![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 21 to 45 of 45. Go back in thread:
Posted by yxibow on April 6, 2006, at 1:27:26
In reply to Re: Depression Can Be Fatal!, posted by JaclinHyde on April 5, 2006, at 9:35:06
> I'm sorry but I have to bring this up. There are so many people out there suffering so badly...close to suicide or house bound because of anxiety who will not even consider an MAOI. Why? Cause if you are not careful it could kill you. Does anyone else see the twisted logic here?
>
> JHBecause most suicidal people really do not want to kill themselves in the end. They just want relief from their problems. Its the ones who don't say anything about it that bring real worry. But that's just my opinion.
I would consider ECT over an MAOI. They're just so rife with an eating plan that defies logic. RIMAs are slightly better on that aspect but not available in the US. EMSAM -- still not the panacea that it is, because beyond the little dose patch, there are still bold warnings about hypertensive crisis, which is pretty serious.
I understand your opinion, but I stand to disagree. Yes, there are a number of people on this board who have managed to survive on an MAOI, but there are just so many things, I mean, surviving spring allergies with OTC medication or taking cough syrup or lots of things can mean death to people who really don't actually want that in the end.
Posted by ed_uk on April 6, 2006, at 14:49:39
In reply to Re: Depression Can Be Fatal! » JaclinHyde, posted by yxibow on April 6, 2006, at 1:27:26
Hi Yxi
>I would consider ECT over an MAOI. They're just so rife with an eating plan that defies logic.
MAOIs are relatively safe provided that the appropriate precautions are taken. The eating plan does not defy logic.
>RIMAs are slightly better on that aspect but not available in the US
Dietary restrictions are rarely necessary with RIMAs. Unfortunately, RIMAs do not appear to share the high efficacy of the classical MAOIs.
>I mean, surviving spring allergies with OTC medication or taking cough syrup or lots of things can mean death to people who really don't actually want that in the end.
Oral decongestants are contra-indicated with MAOIs. None of the oral decongestants are particularly effective though. Having to avoid such drugs is hardly a great loss. Steroid nasal sprays and non-sedating antihistamines do not interact with MAOIs.
In general, none of the OTC cough syrups are worth buying. If pneumonia is present, antibiotics with be necessary. Otherwise, the cough will go away on its own.
Regards
Ed
Posted by TylerJ on April 6, 2006, at 18:01:40
In reply to Re: Depression Can Be Fatal! » yxibow, posted by ed_uk on April 6, 2006, at 14:49:39
> Hi Yxi
>
> >I would consider ECT over an MAOI. They're just so rife with an eating plan that defies logic.
>
> MAOIs are relatively safe provided that the appropriate precautions are taken. The eating plan does not defy logic.
>
> >RIMAs are slightly better on that aspect but not available in the US
>
> Dietary restrictions are rarely necessary with RIMAs. Unfortunately, RIMAs do not appear to share the high efficacy of the classical MAOIs.
>
> >I mean, surviving spring allergies with OTC medication or taking cough syrup or lots of things can mean death to people who really don't actually want that in the end.
>
> Oral decongestants are contra-indicated with MAOIs. None of the oral decongestants are particularly effective though. Having to avoid such drugs is hardly a great loss. Steroid nasal sprays and non-sedating antihistamines do not interact with MAOIs.
>
> In general, none of the OTC cough syrups are worth buying. If pneumonia is present, antibiotics with be necessary. Otherwise, the cough will go away on its own.
>
> Regards
>
> EdI totally agree with everything Ed said here. The eating plan does not defy logic. Most good pdocs would consider MAOI's before ECT. Lack of education continues to give maoi's a bad reputation, docs as well as patients are guilt of this.
Tyler
Posted by Caedmon on April 6, 2006, at 18:52:14
In reply to Re: Depression Can Be Fatal! » JaclinHyde, posted by yxibow on April 6, 2006, at 1:27:26
> I would consider ECT over an MAOI.
Interesting. I have strongly considered ECT many times, and if I had the money I would probably give it a go. Although I have no problem trying out MAOIs. The diet is okay, it requires a certain degree of vigilance and mindfulness, but that's something most of us could use anyway.
>EMSAM -- still not the panacea that it is, because beyond the little dose patch, there are still bold warnings about hypertensive crisis, which is pretty serious.
I know. I'm finding EMSAM a disappointing prospect, but I'm trying not to be too cynical. I understand oral selegiline to be somewhat less effective than other nonreversible MAOIs like phenelzine.
- C
Posted by TylerJ on April 6, 2006, at 19:47:31
In reply to Re: Depression Can Be Fatal! » yxibow, posted by Caedmon on April 6, 2006, at 18:52:14
> > I would consider ECT over an MAOI.
>
> Interesting. I have strongly considered ECT many times, and if I had the money I would probably give it a go. Although I have no problem trying out MAOIs. The diet is okay, it requires a certain degree of vigilance and mindfulness, but that's something most of us could use anyway.
>
> >EMSAM -- still not the panacea that it is, because beyond the little dose patch, there are still bold warnings about hypertensive crisis, which is pretty serious.
>
> I know. I'm finding EMSAM a disappointing prospect, but I'm trying not to be too cynical. I understand oral selegiline to be somewhat less effective than other nonreversible MAOIs like phenelzine.
>
> - CThe biggest problem with ECT is that it doesn't last. And believe me, it's not as easy and comfortable as "they" say it is. I had 24 treatments in 1997. The treatment itself is painless, but afterwords you feel like you've been hit by a truck, severe headache and flu like syptoms. And memory loss is worse than most pdocs say it'll be. I've lost for good everything 3 mos. before my treatments. And, oh yea, they want you to keep going back for maintenance treatments. I know I'll never do it again...I seriously think it's way over rated.
Tyler
Posted by JaclinHyde on April 6, 2006, at 22:09:08
In reply to Re: Depression Can Be Fatal! » JaclinHyde, posted by yxibow on April 6, 2006, at 1:27:26
<<I mean, surviving spring allergies with OTC medication or taking cough syrup or lots of things can mean death to people who really don't actually want that in the end.>>
Touching on allergies clariton & zyrtec are fine with MAOI's. And....
"Cough medications containing decongestants, dextromethorphan or Demerol are not to be taken but plain **plain Robitussin is OK**"
The list really isn't all that extensive when you really read it. Aged cheeses, Demerol, aged meats and sour cream are the biggest culprits. What makes it look long are the 'goofy' foods (or at least in my life they seem odd)...cavier, liver pate, pickled herring, over rip banannas and avocados, tofu, miso, saurkraut, marmite, bovril....
And damn, I can't have any cocaine...grrrrrrrrr ;-)
I am not saying that no one eats this stuff, I am just saying that the foods are not all that hard to control if take an MAOI. I have lived without these foods or drugs for over 25 years, been sedated for surgery etc. and I wouldn't trade any of those years for all the cheddar cheese in the world.
JH
Posted by yxibow on April 7, 2006, at 2:13:55
In reply to Re: Depression Can Be Fatal!, posted by JaclinHyde on April 6, 2006, at 22:09:08
> <<I mean, surviving spring allergies with OTC medication or taking cough syrup or lots of things can mean death to people who really don't actually want that in the end.>>
>
> Touching on allergies clariton & zyrtec are fine with MAOI's. And....But not clorpheneramine maleate, benadryl, I'm not sure of various antihistamines like meclizine for anti-emesis. Yes, pseudoephedrine hydrochloride is not the most effective thing on this planet but it at least for me clears my head on a really stuffy day (and then I have to take extra anxiety medicine usually, depends. I don't touch the 12/24 hour stuff, because that means you have to wait 12/24 hours if it messes with your body.)
>
> "Cough medications containing decongestants, dextromethorphan or Demerol are not to be taken but plain **plain Robitussin is OK**"Plain Robitussin is guaifenesin, which really isnt all that great a medication except as an expectorant in combination with a cough suppressant. Dextromethorphan is really the only effective thing here in the US, since we can't go and get a little bit of codeine like in Canada (unless the changed that.) Of course that is also contraindicated.
>
> The list really isn't all that extensive when you really read it. Aged cheeses, Demerol, aged meats and sour cream are the biggest culprits. What makes it look long are the 'goofy' foods (or at least in my life they seem odd)...cavier, liver pate, pickled herring, over rip banannas and avocados, tofu, miso, saurkraut, marmite, bovril....
Well I'm a vegetarian ... so a MAOI would be out, since it includes most soy products. Brewers yeast is added to vegetarian products because it is rich with vitamins and has some protein. I eat bananas at all stages -- avoiding a banana because its one day too old and having a hypertensive crisis --- good lord. They're not goofy, they supply a day's worth of potassium to your diet. And well, I'm a Californian so I'm brought up on avocados. That means no trips to Taco Bell or whatever chain in your state has it since trace amounts could show up.
>
> And damn, I can't have any cocaine...grrrrrrrrr ;-)
>
> I am not saying that no one eats this stuff, I am just saying that the foods are not all that hard to control if take an MAOI. I have lived without these foods or drugs for over 25 years, been sedated for surgery etc. and I wouldn't trade any of those years for all the cheddar cheese in the world.Well I wish you the best on it.
TidingsJay
Posted by naughtypuppy on April 7, 2006, at 8:55:30
In reply to Re: Depression Can Be Fatal!, posted by JaclinHyde on April 6, 2006, at 22:09:08
Don't forget banana peels. Monkeys don't even eat the peels so that just shows how far fetched a lot of these restrictions are.
Posted by Caedmon on April 7, 2006, at 10:49:00
In reply to Re: Depression Can Be Fatal! » JaclinHyde, posted by yxibow on April 7, 2006, at 2:13:55
I thought that diphenhydramine and chlorpheniramine (antihistamines) were okay with an MAOI. Just not in combination w/ a decongestant (obviously). Any idea why they would be contraindicated?
- C
Posted by yxibow on April 7, 2006, at 12:51:00
In reply to Re: Depression Can Be Fatal! » yxibow, posted by Caedmon on April 7, 2006, at 10:49:00
> I thought that diphenhydramine and chlorpheniramine (antihistamines) were okay with an MAOI. Just not in combination w/ a decongestant (obviously). Any idea why they would be contraindicated?
>
> - CI believe you're right on that at drugs.com, actually, however I seem to recall overcautious packaging.
Posted by JaclinHyde on April 7, 2006, at 16:43:17
In reply to Re: Depression Can Be Fatal! » JaclinHyde, posted by yxibow on April 7, 2006, at 2:13:55
> Well I'm a vegetarian ... so a MAOI would be out, since it includes most soy products. Brewers yeast is added to vegetarian products because it is rich with vitamins and has some protein. I eat bananas at all stages -- avoiding a banana because its one day too old and having a hypertensive crisis --- good lord. They're not goofy, they supply a day's worth of potassium to your diet. And well, I'm a Californian so I'm brought up on avocados. That means no trips to Taco Bell or whatever chain in your state has it since trace amounts could show up.>>
Just a quick note to say that it is OVER RIPE banana's (the kind that are black skinned) and OVER RIPE avocados. Ripe banana's and ripe avocado's are just fine.
Terri
> >
> > And damn, I can't have any cocaine...grrrrrrrrr ;-)
> >
> > I am not saying that no one eats this stuff, I am just saying that the foods are not all that hard to control if take an MAOI. I have lived without these foods or drugs for over 25 years, been sedated for surgery etc. and I wouldn't trade any of those years for all the cheddar cheese in the world.
>
> Well I wish you the best on it.
>
>
> Tidings
>
> Jay
Posted by JaclinHyde on April 7, 2006, at 16:50:25
In reply to Re: Depression Can Be Fatal! » yxibow, posted by Caedmon on April 7, 2006, at 10:49:00
> I thought that diphenhydramine and chlorpheniramine (antihistamines) were okay with an MAOI. Just not in combination w/ a decongestant (obviously). Any idea why they would be contraindicated?
>
> - CI just did a med interaction check on medscape which found no problems between Nardil and chlorpheniramine.
JH
Posted by ed_uk on April 7, 2006, at 16:55:18
In reply to Re: Depression Can Be Fatal! » JaclinHyde, posted by yxibow on April 7, 2006, at 2:13:55
>But not clorpheneramine maleate, benadryl
Most people on MAOIs take Benadryl with no problems. Even so, I wouldn't particularly recommend it. There are plenty of other antihistamines to choose from.
>Yes, pseudoephedrine hydrochloride is not the most effective thing on this planet but it at least for me clears my head on a really stuffy day (and then I have to take extra anxiety medicine usually, depends. I don't touch the 12/24 hour stuff, because that means you have to wait 12/24 hours if it messes with your body.)
A stuffy head is hardly comparable in importance to intense depression or anxiety. Having to avoid pseudoephedrine may be inconvenient, but it's really not that important. Have you tried a steroid nasal spray?
>Dextromethorphan is really the only effective thing here
There isn't much evidence to support the efficacy of dextromethorphan. I wouldn't generally recommend it. If a cough is present, the underlying cause should be treated. Mild coughs don't usually last long anyway.
>we can't go and get a little bit of codeine like in Canada (unless the changed that.) Of course that is also contraindicated.
I have only heard of one anecdotal case report of an interaction between an MAOI and codeine. Most people find that codeine does not interact with MAOIs. Nevertheless, taking codeine for a cough is not usually necessary.
>Well I'm a vegetarian ... so a MAOI would be out, since it includes most soy products
Fermented soy products, not all soy products.
>I eat bananas at all stages -- avoiding a banana because its one day too old and having a hypertensive crisis --- good lord
That would be extremely improbable. Fruit contains only tiny amounts of tyramine. You don't need to worry unless you're eating the banana peels as well.
>Avocadoes
They is a single case report of an alleged interaction. It is not of general importance.
>That means no trips to Taco Bell or whatever chain in your state has it since trace amounts could show up.
Trace amounts are irrelevent. Hypertension will only occur following a large 'dose' of tyramine. Even cheddar cheese would be safe in trace amounts.
Posted by ed_uk on April 7, 2006, at 16:57:06
In reply to Re: Depression Can Be Fatal!, posted by JaclinHyde on April 7, 2006, at 16:43:17
>Just a quick note to say that it is OVER RIPE banana's (the kind that are black skinned) and OVER RIPE avocados. Ripe banana's and ripe avocado's are just fine.
That's right. Rotten bananas would not be ok. Normal bananas are just fine :)
Ed
Posted by TylerJ on April 7, 2006, at 18:21:40
In reply to Re: Depression Can Be Fatal! » yxibow, posted by ed_uk on April 7, 2006, at 16:55:18
> >But not clorpheneramine maleate, benadryl
>
> Most people on MAOIs take Benadryl with no problems. Even so, I wouldn't particularly recommend it. There are plenty of other antihistamines to choose from.
>
> >Yes, pseudoephedrine hydrochloride is not the most effective thing on this planet but it at least for me clears my head on a really stuffy day (and then I have to take extra anxiety medicine usually, depends. I don't touch the 12/24 hour stuff, because that means you have to wait 12/24 hours if it messes with your body.)
>
> A stuffy head is hardly comparable in importance to intense depression or anxiety. Having to avoid pseudoephedrine may be inconvenient, but it's really not that important. Have you tried a steroid nasal spray?
>
> >Dextromethorphan is really the only effective thing here
>
> There isn't much evidence to support the efficacy of dextromethorphan. I wouldn't generally recommend it. If a cough is present, the underlying cause should be treated. Mild coughs don't usually last long anyway.
>
> >we can't go and get a little bit of codeine like in Canada (unless the changed that.) Of course that is also contraindicated.
>
> I have only heard of one anecdotal case report of an interaction between an MAOI and codeine. Most people find that codeine does not interact with MAOIs. Nevertheless, taking codeine for a cough is not usually necessary.
>
> >Well I'm a vegetarian ... so a MAOI would be out, since it includes most soy products
>
> Fermented soy products, not all soy products.
>
> >I eat bananas at all stages -- avoiding a banana because its one day too old and having a hypertensive crisis --- good lord
>
> That would be extremely improbable. Fruit contains only tiny amounts of tyramine. You don't need to worry unless you're eating the banana peels as well.
>
> >Avocadoes
>
> They is a single case report of an alleged interaction. It is not of general importance.
>
> >That means no trips to Taco Bell or whatever chain in your state has it since trace amounts could show up.
>
> Trace amounts are irrelevent. Hypertension will only occur following a large 'dose' of tyramine. Even cheddar cheese would be safe in trace amounts.
>
>
>
> Ed,
I currently take tylenol with codiene as needed for my back. It's the pain med my pdoc recommended. So far, so good, no problems at all.Also, do you know if Parnate has an effect on blood sugar? I'm a diabetic and am on glucophage and lately I've noticed more variations in my blood sugar when I test. It might just be my diabetes is getting worse..I was diagnosed with it 4 years ago. Thanks Ed.
Ty
>
>
Posted by ed_uk on April 8, 2006, at 10:50:46
In reply to Re: Depression Can Be Fatal! » ed_uk, posted by TylerJ on April 7, 2006, at 18:21:40
Hi Tyler,
I once read that Parnate sometimes lowers blood glucose.
>I've noticed more variations in my blood sugar when I test
Is your blood sugar generally higher or lower than it was before you started Parnate?
Regards
Ed
Posted by TylerJ on April 8, 2006, at 11:05:10
In reply to Re: Depression Can Be Fatal! » TylerJ, posted by ed_uk on April 8, 2006, at 10:50:46
> Hi Tyler,
>
> I once read that Parnate sometimes lowers blood glucose.
>
> >I've noticed more variations in my blood sugar when I test
>
> Is your blood sugar generally higher or lower than it was before you started Parnate?
>
> Regards
>
> Ed
It tends to be higher on Parnate. But also less consistant...high, than low, etc. I think this is causing some of my fatigue. I guess I need to see my g.p.Tyler
Posted by nnmr1 on April 15, 2006, at 13:20:14
In reply to Re: Depression Can Be Fatal! » ed_uk, posted by TylerJ on April 8, 2006, at 11:05:10
You might be eating less because of the Parnate(it tends to suppress appetite). That might be affecting your glucose levels.
----------------------------------------------MAOIs are not for everyone, that's for sure. But I would rather risk a hypertensive crisis than to keep living(or rather, not living) the way I was before.
(No BP problems so far, measured BP at least once a day (usually 2-3 times/day) when I first started Nardil. Then I kept measuring several times a week. All I noticed was a slight drop in BP from before taking an MAOI, never had an occipital headache or BP any higher than 155/90. Now that I'm switching to Parnate(+Klonopin) from Nardil(+Neurontin) I'm measuring more often again and I need to be even more careful with my diet than with the Nardil(not that I wasn't careful w/ the Nardil, but Parnate has a lower min. level of tyramine needed to create a hypertensive crisis).
I doubt I could have found a doc to prescrive these meds for me(I did try). After 7+ years of meds(prozac, paxil, wellbutrin, ritalin, adderall, lamictal, effexor, celexa, lexapro), therapy, and hospitalizations nothing was helping me so I found a way to prescribe them myself (I think I was responsible in doing this, read quite a few journal articles(not just the abstracts) and some patient experiences written online, memorized the prescribing info, had a physical(along w/ liver function tests and an EKG).I guess my psychiatrists were too busy to listen(not their fault) or poorly educated on the topic(partially their fault), but none of the them ever believed me when I said i had social anxiety. I basically quoted from the DSM and gave examples, their response was to exercise more to help with the anxiety, hah. I had that diagnosis from a psychological eval, but its my fault that I never undelined the part that talked about my social anxiety and they never read the whole thing(pretty long document). Its damn hard to express yourself when you have social anxiety and depression, so I should probably stop looking for where to place the blame- not my fault I couldn't explain what I needed, not the psychiatrist's fault that he can't read my mind.
If you're trying to distill some meaning from my rambling, the point I'm trying to make is that you should do anything you can to get treatment that actually works. Don't stay on some damn SSRI for years if it doesn't do a damn thing. Depression/anxiety stole my late childhood/adolescence from me and almost took college away from me. Everyone says I'm a bright guy, my Prof. even said I'd have no problem earning a PhD or joint MD/PhD. But when your depressed, you don't believe anything except the negative comments from others and yourself. Wow, I guess I really had a lot to say, hope no one actually reads this trash, heh.
Posted by Crazy Horse on April 15, 2006, at 13:31:03
In reply to Re: Depression Can Be Fatal!, posted by nnmr1 on April 15, 2006, at 13:20:14
> You might be eating less because of the Parnate(it tends to suppress appetite). That might be affecting your glucose levels.
> ----------------------------------------------
>
> MAOIs are not for everyone, that's for sure. But I would rather risk a hypertensive crisis than to keep living(or rather, not living) the way I was before.
>
> (No BP problems so far, measured BP at least once a day (usually 2-3 times/day) when I first started Nardil. Then I kept measuring several times a week. All I noticed was a slight drop in BP from before taking an MAOI, never had an occipital headache or BP any higher than 155/90. Now that I'm switching to Parnate(+Klonopin) from Nardil(+Neurontin) I'm measuring more often again and I need to be even more careful with my diet than with the Nardil(not that I wasn't careful w/ the Nardil, but Parnate has a lower min. level of tyramine needed to create a hypertensive crisis).
>
>
> I doubt I could have found a doc to prescrive these meds for me(I did try). After 7+ years of meds(prozac, paxil, wellbutrin, ritalin, adderall, lamictal, effexor, celexa, lexapro), therapy, and hospitalizations nothing was helping me so I found a way to prescribe them myself (I think I was responsible in doing this, read quite a few journal articles(not just the abstracts) and some patient experiences written online, memorized the prescribing info, had a physical(along w/ liver function tests and an EKG).
>
> I guess my psychiatrists were too busy to listen(not their fault) or poorly educated on the topic(partially their fault), but none of the them ever believed me when I said i had social anxiety. I basically quoted from the DSM and gave examples, their response was to exercise more to help with the anxiety, hah. I had that diagnosis from a psychological eval, but its my fault that I never undelined the part that talked about my social anxiety and they never read the whole thing(pretty long document). Its damn hard to express yourself when you have social anxiety and depression, so I should probably stop looking for where to place the blame- not my fault I couldn't explain what I needed, not the psychiatrist's fault that he can't read my mind.
>
>
> If you're trying to distill some meaning from my rambling, the point I'm trying to make is that you should do anything you can to get treatment that actually works. Don't stay on some damn SSRI for years if it doesn't do a damn thing. Depression/anxiety stole my late childhood/adolescence from me and almost took college away from me. Everyone says I'm a bright guy, my Prof. even said I'd have no problem earning a PhD or joint MD/PhD. But when your depressed, you don't believe anything except the negative comments from others and yourself. Wow, I guess I really had a lot to say, hope no one actually reads this trash, heh.Thanks for sharing. Depression and other related illnesses did steal my College Education from me. With only 2 quarters to go, i had to quit because of this damn disease...I've never had the courage to try to finish. Anyway, i'm 47 now and can't work anyway, thankfully my wife is an R.N., understands, and she makes good money. Sometimes i feel like such a freakin' failure though...all well, enough about poor me. :) You take care.
-Crazy Horse/Tyler
Posted by Phillipa on April 15, 2006, at 19:54:50
In reply to Re: Depression Can Be Fatal!, posted by nnmr1 on April 15, 2006, at 13:20:14
Guess what I beat your record ten years and nothing. And now the pdoc wants me off the only thing that has given me some relief my messly l5mg of valium. That makes me a junkie he has given me a form for fill out for chemical dependencey and I don't even drink not on in over 10 years. But I have learned some new names filling out the form horse, meth, crack, glue sniffing and how many times a day do I do this. I am pissed and I am old And had a great job as a nurse. Now it may not pay that much compared to other jobs but I loved my work. So what now? Fondly, Phillipa
Posted by gardenergirl on April 15, 2006, at 21:03:17
In reply to Re: Depression Can Be Fatal! » nnmr1, posted by Phillipa on April 15, 2006, at 19:54:50
Could the form be a screening for addiction/abuse? It may be that your doc simply feels that he would be remiss if he continued to prescribe something with addiction potential without assessing for himself if this might be a problem.
gg
Posted by Phillipa on April 15, 2006, at 21:48:35
In reply to Re: Depression Can Be Fatal! » Phillipa, posted by gardenergirl on April 15, 2006, at 21:03:17
The PHD on my street was talking to him when we went for a walk. He agreed with me as he did addictions conseling as a kind of part-time time between totally retiring. he said it protects the doc from seeing if you use illegal drugs and he would have it on file and to ask for a test that is available to show you are not abusing the med and only taking what he prescribes. Wow what a surprise he will have when he sees I'm taking less than he prescribes. other options are my old pdoc she will phone in a prescription. My Son contacted her as his wife is a patient there and he works with her evaluating Vets for PTSD. Thanks for your concern. But the last thing I would ever do is abuse meds. heck I haven't had even 1 drink in over 10years the amt of time I've been on SSRI's, SSNRI's and in the hospital to try and adjust the doesages the docs at home know they don't work for me either. love Jan ps that has been l0 years maybe I should go back to the beer. I only drank it before bed to unwind as I worked 3-11 on psych. And was the charge on the floor and the only RN and we were responsible for all the doctor's orders being correct, addmitting and transfetting pts. and admitting them, evaluating them in the ER and sometimes having to get Security to help restrain someone so we could medicate them or keep them safe and the other pts safe from harm. Boy that job was more stressful than I thought. If I hadn't written it down I wouldn't have remembered. Oh then having to rush to the pharmacy to pick up meds not in the patients drawers, do the groups, care plans, and review all the orders for the day to make sure they were correct. Wow I'm getting tired right now. I think I would love a beer right now. Love again Phillipa
Posted by Phillipa on April 15, 2006, at 21:59:09
In reply to Re: Depression Can Be Fatal! » Phillipa, posted by gardenergirl on April 15, 2006, at 21:03:17
Plus I wouldn't fill the prescription for the vicodin the ER prescribed for the broken arm as there is now a tracking system where a doc can see what prscriptions you fill. So instead I will refuse to take the pain med and get in trouble when I finally get an appointment with a ortho for sometime next week hopefully as the cast is only temporary and they know that tense muscles cause more pain they get angry if you don't initially take pain meds. And we had the builders rep check the sidewalk where I fell as my husband twisted his ankle in the same area of the neighborhood last week. Figured we should report it within 24hours. And a lot of elderly people live here and the same could happen to them with more severe consequenses. Love Phillipa covering all bases as usual as I also did malpractice in court for a bunch of lawyers.
Posted by gardenergirl on April 15, 2006, at 22:19:55
In reply to Re: Depression Can Be Fatal! » gardenergirl, posted by Phillipa on April 15, 2006, at 21:48:35
> Wow what a surprise he will have when he sees I'm taking less than he prescribes. ... But the last thing I would ever do is abuse meds.
Sounds like you have nothing to worry about with filling out the form, then. I'm not quite sure I get what's upsetting (?) to you about having been given the form to fill out. Even if you think the doctor thinks you do abuse drugs, if you don't and the screening indicates that, then it's okay, right?
And sorry about your arm. I hope it heals quickly.
gg
Posted by Phillipa on April 15, 2006, at 22:54:00
In reply to Re: Depression Can Be Fatal! » Phillipa, posted by gardenergirl on April 15, 2006, at 22:19:55
gg I find it insulting to my intelligence. For example one question is add 2 +2+1+1 and give the answer. And if the light is red and your driving should you wait for the light to turn green before driving. And then the questions on meds I know nothing about meth?, heroin, oh I love these how much do you have to drink or smoke dope before you can start your day. I just find it humiliating. Fondly, Phillipa and it hurts my feelings as I always do what the doc says. If a med doesn't work I always call before stopping and get the okay. And my valium Rx are always late because I don't take what he prescribes it's too much. Gosh I'm angry. Sorry for venting.
This is the end of the thread.
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