Posted by yxibow on October 28, 2006, at 1:12:52
In reply to Re: Is 475mg of Effexor XR a day way to much???? » yxibow, posted by Tomatheus on October 27, 2006, at 9:59:00
> > One should be cautious about telling someone point blank to switch their doctor. I've seen posts like this and we all on here except for occasional posts from medical professionals are armchair psychopharmacologists.
> >
> > What I think the doctor meant is that in his extended range of patients (psychiatrists frequently have journal clubs where they anonymously describe their patients and medication) there exists a protocol for a higher dose.
>
> Jay,
>
> I feel accused by your statement. I think that there is a difference between telling someone else what I would do in their situation and telling that person to do something "point blank." I was doing the former, not the latter. Nancyjoyandamber obviously knows more about her doctor than I do, so yes, she's clearly in a better position to decide whether or not she should switch docs than I am. I may have taken her doc's statement out of context, and if I did, I apologize. I was clearly making a judgment based on one statement from Nancyjoyandamber's post, but I was by no means "telling [her] point blank to switch [her] doctor." If I wanted to do that, I would have said, "get a new doctor." I was saying what I would have done if I were in Nancyjoyandamber's situation based on her doctor's statement, which is a lot different from dictating what she should do. I don't mind if others disagree with me, and I certainly respect Nancyjoyandamber's choices when it comes to her mental health treatment. But it bothers me when others accuse me of saying something that I never said. I would never tell anyone to "point blank switch their doctor."
>
> I'm also sorry if I didn't make it clear in my post that I'm a patient and that I'm not making myself out to be a medical professional of any sorts. I thought that I was making this obvious by starting one of my sentences by saying, "I wouldn't trust my mental health to anyone who says..." but I realize that it's possible that a medical professional could say the same thing. So, I apologize for not making it more clear that I'm also a patient.
>
> Tomatheus
Oh I understand you're a patient, almost all of us are on here or have been or know they are about to enter another episode of a biological imbalance. It wasn't meant to.. well it was a sort of mild accusation or comment, but it wasn't meant to hurt your feelings in any way.
I took "...I am not familiar with Effexor's dose range, but if your doctor seriously told you this, I think it would be a good idea to switch docs asap.." to mean that I don't know about Effexor and you should get a new doctor.
As I've said, I've seen postings like this, "switch your meds immediately", "dump your doctor", and there is not enough contextual explanation for something that could get someone in a pickle if they are easily persuaded. Ultimately it is their health on the line and the doctor-patient relationship.
But you have explained here more, and I'm satisfied and it was a random interjection so there's no real need to overexplain yourself. I try not myself to point blank say something but as you are describing, "in their shoes", and so a little more information is necessary.
But don't worry, I'm not on a tirade or against you. It was just an interjection and I apologize if it came off as curt.-- tidings
Jay
poster:yxibow
thread:698042
URL: http://www.dr-bob.org/babble/20061020/msgs/698371.html