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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by jerrympls on March 22, 2003, at 1:39:44
...where...how...can I possibly even be expected to have even a single ounce of hope?
When the docs throw up their hands, they may as well tell you to shoot yourself.
*ugh* Compassion is lost.
Posted by SLS on March 22, 2003, at 7:49:20
In reply to If my doctor lables my case hopless....., posted by jerrympls on March 22, 2003, at 1:39:44
> ...where...how...can I possibly even be expected to have even a single ounce of hope?
>
> When the docs throw up their hands, they may as well tell you to shoot yourself.
>
> *ugh* Compassion is lost.
Hi.What exactly did your doctor tell you? Whatever it was, I bet I can come up with some pursuasive arguments why he is wrong.
- Scott
Posted by Krissy P on March 22, 2003, at 15:33:34
In reply to Re: If my doctor lables my case hopless....., posted by SLS on March 22, 2003, at 7:49:20
Posted by SLS on March 22, 2003, at 19:46:05
In reply to Me too SLS, what happenedJerry? (nm) » SLS, posted by Krissy P on March 22, 2003, at 15:33:34
Patrick McGrath, MD at Columbia University said something to me that I found very helpful: For every new medication that becomes available, a certain percentage of previously refractory cases of depression are successfully treated. The release of venlafaxine (Effexor) is a great example of this. The percentage of TRD (treatment resistant depression) cases that responded to venlafaxine was about 30% according to one study.
- Scott
Posted by KrissyP on March 22, 2003, at 22:00:20
In reply to Re: Me too SLS, what happenedJerry?, posted by SLS on March 22, 2003, at 19:46:05
Posted by SLS on March 23, 2003, at 11:00:19
In reply to SLS-May I have that link?? (nm) » SLS, posted by KrissyP on March 22, 2003, at 22:00:20
> Patrick McGrath, MD at Columbia University said something to me that I found very helpful: For every new medication that becomes available, a certain percentage of previously refractory cases of depression are successfully treated. The release of venlafaxine (Effexor) is a great example of this. The percentage of TRD (treatment resistant depression) cases that responded to venlafaxine was about 30% according to one study.
Hi Krissi.Here is one of the earlier studies of venlafaxine performed prior its approval.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7884023&dopt=Abstract
- Scott
Posted by Krissy P on March 23, 2003, at 12:10:04
In reply to Re: SLS-May I have that link??, posted by SLS on March 23, 2003, at 11:00:19
Posted by Amy II on March 23, 2003, at 15:52:22
In reply to If my doctor lables my case hopless....., posted by jerrympls on March 22, 2003, at 1:39:44
You should see my postings from september 1999 under AMY II. Talk about a case with no hope.
Posted by missliz on March 23, 2003, at 22:53:34
In reply to Re: If my doctor lables my case hopless....., posted by Amy II on March 23, 2003, at 15:52:22
Is your case hopeless, or is your doctor too lazy too think ?
I was labeled hopeless, told I'd wind up a suicide in the lockup ward of a state instituion, and generally treated horribly by a mean little prick of a psychiatrist. I fired him (My first ever MD firing, face to face and everything) and got another doctor who fixed me up great. Then I got a couple of college degrees and took up new sports. Unfortunately the perfect drug pooped out and I'm on the pill treadmill again but the point is -
You Are Not Hopeless. You need a doctor who has better critical thinking and creative skills. A lot of docs get complacent, they get intellectually lazy, they don't keep up with new ideas. A lot of mediocre psychiatrists came out of the Prozac age- they weren't trained in a lot of older meds. And the next new drug could be the one for you. I don't know your particular story, but I do know you are definately not hopeless.
Any doctor who would tell a patient they're hopeless is a jerk.missliz
Posted by LyndaK on March 23, 2003, at 23:30:11
In reply to There are lots of crummy doctors, posted by missliz on March 23, 2003, at 22:53:34
You said something that I think is worth repeating:
<<A lot of mediocre psychiatrists came out of the Prozac age- they weren't trained in a lot of older meds<<
I'm not into doctor-bashing, but I do think that with all the new medications that keep coming out, the older ones get forgotten - particularly the MAO Inhibitors. From what I've seen on this board there are some for whom the MAOIs have made a dramatic difference.
Posted by missliz on March 25, 2003, at 2:25:20
In reply to Re: There are lots of crummy doctors » missliz, posted by LyndaK on March 23, 2003, at 23:30:11
Well,I don't bash ALL doctors, but it's a reality- there are lots of crummy doctors and you need to take control of your own life and walk sometimes. There are plenty of first rate doctors to go to, and they don't tell patients ugly things like how hopeless they are.
I've done all the MAOIs and they are significant drugs. One way to tell if a pdoc has been properly trained is to bring up the subject. If he turns green at the mention of MAOIs, move on. A good pdoc should know about everything from Thorazine to what's coming out next year. A guy who freaks over tricyclics either was in a lousy residency program or got tossed out of a good one. We all deserve better treatment than mediocre to lousy.missliz
Posted by LyndaK on March 26, 2003, at 0:38:29
In reply to Well, there ARE..., posted by missliz on March 25, 2003, at 2:25:20
I do know the frustration that you're talking about. I certainly have had a few practitioners that I would label "crummy". But I've also had a few who were "top notch" and the rest fall somewhere inbetween. The real challenge lately has been finding "top notch" ones who accept HMO rates! I've not used my insurance coverage in the past and just paid out-of-pocket so I could see the doc I wanted to see, but finances are too tight for that now. I guess it's back to the list of names I don't know -- eenie-meenie-miney-mo. Ugh!
Posted by Krissy P on March 26, 2003, at 0:44:00
In reply to Re: Well, there ARE... » missliz, posted by LyndaK on March 26, 2003, at 0:38:29
This is the end of the thread.
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