![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by linkadge on February 24, 2012, at 19:07:28
I hate doctors trying to blame patients for "non compliance". How about making a medication worth complying with.
Linkadge
Posted by sigismund on February 24, 2012, at 20:08:18
In reply to make a med worth complying with!, posted by linkadge on February 24, 2012, at 19:07:28
> How about making a medication worth complying with.
You mean the ones that have been phased out?
Posted by Elanor Roosevelt on February 24, 2012, at 20:22:04
In reply to make a med worth complying with!, posted by linkadge on February 24, 2012, at 19:07:28
Wouldn't love to just once give a doctor the (your lewd gesture of choice), look him/her in the eye and say "Comply with this babycakes"
How tired are we all of being blamed by the pharma companies and the doctors for the failure of the treatments being offered us?
Posted by Phillipa on February 24, 2012, at 20:56:01
In reply to Re: make a med worth complying with!, posted by Elanor Roosevelt on February 24, 2012, at 20:22:04
Benzos worked for me for 30 years and paxil l0mg for two when I went off it on own. So I know people in real life who they work well for. So many real life people take meds and are successful. Phillipa
Posted by Christ_empowered on February 24, 2012, at 22:13:42
In reply to Re: make a med worth complying with! » Elanor Roosevelt, posted by Phillipa on February 24, 2012, at 20:56:01
At least they don't make depot antidepressants and require "non-compliant" depressives and anxious people to take them per court order, as is sometimes the case with the more noxious neuroleptics. Seems that the worse the psych drug is, the farther the powers that be in psychiatry want to go in forcing people to take them.
Posted by sigismund on February 24, 2012, at 22:28:52
In reply to Re: make a med worth complying with!, posted by Elanor Roosevelt on February 24, 2012, at 20:22:04
Amphetamine became unprescribable in Australia for GPs in 1968. One doctor I knew had written himself an enormous prescription just before the new regulations came in. I saw him later to get horrible diet tablets to have fun with (God help me). I would tell him my story. He was a sardonic man. He would just look at me sceptically and say 'I'll write you the script, but I don't give 2 bob for your story'. Another time he said 'What you need are Dexies!' He was a real person who had done real things.
Posted by sigismund on February 24, 2012, at 22:30:29
In reply to Re: make a med worth complying with!, posted by Christ_empowered on February 24, 2012, at 22:13:42
> Seems that the worse the psych drug is, the farther the powers that be in psychiatry want to go in forcing people to take them.
But of course.
Posted by Beckett on February 24, 2012, at 22:49:00
In reply to make a med worth complying with!, posted by linkadge on February 24, 2012, at 19:07:28
I've been missing my Ultram ER and Dexedrine. I wonder if I'll ever get that again. Ultram helped so much. I'd probably want controlled release vyanase (however it is spelled). Ultram alone would improve the situation greatly.
Interesting observation CE.
Posted by papillon2 on February 25, 2012, at 0:45:16
In reply to Re: make a med worth complying with!, posted by Beckett on February 24, 2012, at 22:49:00
Yes!!!!!!!!!!!! Where's the like button?!
Also, got to love the "just diet and exercise" comments in response to weight gain complaints. Thankfully everyone's been wise enough not to say that to a recovered anorexic already doing both. Seriously doc, the meds completely mess with your metabolism! It's no longer a matter of energy in minus energy out!
Hey, does anyone else here get med envy? In hospital, lining up behind people whose depression responds to piddly little doses of SSRIs, then here's me with my pile of antiquated meds with side effects almost as unbearable as depression. It's 'depressing' in itself. Guess they probably feel the same about people who don't need to take any medication though. Apologies to anyone taking SSRIs who hates them...
Posted by ed_uk2010 on February 25, 2012, at 3:51:09
In reply to Re: make a med worth complying with!, posted by sigismund on February 24, 2012, at 22:28:52
>Another time he said 'What you need are Dexies!'
But the question is Sigi, how long are they 'good' for? Like you said, alcohol is good for 30 minutes, perhaps Dexies are good for a bit longer... but if you don't sleep at night they might be equally bad the next day.
Posted by linkadge on February 25, 2012, at 18:32:27
In reply to Re: make a med worth complying with! » sigismund, posted by ed_uk2010 on February 25, 2012, at 3:51:09
The thing with some of those meds though (like dexedrine) is that when you feel better, you actually say "I feel good".
When I take SSRIs its always this long convoluted introspective web of confusion.
"Do I feel better"....? "Well,....this seems to be a bit better, but all I want to do is sleep"
What happened to the unequivocol...yes, I feel better.
Posted by jono_in_adelaide on February 26, 2012, at 6:01:38
In reply to make a med worth complying with!, posted by linkadge on February 24, 2012, at 19:07:28
They have!!
Did you ever hear of a patient who couldnt remember to take his Xanax...or Valium...or Ativan....or Librium
Posted by bleauberry on February 26, 2012, at 7:12:09
In reply to make a med worth complying with!, posted by linkadge on February 24, 2012, at 19:07:28
How about making the doctors compliant with the patient? I mean after all, set everything else aside, the whole thing is a for-profit business in most cases, and one has to consider..... who is paying who? As the paying customer, and a rather expensive service I'm buying, I expect great customer service....which includes listening to the patient. Now, if I am noncompliant, my doctor should be finding out why and fixing it rather than pointing a finger. Is my dose too high? A bad side effect? Don't like the numbing? Cost too much? Makes symptoms worse instead of better? None of those are the patient's fault imo.
One has to ask, if a patient is noncompliant, why is that? Maybe they fear psych meds don't lead to favorable outcomes? Maybe they can't live with the side effects? Maybe they are alcoholic, or for some reason otherwise distracted and don't care? Maybe some people would rather choose the lesser of two evils, in their perception, by co-existing with the disease rather than being under the umbrella of meds because they see the meds being more harsh than the disease itself?
Posted by ed_uk2010 on February 26, 2012, at 9:47:57
In reply to Re: make a med worth complying with!, posted by bleauberry on February 26, 2012, at 7:12:09
>the whole thing is a for-profit business in most cases, and one has to consider..... who is paying who? As the paying customer, and a rather expensive service I'm buying, I expect great customer service....
Good point, but it's a bit different in most other countries. For example in England, few patients see a private psychiatrist. Most see psychiatrists on the National Health Service and pay nothing (but we have quite high taxes). The relationship with pdocs is therefore different. Most pdocs are salaried employees of the NHS. Unfortunately, the majority have far too many patients to spend a lot of time with each one. Psychiatry does not seem to be a priority within our health service.
The relationship with drug companies is also different. Pdocs do not get samples, and expensive 'gifts' are banned. They are lucky to get a Zyprexa pen these days! The NHS dictates which drugs are appropriate for first-line prescribing. Doctors can choose to ignore guidelines if they wish. I suppose they might get a slapped wrist but that's about it!
Posted by Phillipa on February 26, 2012, at 19:15:26
In reply to Re: make a med worth complying with! » bleauberry, posted by ed_uk2010 on February 26, 2012, at 9:47:57
That stinks as we are all different. PJx
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.