![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by shasling on March 15, 2009, at 22:46:48
Getting a Maoi doc is not easy for everyone,im lucky mines lets me stay on mine,HOWEVER what id recomend is 2 things for people who just cant seem to find a doc,...first make sure you arent being denied one for reasons you know are valid,if your general health prevents it then no point there,aside from that,
1.Feel free enough to ask at the desk before seeing a doc,ask if you can relay this info before meeting a new doc so they know forehand.2. Older docs in my case seem to be more opt,but when i did go on mine i went through 3 docs,but i was going to docs with over packed folders of data sheets contacts i made to glaxco the company and every other document showing how serious my intent was,having a long ssri track record helps too.
Last how do u say eh,without saying eh,lol all i will say is remember the whole DONT DO THIS OR THAT WITHOUT YOUR DOC was designed mainly at a time when a PDR was the mainstream of your med info,now today people have access to just as much as docs do and sometimes you have to be willing to get your hands dirty to treat yourself,the time of waiting 5 weeks for 5 min for a doc to remember you just isnt adequeate.
Posted by JadeKelly on March 16, 2009, at 0:30:15
In reply to Maoi docs, posted by shasling on March 15, 2009, at 22:46:48
> Getting a Maoi doc is not easy for everyone,im lucky mines lets me stay on mine,HOWEVER what id recomend is 2 things for people who just cant seem to find a doc,...first make sure you arent being denied one for reasons you know are valid,if your general health prevents it then no point there,aside from that,
>
>
> 1.Feel free enough to ask at the desk before seeing a doc,ask if you can relay this info before meeting a new doc so they know forehand.
>
> 2. Older docs in my case seem to be more opt,but when i did go on mine i went through 3 docs,but i was going to docs with over packed folders of data sheets contacts i made to glaxco the company and every other document showing how serious my intent was,having a long ssri track record helps too.
>
>
> Last how do u say eh,without saying eh,lol all i will say is remember the whole DONT DO THIS OR THAT WITHOUT YOUR DOC was designed mainly at a time when a PDR was the mainstream of your med info,now today people have access to just as much as docs do and sometimes you have to be willing to get your hands dirty to treat yourself,the time of waiting 5 weeks for 5 min for a doc to remember you just isnt adequeate.
>
>Hey again,
Thats right, seems a lot of people are having trouble finding an experienced MAOI Doc.
As for #1. I wouldn't even go down there. I called mine and asked: Does this DR.regularly prescribe MAOI's. Yes.
Does he regularly prescribe high doses when its called for? yes.
Does he regularly augment with other meds such as, Ritalin, Desipramine, etc. yes.
Available consultation? yes. DONE DEAL
Skip Shaslings last paragraph, he/she knows not what they say....
I personally would like to see people learn from our "forced" mistakes due to not knowing we had a choice, and immediately go get that experienced MAOI PDoc asap. Tip: If you are already on an MAOI, they will likely keep you on it. If not, you may have to trial a couple other meds. Or just say you are done with trials. If you can show a history of many meds, that will likely be enough. So go ahead and let your current PDoc get you started on an Maoi if you can, while you do your search for an experienced MAOI Doc.
~Jade
Posted by desolationrower on March 16, 2009, at 0:35:38
In reply to Maoi docs, posted by shasling on March 15, 2009, at 22:46:48
"do'nt do this or that without your doc" is all about determining liability, not about improving outcomes. its like warning labels. but even annoying warning labels are good, we all have times we forget and have accidents, i like having a backspace key on my keyboard, and theres plenty of bozos running around too, but somewhere along the way doctors decided to they weren't just giving advice but they were going decide value judgments for us too, which maybe is defensible for opioids or something, but much of the time its just doctors trying to maintain their priesthood status by presenting front of total knowledge which requires total obedience. (placebo->spiritual healing. serotonin and cortisol and dopamine->the spirits and demons that haunt and heal us. they even wear goddamn robes.) i have to lol so hard when you see something like "don't combine this supplement w/o talking to your doctor." your doctor didn't read the latest journal article they were billing insurance companies and playing golf, and you can't get the drug without their permission anyway. so instead of discussing the costs and benefits, just find a new doctor who agrees with you.
-d/r
Posted by JadeKelly on March 16, 2009, at 1:36:50
In reply to Re: Maoi docs, posted by desolationrower on March 16, 2009, at 0:35:38
Again,
Someone new to an MAOI needs a PDoc experienced with MAOI's in all aspects as you'll find spread throught out this board and recent archives. Spare yourselves the pain of self medicating. PLEEEEEZ. I cannot emphasize this enough. Make sure your PDOC will prescribe the essentials should you need them ie augments, etc. Make sure he/she hasn't a problem with high doses if needed. Then follow their lead. Mine took me up to 80 mg Parnate and 60 mg Ritalin. I'm a sad case. Most won't need that much. But there was a lot of monitoring of my BP, etc. before all was said and done. The fact is, I doubled my remission rate when I met with my new PDoc. 100% remission. Why experiment when you can safely have that?
~Jade
Posted by shasling on March 16, 2009, at 12:52:23
In reply to Re: Maoi docs, posted by JadeKelly on March 16, 2009, at 1:36:50
Sometimes we tend to forget there are states like mine where docs,most might work in a single building,and believe it or not you literaly cant find one willing,remember new docs generaly put you on the bottom of the barrel list,one new doc dident even allow for cancelation squeaze ins before first face to face was done.The docs in my area are close knitt,and only the ones dug in deep who stand alone will work with a maoi.
I understand the severity of selfmedicating,however and this is just a personal view,i seperate selfmedicating when the patient in question is using info from reputable online sources as well as and lets remember we can do this,the company itself,over getting caught in webs ive been in where your first initial appt is six weeks in.
Now am i advocating self medication,id hope not,someone who does anything whether from a post on the net or elsewhere does so with their own responsability.Imagine if every thing you said you had to hold liable it dident set off some ideas in someones head,its a terrable idea but shouldent scare us from speaking our minds,people need to take account for where they get their info,in this case a message board with no from my understanding actual md`s but rather inidviduals as myself.
I like to think i can speak of a bad parnate choice i made without adding "this was just me and im not advocating it" but i dont usualy,and thats for the very reason someone might feel i in some way put forth the idea,i dunno its a very hard topic to weigh in on,i just know for myself,as ive said my depression is a war,and ive long since decedied that as in a war things can be ugly,more importantly as in a war there will be times where ill have to make decisions that arent perhaps the smartest i can make but when the enemy isnt playing fair for me thats my green light to hold back no blows.
I do however respect every persons right either way,and still do try to post as saftly as i can.
> Again,
>
> Someone new to an MAOI needs a PDoc experienced with MAOI's in all aspects as you'll find spread throught out this board and recent archives. Spare yourselves the pain of self medicating. PLEEEEEZ. I cannot emphasize this enough. Make sure your PDOC will prescribe the essentials should you need them ie augments, etc. Make sure he/she hasn't a problem with high doses if needed. Then follow their lead. Mine took me up to 80 mg Parnate and 60 mg Ritalin. I'm a sad case. Most won't need that much. But there was a lot of monitoring of my BP, etc. before all was said and done. The fact is, I doubled my remission rate when I met with my new PDoc. 100% remission. Why experiment when you can safely have that?
>
> ~Jade
Posted by JadeKelly on March 16, 2009, at 17:19:53
In reply to Re: Maoi docs, posted by shasling on March 16, 2009, at 12:52:23
Its a difficult thing to post about because there are people on the board who know more than my old PDoc about MAOI's and probably many other meds and interactions, etc.
I've been posting here long enough to know one or two people that I would trust to give me good information, however new posters, many of them young, wont know who to trust, which info is correct and how to interpret it. And yet, I think they will sometimes try what someone else is trying, and so on. Where do people get the meds and are they quality meds. Young people may not be as savvy as the posters here in knowing whats ok to use and what isn't. Its scary to think what meds are floating around many households. Combine that with some faulty advice from inexperience and, well, I geuss thats ALL I worry about. Other than that this certainly is no moral issue for me.
And Shasling, I do feel for people who can't find PDoc's that can help them. Its stinks. Seems like there must be some material somewhere who these PDocs are! Mine's been prescibing MAOI's, in high doses with augments for 10 years. I'm seeing how lucky I was to find him. These Docs must communicate, right? Go to the same lectures? Something? d/r, I know you'll get right on that-thnx.
~Jade
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.