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Regurlar MD or PDoc?

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Posted 6/23/2009 1:28 PM (GMT 0)
Does anyone just see a regular MD and get good management of symptoms?  Or do you think a PDoc is best?  I feel my regular MD may be a little too conservative as I have been on antidepressants since May 4th and she will only let me take 10 mg when I have read that 20 mg is starting theraputic dosage.  I am being allowed to increase to 15 mg on July 13th.  I seem to be getting stable but still bouncing around like a ping pong ball.  Also she said she did not need to see me back?!? What?......................

Any insights out there for me?

Gem

Posted 6/23/2009 1:50 PM (GMT 0)

Gem,

For years My PCP handled my AD med as I did really well and had no problems but in 2005 when everything went out of sync my PCP sent me to the Pdoc as he was just guessing at which drugs to try and admitted that it was not his level of expertise  The Pdoc deals in AD meds all day long.  I do not go blindly into what she prescribes as I do take my own thoughts and feelings to all my appointments with her.  There are some meds I refuse to take due to the side effects and she has tolerated my advocating for myself.  :-)

If you can get an appointment with a Pdoc, I would recommend that you do.

Take care,

Kitt

Posted 6/23/2009 2:13 PM (GMT 0)

Kitt,

I think you are right.  My old PDoc retired after seeing him for two years.  He was very liberal with the prescription pad and I was on many meds that I just could not tolerate.   But I think my regular MD's approach is too conservative.  I have been thinking I need to take matters into my own hands and try another PDoc.  I just can not seem to get feeling better on an even remote basis and I try very hard and am very compliant with diet, exercise, attitude, meds etc.

Thanks

Gem

Posted 6/23/2009 3:03 PM (GMT 0)
I agree with Kitt, if you dont' think your md is giving you the right dose, look for a pdoc that you feel comfortable with. I have a really good pdoc. I feel very fortunate for that.

Keep trying until you are satisfied. They work for you, remember that. Though I know that is a hard thing to do. Keep looking until you find one that works well for you.

Hugs, Karen
Posted 6/23/2009 3:08 PM (GMT 0)
Thanks Karen, I will.  My husband does not think I need a PDoc.  He is concerned and supportive but he just does not want to accept the fact that I am sick.  I just feel lost today.  I do not feel like I belong anywhere.

 

Gem

Posted 6/23/2009 5:42 PM (GMT 0)
Hi Gem, I'm sorry you're feeling lost today. (((Hugs))) You belong here with us, always! I agree with the others that you should be your own advocate for what you feel is right, and also that you should not hesitate to try another doc if it's not working well with the one you have. Please keep us posted on this, okay? I always want to know how you're doing, and I know other members feel the same way!
Posted 6/23/2009 5:48 PM (GMT 0)
Raniah, I have already made an appointment with a new PDoc for July 15th.  That was the soonest I could get in.  But this afternoon I feel a little better but I still think I need to go and get a second opinion at least.  Your post are so comforting to me, well everyones are, but your especially.  Thanks, I am glad I have you.

Gem cool

Posted 6/23/2009 6:09 PM (GMT 0)
Hi Gem, You are such a loving person, and I really appreciate you saying that. It totally made my day. I'm glad you have an appointment with a new Pdoc. I know three weeks seems like a lot right now, but it will go by more quickly than you think! I agree that it's wise to get a second opinion. I hope it goes well for you. In the meantime, hang in there with the ping pong effects, and try to keep your mind on the good stuff. It really helps!
Posted 6/25/2009 10:19 AM (GMT 0)
Hey , Gem,
sounds as though you have a bit going through your head at the moment. If your anything like me you dont understand them either. Yes i would be doing what you think is right for you. Ive been back and forth with doctors, who dont really know what they are talking about. You need someone who knows their stuff for sure. You cant worry about what your hubby thinks, its your life, your going through this and im sure you want to get better,so try and be brave and and hang in there, just like iam hanging in there.
XX
cme
Posted 6/25/2009 12:36 PM (GMT 0)

Dear Zapped,

Thanks for the post.  I am not dismissing my appointment with new PDoc, I am actually looking forward to it.  By second opinion, I meant I do not feel my MD is getting the big picture with me and believe me I am brutally honest about what has gone on over the years.  I want my physician to have as much insight as possible.  I have only seen one PDoc before for about two years, he retired in December.  I have always had more problems with hyperactivity(mania) than depression.  I really did not have problems with depression(that I was aware of) until I started on different mood stabilizers.  I either could not tolerate the side effects or was unwilling (I will admit it) to ride it out until they were working as they should.  10 mg Celexa really seems to be doing me more harm than good. My moods are like a roller coaster and I have woke up to Queen singing Bohemiam Rapsody every morning for months.  I like Queen but this is ridculous! I am not against anti depressants, if that is what I need, I just feel I have not found the right combination for my mood and racing thought issues.  I do not give up easily and I will continue to seek, with an open mind and heart, the right course of treatment for me.  What else am I going to do?  I really want to feel well.  what bothered me about my old PDoc is that he never gave me a concrete diagnosis, not that I guess that is that important, he said on one visit I "may" be bipolar and it is obvious that I have very high anxiety.  so I will hang on until the 15th, lay it all out for new PDoc and see what he recommends.  I have not even told my spouse that I have this appointment and I am not going to.

Gem

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