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General Parenting
Figured out why I'm nervous about Lithium
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<blockquote data-quote="susiestar" data-source="post: 410756" data-attributes="member: 1233"><p>Stick to your guns. Adding lithium in the situation you are describing is nuts. There is NO WAY that covering docs and staff should try to substantially change medications unless a major crisis is happening - they barely know the child and you can be super-dooper-double-darn-sure that they are NOT going to read his chart to see if you have tried this already or if there is another plan that has a different medication being changed for the same reason in a day or two. </p><p> </p><p>For all that they insist that we fill out all those forms and don't skip any of their little boxes, I haven't found many docs who will stop and really read the chart at even one point while we are their patient. It isn't just that they ask the same questions that the nurses and the receptionist ask. They don't even bother to make sure that they know what THEY planned to do when you discussed medication changes and made a plan for gradual changes to be made over a couple of weeks/months at one time!!!!!!!! </p><p> </p><p>So there is almost no way a covering doctor can make an intelligent and accurate medication change - they just do not have enough info. That doesn't stop many of them from going ahead and doing it anyway!!1</p><p> </p><p>I am glad you put all of the info together and didn't let them go ahead and start him on it.</p><p> </p><p>I hope his behavior is a sign that he is willing and able to make better choices and choose safer actions.</p></blockquote><p></p>
[QUOTE="susiestar, post: 410756, member: 1233"] Stick to your guns. Adding lithium in the situation you are describing is nuts. There is NO WAY that covering docs and staff should try to substantially change medications unless a major crisis is happening - they barely know the child and you can be super-dooper-double-darn-sure that they are NOT going to read his chart to see if you have tried this already or if there is another plan that has a different medication being changed for the same reason in a day or two. For all that they insist that we fill out all those forms and don't skip any of their little boxes, I haven't found many docs who will stop and really read the chart at even one point while we are their patient. It isn't just that they ask the same questions that the nurses and the receptionist ask. They don't even bother to make sure that they know what THEY planned to do when you discussed medication changes and made a plan for gradual changes to be made over a couple of weeks/months at one time!!!!!!!! So there is almost no way a covering doctor can make an intelligent and accurate medication change - they just do not have enough info. That doesn't stop many of them from going ahead and doing it anyway!!1 I am glad you put all of the info together and didn't let them go ahead and start him on it. I hope his behavior is a sign that he is willing and able to make better choices and choose safer actions. [/QUOTE]
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Figured out why I'm nervous about Lithium
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