saw new pdoc today

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wmnak
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Date Joined Jul 2006
Total Posts : 1123
   Posted 9/21/2006 8:40 PM (GMT -7)   
i saw the new pdoc today - the one who told me to stay out of this forum.  he changed his tune today.  we agrees that he was only a consultant (and educated and experienced one) but the I am totally responsible for my health.  he also agreed to tell me the truth no matter what.  it went well.
 
he explained why he gave me a dx of bp.  two manic episodes in 60 yrs makes a history of mania.  ok.  i get it.
 
my major problem is depression.  my rages he attributess to depression.  he rxed welbutrin 100 mg and decided to stick with the lithium for the time being.  he gave me a script for lithium levels.  good. my dr in tx is very lax about that and it makes me nervous (not as in shaking with fear).  after the results, he said he might up my dosage from 900 mg to ?.
 
he will be providing the 55 min hr supportive therapy.  he says that he does not usually farm out bp psycotheapy unless the patient requests it.  i can live with that.
 
i am hopeful.  we're supposed to gp back to tx in november, but may vote absentee and stay here therough xmas.  we'll see.
 
there i am but i'm hopeful for the first time in a long time.  my cynacism and sence of humor can only go so far.  by the way, do you know why cynics are the happist people?  when something goes wrong (and it almosst always does - murphy's law) the cynic can always say "i was right!"  and if something goes right the cynic can always say, "well i'll be darned!"
 
stay well, friends.
 
warren

CounterClockwise
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Date Joined Jul 2006
Total Posts : 1529
   Posted 9/22/2006 7:16 AM (GMT -7)   
Argh -- just posted big long reply and then got logged out, couldn't log back in, silly error messages ... long story short, whole post got lost. Darn it, now, where was I???

Hugely pleased that this has turned round so well -- and that you have the truth deal going now. I wonder why the strangeness last appointment... . Maybe he was testing to see what your reaction would be... . But that would be a bit odd... . Hm, well, I'm just glad it's good now. Hip-hip-hooooray.

I always think that the therapy and prescribing should be done by the same person wherever possible. That way all the info's in the same place and things can't "slip through the net" or go through a kind of Chinese whispers process. Makes it easier for the patient to raise queries too.

I was also a bit nervous *for* you about you not having regular lithium checks -- they're so important. Sounds to me like your tx doc just doesn't get why that process is set up: you can't tweak the levels if you don't know what they are. It's as if he thinks the "cure" is simply in prescribing lithium, but other than that is just going for "standard" (see: "guesswork") doses. I'm *really* glad this is being addressed: may well make a lot of difference!

Lots of "pleased"s and "glad"s from here, I know, but really I am genuinely chuffed for your cynical self!!!! :)

Rosie x
********************

People are not like fish: they do not work well battered.

When I'm not in my right mind, my left mind gets pretty crowded...

********************

 
Co-Moderator, Bipolar Forum


wmnak
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Date Joined Jul 2006
Total Posts : 1123
   Posted 9/22/2006 10:34 AM (GMT -7)   
my pdoc in tx is supposed to be the best in the area.  might be saying a lot about the area?  he just doesn't believe in lithium level checks.  maybe that's the reason i am having so much trouble now.  hmmmmmm.  i told my wife last night that i want to change pdocs when we get back home.
 
rosie, i know that joyous feeling of loosing a long message to the vagaries of computers.  when it happens to my wife, she yells at me.  i tell her i didn't design or write the software.  when it happens to me i curse fluently in four different languages!  neither approach really helps.  confused
 
rosie, you've been around overly educated people moe than me and you know as well as i that there is no correlation between education and lack of insanity (present company excluded, of course  tongue ).  my new doc may be as mad as the rest of us.  no accouting for his behavior last time.  he may be bp.  or he may have simply been having a bad day.  point is, he was a-ok yesterday.
 
as as for your comments about being cynical, "well, i'll be darned."  :)
 
warren

CounterClockwise
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Date Joined Jul 2006
Total Posts : 1529
   Posted 9/23/2006 10:39 AM (GMT -7)   
Hi Warren,

Doesn't believe in lithium checks?! That's plain ridiculous! It's like saying to a diabetic that he doesn't believe in glucose level checks! I'm not surprised you're thinking of changing pdocs when you get back to tx: there's reputation and then there's proof in the pudding.

Yes, indeedy, education certainly doesn't stop me from acting like a banana some days, so your new pdoc is excused a "silly" day! Guess it's reassuring to know that he's human, eh?!

Ah, you are a self-professed cynic, though. -- It's a healthy cynicism, I reckon -- and you still make me chuckle! :)

Rosie x
********************

People are not like fish: they do not work well battered.

When I'm not in my right mind, my left mind gets pretty crowded...

********************

 
Co-Moderator, Bipolar Forum


wmnak
Veteran Member


Date Joined Jul 2006
Total Posts : 1123
   Posted 9/23/2006 6:26 PM (GMT -7)   
rosie,
 
you as silly as a banana?  NO.  now your ex is another matter.  :-)
 
i just reread the last several posts and reread your getting angry at loosing an entire message.  that reminds me of a story.  it was sometime around 1982.  i was developing, from scratch, a model of a computer's behavio(u)r.  the computer had to accept telemetry from a spy satellite and process it before the next satellite came within range.  at the time i was also taking one post-graduate course (don't remember what in).  at any rate, i had completed the design, programming, and testing.  the results were due at the government in 5 days, so i was really ahead of schedule and feeling really good about myself.  i went home on time (a first) on a friday afternoon.  when i got back to work on monday, my boss, the director of security operations, stopped me before i got to my office and told me that he had come in on sat and tried to format a floppy.  yes.  that's right.  he formatted my hard drive and wiped everything.
 
i worked around the clock for the next 4 days to get the simulation run.   i told my boss that i expected a HUGE raise for his stupidity.  he gave me a bonus instead - they don't carry forward.  sad    see how i became a cynic?
 
there are problems and there are problems.
 
warren

CounterClockwise
Veteran Member


Date Joined Jul 2006
Total Posts : 1529
   Posted 9/24/2006 2:56 PM (GMT -7)   
Hi Warren,

Well, I am currently a banana-in-pajamas! :)

Oh, isn't that just the way with bosses and pay?!? What an utter idiot that one was -- and I* know those work-round-the-clock times -- almost *always* caused by someone else's miscalculation or ineptitude -- and *very* rarely means that they have to work round the clock too... .Yup, totally understand your cynicism! I have to say that's the saving grace of my job: ok, there are some students that leave me cynical (!), but mostly it's the institution and staff that leave me eyeball-rolling, and the students that save my optimistic side!

Rosie x
********************

People are not like fish: they do not work well battered.

When I'm not in my right mind, my left mind gets pretty crowded...

********************

 
Co-Moderator, Bipolar Forum


CapninHapnin
Regular Member


Date Joined Sep 2006
Total Posts : 285
   Posted 9/25/2006 7:37 AM (GMT -7)   
Hi Warren,

For completely selfish reasons, I am so glad your pdoc capitulated on your visiting this forum!

I am on lithium, but after it was determined what was therapuetic levels for me I only get checked about once a month.

And, be careful, my friend. Although each of us respond to meds differently, I had a tremendously bad reaction to welbutrin. And it was the XL, so it took a while to reduce the blood level.

Now, my computer story. An former boss of mine, a good boss but a pervert, liked to look at ****, got in trouble for looking at nudie pictures on his company computer. Told me he had deleted the history, cookies, temp, and such so didn't know how he was caught. I told him it didn't matter, all that was stored in the index.dat file. I emailed him a link to a cleaner. He ran the cleaner and it wiped out all his documents, all his saved emails, his address book, pretty much everything he needed to do his job. He thought it was intentional from me because I thought it was so funny.

Cap
I want "I wish I had one more day to spend at the office" on my tombstone.


wmnak
Veteran Member


Date Joined Jul 2006
Total Posts : 1123
   Posted 9/25/2006 2:28 PM (GMT -7)   
cap,
 
that was cruel. tongue yeah
 
i got my blood work started today.  lithium levels and live enzymes.  first ever for the liver and first in about a yr for the lithium.
 
the welbutrin pkg said to contact your dr if you have trouble sleeping.  he** i ALWAYS have trouble speeling!  i didn't sleep well last night (went to bed at 10:30, woke up at 2:00 am).  don't really know if there's a causal relationship between sleeping and the welbutrin.
 
definitely going to get a new pdoc when i get back to tx.
 
rosie:
 
the guy who played murdock on the a-team is now a principle supporting actor in Eurika, a show on the science fiction channel here in the states.  it took me several episodes to be sure it was the same actor.  he has aged (haven't we all?).
 
warren

CounterClockwise
Veteran Member


Date Joined Jul 2006
Total Posts : 1529
   Posted 9/25/2006 3:15 PM (GMT -7)   
Hi Warren,

I look forward to becoming hooked on Eurika in due course, when it hits the UK (which you can bet it will soon enough!) -- for now just limiting myself to House, Monk, CSI, Law and Order... sure I've missed a few!! :)

Rosie x
********************

People are not like fish: they do not work well battered.

When I'm not in my right mind, my left mind gets pretty crowded...

********************

 
Co-Moderator, Bipolar Forum


wmnak
Veteran Member


Date Joined Jul 2006
Total Posts : 1123
   Posted 9/25/2006 7:01 PM (GMT -7)   
monk is WONDERFUL!!!!! he's crazier than i am. :)
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