at all with him, so I just kinda sat there and listened. He might have been one to think I'm a hypochondriac or something, since I disclosed chronic anxiety....and recent emotional manifestations.
But I had previoulsy gone to a top-notch neuropthamologist (for intense behind the eye pain) who could not pin a diagnosis after spending hours and hours with me....Then the other specialist I saw at that time was a retina specialist-the one who diagnosed me w/occular migranes-but he was arrogant, and i felt this MD just pinned the diagnosis on me for lack of explanation (only intuition); he spent just a few minutes with me, but was trained in physical eye retinal issues.... I had gone to see him partly because I have retinal tears (a protracted retinal detachment), but to get a 2nd opinion about the eye pain. These encounters were both about 5 yrs. ago.
This doc did prescribe me neuro testing-pen and paper tests (for ADD or other cognitive dysfunction). I am looking foward to taking those tests. He also suggested looking into other ADs I had not yet tried, but said I need to find a regular psychiatrist (and I told him I am in the process) as he serves mostly as a consultant. he seemed offset when I told him I take Dextro. Wondering if he was thinking I was "Dr. shopping" I did not ask him for meds. My concern was the distorted vision, and I was disappointed he seemed to dismiss the symptoms.
Oh well, will follow up and report back later :)
poster:Garnet71
thread:911358
URL: http://www.dr-bob.org/babble/20090810/msgs/912018.html