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How would you prefer your doctor to treat you?

This kind of thread degenerates very quickly into area's that we don't want discussed on BL.

I understand that you haven't directly come out and discussed sourcing from doctors, but "other services" is very close.

I'm closing this one, PM me if you truly consider it to be of any worth to BDD. I'm discussing it with the other Mods.

General consensus is close so far.
 
^ Thanks. I get what the OP is going for, and if everyone follows my lead the thread should be fine.

I would prefer a good doctor that looks out for my best interests. With the amount of money that I am paying, I would like to get proper treatment.

After seeing a doctor that was prescribing me a decent dose of xanax while barely even speaking to me, I decided to see a different doctor about tapering off of benzos. He was a good doctor, and actually listened to me. We lowered my benzo dose and tried another treatment, but eventually just stuck with tapering. When I went away to school I saw another good doctor that actually cared about me. She would speak to me for an hour, and she worked with me while tapering, so I didn't lower the dose unless I was comfortable. It was good to know that if something were to change, I could speak to her and be confident in addressing the problem properly, while giving safer meds an honest try.

Once I returned home from school, I was stuck and had to return to my old doctor (the original one that used to script me xanax) due to insurance and because he was the only one that could see me in such a short notice. I told him that I was tapering from the xanax and am now on 2mgs of valium a day, and would like to stay there for a while. I am not confident in him at all, and he still barely even speaks to me. Nothing good is going to come from seeing him, and it is impossible to make progress while under his care.

For these reasons and my past experiences, I would prefer a doctor that looks after my best interests (and by best interests I mean actually getting better, not my best interest of getting high).
 
I think both aspects should be present in a doctor. The prescription system is very top-heavy; it gives doctors and nurse practitioners complete control over access to modern medical treatment. In the age of the internet, there are growing numbers of patients who are well informed and cognizant of the implications, risks and side effects of treatments for their personal medical conditions. Many people have been to doctor's who honestly knew less about a particular medication or treatment than the patient; these situations often end in the patient being belittled, talked down to, denied the correct or preferred treatment, etc. This is especially apparent when it comes to treating addiction and addicts with co-occurring psychological and/or physiological problems. I think if a patient has shown they are informed and aware of the risks and side effects of a particular treatment, they should be encouraged and respected to have their medical problems treated the way they see fit. In cases where the patient is clueless, or seeks the opinion and expertise of their doctor/nurse practitioner, then it should be up to that medical professional to make decisions and explain the options so the patient can give informed consent to treatment.

Under the current prescription system healthcare professionals should be partners, not gatekeepers and dictators, over the course of treatment for their patients.

"Doctors are so exclusively nurtured on exaggerated ideas of their position that, generally speaking, a factual approach is the worst possible. Even though they do not believe your story, nonetheless they want to hear one. It is like some Oriental face saving ritual. One man plays the high-minded doctor who wouldn't write an unethical script for a thousand dollars, the other does his best to act like a legitimate patient." - William S Burroughs, Junky, p.18.
 
Tripman said:
This kind of thread degenerates very quickly into area's that we don't want discussed on BL.

I understand that you haven't directly come out and discussed sourcing from doctors, but "other services" is very close.

I'm closing this one, PM me if you truly consider it to be of any worth to BDD. I'm discussing it with the other Mods.

General consensus is close so far.
Click to expand...

I have no intentions of making this a thread about sourcing. By other services, I mean getting unnecessary treatments like cat scans, or MRI's; things of that nature that really aren't necessary but seems to be overused in some cases when other options are available and will do things that could potentially harm a patient. Or things like getting handicap tags for their cars so they can better parking in places that may be busy a lot. I basically mean abusing the system to your advantage when its things you don't need. I think I could have worded it better and completely understand where you are coming from and truly appreciate where you are coming from and also appreciate the fact that you are focused on the theme of this forum which is harm reduction.

Tripman said:
Going to re-open and send to DC.
Click to expand...

Again, I appreciate this. Thanks Trip for looking out and having an trying to understand what I really mean.

Tommyboy said:
^ Thanks. I get what the OP is going for, and if everyone follows my lead the thread should be fine.

I would prefer a good doctor that looks out for my best interests. With the amount of money that I am paying, I would like to get proper treatment.

After seeing a doctor that was prescribing me a decent dose of xanax while barely even speaking to me, I decided to see a different doctor about tapering off of benzos. He was a good doctor, and actually listened to me. We lowered my benzo dose and tried another treatment, but eventually just stuck with tapering. When I went away to school I saw another good doctor that actually cared about me. She would speak to me for an hour, and she worked with me while tapering, so I didn't lower the dose unless I was comfortable. It was good to know that if something were to change, I could speak to her and be confident in addressing the problem properly, while giving safer meds an honest try.

Once I returned home from school, I was stuck and had to return to my old doctor (the original one that used to script me xanax) due to insurance and because he was the only one that could see me in such a short notice. I told him that I was tapering from the xanax and am now on 2mgs of valium a day, and would like to stay there for a while. I am not confident in him at all, and he still barely even speaks to me. Nothing good is going to come from seeing him, and it is impossible to make progress while under his care.

For these reasons and my past experiences, I would prefer a doctor that looks after my best interests (and by best interests I mean actually getting better, not my best interest of getting high).
Click to expand...

This is exactly what I was going for and really appreciate your honesty and understanding. :)

Thanks guys! I will post my thoughts onceI get to work.
 
Personally, I would like a doctor that is looking out for my best interest, but also would be understanding of my needs. I like my current doctor because they look out for my best interest, but they aren't exactly understanding of my needs. I've done everything they've suggested in order to control my pain. I go to the chiropractor (when it can be afforded), I went to physical therapy for as long as I could afford it (and I didn't think it was helping, but I guess it was, because while my pain didn't decrease at all, it was keeping my pain from getting worse, which is what happened when I stopped going), I'm taking an ungodly amount of uncontrolled meds (400mg tramadol/day (maximum Rx dose), 30mg flexeril/day (I'm pretty sure max Rx dose for chronic application), 2,400mg gabapentin/day (and I'm pretty sure I'll go to the max of 3,600mg/day next visit), and my pain still isn't being controlled very well.

On the visit before last, I had asked if I could get some breakthrough meds (and no I didn't name any) for in the morning and night when I'm feeling my worst, and the nurse practitioner said she didn't see a problem with it, I just had to pass a drug screen and get approval from the doctor. Well, when I went in for my last visit, ready to pass a drug test, I was told that the doctor didn't approve, so I guess I'm just SoL. I can't work, I can't exercise (can barely even stretch), I even have trouble focusing in class and when I work on my online classes because I can't get myself into a comfortable position.

I also asked if I could possibly switch my muscle relaxant last visit because I've been on this one at this dose for the past 9 months. I was offered skelaxin, which I had tried before and all it did would make me really, really anxious, extremely irritable and moody, and it would make my stomach hurt-no relief at all to say the least; hell, I still have a Rx of them that's pretty much full from April of last year. When I explained this to her, she had said that all she could think of was that and Soma (which is C-IV in my state), and she said that if the doctor wouldn't approve breakthrough meds, she wouldn't see her approving the Soma. I responded by suggesting Robaxin (methocarbamol) and she said that normally just specialist Rx that.

This post is getting pretty long, so I'll end it here; basically I would like a doctor that, while looking after my best interest, wouldn't mind Rxing me controlled medications when needed. Next visit I will ask in more depth why exactly I can't have breakthrough meds because the only thing I've been told so far is that "[I'm] too young for hydrocodone," and I haven't even asked for Vicodin or any controlled medicine for that matter.

Sorry for the novel.

-Doug
 
@ Doug: Maybe you could try asking for Baclofen. It didnt help me much, but it may help you.


I prefer a doctor who will look out for my best interests. Even though I sometimes seek out certain medications (I dont get really pushy about it, I will just suggest it and ask for an opinion) that I feel I may need but it may not be in my best interests and I totally appreciate a doctor who is willing to say no if he has a valid point or two. I am also very honest with my doctors and will tell them if I am taking something else. Like today, I went to the doctor and told him flat out that I have been trying MXE and it seems to help with my anxiety and pain. He wasn't happy about it and he wants me to be extremely careful with it as I explained to him that it is a very understudied drug. I gave him the backstory on it from what I read in the online article "Interview with a Ketamine Chemist" and he did understand and I think he will be doing his own bit of research on it. But he does appreciate that honesty and that in itself will help me out over the long run as it will grant me better interactions with my doctor over the long run. Plus, it helps that he is aware of those things because I dont want him to script me a med that may have a bad interaction with that or something else. I always make sure my doctors are all on the same page and even ask them to communicate with each other.

I want to live a long and healthy life and sometimes medications are very necessary to help extend ones life. Science has had many breakthroughs in the way of medications. People are living longer and healthier lives compared to 2-300 years ago. This of course is aided by other technological advances as well.

Great posts everybody! I like where this is going :D
 
Not to turn this into a one-on-one conversation, but to answer, as far as pain goes, that looks like it only is only used in peripheral neuropathy, but that's what my gabapentin is for. I have a lot of pain that stems from other areas. I do seem to have sciatic pain that isn't always being taken care of.

And this doesn't sound very pleasant lol...

Wikipedia said:
Withdrawal symptoms may include auditory hallucinations, visual hallucinations, tactile hallucinations, delusions, confusion, agitation, delirium, disorientation, fluctuation of consciousness, insomnia, dizziness, Nausea, Feeling Faint, inattention, memory impairments, perceptual disturbances, pruritus/itching, anxiety, depersonalization, hypertonia, hyperthermia, formal thought disorder, psychosis, mania, mood disturbances, restlessness, and behavioral disturbances, tachycardia, seizures, tremors, autonomic dysfunction, hyperpyrexia, extreme muscle rigidity resembling neuroleptic malignant syndrome and rebound spasticity.
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(The issues I'm having are due to self-medication before I had a doctor willing to help me (These days, 20mg Vicodin are just enough to get me to a comfortable point and it is just barely enough for it to feel anywhere near recreational.). And I have no idea how you can manage to be that honest with your doctor; I'd be afraid I'd get red-flagged.)
 
A Doctor who will talk to me like a person, like an educated, intelligent person. I may not know all s/he knows, but that does not mean you need talk down to me. Explain it! I know s/he is not there to teach med school, but explain it to at least a cursory but solidly factual level. Use big words! Tell me how the drug works! Don't use stupid metaphores!

Also, for fucks sake, just because I'm young does not mean I do not deserve equal access to diagnostic imaging after an injury, or pain medicine.

Moot point now I guess, my GF has no issues writing for shit like ketamine vials lol (I wonder how long til they yank her license)
 
rangrz said:
A Doctor who will talk to me like a person, like an educated, intelligent person. I may not know all s/he knows, but that does not mean you need talk down to me. Explain it! I know s/he is not there to teach med school, but explain it to at least a cursory but solidly factual level. Use big words! Tell me how the drug works! Don't use stupid metaphores!

Also, for fucks sake, just because I'm young does not mean I do not deserve equal access to diagnostic imaging after an injury, or pain medicine.

Moot point now I guess, my GF has no issues writing for shit like ketamine vials lol (I wonder how long til they yank her license)
Click to expand...

Q-F-T...

Q-F-Fucking-T...
 
I hate it when a doctor starts talking doctor talk and I don't have a clue what they are saying and I have to derail the convo to ask more questions which leads me away from what I actually wanted to ask. Now I go in with questions/lists of probs and ideas I want to talk about it. I can tell my pain doctor is like "oh fuck" every time I pull out that piece of paper but its my health in question and I want to make sure I get the best help possible.
 
When I was 13, I first started to experience depression. But I didn't want to bother any friends or family members with it, as I thought they already have too many problems of their own and thought it would be selfish to bother them with my own, too. It got worse. I finally decided to pay my doctor a visit and I spent a lot of time thinking about what to say. When I finally had the courage I went and told her about the feelings I've been experiencing, and how life just didn't make sense, how my grades started to drop, etc. She told me "Oh, I guess it must be some kind of spring fatigue! Well, I am going to prescribe to you something to make you feel better, so when you start to worry about your grades dropping and such, just take one or two and it'll be okay."
And that's how I got my first prescription for alprazolam. One year letter, I attempted suicide with this same bottle of pills. I know better now, but then? I was young and depressed.

So, I would take a doctor who looks over my best interest rather than someone who gives away prescriptions like candy any day.
 
yea, want my doctor to show true empathy and compassion. I don't want him to recite his medical textbook. I want him to use real-world experience and not just go off what some drug rep force fed him. I want him to be an independent thinker with an inquisitive mind.
 
dcraver877 said:
yea, want my doctor to show true empathy and compassion. I don't want him to recite his medical textbook. I want him to use real-world experience and not just go off what some drug rep force fed him. I want him to be an independent thinker with an inquisitive mind.
Click to expand...

^ This
 
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