Hoping you are sleeping Mari.


Donna:hug::grouphug:

like that you gave yourself a pedi......and hoping that it will help you sleep.
bizi

Re: pdoc visit
 

My first pdoc would too. With a clinical presentation of depression and agitation, along with a history of mixed states, these are crucial questions. Regularly asking about these sx monitors the person in a very scrupulous fashion, without assuming the person would take the initiative to report on these. A patient in a difficult state might also forget to report on these. I do hear that it feels frustrating to you. I am sorry about that. :( :hug::hug::hug::Heart:
When a person's level of alertness might be compromised - by depression, agitation/anxiety, or sleepiness, they might not always tune in fully, or may give a distracted respons. Repeating the same questions/getting the same answers can help ensure accurate reporting of sx. Or maybe he was having an off day and he was the one to be distracted? :rolleyes:

Either way, I certainly appreciate how annoying it can be. In your place, depending how much repetition was going on, I might have had a not-so-nice comeback on the tip of my tongue, like, "I JUST TOLD you that! What are you: DEAF or STUPID?" :rolleyes: But my first pdoc used repeat questions sometimes, and he was definitely not deaf, anything but stupid, and very attentive.

If it happens again, I might tell him exactly what you have said here.

I am sorry that he does not seem like a good listener. I had hoped he would understand the sleep issues.

I am confused about/do not remember the issue with Trazodone/SARI's for you? :o One thing's for sure though: with your current Lamictal grog, I do not see adding a sedating drug, like Trazodone, right now.

GOOD, about his dropping that. Voicing a concern about therapy is professionally indicated, but I sure hope he doesn't breathe down your neck about it.

Good that he sees you need extra time to adjust to the Lamictal. I like that he wants to keep a close eye on you at this time, but I see that it might be difficult for you if he is not at stone's throw from your home or workplace. How do you feel about it?

This sounds good.

waves

Hi Mari
 

Hi Mari, are you going to take the trazadone? I am no doctor, but you don't strike me as someone psychotic. You may be depressed and have anxiety, but that is way different than what this medication is for. I am just concerned about you. I wish you all the best Mari. ginnie:hug:

trazodone indicated for depression/anxiety/insomnia - not psychoses
 

Dear Ginnie,

I hope it's ok if I butt in here, regarding the trazodone. I think there is a bit of a mixup.

-----------------------
In brief:
1. Mari was not prescribed an antipsychotic. There was no attempt to treat psychosis. The trazodone came up in relation to sleep issues.
2. Antipsychotic drugs are sometimes prescribed to bipolars but not always for psychosis.

-----------------------
TRAZODONE:

Trazodone is an antidepressant drug, and the treatment of depression is its primary indication. It is also indicated (approved) for the treatment of anxiety and for insomnia.

Trazodone has no approved indication for the treatment of psychoses. It is used off-label for a variety of purposes, which might include treatment of psychoses.

-----------------------
ANTIPSYCHOTICS:

Many meds in this class of drugs are also approved for other indications, including mood-stabilization. They are not just given to treat psychotic episodes. So, even when someone is prescribed an antipsychotic, it does not necessarily mean the doctor thinks they are psychotic.

Hope that helps clear things up. :) :hug::hug::hug:

waves

Waves

Thanks for the explanation I didn't know this either. And with my field it helps me with my helping the adults when I'm helping my parents.

Donna :hug::grouphug:

help with math question. confused about vague instructions.
 

Hi,

I wrote the above on August 4.
Today is August 9.

I had eight doses of 50 mgs Lamictal.
It is renewable two times. The directions on the bottle say to take one pill for two weeks and on the third week start taking two pills a day.
I have 16 pills left.

When do I make the next bump in dose and how much?????

Pdoc did not give me instructions.

He said that we would keep taking the Lamictal.

. . . . some generic b.s. like that.

I have an appointment August 13.



That pdoc is a moron. This is basic stuff ---make sure your patients have enough instructions and enough pills.

Did what I write make sense? Maybe I do have enough pills to last until I see him but the margin of error feels small.

Mari

I am confused....are all of the pills 25mg?

how many pills came in the rx? I would take the 50mg for a total of 2 weeks, so 6 more days. I would call to ask what to do then.
bizi

high energy at work
 

Hi,

I slept 3.5 hours last night (Sunday).

At work I was very productive . .in the morning .. getting one task after another done and often doing two or three at a time.

I was laughing (and making others laugh).


. .Then,busy and running from task to task, I helped my friend Max tear down decorations his old colleague had left behind and in a burst of energy spent over an hour taping up his pictures knowing that I was supposed to be in a meeting.

When I got to that meeting, they had made very little progress, so I made them skip around and only deal with the hard parts of the form while we were in the large group. My logic was that we could do the easy parts individually.

I was interrupting. One person stopped me and said something like "I was talking." She was taking tooo long to say what she wanted to say, so I said never mind and stepped outside for a little while.

Then I joked in the hallway to someone that a member in that meeting had "shushed" me.

At the next meeting of the day, I was telling my three colleagues what to do and joking.
We were in laughter much of that meeting.
We encouraged each other.
When the boss checked in on us, we were serious.
When she left we went back to work being silly.
Two of us filled in evaluation forms with smileys and hearts.

I fixed a huge scheduling error that would have been a huge issue for students and a colleague. The boss straightened that out for us . . .
. . . I got the head of IT to set my phone so I could have work emails go to it.

At the end of the day, I asked Work Buddy how he felt about what we had done. He said, "I do not remember what we did, but everything we did we accomplished. " HA!


Mari

Bizi,

Yes, 25 mgs.
I see him in 8 days. I have 16- twenty five mgs pills.

Mari