Need advice about new doctor... Melissa/anyone please help!

The doctor I had originally left for another job and I was transferred to another doctor in the same clinic. She seemed fine, although getting appointments has been difficult as she's only in the office Wednesday mornings and Friday afternoons, and she's always booked up. After many struggles with getting prescriptions on time/running out of meds due to the nature of taking a controlled substance and needing a paper prescription every month, she suggested I see a psychiatrist so that I could get better treatment because she doesn't know much about ADD. Great, I thought....

So I found a doctor in-network that said she focused on ADD & learning disabilities in kids as well as adults and made an appointment and went to my primary care doctors office and filled out a form to have my records faxed to her.

first appointment comes and the doctor spends the most of the appointment asking me about my insurance and records. I explain to her that i've filled out the forms and the woman I spoke to said she'd sent them the same day. She shuffled some papers in my folder and I THOUGHT she said she had them there.

Today I arrive at my appointment and she insists she doesn't have my records and never got them. I told her she had them the last time we met - that I remember her looking at them. She told me I was imagining things and spent 20 minutes on the phone with my doctor's office, all the while asking me questions (ie; date of birth or address etc.) then shushing me when I answered because suddenly she needed to listen to the person on the phone.  I don't know about y'all, but I HATE it when someone shushes me, especially if they've JUST ASKED ME A QUESTION. Then after all of that, she tells me that the blood work i've had done isn't recent enough and I need to have it all done again and sent to her. so that wasted a total of 30 minutes.

Then she asks me what dose I'm on. I tell her that I'm taking 50-60 mg daily, but recently just 40. (20 at 6am and 20 at 2pm). She already had this information from the last time, but either didn't write it down or didn't bother to look at her notes. She then looks at me and says, "That's crazy. There's no way you're taking 20 mg at 6am and another 20 at 2pm.... that's just crazy." There's a long silence because I'm confused. I don't know if she's accusing me of lying, telling me she thinks my doctor's prescribed too much or she's telling ME that I'M crazy.... Then, she says it again: "There's just NO WAY you're taking that much adderall and sleeping 6-7 hours a night." I don't know what to say, because I was feeling attacked and like many other ADDers when I feel attacked I get confused and I shut down and can't think of anything to say. Finally I just say something like, "I'm sorry... I don't understand... I don't know what to tell you and I don't understand what you're trying to say and I don't know why you don't believe me." And she just said, "well... I just think it's very unusual."

So she tells me she wants to 'taper me off' the medication and she wants me to take one 30mg capsule per day in the morning and then eventually get me down to 20 mg. She says that nobody should take more than 20mg per day total. I know LOTS of people who take more than that and told her so... she dismissed that as people not going to good doctors who know what they're doing. I'm thinking suddenly that I just want to STOP taking medication altogether because i'm so damned sick of the expense and hassle of doctors and the shame of people thinking i'm on some joyride. I left and felt really stunned and confused and angry and I don't know what to do.

Am I correct in thinking that after I've done the necessary paperwork to release my records that it is HER responsibility to follow up? I have NO WAY of knowing whether she's received them if she doesn't tell me. She had a month to tell me she hadn't received them and could have told me YESTERDAY - when she called to confirm the appointment - that she didn't have them. I have to say, the first appointment I got a bad feeling, but I tried to keep an open mind.... I thought her office (which is basically just her apartment) was grungy and that she looked kind of slovenly and unkempt herself. I didn't want to judge or let someone's appearance get in the way, but in the back of my mind I kept thinking, "Ok, if SHE'S a mess how the hell can she help ME??"

So I was upset all evening and after the kids got to bed I told my husband about it and he was annoyed and thinks maybe I should find someone else. It's such a huge pain in the ass to start this process all over again that I thought maybe I could give it a try and just go once a month to get my script and get on with my life, but I know if I'm angry every time I see this woman, I can't open up to her and whatever 'therapy' she has to offer won't help.

The kicker? when I got into bed, I was coughing and got up and went to the bathroom to take some Zyrtec. But, since i'm in such a befuddled/anxious/angry state, guess what I took instead???? That's right: 20 mg. of Adderall. I got back into bed and when I realized what i'd done, I sat up and exclaimed "&(^%$#!!! and DH asked what was wrong and I revealed Daily Stupid Thing Ellemenno Has Done #56. He told me to go make myself puke it up. Well, I have never tried to make myself puke before and I followed his instructions but could only get up a bit of crumbs from a cupcake i'd just eaten. I had to stop trying because it was just too painful & unpleasant. So I took a nap from midnight til 1:40am. and now here I am, with a bad stomachache & reflux searching the internet for answers...

*sigh*

Anyone out there either still awake or in Europe?? help? someone? should I take a tylenol pm?

Ellamenno

 

Oh dear

Yes you need a new doc.  It is worth the effort. A lot of doctors don't have resources to follow up on paperwork receipt but none should be dismissive of other doctors' prescriptions with so little information. Have you tried Strattera, non stimulant so fewer hoops. My husband didn't benefit, but it's out there. Also, psychiatrists often aren't therapists, deal only with meds. So you might want a psychologist or counselor for the therapy. I know it's a pain, but your well being is important. As is sleep. I hope you were able to get some. Good luck.

Strattera

Strattera- still trying to learn more about it. anyone have detailed info?

L

gun-shy

about trying Strattera - I dont' know anyone who's tried it and liked it. Mostly people I know say it makes them angry... I so don't need that!

I've heard good things about vyvanse (sp?) It's also a stimulant I think, but doesn't carry as much stigma as Adderall.

carathrace's picture

chuck that doctor

Ella, hope you've gotten some rest by now.  I know how that feels, but from another angle:  I take Trazodone to get to sleep, and several times I've taken it with my morning pills instead, then I have to call in sick to work until I sleep it off.  Makes you feel like a real bozohead.

I would chuck that doctor right out the door.  She doesn't sound very professional to me, sounds disorganized and you sure don't need that.  Your bad vibes about her seem justified and if you had this impression at the first appointment, I don't know how helpful she's going to be to you.  I hope this isn't the only psychiatrist in your area.   

BE CAREFUL

I agree.  This doctor has too many clients and no time to do it right or has been given "carte blanche" [sic] by someone who does not know that she is handing her clients to a quack who was recommended by someone she knew in med school, etc...

Do your research and you will find a good one. Maybe in 10 years, the doctor you just saw will be good enough but you do don't have time for that.

I am still on a shallow learning curve, myself, but males should avoid taking Trazadone as it can cause priapism - an erection that lasts long enough to damage the penis, hurting you (or you partner) enough to cause long-term organic impotence.

                                                                   L

 

carathrace's picture

No fear

No penis, so thanks for your concern but I don't have to worry about this one.

caring for yourself

Ellamenno, you absolutely need a new doctor. She sounds like she is not listening to you, merely asking and answering her own questions. Doesn't sound like there is much positive or very professional there. I am so sorry you had this experience. I think like in all professions, there are good doctors and bad ones, and like all relationships, there are better fits and worse ones. You should have a good doctor!:-)

I know it sucks to have to go through everything again, but I hope you will be able to start with someone else who can help you a little more. You deserve it. 

Thanks guys!

I guess I know I've got to ditch her, but I'm SO BAD at standing up for myself and I'm constantly screwing myself over just to avoid confrontation. I'm always so unsure of any decision - hell, any THOUGHT that comes into my head anymore - that I assume fist that I'm in the wrong.  Seriously, if I went to a restaurant and was served a plate piled high with dead roaches, I would probably at first try to convince myself that they MIGHT be tasty, and if I objected at all, I would apologize profusely, "Um... excuse me... I'm sooooo sorry... but could I please have some food instead of dead roaches?"

*sigh*

fortunately I'll see my primary care doctor next wednesday (to redo all the 'old' bloodwork from 4-5 months ago).

There is a neurologist not far from me that might work out.... cross your fingers for me!

Oh - by the way, after my post last night I was able to get back to sleep, so I lost about an hour and a half of sleep, but I'd feared I'd be up all night. Guess that just shows how exhausted I really am...

Stay tuned! I'll give y'all an update next week

Ellamenno