![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 28. This is the beginning of the thread.
Posted by etcical_line on May 6, 2004, at 20:56:09
http://www.dr-bob.org/babble/20040505/msgs/344054.html
This point is well taken. In the past Dr. Rod was asked to either provide proof he was a doctor & indicate what kind of doctor he is or don't use Dr in his posting name.
As to the issue of "chemist", there are several issues here:
1) Chemists are not trained in the medical arts. It is unethical & unprofessional for them to offer medical advice in a professional capasity. Professionals do tend to know their limits and tend not to step over them.
2) Professionals, in the past, have identified themselves as such. There have been several persons here who did post as medical professionals and where up front about their profession and also were very clear about the limits of their posting here. (information vs. doctor/patientrelationship. This is not a consultation, ect) Otherwise this is a huge violation of medical and science professional ethics.
3) It may not be clear if "chemist" is posting in a professional capacity. However, he/she has directed "ace" to papers this person claims they wrote, off list, while for unknown reasons choose not to allow other posters to review these papers. This, to me, raises some flags. Clearly something is causing many posters to ask "chemist" for advice. "Chemist" is telling people what meds to take. Any reasonable person would infer that posters are seeing this person as an expert in something.
4) Somewhat a separate issue, but I think it is unfortunate few posters understand a chemist is unqualified to treat mental illness. There is a huge gulf between biochemistry and a pdoc treating mental illness with meds. Chemists do not see or treat patients.
5) No one is catching errors in what "chemist" posting, Effexor is not long acting. This is key to understanding it's safe use in patients & key to the well reported problems many have. Misunderstanding it's length of action one could assume no taper is needed.
6) Persons here are often quite desperate for help which leads to a lack of critical thinking. It is reasonable to expect the moderator to know this.
7) Therefore, persons should not have screen namesthat suggest professional qualifications in the medical and mental health areas unless they can provide some proof to the moderator. There is also always the option to pick a neutral name and not claim professional status if someone cannot/does not want to provide supporting credentials.In the end, it is up to the poster to error check and weigh the neuroscience of what someone posts. While the moderator cannot legislate who to trust or not, the moderator has an ethical responsibility in this case to require some proof of professional status.
This is not a limit of expression but a request to clarify if this is a lay person or a professional discussing biochemistry.
Posted by shar on May 6, 2004, at 21:36:52
In reply to ethical question raised by a poster, posted by etcical_line on May 6, 2004, at 20:56:09
I have a feeling you are very knowledgeable and have been around PB for a while. Have you posted with another name?
I am afflicted with CRS (can't remember s**t) and senior moments/days. Plus, I do not have the uncanny ability that some posters have that allow me to identify posters that don't have the same name as before.
I agree with the bulk of your post; just wondering if you are a known or unknown or 'witness protected' poster. If the latter, you don't have to respond!
Shar
Posted by Dr. Bob on May 7, 2004, at 8:31:55
In reply to Re: ethical question raised by a poster » etcical_line, posted by shar on May 6, 2004, at 21:36:52
> I have a feeling you are very knowledgeable and have been around PB for a while. Have you posted with another name?
It looks like that's the case. If you're having trouble remembering your password, you can reset it at:
https://dr-bob.securesites.com/cgi-bin/pb/newpwd.pl
Or just email me. Thanks,
Bob
Posted by Dr. Bob on May 7, 2004, at 8:58:16
In reply to ethical question raised by a poster, posted by etcical_line on May 6, 2004, at 20:56:09
> i will note that dr. bob knows full-well who i am
>
> chemist
> http://www.dr-bob.org/babble/20040505/msgs/344274.htmlI do?
Bob
Posted by Dr. Bob on May 7, 2004, at 9:07:55
In reply to ethical question raised by a poster, posted by etcical_line on May 6, 2004, at 20:56:09
> In the past Dr. Rod was asked to either provide proof he was a doctor & indicate what kind of doctor he is or don't use Dr in his posting name.
Thanks for your input. I think being a doctor is different because, as you say:
> 1) Chemists are not trained in the medical arts.
> 5) No one is catching errors in what "chemist" posting, Effexor is not long acting.
It would be great if anyone who did catch any errors posted something about them in those threads...
Bob
Posted by fayeroe on May 7, 2004, at 10:29:43
In reply to Re: ethical question, posted by Dr. Bob on May 7, 2004, at 9:07:55
I feel a little guilty in that I recognized errors in what "chemist" posted and didn't correct them. I also seriously question why "chemist" is telling people what meds to take and I probably should have noted that to him in a post.
Posted by chemist on May 7, 2004, at 12:30:42
In reply to Re: who i am » chemist, posted by Dr. Bob on May 7, 2004, at 8:58:16
> > i will note that dr. bob knows full-well who i am
> >
> > chemist
> > http://www.dr-bob.org/babble/20040505/msgs/344274.html
>
> I do?
>
> Bobyou have my full name (i believe) and email address when i registered on this site: i assumed you could have googled it to to determine if the claims i make concerning my degrees/publications/areas related to drug discovery are real and that i was not blowing a lot of hot air. i apologize for the preconceived notion. in any event, a pleasure to have found your site and a pleasure to meet you. all the best, Todd J. Minehardt, Ph.D.
Posted by chemist on May 7, 2004, at 13:11:53
In reply to ethical question raised by a poster, posted by etcical_line on May 6, 2004, at 20:56:09
hi there....my replies delineated with asterisks, below.....
> http://www.dr-bob.org/babble/20040505/msgs/344054.html
>
> This point is well taken. In the past Dr. Rod was asked to either provide proof he was a doctor & indicate what kind of doctor he is or don't use Dr in his posting name.
>
> As to the issue of "chemist", there are several issues here:
>
> 1) Chemists are not trained in the medical arts. It is unethical & unprofessional for them to offer medical advice in a professional capasity. Professionals do tend to know their limits and tend not to step over them.*** i have routinely identified myself as a holder of a ph.d., not an m.d. that said, i concur with you in re: all points in (1)****
> 2) Professionals, in the past, have identified themselves as such. There have been several persons here who did post as medical professionals and where up front about their profession and also were very clear about the limits of their posting here. (information vs. doctor/patientrelationship. This is not a consultation, ect) Otherwise this is a huge violation of medical and science professional ethics.
*** again, i agree with you. i also routinely make statements such as ``in my opinion...'' or ``as far as i know from the references i have access to...'' or ``my personal experience with this medication was...'' i also routinely defer posters to other posters who seem to be more knowledgeable than i in many cases*****
> 3) It may not be clear if "chemist" is posting in a professional capacity. However, he/she has directed "ace" to papers this person claims they wrote, off list, while for unknown reasons choose not to allow other posters to review these papers.
*** you are not correct. ``ace'' requested input on Gibbs free energy in biochemical problems. i have told ``ace'' that i have published in that area, and that i would be happy to chat with him via another conduit. i am unaware of any poster who has requested to view my publications****
This, to me, raises some flags. Clearly something is causing many posters to ask "chemist" for advice. "Chemist" is telling people what meds to take. Any reasonable person would infer that posters are seeing this person as an expert in something.
*** i answer posts that specifically are addressed ``To Chemist'' or to posts that i have relevant knowledge. i do NOT tell people to take medications - i profer a suggestion. how is a suggestion of mine (such as ``perhaps ambien will work better for you than halcion?'') different from all the posters who make statement along the lines of ``drug A sucked and then my pdoc put me on drug B and now life is grand! drug B RULES!!!!!''? ****
> 4) Somewhat a separate issue, but I think it is unfortunate few posters understand a chemist is unqualified to treat mental illness. There is a huge gulf between biochemistry and a pdoc treating mental illness with meds. Chemists do not see or treat patients.
*** of course i am not qualified to treat mental illness. i have never claimed anything to the contrary. a car salesman isn't, either, but ``SLS'' gets plenty of good press on the boards ***
> 5) No one is catching errors in what "chemist" posting, Effexor is not long acting. This is key to understanding it's safe use in patients & key to the well reported problems many have. Misunderstanding it's length of action one could assume no taper is needed.
*** lots of people catch errors, and i long since signed-off on the effexor/celexa/lexapro bit. i do my best with my reference base and try to qualify what i write with how much i know about the subject. but to clarify: i was referring to the active metabolite of venlafaxine, which does the work, and the half-life of elimination of the metabolite (ODV) is 9-13 hours. i did not address bioavailability of t_{max} for peak AUC. to me, 9-13 hours for t_{1/2} elimination with 45% absolute bioavailability is ``long-acting,'' but again, that is my opinion of what the phrase ``long-acting'' means.****
> 6) Persons here are often quite desperate for help which leads to a lack of critical thinking. It is reasonable to expect the moderator to know this.
> 7) Therefore, persons should not have screen namesthat suggest professional qualifications in the medical and mental health areas unless they can provide some proof to the moderator.**** i just did, to dr. bob. and yes, i have a ph.d. in chemistry, thus the name chemist is far from inappropriate *****
There is also always the option to pick a neutral name and not claim professional status if someone cannot/does not want to provide supporting credentials.
>
> In the end, it is up to the poster to error check and weigh the neuroscience of what someone posts. While the moderator cannot legislate who to trust or not, the moderator has an ethical responsibility in this case to require some proof of professional status.
>
> This is not a limit of expression but a request to clarify if this is a lay person or a professional discussing biochemistry.
**** i provided a distilled version of my CV in the thread Lamictal insanity, directed to AMD, entitled ``okay, i'll tell you.'' i also have offered to provide to anyone a copy of my CV and they can decide whether or not i have been lying. *****all the best, chemist
Posted by Dr. Bob on May 7, 2004, at 19:31:44
In reply to Re: who i am » Dr. Bob, posted by chemist on May 7, 2004, at 12:30:42
> you have my full name (i believe) and email address when i registered on this site
Thanks for your reply. Your email address, yes, but I don't ask for full names...
Bob
Posted by chemist on May 7, 2004, at 20:08:16
In reply to Re: who i am, posted by Dr. Bob on May 7, 2004, at 19:31:44
> > you have my full name (i believe) and email address when i registered on this site
>
> Thanks for your reply. Your email address, yes, but I don't ask for full names...
>
> Bobthank you....best, tjm
Posted by jlbl2l on May 8, 2004, at 7:20:59
In reply to ethical question raised by a poster, posted by etcical_line on May 6, 2004, at 20:56:09
i disagree on some points. I think the moderator has nothing to do with trying to idenify what a persons CD's are - only to enforce the rules of his/her board. What if I had a username of DrJBL or something? These are just usernames remember..?
And most of all, it is the USER who decides what to do with the information given to them. Chemist and no one else is forcing people to take medicines. This board is for advice, and that is what is given by chemist, and I must point out, don't single chemist out because everyone here gives advice on medicines to take or not to take, so i guess we should ask for everyones CD's? See my point? And I personally have verified chemist's credentials, so I hope that makes you feel more secure.. Remember, the decesion is always yours, this board is a discussion board. Take everything with a grain of salt, and research it yourself.
jlbl2l
Posted by NikkiT2 on May 8, 2004, at 8:40:02
In reply to Re: ethical question raised by a poster, posted by jlbl2l on May 8, 2004, at 7:20:59
I'm not saying that chemist is lying.. but.. this is online.. someone can give any name they want.. I could easily say I am Nicole Kidman, thats my name, hey look it up on the net to see my credentials.. I could easily write a CV that could "prove" I am Nicole Kidman..
We have no way to prove that chemist is who he says he is, or I am who I say I am, or anyone else here for that matter..
Nikki
Posted by fayeroe on May 8, 2004, at 8:55:18
In reply to Re: ethical question raised by a poster » jlbl2l, posted by NikkiT2 on May 8, 2004, at 8:40:02
Amen~~we can say that we are just making "suggestions" concerning anything and there are people who would follow those suggestions because we made it sound so professional, real, authentic, etc. For all you know, I might be Elvis!!! Look me up on the internet. You'll find tons of articles about me! Does that MAKE me Elvis?
Posted by Dinah on May 8, 2004, at 9:45:00
In reply to Re: ethical question raised by a poster » NikkiT2, posted by fayeroe on May 8, 2004, at 8:55:18
I don't trust the information given to me by my very own psychiatrist without independent verification. He told me nortryptiline didn't have much of an effect on NE!
Perhaps people should just consider information given here and anywhere else as the starting point on their research, as a way of discovering new possibilities.
Posted by gardenergirl on May 8, 2004, at 11:53:21
In reply to Re: ethical question raised by a poster » NikkiT2, posted by fayeroe on May 8, 2004, at 8:55:18
Posted by chemist on May 8, 2004, at 13:25:40
In reply to Re: ethical question raised by a poster » jlbl2l, posted by NikkiT2 on May 8, 2004, at 8:40:02
> I'm not saying that chemist is lying.. but.. this is online.. someone can give any name they want.. I could easily say I am Nicole Kidman, thats my name, hey look it up on the net to see my credentials.. I could easily write a CV that could "prove" I am Nicole Kidman..
>
> We have no way to prove that chemist is who he says he is, or I am who I say I am, or anyone else here for that matter..
>
> Nikkihi nikki, there is a way to verify that i really am who i say i am: send me an email, then check that my response is not coming from a spoofed IP address. your nicole kidman analogy is apt, but there are more ways to verify that i am indeed the individual i claim to be. you can start with googling my name, then going through my posts and seeing if things are consistent with my alleged background. you could provide to me a post office box address and i can send to you a photocopy of my UT-Austin diploma for my Ph.D. and, finally, i can (and will, as i stated earlier) send to you a PDF of my CV, as well as PDFs of reprints of my publications that are in press. this last bit does weed-out a lot of potential zeros, because as you know, one must have electronic access to the journals in question. but this still doesn't entirely satisfy, because i could be a university employee and assemble the PDFs. but only *i* can send you the real, paper reprints that one has to purchase directly from the publisher. my co-authors could, but that possibility would be eliminated by contacting them and simply stating that you received some mysterious papers and do they know anything about it? all the best, Todd J. Minehardt, Ph.D
>
Posted by Brio D Chimp on May 8, 2004, at 15:36:17
In reply to Re: ethical question raised by a poster » NikkiT2, posted by chemist on May 8, 2004, at 13:25:40
I see no reason why you should feel pressured into proving you are a chemist. No one else has been forced to produce credentials and offering med suggestions is common practise on the board.
Are you aware that Bob never deletes anything? I wonder about the wisdom of posting your name on a public forum where you have identified some of your health issues such as possible bipolar. This may come back to haunt you at some future date re getting insurance or security clearances or jobs or just threatening your personal privacy.
I think a more interesting ethical question might be why Bob allows this kind of potential harm to posters? (Not you necessarily, but in general)
> > I'm not saying that chemist is lying.. but.. this is online.. someone can give any name they want.. I could easily say I am Nicole Kidman, thats my name, hey look it up on the net to see my credentials.. I could easily write a CV that could "prove" I am Nicole Kidman..
> >
> > We have no way to prove that chemist is who he says he is, or I am who I say I am, or anyone else here for that matter..
> >
> > Nikki
>
> hi nikki, there is a way to verify that i really am who i say i am: send me an email, then check that my response is not coming from a spoofed IP address. your nicole kidman analogy is apt, but there are more ways to verify that i am indeed the individual i claim to be. you can start with googling my name, then going through my posts and seeing if things are consistent with my alleged background. you could provide to me a post office box address and i can send to you a photocopy of my UT-Austin diploma for my Ph.D. and, finally, i can (and will, as i stated earlier) send to you a PDF of my CV, as well as PDFs of reprints of my publications that are in press. this last bit does weed-out a lot of potential zeros, because as you know, one must have electronic access to the journals in question. but this still doesn't entirely satisfy, because i could be a university employee and assemble the PDFs. but only *i* can send you the real, paper reprints that one has to purchase directly from the publisher. my co-authors could, but that possibility would be eliminated by contacting them and simply stating that you received some mysterious papers and do they know anything about it? all the best, Todd J. Minehardt, Ph.D
> >
>
Posted by Brio D Chimp on May 8, 2004, at 15:48:29
In reply to Re: ethical question raised by a poster » chemist, posted by Brio D Chimp on May 8, 2004, at 15:36:17
"I am a person who recogizes the fallacy of humans."
George Bush on Oprah September 19,2000
Posted by Dr. Bob on May 8, 2004, at 17:26:33
In reply to ethical question raised by a poster, posted by etcical_line on May 6, 2004, at 20:56:09
Re: this feels like a witch hunt » partlycloudy
Posted by chemist on May 7, 2004, at 11:51:10
In reply to Re: this feels like a witch hunt, posted by partlycloudy on May 7, 2004, at 8:35:16
> Can we not leave this matter behind us?
i second THAT motion.....all the best, chemist
--
Re: this feels like a witch hunt » platinumbride
Posted by chemist on May 7, 2004, at 17:34:36
In reply to this feels like a witch hunt » chemist, posted by platinumbride on May 7, 2004, at 7:39:56
thanks for the kind words, diane...i appreciate your take on the whole thing, and agree completely that opinions/suggestions can be of use with the right attitude, i.e., if you disagree, don't listen, otherwise, take it in stride...and you make a valid point that many posters post threads directed at a certain (other) poster, so why would i not answer?.....all the best, chemist
--
Re: LET'S DUMP THIS CRAP, DR. BOB!!
Posted by bobbiedobbs on May 7, 2004, at 17:55:12
In reply to Re: LET'S DUMP THIS CRAP, DR. BOB!!, posted by cubbybear on May 7, 2004, at 2:54:35
Here's my 3 cents worth: I have found "Chemist" (name reminds me of "The Architect" in Matrix Revolutions) to be knowledgeable and compassionate and coherent. Obviously, nobody should do anything based on a single non-practitioner recommendation, especially on a web site. That we need user support/experience points up the dearth of quality, compassionate, mainstream (then again, maybe this is the new mainstream) professional help out there. Many of us have had prescribers with little time or patience (or seemingly, knowledge) about side effects other than what they are fed from the drug companies - you look up on the pdoc's wall to find a promotional item like a clock from the same thing you are being prescribed, and can't help but wonder...The peer experience sharing is invaluable, particularly from those who have trod or are trodding the same path as you.
I can usually smell a rat when I see one - there are the amorous posters courting ladies, the people who get get off on advising others, etc. and other types...but I feel we are getting good help from chemist. Wish there were more like him/her out there.
Phil--
thank you, phil.... » bobbiedobbs
Posted by chemist on May 7, 2004, at 18:14:59
In reply to Re: LET'S DUMP THIS CRAP, DR. BOB!!, posted by bobbiedobbs on May 7, 2004, at 17:55:12
phil, thank you for the kind words...i am not on this board to validate my self-esteem by generating a long list of relies to various posts. i have contacted both Emme and AMD, and have not heard back from Emme. i try to keep my promises, and do the best i can if someone has an issue that i have experienced or know about via my education and research areas. i also take quite a bit of information from this site that helps me with my condition, and it is reassuring to know that there are many fellow posters who care to take the time to share their experiences...wishing you well, and all the best, chemist
--
Re: thank you, phil....
Posted by jlbl2l on May 7, 2004, at 20:20:28
In reply to thank you, phil.... » bobbiedobbs, posted by chemist on May 7, 2004, at 18:14:59
I have not only validated chemist's credentials with the Univeristy of Texas, but I have to stand up for him personally. You people are out of line accusing him of all of this. YOU are the people asking chemist the questions. He is simply responding. I could respond if I wanted to, which I have occasionally, with just as much valuable knowledge as chemist could have provided in many cases. And so could you or anyone else. If you have the knowlodge then show it and people will start saying "hey <fill in username> what do you think about" all of the time, and if that person has the want, or time to answer, they will, just like chemist does and wants to, maybe he wants to help and learn for himself, ever think of that?
I think you people are very jealous probably because he is getting all the attention and your not. Well, start answering other people's messages and gain some credibilty with your knowledge/backround around here and perhaps youll be the one asked questions, and then beaten down to pulp in such the most ironic manner chemist is now...
Sorry for you chemist...just ignore these people.
jlbl2l
--
Re: thank you, phil.... » jlbl2l
Posted by chemist on May 7, 2004, at 20:37:51
In reply to Re: thank you, phil...., posted by jlbl2l on May 7, 2004, at 20:20:28
many thanks! i appreciate your support, and thank you heartily.....all the best, chemist
--
Re: thank you, phil....
Posted by Festus on May 8, 2004, at 0:10:07
In reply to Re: thank you, phil.... » jlbl2l, posted by chemist on May 7, 2004, at 20:37:51
If I may write a small statement on the behalf of those who are in this modality,concerning the"Chemist"or any other knowledged person who may frequent this and other similar boards:I really think that a big concern is that there are a lot of folks who visit this place who are troubled,sick,or depressed or whatever,and whom many are also taking 1,2,3 or more different meds for different problems,many of them Controlled Substances or tranquilizers,etc.,and some of them post threads asking for advice on taking these meds.This fact,alone,should be evident that these people are,perhaps,a bit unsure or exhibiting symptoms of their illness,by asking such advice.To those"knowledged,intellegent" folks who respond to these pleas,what we,re asking here,is please use your intellegence and discretion when answering these people.Replies,such as in the above thread from an individual asking for specific info on his dosages of 2 Controlled Substances,was answered by one of our members,as a Dr. would have replied,instructing definite dose changes.Wether that was his intention,and it most likely,was not,this desperate,ill individual repied that he would indeed try this dose change.I have seen similar situations end in tragedy on 2 other boards.DO NOT MIS-INTERPRET THIS REPLY.It is merely FYI.Thanks,Festus
--
i am confused... » Festus
Posted by chemist on May 8, 2004, at 0:44:22
In reply to Re: thank you, phil...., posted by Festus on May 8, 2004, at 0:10:07
> Replies,such as in the above thread from an individual asking for specific info on his dosages of 2 Controlled Substances,was answered by one of our members,as a Dr. would have replied,instructing definite dose changes.chemist here....i am confused...the ``above thread'' you are referring to is entitled ``Sorry to break up this party, but who is chemist?,'' and i cannot find a post in this thread that even remotely indicates that someone has suggested reevaluating dosages of scheduled substances...can you please clarify? all the best, chemist
Posted by Dr. Bob on May 8, 2004, at 18:16:48
In reply to Redirected: this feels like a witch hunt, posted by Dr. Bob on May 8, 2004, at 17:26:33
> You people are out of line accusing him of all of this.
>
> I think you people are very jealous probably because he is getting all the attention and your not.It's great to support chemist, but please don't jump to conclusions about others or post anything that could lead them to feel accused.
If you have any questions or comments about this or about posting policies in general, or are interested in alternative ways of expressing yourself, please see the FAQ:
http://www.dr-bob.org/babble/faq.html#civil
or post a follow-up here.
Posting something about your own issues and their possible role in your reaction might be an interesting exercise -- and might help others respond to you supportively.
Thanks,
Bob
Posted by shar on May 8, 2004, at 21:52:26
In reply to Re: please be civil » jlbl2l, posted by Dr. Bob on May 8, 2004, at 18:16:48
Where can I find info about you (if you still want to give it)? Please send to shar_from_babble at yahoo and I'll happily look into it. I didn't find you in the most recent copies of the Austin white pages (I looked in residential and business).
Shar
Posted by chemist on May 8, 2004, at 22:32:13
In reply to Chemist, I would love to validate your creds......, posted by shar on May 8, 2004, at 21:52:26
> Where can I find info about you (if you still want to give it)? Please send to shar_from_babble at yahoo and I'll happily look into it. I didn't find you in the most recent copies of the Austin white pages (I looked in residential and business).
>
> Shar
sent.....i am not listed, as cellular phone only.....all the best, chemist
Posted by NikkiT2 on May 9, 2004, at 9:21:05
In reply to Re: ethical question raised by a poster » NikkiT2, posted by chemist on May 8, 2004, at 13:25:40
I wasn't having a dig at you.. I was just pointing out a fact of the internet. And I'm not pressuring you into proving who you are.. I was just making a point from years of experience online
Nikki x
Posted by chemist on May 9, 2004, at 17:29:07
In reply to Re: ethical question raised by a poster » chemist, posted by NikkiT2 on May 9, 2004, at 9:21:05
> I wasn't having a dig at you.. I was just pointing out a fact of the internet. And I'm not pressuring you into proving who you are.. I was just making a point from years of experience online
>
> Nikki x
i understand....all the best, chemist
Posted by cybercafe on May 13, 2004, at 4:31:27
In reply to Re: ethical question raised by a poster » NikkiT2, posted by fayeroe on May 8, 2004, at 8:55:18
> Amen~~we can say that we are just making "suggestions" concerning anything and there are people who would follow those suggestions because we made it sound so professional, real, authentic, etc. For all you know, I might be Elvis!!! Look me up on the internet. You'll find tons of articles about me! Does that MAKE me Elvis?
Hmmm... i remember LostBoyinNC possibly calling me a moron and telling me not to touch the old antipsychotics ... so i didn't! ... and i am really grateful for his forceful insistence based on what i know now
i tell people to take drugs all the time ...... because i'm too busy to type out "according to the standard reference guide, the american psychiatric association's clinical guidelines for the treatment of ____, it is clearly defined that after treatment with ___ and ___ one should strongly considered ____. Especially when one's symptoms are of the following..." etc etc...
i guess i expect people to not give my opinion much weight, like pretty much ignore me, as i have found in real life, so i try and compensate by perhaps going too far (i dont know honestly, comments?)...but i dunno.... my doc perscribes parnate as a first line drug and was really suicidal and i had to tell him about 3 times before he would finally take it .... rather than committ suicide...... so yeah i feel justified sometimes in going as far as telling other people what to do when their judgement is definately clouded by their illness and they need some guidance....
now if decent doctors were readily available i wouldn't even bother ... (and honestly i think i give enough disclaimers and "discuss this with your doctor first of course, but i think it's a good idea... and tell us whether he says .. 'no, because... ' or 'sorry you're going to have to continue to suffer because i'm not familiar with X and am unwilling to research it'")
ug i could rant forever.... i just want a medical degree so i can go in there and start making a real difference ... apologies for the long messages guys :)
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