Psycho-Babble Medication Thread 16649

Shown: posts 1 to 6 of 6. This is the beginning of the thread.

 

pdocs in cola, SC

Posted by MGlenn on December 10, 1999, at 16:44:22

I'm looking for a good pdoc in Cola., SC. Good meaning
someone who is open to drug treatment and who allows
patients some degree of control in their treatment.

Can anyone help?

 

Tianepine & Amineptine

Posted by David on December 10, 1999, at 20:00:23

In reply to pdocs in cola, SC, posted by MGlenn on December 10, 1999, at 16:44:22

> for those looking for information on these two drugs (no matter how small) I found some information on these drugs in "The Good Drug Guide" which is on the net (or was). Good luck.
David.

 

Re: Tianepine & Amineptine

Posted by jamie on December 11, 1999, at 3:05:45

In reply to Tianepine & Amineptine, posted by David on December 10, 1999, at 20:00:23

> > for those looking for information on these two drugs (no matter how small) I found some information on these drugs in "The Good Drug Guide" which is on the net (or was). Good luck.
> David.

No sense in even thinking about amineptine...it's not available anymore. Though it's been around a long time, there have been enough cases of liver damage and drug abuse with it that it has been banned in one country after another. Overseas pharmacies like IAS and Pharmaworld that used to supply it can longer get it.

 

Re: pdocs in cola, SC

Posted by JohnL on December 11, 1999, at 3:32:49

In reply to pdocs in cola, SC, posted by MGlenn on December 10, 1999, at 16:44:22

> I'm looking for a good pdoc in Cola., SC. Good meaning
> someone who is open to drug treatment and who allows
> patients some degree of control in their treatment.
>
> Can anyone help?

Try spending some time at the website Depression Central, by Dr Ivan Goldberg. There is a ton of information there, including: List of the best psychiatric hospitals in the country, list of the best psychiatrists in the country (includes names, addresses, phones), specific questions to ask prospective pdocs when screening for expertise, on and on. It may spark some creative ideas of your own. I know there are several choices in NC, but don't know about SC.

Universities are good places to hunt. Finding the right pdoc is a real chore I think, a lot like doing detective work. Interestingly, the best doc I ever talked to was a regular GP in a rundown downtown clinic catering mostly to the poor and the street people. I felt way out of place with a credit card in my wallet, but boy was he a good doctor. He knew all the side effects and intricate characteristics of every drug, asked me all the right questions, knew every combination and augmentation, all the tricks of the trade, and favorite strategies that were working very well with the difficult cases he sees at the street level. So you just never know where your ideal doctor is. Sometimes the professional university types are too academic,beauracratic and overbooked to relate to you, but on the other hand they might be on the cutting edge. I think there's no easy way to find a doc except to bang on a lot of doors, make a lot of phone calls, ask a lot of questions, and play the role of detective for a while.

In addition to the questions at Depression Central you can use to screen pdocs, here's one of my own..."Who would you refer your most difficult cases to?" I've actually had pdocs I was interested in actually refer me to someone else who they thought had more expertise in cases like mine. It's a very creative and exhausting process to find the right doc, in my experience. Now that I've found my ultimate pdoc, he's retiring! Son of a bitch. Gotta start all over. So, you aren't alone in your quest.

 

Re: pdocs in cola, SC

Posted by S. Suggs on December 12, 1999, at 7:59:40

In reply to Re: pdocs in cola, SC, posted by JohnL on December 11, 1999, at 3:32:49

MGlenn: It's a small world on the world wide web, I live in Irmo! I do not know if I can be of much help, but my GP is in Lexington. I do not have a pdoc since I tried one for two visits during which he felt it necessary to stretch his vocabulary by using the "f" word in casual conversaton. I origionally went to him as a referral from an Internist for a ADD dx. I dropped them both and ended up with the doc in Lex and have been there for 2 years. He is very conservative, and I had to develop a trusting and working relationship. He has me on Parnate and lithium. He is very leary of writing maoi's because of the side effect profile, but taken properly by a healthy individual, they can prove to be highly beneficial.

JohnL has some excellent comments on flushing out a doc to help with your needs, probably quicker than what I had to do. I'd listen to what he has to say and would check out Richland to see what they may have to offer. One word of advice, do your homework before you go in so they know you are somewhat educated in locating someone to work with you. Keep us up to date on your progress and many Blessings,

S. Suggs

 

Re: pdocs in cola, SC

Posted by Zeke on December 13, 1999, at 5:48:22

In reply to pdocs in cola, SC, posted by MGlenn on December 10, 1999, at 16:44:22

What is your suspected diagnosis, depression, ADD, or something else?

I agree that you should act as a smart consumer in any medical situation. However, as the 'war on drugs' rages on, use finesse on how you query physicians -- it's easy to get labelled as demonstrating 'drug seeking behavior' as in seeking drugs of abuse. If you were seeking a psychiatrist who treats ADD for example, you might ask whether he treats (many) pateints for ADD, and if he includes therapy with medications. If so, if he uses stimulants in that treatment. (Don't be TOO direct as in the 'abuse paranoia' mentioned.) But do ask about the stimulants as some use only antidepressants, especially in adults.

Asking if a doctor is willing to 'work with you' is tricky. Partly for the above mentioned issue but also because most any psychiatrist is going to consider himself to have these qualities, true or not.

Be suspect of what receptionists/secretaries tell you, if they try to answer your questions.

If the doctor demands an office visit to answer these basic questions, keep looking. They may ratonalize this as appropriate but you have every right to know these basics beforehand.

If you're seeking treatment for ADD, contact the local CHADD chapter for suggestions. (Find that info at chadd.org) Similar group exist for depression and can be contacted. As antidepressants are not controlled substances, psychiatrists versed and willing to treat it should be easier to find. Yet some still prefer psychotherapy and try to use that primarily in dysthymia or 'minor depression.'

If you are reasonably near a university hospital, you may do well to inquire there. Psychiatrist in academia are generally much more progressive in medical psychiatry.

If you are seeking help for depression, you GP may also be willing and able to treat you as you desire. (For ADD also but much less likely.)


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