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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by KayeBaby on July 14, 2007, at 1:29:39
I have an ear infection. After chills and fever last night I went to the non-emergency clinic today. Listed EMSAM as a med I was on.
Dr. gave me a couple of Rx. Antibiotic and an expectorant containing DXM-a no-no with maoi's.
I didn't look closely till I got home and luckily checked it out before I took it.
Chances are I would probably be ok but it is containdicated. He either knew what EMSAM was or he didn't. If he knew what it was he wouldn't have prescribed this if he didn't know then he should have checked.
Just ticks me off! I have gotten so many sneers from Docs when I presume to know anything or ask to many question. Well, you bet! I am putting my life in your hands!
Always double check. Even a trustworthy doctor can make a mistake. This guy was in a hurry, didn't even look me in the eye.
How do you treat a patient without really looking at them?
I'm sure it will be a bad day for these Dr's when they kill someone. Ruin their whole day, I'll bet.
I'm goin to call them and let them know.
Kaye
Posted by Jedi on July 14, 2007, at 2:34:45
In reply to watch out for yourself, posted by KayeBaby on July 14, 2007, at 1:29:39
Hi,
This type of thing has happened to me more than once. MDs and pharmacists make mistakes and with MAOIs these mistakes can cause death. Once I ended up in the ER with a hypertensive crisis because of such an error. Luckily the $1000 CT scan showed no damage. I always do the research myself now before taking anything with a MAOI. You have to take your accountability up a level when taking these medications. There is a general lack of knowledge about MAOIs in the medical community.
Take care,
Jedi
> I have an ear infection. After chills and fever last night I went to the non-emergency clinic today. Listed EMSAM as a med I was on.
>
> Dr. gave me a couple of Rx. Antibiotic and an expectorant containing DXM-a no-no with maoi's.
>
> I didn't look closely till I got home and luckily checked it out before I took it.
>
> Chances are I would probably be ok but it is containdicated. He either knew what EMSAM was or he didn't. If he knew what it was he wouldn't have prescribed this if he didn't know then he should have checked.
>
> Just ticks me off! I have gotten so many sneers from Docs when I presume to know anything or ask to many question. Well, you bet! I am putting my life in your hands!
>
> Always double check. Even a trustworthy doctor can make a mistake. This guy was in a hurry, didn't even look me in the eye.
>
> How do you treat a patient without really looking at them?
>
> I'm sure it will be a bad day for these Dr's when they kill someone. Ruin their whole day, I'll bet.
>
> I'm goin to call them and let them know.
>
>
> Kaye
>
>
Posted by Bonnie_CA on July 14, 2007, at 2:39:21
In reply to watch out for yourself, posted by KayeBaby on July 14, 2007, at 1:29:39
Being a Kaiser patient made me start looking out for myself. The quality of care while I was there was eehhh in most departments and THE WORST in psychiatry. Ever since being a psychiatric patient of Kaiser, I now know that I have to look out for myself, because the pdoc just randomly selected meds for me and then his nurse would just put me off like I was just imagining my problems with the medications. Had me stop a medication cold turkey that should never be stopped like that. Although with all providers I've ever had, not a single soul ever told me to be careful with cold medicine and SSRIs. Never. I had to learn that the hard way. Got very sick and no one seemed to know why. I had to do many hours of research to find my answer (serotonin syndrome). Having problems with Effexor was what made me find this board. I just couldn't accept their assurances. How dare someone tell me that my symptoms are not from the medication! They weren't there before, and now they are, and the only thing that has changed is this medicine. I really do think that we know more about the medication than the doctors sometimes.
However, in your clinic doc's defense, he is a clinic doctor, with waiting rooms full of sick people. He does general work all day. Infections, minor injuries, maybe a couple immunizations. He may have heard of EMSAM a few times, but didn't really understand its action and the things that are bad to pair with it. Definitely call and let them know what they did. But I'd be more ticked if it were my psychiatrist making a mistake like that, or my general doctor whom I see on a regular basis. It sucks what that doc did (or didn't do), but it's awesome that you look out for yourself in regards to contraindictions.
-Bonnie
Posted by Jeroen on July 14, 2007, at 3:53:37
In reply to Re: watch out for yourself » KayeBaby, posted by Bonnie_CA on July 14, 2007, at 2:39:21
I AM IN SUCH A SITUATION RIGHT NOW : (
for 4 weeks now in emergency hospital, this is madness, i hear the cats at night crying from the MORG (house with dead people)
they gave me neuroleptics, tranquilizer, i still have 4 weeks feverabilify doesnt even work, and they give it to me
bastardse!
Posted by Phillipa on July 14, 2007, at 10:29:23
In reply to watch out for yourself, posted by KayeBaby on July 14, 2007, at 1:29:39
I'm sorry this happened to you but you can now educate the docs. so it doesn't happen to someone else. Love Phillipa
Posted by Honore on July 14, 2007, at 10:36:47
In reply to watch out for yourself, posted by KayeBaby on July 14, 2007, at 1:29:39
Absolutely, you've got to keep reminding them. If they don't like it-- that's their problem.
I had one MD give me a contraindicated TCA with EMSAM-- in such a large dose that my pdoc said my changes of mortality were pretty high.
I had specifically called her attention to the MAOI conflict and said I didn't think I could take that. She scoffed and said she was well aware of MAOIs and it was perfectly fine.
Luckily, I didn't stick with her insistence-- but called my pdoc ASAP to double check. And at dentists, I tell them when they're holding the novacaine-- just to make sure they haven't forgotten.
We really can't afford to let them intimidate us into silence-- there's too much at stake. They do have an attitude-- which is hard to ignore-- but I force myself to speak up anyway.
Honore
Posted by Lucy's Little Sister on July 15, 2007, at 10:00:57
In reply to Re: watch out for yourself » KayeBaby, posted by Honore on July 14, 2007, at 10:36:47
Also, get a good pharmacist and become their best friend in asking questions. My sis found pharmacists often know more than the docs. I had a similar situation with dr prescription that pharmacist clued me in on being a problem but thank goodness not a life-threatening situation as is the case with psych meds. My dad always says to remember that docs "practice" medicine and that "they can bury their mistakes". If it doesn't feel right, it usually isn't and you have every right and in fact a DUTY to question to make sure they do their job right. Hang tough!
This is the end of the thread.
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