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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by FredPotter on June 26, 2000, at 20:09:10
I went to the "psychiatrist" yesterday with a bad
attack of anxiety and depression. I had been recommended by someone else to take Buspar. He said that it's a benzodiazepine and therefore addictive. I told him he was wrong. I said I took Xanax and that was a benzo. He had to look that up in his book. I said I also take Celexa. His reply was "yes, but have you tried a SSRI?". I said it WAS a SSRI. He said the only pill he might consider for short term treatment of anxiety was 70mg Prozac per day. Presumably all in one dose. Sure to make anyone anxious I should think. I think he was mixed up with OCD.He then lectured me on fierce dogs, fight and flight, relaxation and CBT. That there was no pill for my symptoms and never would be.
Has anyone else come across such ignorance? Do you reckon I should report him?
Fred
Posted by kazoo on June 26, 2000, at 23:02:54
In reply to Ignorant but with the power to prescribe, posted by FredPotter on June 26, 2000, at 20:09:10
> Has anyone else come across such ignorance? Do you reckon I should report him?
> Fred^^^^^^^^^^^^^^^^^
Greetings to Fred:I reckon that you should run away from this QUACK as fast as possible!
If you told me that he wanted to form a conga line and dance off the Chrysler
Building, I wouldn't have been surprised.
This person is genuinely dangerous and is a disgrace to the profession.
Forget about reporting him. I'm sure he's capable of weaseling around
bad publicity.
Besides, I plan to set up a user/message forum dealing with these so-called
professionals, HA!
Stay tuned to this channel for details.kazoo
Posted by paul on June 26, 2000, at 23:07:47
In reply to Ignorant but with the power to prescribe, posted by FredPotter on June 26, 2000, at 20:09:10
does IMMEDIATELY answer your question? did this creTUUNE just graduate from a med school in Grenada? this idiot is ignorant AND dangerous. get another doc as you clearly know more than he does.
how such buffoons get liscences is WAAAAAAAAAAAY beyond me.
pcl
Posted by KarenB on June 26, 2000, at 23:26:21
In reply to Re: Ignorant but with the power to prescribe, posted by paul on June 26, 2000, at 23:07:47
> does IMMEDIATELY answer your question? did this creTUUNE just graduate from a med school in Grenada? this idiot is ignorant AND dangerous. get another doc as you clearly know more than he does.
> how such buffoons get liscences is WAAAAAAAAAAAY beyond me.
> pclHey, hey, HEY - CAREFUL!! I agree... but do you need to bring Grenada into this?
Karen
Posted by Rick E. on June 26, 2000, at 23:36:32
In reply to Re: Ignorant but with the power to prescribe, posted by KarenB on June 26, 2000, at 23:26:21
I think it's really unbelievable how ignorant doctors can be...my gen prac is the only doc that I come close to trusting, and unfortunately, I have had to teach him more about ADs than he has taught me...I am fortunate to have him, though, because he listens to me.
My Pdoc does not listen to me...just prescribe, prescribe, prescribe, and the man has so incredibly many patients that I am sure that NONE of them get the attention that they deserve...and of course, when something goes wrong, he is never available. I have found that when I am completely honest with my GP and share the information I learn online and in here, he is more than willing to prescribe me what I know I need...I guess I am lucky in that respect.
I wish you all the best of luck with your doctors...it's sad that the cures for this disease are so motivated by drug companies...don't ya just wish a surgeon could go in and rip out the part of our brains that are causing these problems...haha...dream on, Rick...
Posted by Abby on June 27, 2000, at 0:02:06
In reply to Ignorant but with the power to prescribe, posted by FredPotter on June 26, 2000, at 20:09:10
>
> Has anyone else come across such ignorance? Do you reckon I should report him?
Report him, definitely report him. What a bozo? I bet he stays in business, because he's willing to accept the HMO rates. and they make everyone go to him. Do not pass GO, Do not pick up $200, go directly to the reportying agency. And don't pay your bill.--Abby
Posted by Andre Allard on June 27, 2000, at 1:07:38
In reply to Ignorant but with the power to prescribe, posted by FredPotter on June 26, 2000, at 20:09:10
If this pdoc really was this dumb then I would of began discussing meds with him and shooting out fact after fact until he realized himself that he is retarded. I wonder if this doc is an old one. Many old school docs are anti medication period, let alone anything to do with depression. When they were going to school and first beginning their practice the only thing they had for depression at the time was horse tranquilizers. Do not worry about him, just get another pdoc. I have seen two GPs in the last two years that were at least seventy and I'll tell ya, they were way, way past their time.
Posted by FredPotter on June 27, 2000, at 1:11:34
In reply to Re: Ignorant but with the power to prescribe, posted by Andre Allard on June 27, 2000, at 1:07:38
thanks everyone. Yes he's old school all right.
What's more he wouldn't let me talk. He just lectured me. He didn't want to hear what was wrong. What's everyone think of 70mg Prozac? Sounds a bit vicious to me.
Posted by JohnL on June 27, 2000, at 4:57:28
In reply to Re: Ignorant but with the power to prescribe, posted by Andre Allard on June 27, 2000, at 1:07:38
> I wonder if this doc is an old one. Many old school docs are anti medication period, let alone anything to do with depression. When they were going to school and first beginning their practice the only thing they had for depression at the time was horse tranquilizers. Do not worry about him, just get another pdoc. I have seen two GPs in the last two years that were at least seventy and I'll tell ya, they were way, way past their time.
I've seen my share of numbskull psychiatrists too. It continually amazes me how many years (decades?) they invested into college, pre-med, med school, and then residency to end up being so out of it. How can that be? I don't get it.
My experience with older pdocs though is just the opposite of Andre's. My pdoc is in his 70's, and he's the coolest and sharpest I've ever known. He's learned and shared with me that there is no favorite medication; matching diagnosis to medication is futile; their is no favorite strategy. This is all because each patient has a unique personality; a unique set of circumstances; unique genes; and a unique chemistry underlying their particular symptoms. All these factors have to be put into a customized approach for each and every individual patient. He admits that only through trial and error can we find the right medication. But he also admits that medication reactions provide clues to understanding what chemistry we're dealing with. Clues to help pinpoint the next drug choice with greater odds of success.
I would be hard pressed to find any younger doctors who take these things into account. They just aren't trained that way. I only know of one. On the contrary, they all seem to have their own favorite antidepressants. Their favorite flow charts...what's first, what next, and so on. And they all tend to match diagnosis with medication. Depression = antidepressant. So often it just doesn't work that way.
Regardless of age, I think what really matters is how passionate the physician is with his/her work. Have you ever noticed that people who are in love with their work in any profession are also the ones that tend to shine above the others? Passion. That's a good quality to look for. A pdoc who is passionate with what they do will automatically be up with the latest research, be thinking of how to improve things, even during off time. And of course, know the technicals of every drug fluently.
Anyway, thanks for sharing your experience with this numbskull pdoc. I needed a good laugh. Sadly though, it isn't much to laugh about is it. Rather depressing actually.
Posted by LostBoyinNC on June 27, 2000, at 10:27:59
In reply to Ignorant but with the power to prescribe, posted by FredPotter on June 26, 2000, at 20:09:10
> I went to the "psychiatrist" yesterday with a bad
> attack of anxiety and depression. I had been recommended by someone else to take Buspar. He said that it's a benzodiazepine and therefore addictive. I told him he was wrong. I said I took Xanax and that was a benzo. He had to look that up in his book. I said I also take Celexa. His reply was "yes, but have you tried a SSRI?". I said it WAS a SSRI. He said the only pill he might consider for short term treatment of anxiety was 70mg Prozac per day. Presumably all in one dose. Sure to make anyone anxious I should think. I think he was mixed up with OCD.
>
> He then lectured me on fierce dogs, fight and flight, relaxation and CBT. That there was no pill for my symptoms and never would be.
>
> Has anyone else come across such ignorance? Do you reckon I should report him?
>
> FredYes, you should report him to your state medical board. He sounds like an old time type of psychiatrist, the type who got into psychiatry because he likes the talk therapy stuff. We dont need more psychiatrists like that. If he wanted to do CBT and talk therapy and stuff he should have become a PhD psychologist instead of a Medical Doctor. Psychiatrists are the experts in drugs and Psychopharmacology(supposedly at least).
That guy should have prescribed you some meds if you are that bad off. He is a Psychiatrist, a Medical Doctor yet has no clue about psychiatry drugs. Therefore, he has no business staying in medicine and keeping his medical license to practice medicine.
That guy is just playing around with your health basically and needs to be gotten rid of from psychiatry. Definitely do report him to your state medical board. Also, you can report him to the Better Business Board for consumer fraud. That is, you can say you went to him for drug consultation but he was incompetent, didnt even know the drug basics. That you knew more about the drugs than he did.
Fuck all these incompetent psychiatrists...run them out of business if they cant cut it. Psychopharmacology rules!
Eric
Posted by LostBoyinNC on June 27, 2000, at 10:48:00
In reply to Re: Ignorant but with the power to prescribe, posted by JohnL on June 27, 2000, at 4:57:28
>
> Regardless of age, I think what really matters is how passionate the physician is with his/her work. Have you ever noticed that people who are in love with their work in any profession are also the ones that tend to shine above the others? Passion. That's a good quality to look for. A pdoc who is passionate with what they do will automatically be up with the latest research, be thinking of how to improve things, even during off time. And of course, know the technicals of every drug fluently.I agree, if a Pdoc has passion he is probably OK...providing he is not anti-medication. Depends on what he is passionate about. Some of these psychiatrists are quite passionate about old style talk therapy and are passionately anti-med. Others are anti-med but more subtle about it cause they have learned to keep their mouths shut. But if you go to them long enough you will figure it out on your own that they are anti-med/pro talk therapy basically.
Any psychiatrist these days, in the year 2000, who is anti-med and tilts towards talk therapy for severe forms of mental illness is a bad Pdoc. Period...end of sermon. These types of psychiatrists need to be run out of business. If they want to do talk therapy they should have become psychologists instead.
Psychopharmacology is the future, yet few psychiatrists are truly real Psychopharmacologists. In fact, when most of these psychiatrists were in med school back in the sixties, seventies and eighties none of the current modern class meds were available. Thus they were not covered in med school. Prozac didnt come out until 1988. This allows for a huge gap in professional knowledge, leaves open the chance for more drug/drug interactions, etc. All of these current modern class meds that are being used now have only come out in the last ten years!
That means, unless they went to med school in the nineties they probably dont know a huge amount about these modern class meds. Gasp! But of course they wont tell you that to your face(actually I did have one psychopharmacologist tell me just that recently).
I prefer the really competent drug guy...the genuine psychopharmacologist and one who listens at that.
If you do come across a bad psychiatrist, do indeed report him. If enough people complain a pattern will develop for that particular Pdoc. They will get the message eventually. If they dont know the technicals of each and every Psy drug they are not worth shit. We dont need these people.
Eric
>
.
Posted by noa on June 27, 2000, at 12:15:10
In reply to Ignorant but with the power to prescribe, posted by FredPotter on June 26, 2000, at 20:09:10
If this occurred within the context of a managed care system, I encourage you to check out two web sites of interest:
The Coalition of Mental Health Professionals and Consumers, at
http://www.nomanagedcare.org
and Physicians Who Care at:http://www.hmopage.org/
Both are dedicated to increasing awareness of the negative effects of managed care on good health care.
At the CMHPC site (nomanagedcare), one of the articles available is called:
Eleven Unethical Managed Care Practices Every Patient Should Know About
(With emphasis on mental health care)Full article at
http://www.nomanagedcare.org/eleven.html
Here is an excerpt that might pertain to your situation:
5. Practicing outside of a professional's area of competence.
All ethical codes forbid professionals from practicing outside of their area of competence. In managed care, on the other hand, professionals are encouraged and, at times, even required to practice outside of their competence.
In any event, managed care or not, you can report him to the state medical board. In my state, the board has a web site, making it easy to contact them.Good luck. In the meantime, find a different doc.
Posted by FredPotter on June 27, 2000, at 15:32:29
In reply to Re: Ignorant but with the power to prescribe, posted by noa on June 27, 2000, at 12:15:10
Thanks for all the support. I live in New Zealand so we don't have the equivalent of managed care (I don't think) but it looks pretty scandalous. I blame Margaret Thatcher. Anyhow, perhaps I will shop the old git.
Fred
Posted by LostBoyinNC on June 27, 2000, at 15:45:40
In reply to Re: Ignorant but with the power to prescribe, posted by noa on June 27, 2000, at 12:15:10
> If this occurred within the context of a managed care system, I encourage you to check out two web sites of interest:
>
> The Coalition of Mental Health Professionals and Consumers, at
>
> http://www.nomanagedcare.org
>
>
> and Physicians Who Care at:
>
> http://www.hmopage.org/
>
> Both are dedicated to increasing awareness of the negative effects of managed care on good health care.
>
> At the CMHPC site (nomanagedcare), one of the articles available is called:
>
> Eleven Unethical Managed Care Practices Every Patient Should Know About
> (With emphasis on mental health care)
>
> Full article at
>
> http://www.nomanagedcare.org/eleven.html
>
> Here is an excerpt that might pertain to your situation:
>
> 5. Practicing outside of a professional's area of competence.
> All ethical codes forbid professionals from practicing outside of their area of competence. In managed care, on the other hand, professionals are encouraged and, at times, even required to practice outside of their competence.
>
>
> In any event, managed care or not, you can report him to the state medical board. In my state, the board has a web site, making it easy to contact them.
>
> Good luck. In the meantime, find a different doc.
Managed care is one problem that needs to be gotten rid of completely.Eric
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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