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safe to say i think she has an eating disorder
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<blockquote data-quote="confuzzled" data-source="post: 378530" data-attributes="member: 8831"><p>i would personally be alarmed at the rapid destabilization and if it were me, i doubt i'd wait until tuesday. in light of new symptomology i would be seeking immediate hospitalization.</p><p> </p><p>any hospital ER should be the single point of entry for a childrens pyschiatric hospitalization, and i'd find it hard to believe that anyone would be turned away in this circumstance. while any ER should be able to evaluate, but not all have the capabilities for a psychiatric stay---its hard to know sometimes if a hospital has a program, but thats the ER i'd prefer if its known to have an impatient program, if only to cut down on the transport step, which can take hours to coordinate. but i wouldnt let it stop me if didnt know--any hospital can transport to an impatient program.</p><p> </p><p>impatient stays can be a valuable tool in medical management of psychiatric symptoms and have the ability to move much quicker on medications than one might be able to do under the supervision of a doctor at home. impatient stays are also valuable in the respect that there are staff to observe patterns of behaviors and symptoms and can (not always) result in a quicker diagnosis (or reaffirmation of a previous diagnosis), and therefore quicker treatment--vs starting from square one with a new doctor and having to convince them of diagnosis and viable treatment routes--many good psychiatrist's do NOT dispense Rx's on the first appointment.</p><p> </p><p>impatient stays can help to organize medical testing. in fact, certain medical testing--even if "just" labwork, *should* be done so that medical diagnosis can be ruled OUT. if warranted, more testing may or may not be done, and having the luxury of it all done on site, in a timely fashion, can speed the process alone. services can be rapidly coordinated and results recieved much more quickly than can be done at home---ever request labwork results and have to wait a significant amount of time before even the rx'ing dr gets them? in a hospital stay, you get them. pretty quickly.</p><p> </p><p>inpatient stays can also be invaluable in QUICKLY coordinating community services and identifying a myriad of appropriate resources....usually ones that are tough to come by, and often ones that a parent won't just happen to stumble on on their own, and that many doctors, even those in the "community" are often unaware of. </p><p> </p><p>and i'd also be looking to the recent trial of luvox to try to determine if it caused further destabilization or if the new symptomology is unrelated. while luvox appears to have a relatively short half life, thats personally what i'd be leaning toward. my logic would dictitate to me that there had to be a trigger, and seemingly that appears to be the newest thing introduced.</p><p> </p><p>if i didnt work up a full parent report i'd at a very minimum, have a typed statement of previous courses of medication with their trialed dosages and the effect/side effect history--its difficult, if not humanly impossible, to be able to remember all of this information under tramatic circumstances. i'd give it the old college try to get it all on one page, even if it meant using 4pt type...that way, its all there, at a glance.</p><p> </p><p>i'd personally be petrified of whats to come next if this was left untreated and unmedicated.</p></blockquote><p></p>
[QUOTE="confuzzled, post: 378530, member: 8831"] i would personally be alarmed at the rapid destabilization and if it were me, i doubt i'd wait until tuesday. in light of new symptomology i would be seeking immediate hospitalization. any hospital ER should be the single point of entry for a childrens pyschiatric hospitalization, and i'd find it hard to believe that anyone would be turned away in this circumstance. while any ER should be able to evaluate, but not all have the capabilities for a psychiatric stay---its hard to know sometimes if a hospital has a program, but thats the ER i'd prefer if its known to have an impatient program, if only to cut down on the transport step, which can take hours to coordinate. but i wouldnt let it stop me if didnt know--any hospital can transport to an impatient program. impatient stays can be a valuable tool in medical management of psychiatric symptoms and have the ability to move much quicker on medications than one might be able to do under the supervision of a doctor at home. impatient stays are also valuable in the respect that there are staff to observe patterns of behaviors and symptoms and can (not always) result in a quicker diagnosis (or reaffirmation of a previous diagnosis), and therefore quicker treatment--vs starting from square one with a new doctor and having to convince them of diagnosis and viable treatment routes--many good psychiatrist's do NOT dispense Rx's on the first appointment. impatient stays can help to organize medical testing. in fact, certain medical testing--even if "just" labwork, *should* be done so that medical diagnosis can be ruled OUT. if warranted, more testing may or may not be done, and having the luxury of it all done on site, in a timely fashion, can speed the process alone. services can be rapidly coordinated and results recieved much more quickly than can be done at home---ever request labwork results and have to wait a significant amount of time before even the rx'ing dr gets them? in a hospital stay, you get them. pretty quickly. inpatient stays can also be invaluable in QUICKLY coordinating community services and identifying a myriad of appropriate resources....usually ones that are tough to come by, and often ones that a parent won't just happen to stumble on on their own, and that many doctors, even those in the "community" are often unaware of. and i'd also be looking to the recent trial of luvox to try to determine if it caused further destabilization or if the new symptomology is unrelated. while luvox appears to have a relatively short half life, thats personally what i'd be leaning toward. my logic would dictitate to me that there had to be a trigger, and seemingly that appears to be the newest thing introduced. if i didnt work up a full parent report i'd at a very minimum, have a typed statement of previous courses of medication with their trialed dosages and the effect/side effect history--its difficult, if not humanly impossible, to be able to remember all of this information under tramatic circumstances. i'd give it the old college try to get it all on one page, even if it meant using 4pt type...that way, its all there, at a glance. i'd personally be petrified of whats to come next if this was left untreated and unmedicated. [/QUOTE]
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safe to say i think she has an eating disorder
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