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dreams in neon
03-09-2009, 03:27 PM
Hi everyone,

I saw my pdoc and tdoc today. I nearly missed my appointment because I was tired and went to bed at 9am and woke up at 10:45am when my appointment was at 11am. I called my pdoc's office to let them know I would be late. They said this was fine. After I arrived, I was told that I would need to wait 45 minutes since my pdoc was conducting an evaluation. When I saw my pdoc, I told him how well the Clonazepam was working and that I didn't rapid cycle for 9 days. He was very, very pleased to hear this and explained that although I was doing relatively well, I ran into some rapid cycling along the way which the Clonazepam could address. He said Clonazepam was the finishing touch as far as my meds were concerned which should help reduce my rapid cycling to once or twice a day. He was delighted to hear that I didn't even cycle once/day, but warned me to expect cycling at least once a day since Clonazepam won't completely eliminate my cycling. I also informed him that I've been depressed for the past 2 days, but also mentioned the fact that I think it was due to the weather since I couldn't pinpoint any other reason for feeling the way I did. Since I've been doing well on the Clonazepam and ende dup in a mixed episode while IP after my Fluoxetine was raised from 20mg to 40mg, he decided to keep my meds the same, but will adjust them accordingly if my depression worsens or continues. I was told the sun was shining today and temperatures are much warmer today, so that helped ease my depression. Before the end of our appointment, I gave him another hug and was told to return in 2-3 weeks.

My tdoc appointment went just as well. My tdoc was very pleased about the fact that I haven't rapid cycled in over a week and told me how much better I looked today even if I was depressed over the weekend. We discussed the normal things we do regarding my bipolar and PTSD. I informed him that I'd like to work on strategies to deal with my self harm, so we talked a little about that and agreed to discuss this more in depth at my next several appointments. My next appointment with my tdoc will be on Friday since he would like to immediately address my issues with self harm in case my depression returns.

All in all, it has been a very good day so far! My depression has finally lifted and I couldn't feel better today!

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CarenR
03-09-2009, 03:58 PM
what a glowing report.... that you are feeling better....


hugs, Caren

Bipolar 1.......

typeing
03-09-2009, 04:39 PM
Dreams,
I am very very happy for you! That news has considerably brightened my day! I hope things continue to go well for you!

katlin09
03-09-2009, 05:04 PM
Good job my musketeer bud,

I'm glad you did so well, and glad you've escaped the 'hell hole" hopefully my pdoc appt tomorrow will go as well, but with the black eye and all, I doubt it. Plus we have some med tweaking to do, so don't really care one way or another whether I see him or not.

Had PT today after not doing it in a week, and am in lots of pain, supposed to do a 1/2 mile walk at 6:00 with my mother in law, I think I'm going to die by 6:30.

I can't wait until 7:00 when everyone will just leave me alone and I can take a hot bath and hide in my room.

oh well, glad you're doing okay.

kat

dreams in neon
03-09-2009, 05:04 PM
Thanks, Caren and typeing! It feels so good to finally have the cloud that has been hanging over my head for the past 2 day disappear!

dreams in neon
03-09-2009, 05:08 PM
Thanks, Kat! I hope your pdoc appointment goes well. I normally don't condone lying, but could you tell your pdoc that you accidentally ran into a wall since Lamictal can make people bump into things? At least that would help avoid the discussion of abuse, etc.

I know how you feel about PT. I was in PT for my severe CTS and every time I came home, I was always in so much pain. I still have several sessions I need to attend, but haven't gotten around to them because of how I've been feeling lately. Besides, I hate going to PT anyways because my therapist is always at least 15 minutes late despite the fact that I arrive to my appointments 30 minutes early. I also don't like PT because my appointments are always scheduled at
8am including Saturdays.

katlin09
03-09-2009, 05:14 PM
Dreams,

I'm glad you said that, because I thought about the same thing...I just don't know if I can handle the abuse questions again so shortly after the last time...I know I was stupid and put myself in a bad situation.

I love my physical therapist, I've been working with him for 7 months now, twice a week every week, except last week I skipped, still realing from the job loss and all. So I was pretty stiff today but still did the normal routine which I am maxed out on. He looks around for extra weight to give me, becasue the max is sometimes to easy for me. I only have 2 weeks left and I am done, until i have my right Knee surgery done, big #11! Sometimes I get so tired of operations...I wish I was normal, is that too much to ask. I have a screwed up body and a screwed up mind....can't the greater power give me a break somewhere????

kat

dreams in neon
03-09-2009, 05:19 PM
Kat,

I really feel for you given everything you've dealt with as far as your knees are concerned. I know it can't be easy and don't blame you at all for being frustrated. If anyone deserves a break, it's you. ((((((Kat))))))

I feel the same way when it comes to my migraines -- although ever since I started taking Depakote for my BP, they have decreased some. The Topamax also helps a little even though my GP plans to increase my dose from 50mg to 100mg since I'm still getting headaches.

I also like my PT. She explains so much to me and helps me better understand my CTS. She informed me that my left hand (in which I have severe CTS) is over 50% weaker than my right (in which I have mild to moderate CTS). She never once pressured me to have CTS surgery and respects the fact that I worry about having surgery since it will mean being unable to use my left hand for several months. Not good for someone who is totally blind, uses their hands more than sighted people do and who is left-handed.

katlin09
03-09-2009, 05:41 PM
Dreams,

I also have CTS and the cartiledge in my hands is starting to deteriorate, the same disease the I have in my knees and hips. Yippee for me.

I can say right now that I'll fib to my pdoc tomorrow to avoid a "talking too" but I know that when I get there the truth will come pouring out of my big mouth! It's like being in front of the principal....don't want to make it worse by lieing.

I don't know but going into my 11th knee surgery, it's just all getting to be too much, I'm tired.

I'm glad you GP gave you the Topamax for a go, I've been on it for 2 years now and have been at 100 for about 10 months now...it works wonders on migraines....I went from cluster migraines that could last upto 13 days to having one or two migraines a month, I can definitely live with those numbers.

The kidney stones are a major pain, but if there's a serious side effect to be had with a med, then I get it.

kat

dreams in neon
03-09-2009, 07:34 PM
Kat,

Do you wear wrist splints for your CTS? My GP and PT advised me to wear splints 24/7 on both hands. I don't really like having to do this since it causes me more pain, but my PT thinks that part of the reason why I've been having pain in my right hand when wearing one is because my hands are very small and I was given a small splint when I actually needed an extra small. Now I'm using the correct size on both hands, so the pain isn't as bad as it used to be. I'm also thinking about purchasing an ergonomic keyboard, but haven't gotten around to checking online for one yet.

When you have your next knee surgery, how long will you be in a brace? I wish you well and hope that your recovery is smooth.

katlin09
03-10-2009, 12:41 AM
Yes I wear the hand splints, mainly when I'm working, doing alot of 10 key and computer work, or if I'm in the kitchen cooking alot, doing alot of chopping and mixing, any thing that is really stressful on my hands.

When I have my next surgery it will be the same tibial osteotomy and reconstruction that they did on the left knee, just doing it on the right, so I'll be on crutches for 3 months and in the brace for 7 months. I just got out of my left brace a week and a half ago. So it pretty much su*** big time, but it buys me about 5 yrs. until I have to have them completely replaced. They cut all the bones, muscles and tendons loose and reposition them and do bone graphs to raise the bones some then screw everything back together again....it's just loads of fun!

kat

dreams in neon
03-10-2009, 02:02 AM
Kat,

Have you ever considered having CTS surgery? My GP strongly recommended that I have it done on my left hand, but again, I'm concerned about being unable to use my hand for several months. Besides that, according to my PT, there is no guarantee that CTS surgery will eliminate all symptoms. If you continue doing whatever caused CTS in the first place, your symptoms can resurface -- sometimes worse than before. Since I use a computer for several hours/day, I fear that this would cause my CTS to return even if I have surgery.

katlin09
03-10-2009, 02:31 AM
Dreams,

I really haven't considered it with all the knee surgeries going on right now, I have to be able to use crutches and get through PT and such.

My sister had the CTS surgery a few years ago, and within 2 years hers was back as bad as before, because like you said she still did the same thing that made it bad in the first place. And it's not like I can change my profession to make it last longer.

kat

dreams in neon
03-10-2009, 02:35 AM
This is true. Since I plan to eventually enter the field of psychiatry, computers will be a large part of my work environment. Therefore, I don't see a reason to have CTS surgery. My GP keeps bugging me to see a neurologist to have an EMG done, but the thought scares me because I hate the idea of pain. A long time ago I had acupuncture on my left hand and it hurt like h*ll.

irishwriter
03-10-2009, 05:39 AM
Yes I wear the hand splints, mainly when I'm working, doing alot of 10 key and computer work, or if I'm in the kitchen cooking alot, doing alot of chopping and mixing, any thing that is really stressful on my hands.

When I have my next surgery it will be the same tibial osteotomy and reconstruction that they did on the left knee, just doing it on the right, so I'll be on crutches for 3 months and in the brace for 7 months. I just got out of my left brace a week and a half ago. So it pretty much su*** big time, but it buys me about 5 yrs. until I have to have them completely replaced. They cut all the bones, muscles and tendons loose and reposition them and do bone graphs to raise the bones some then screw everything back together again....it's just loads of fun!

kat

kat,

that all sounds so painful you have my absolute sympathy. i have carpal tunnel syndrome too. prob from all the years as chef and writer and i have no intention of stopping that. i find that if i get someone else to do the veg etc it makes it a lot easier. for some reason peeling potatoes is the worst but as we only have them about once/month that's not too bad! hope you're pain is not too bad. thinking of you. and btw did i read 'a black eye' on another post. what happened, thought you were avoiding him completely. i know it is hard to get over an abusing husband but it is for the best in the end. you cannot change him and that's the hardest thing to come to terms with.

take care of yourself.

irishwriter
03-10-2009, 05:45 AM
Hi everyone,

I saw my pdoc and tdoc today. I nearly missed my appointment because I was tired and went to bed at 9am and woke up at 10:45am when my appointment was at 11am. I called my pdoc's office to let them know I would be late. They said this was fine. After I arrived, I was told that I would need to wait 45 minutes since my pdoc was conducting an evaluation. When I saw my pdoc, I told him how well the Clonazepam was working and that I didn't rapid cycle for 9 days. He was very, very pleased to hear this and explained that although I was doing relatively well, I ran into some rapid cycling along the way which the Clonazepam could address. He said Clonazepam was the finishing touch as far as my meds were concerned which should help reduce my rapid cycling to once or twice a day. He was delighted to hear that I didn't even cycle once/day, but warned me to expect cycling at least once a day since Clonazepam won't completely eliminate my cycling. I also informed him that I've been depressed for the past 2 days, but also mentioned the fact that I think it was due to the weather since I couldn't pinpoint any other reason for feeling the way I did. Since I've been doing well on the Clonazepam and ende dup in a mixed episode while IP after my Fluoxetine was raised from 20mg to 40mg, he decided to keep my meds the same, but will adjust them accordingly if my depression worsens or continues. I was told the sun was shining today and temperatures are much warmer today, so that helped ease my depression. Before the end of our appointment, I gave him another hug and was told to return in 2-3 weeks.

My tdoc appointment went just as well. My tdoc was very pleased about the fact that I haven't rapid cycled in over a week and told me how much better I looked today even if I was depressed over the weekend. We discussed the normal things we do regarding my bipolar and PTSD. I informed him that I'd like to work on strategies to deal with my self harm, so we talked a little about that and agreed to discuss this more in depth at my next several appointments. My next appointment with my tdoc will be on Friday since he would like to immediately address my issues with self harm in case my depression returns.

All in all, it has been a very good day so far! My depression has finally lifted and I couldn't feel better today!

dreams

they both sound so nice, you are lucky to have them. that poor boy in docu last night asked and asked for help but did not get it. his family tried everything and even though he sounded absolutely bp. high one minute and really low the next nobody in the mental health professsion picked up on it and told him he was fine. he was also a cutter. astonishing how someone can be so badly treated within the public system. psychiatrist that i saw free also told me i was 'fine'!! he diagnose 'chronic dysphoria, chronic sadness!!. my gp at the time laughed at dx and asked had he met me at all!

typeing
03-10-2009, 08:25 AM
Dreams,
Glad you are feeling better, hope it continues!

dreams in neon
03-10-2009, 10:55 AM
dreams

they both sound so nice, you are lucky to have them. that poor boy in docu last night asked and asked for help but did not get it. his family tried everything and even though he sounded absolutely bp. high one minute and really low the next nobody in the mental health professsion picked up on it and told him he was fine. he was also a cutter. astonishing how someone can be so badly treated within the public system. psychiatrist that i saw free also told me i was 'fine'!! he diagnose 'chronic dysphoria, chronic sadness!!. my gp at the time laughed at dx and asked had he met me at all!

My pdoc and tdoc are wonderful and I consider myself so furtunate to have them. As for the boy you mentioned, I don't know how someone who shows clear signs of BP can go without being diagnosed (especially with him being a cutter). It's a real shame.

dreams in neon
03-10-2009, 11:00 AM
Hi everyone,

Just wanted to give an update on how I'm doing. I didn't get much sleep last night. I kept tossing and turning. I went to bed at 4:30am and woke up around 8am. Ever since I've been depressed, my sleeping patterns have suffered as a result. This morning I'm feeling level even though it's cold and rainy outside again. I plan to keep myself preoccupied by watching some movies on cable and checking out the message board so that I don't sink into depression like I did this weekend.

typeing
03-10-2009, 04:36 PM
Dreams,
<<<hugs>>>. Fingers crossed that you continue to feel better!

katlin09
03-10-2009, 05:43 PM
Hey musketeer friend,

You've adoted my sleep system...I never go to sleep until around 4 or 4:30, it really sucks.

kat

dreams in neon
03-10-2009, 07:33 PM
Hey musketeer friend,

You've adoted my sleep system...I never go to sleep until around 4 or 4:30, it really sucks.

kat

Kat,

Yes, it does. I don't know why, but I can't seem to fall asleep before 4 or 4:30. I probably should have told my pdoc about that yesterday, but I was afraid to. If truth be told, I don't like having to take 300mg of Trazodone when I can't sleep because I worry about sleeping for most of the following day since that dosage is only taken PRN. Besides, it doesn't seem to phase me that I only receive 2 or 3 hours of sleep. I find that if I sleep for 12-16 hours/day like I did last year when I had several depressive episodes, I end up feeling even more tired. As for how I'm feeling right now, I'm still doing okay. The weather isn't depressing me as much as it did this weekend, but then again, it's not as cold today as it was then. I heard the weather forecast for the remainder of the week and temperatures are supposed to warm up into the 40s with partly sunny or mostly sunny skies, so that makes me feel better.

katlin09
03-10-2009, 10:54 PM
Dreams,

My pdoc raised me to 300mg Trazadone every night and if that hasn't done it by the time I go back in 2 weeks he'll move it up to 400mg. It always takes a high dose to knock me out, heck I was taking 500 mg of Seroquel and it only knocked me out for about 5 hours.

I can't even keep up with the weather these days, we got 4" of snow last week, then 80's over the weekend then 50's yesterday, now 80 tomorrow and then back down to 40's for the rest of the week, it's just plain ridiculous. And I have to wear my long sleeves for obvious reasons....I have to figure out a way to work with that this summer....I guess lightweight longsleeve t-shirts.

kat

dreams in neon
03-11-2009, 12:47 AM
Dreams,

My pdoc raised me to 300mg Trazadone every night and if that hasn't done it by the time I go back in 2 weeks he'll move it up to 400mg. It always takes a high dose to knock me out, heck I was taking 500 mg of Seroquel and it only knocked me out for about 5 hours.

I can't even keep up with the weather these days, we got 4" of snow last week, then 80's over the weekend then 50's yesterday, now 80 tomorrow and then back down to 40's for the rest of the week, it's just plain ridiculous. And I have to wear my long sleeves for obvious reasons....I have to figure out a way to work with that this summer....I guess lightweight longsleeve t-shirts.

kat

Being on 400mg of Trazodone isn't uncommon. I'm doing fine on 300mg PRN (when I'm manic or can't sleep), but my problem is that I don't take it like I should because I'm afraid of feeling tired the next day. I could have my pdoc decrease my dose down to 200mg, but I like how quickly 300mg works. It knocks me out in 5 minutes.

Wow! That's quite a temperature variation! I'd love to see temperatures in the 80s although I don't know if I'd like to have it be 80 degrees one day and 40 the next. We get temperature fluctuations like that around here as well -- especially during the spring and autumn. Tomorrow the weather is expected to be nice -- sunny with temperatures in the 40s. I'm itching to take Tigger for a nice, long walk, so I plan to go to the park. I've got cabin fever like you wouldn't believe. It snowed a little last night, but didn't stick due to the warm temperatures. Thank goodness for small favors.

irishwriter
03-11-2009, 05:07 AM
Being on 400mg of Trazodone isn't uncommon. I'm doing fine on 300mg PRN (when I'm manic or can't sleep), but my problem is that I don't take it like I should because I'm afraid of feeling tired the next day. I could have my pdoc decrease my dose down to 200mg, but I like how quickly 300mg works. It knocks me out in 5 minutes.

Wow! That's quite a temperature variation! I'd love to see temperatures in the 80s although I don't know if I'd like to have it be 80 degrees one day and 40 the next. We get temperature fluctuations like that around here as well -- especially during the spring and autumn. Tomorrow the weather is expected to be nice -- sunny with temperatures in the 40s. I'm itching to take Tigger for a nice, long walk, so I plan to go to the park. I've got cabin fever like you wouldn't believe. It snowed a little last night, but didn't stick due to the warm temperatures. Thank goodness for small favors.

Dreams

i would love some sun but conversely i would love some snow! see! nobody seems to like their own weather! cabin fever sounds good, maybe a sign depression is lifting. hope you get to enjoy a walk with tigger.

i sleep well some nights and then not at all others, particularly if i have alot to do the next day!

dreams in neon
03-11-2009, 05:29 AM
Dreams

i would love some sun but conversely i would love some snow! see! nobody seems to like their own weather! cabin fever sounds good, maybe a sign depression is lifting. hope you get to enjoy a walk with tigger.

i sleep well some nights and then not at all others, particularly if i have alot to do the next day!


I hate winter and have for as long as I can remember. Around here, we always have extremes where it is either too cold, too icy, too windy, too snowy or not snowy enough. I can't wait until I move to Arizona this summer since I won't have to deal with my depression when it comes to the weather. I'm just glad it's March so that I can look forward to the next several months when I only have to deal with being hypomanic or manic.

I haven't been able to sleep well for awhile, but that's okay. I've been able to function relatively well on 2 hours of sleep. If I get extremely tired, I can always take a nap during the day. I try not to do that though because last year when I had several depressive episodes, I slept between 12 and 16 hours/day.





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