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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 CaptainAmerica1967 on December 10, 2008, at 6:09:59
In reply to Redirect: Drug reps, posted by Dr. Bob on January 23, 2008, at 10:45:17
Unfortunately, most drug reps no very little about medicine except for the product they're promoting and are all about the push of the drug.
I was a drug rep for 10 years and have a medical background as a PA, but the doctors don't really care what you have to say even if you are an expert as they are to busy in their practice to stop and listen.
In my opinion, I believe most doctors, practitioners will use what they think is best for the patient by experience with a particular medicine over using a medicine pushed by drug reps. I clearly tried to educate the practitioner on the future/benefits of the meds I was promoting and at times gave my medical opinion that other meds may be a better choice than the one I was promoting in certain patients.
Posted by Phillipa on December 10, 2008, at 13:20:19
In reply to Re: Redirect: Drug reps, posted by CaptainAmerica1967 on December 10, 2008, at 6:09:59
I guess that is mostly true as used to e-mail with a drug rep and he only knew his med. But you have a background as a PA so experienced in using many meds assuming. Quesion why did you change professions? PA's do great work and are badly needed. I wanted to be one and missed out by one year when graduated nursing school as that year it changed to needing a bachelors degree. Anyway I digress. Was this redirected from another board? Love Phillipa
Posted by CaptainAmerica1967 on December 10, 2008, at 15:38:25
In reply to Re: Redirect: Drug reps » CaptainAmerica1967, posted by Phillipa on December 10, 2008, at 13:20:19
I suffer from treatment resistant depression (started when I was 16y/o) and also have a hard time dealing directly with sick patients as I care too much and take the worries home with me. I also lost both of my parents tragically at an early age so sometimes dealing with the sick is too emotional for me. My Father died at age of 29y/o in 1972 from accidental drug overdose when I was 5y/o and Mother (39y/o) was killed, decapitate (bad visual memories), in a car accident, roll over in 1986 when I was 19y/o in which I had a seizure from Deseryl 650mgs (was receiving ECT too) while driving.
Sales allowed me to work hard the days I felt better and get by on days I felt really bad.
This post was originally under meds, but dr bob redirected to social.
Regards,
Jeff
Posted by Phillipa on December 10, 2008, at 19:59:48
In reply to Re: Redirect: Drug reps, posted by CaptainAmerica1967 on December 10, 2008, at 15:38:25
Tragic and I feel for you but am glad you are doing something you feel comfortable with. Yes after nursing and feeling patient pain all the cajoling to have me volunteer in a hospital or nursing home never ever again. Can't take the pain swallowed to much pain and as a result got sick myself know you can relate this this. Love Phillipa
Posted by CaptainAmerica1967 on December 11, 2008, at 2:45:37
In reply to Re: Redirect: Drug reps » CaptainAmerica1967, posted by Phillipa on December 10, 2008, at 19:59:48
Hope you're doing well or the best you can be.
Jeff
Posted by Phillipa on December 11, 2008, at 19:26:43
In reply to Re: Redirect: Drug reps, posted by CaptainAmerica1967 on December 11, 2008, at 2:45:37
Thanks Jeff trying best I can any suggestions? Love Phillipa
Posted by CaptainAmerica1967 on December 11, 2008, at 22:37:34
In reply to Re: Redirect: Drug reps » CaptainAmerica1967, posted by Phillipa on December 11, 2008, at 19:26:43
Suggestions as far a depression medications? I feel that Maoi's (type A like Parnate, Nardil) are superior to all else and hypertensive reaction is way way over rated by physician and therefore are seldom used especially by FP's and even untrained psychitrists that don't have a good background in psychpharmacology knowledge.
I had over 70 electroconvulsive therapy treatments at the age of 18-19 and although ECT is considered the "Gold Standard" by many experts, I would disagree at least for treatment/refractory depression...MAOI's should be Gold Standard. Newer MAOI's, reversables, don't work and are an attempt by drug companies to make money as physicians might be more likely to RX them as the hypertensive reaction is far less potential.
Other ways I've dealt with depression:
-Physical exercise (am a body builder and lactovegetarian as well because of inhuman slaughtering of animals)
-Total/Partial Sleep Deprivation (under utilized, but very powerful)
-Cold Water (Shower/Baths) Therapy (stimulate both endophins and norepinephrine and helps with hot flashes and also stimualted thyroid)
-I've tried over 50 plus psychotherapeutic in my life and just feel MAOI type A are it.
-Have tried every known supplement, nutruaceutical, and herb ever tried or studied for depression and have found them to be minimal or moderately effective for depression. There are to many to list.
-psychotherapy equals a waste of money unless the depression isn't biolgical in nature.
What type of depression have your dealt with?
Regards,
Jeff
myspace CaptainAmerica1967
This is the end of the thread.
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