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Thinking of filing a formal complaint against inpatient psychiatrist - experience, thoughts?
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<blockquote data-quote="susiestar" data-source="post: 439801" data-attributes="member: 1233"><p><span style="font-size: 12px">First of all, I would get a copy of The Bipolar Child and highlight passages that discuss rapid and ultra rapid cycling. I am NOT a parent of a child with bipolar but my exsil has it and at times has cycled in several times in an hour. It is terrifying to watch. </span></p><p><span style="font-size: 12px"></span></p><p><span style="font-size: 12px">I would complain to several places, including copies of the pertinent parts from the book and other books you can find. Heck, I would be tempted to go to a medication school library and look it up in the textbooks there and xerox them and highlight them - complete with a copy of the cover and the inside page with the copyright info. I would go as far back as possible to find descriptions of this. I know that when my oldest son was 7 we discussed this possibility for his problems and it was in The Bipolar Child and other books back then. As he will be 20 in a few months, well, she is dangerously behind in her education. Seems someone has been faking her continuing education credits or taking fluff classes from drug reps (who will sign off on almost anything as a continuing ed credit - the drug co's pay for docs to go to conferences in fancy locations where they party and some doctor on the drug co payroll signs that they all went to lectures etc.... NOT ALL docs do this, but those who want to are able to.).</span></p><p><span style="font-size: 12px"></span></p><p><span style="font-size: 12px">I would complain to the CEO of the hospital AND the Board of Directors. I would also complain to the state medical board and to the board that certifies child and adolescent psychiatrists, as well as the AMA (amer medication assoc). Yes, lots of letters and forms, but she has potentially set your son's treatment back years. And it IS known that the cycles of bipolar create changes in the brain that make it harder to control the longer it goes on. Each cycle creates new pathways and establishes them more firmly. It is a major reason that early diagnosis and treatment is so important - to minimize the brain changes so that the person has the best chance of long term stability. </span></p><p><span style="font-size: 12px"></span></p><p><span style="font-size: 12px">I would also see an attorney for advice on suing as the info she gave you is so clearly out of date that it is reckless and irresponsible for her to be treating patients. in my opinion this goes especially for patients who are suffering from mental illnesses where it is known that they have great difficulty with medication compliance and that the longer they go with-o treatment the worse their illness becomes and the harder it is to treat. </span></p><p><span style="font-size: 12px"></span></p><p> <span style="font-size: 12px">I don't know if it is possible to get your son to agree to read up on his disorder, to see if maybe he could see some of himself in the symptoms of the disease. This might help convince him to stay on medications. OTherwise, you may have to get medieval. By that I mean that he gets nothing, does nothing, watches nothing, unless he takes the medications that the doctor that YOU trust prescribes. I got very lucky in that my difficult child NEVER fought his medications. We started early, long before any problems, with the idea that parents make medication decisions and kids follow them. Mostly because I have an aunt with a son 6 mos older than Wiz and when her son was 2 she spent 45 min convincing him to take a dose of tylenol - kid had a 104.7 fever and she was trying to rationalize this so he would agree. WTH??? was my reaction. Wiz tried refusing medications a few times as a toddler and he was held down, his nose pinched and they were squirted down his throat. Esp as a toddler they have no business making medication decisions. So we didn't have medication refusal except when a he realized a medication was causing bad side effects - and he hadn't told me. All he had to do was say something and we called the doctor, but we had to practice that a few times.</span></p><p><span style="font-size: 12px"></span></p><p><span style="font-size: 12px">Anyway, I think that everything he enjoys, anything with a screen, any food he enjoys, going anywhere with friends, books, movies, even his own choice in clothing should go unless he takes his medications. he takes them or his world stops until he does. He gets up and leaves, hits, damages property, you call for transport to a different psychiatric hospital. Or for a cop to make him take his medications. As soon as he takes his medications he gets whatever back for the day or until the next dose. </span></p><p><span style="font-size: 12px"></span></p><p><span style="font-size: 12px">But i realize that is far easier said than done and may not be possible.</span></p><p><span style="font-size: 12px"></span></p><p><span style="font-size: 12px">WOuld he consider taking them if you paid him? Maybe start keeping a chart, WITH HIS HELP, of his behavior, attitude, mood, any risky/scary/dangerous/illegal choices and see how they change with the medication - and if nothing ever gets better and his moods never change, then maybe the medications are not needed. But if he isn't on enough medications and is doing those things, then they are documented, and if you can get a therapeutic level of medications in for long enough, and show on the chart how things are, then maybe he would see the logic in medications. It might be worth a try but you would have to stick with it. </span></p><p><span style="font-size: 12px"></span></p><p><span style="font-size: 12px">I would be all OVER that doctor's bosses about her dangerous denial of current medical knowledge concerning bipolar disorder. If wikipedia has this in it, then it has to be fairly common knowledge: <em>Rapid cycling</em>, however, is a course specifier that may be applied to any of the above subtypes. It is defined as having four or more episodes per year and is found in a significant fraction of individuals with bipolar disorder. The definition of rapid cycling most frequently cited in the literature (including the DSM) is that of Dunner and Fieve: at least four major depressive, manic, hypomanic or mixed episodes are required to have occurred during a 12-month period.[SUP]<a href="http://en.wikipedia.org/wiki/Bipolar_disorder#cite_note-53" target="_blank">[54]</a>[/SUP] Ultra-rapid (days) or ultra-ultra rapid or <a href="http://en.wikipedia.org/wiki/Ultradian" target="_blank">ultradian</a> (within a day) cycling have also been described.</span>[SUP]<span style="font-size: 12px"><a href="http://en.wikipedia.org/wiki/Bipolar_disorder#cite_note-pmid14642014-54" target="_blank">[55]</a></span></p><p></p><p><span style="font-size: 12px">I probably wouldn't use wikipedia when citing sources for the doctor's bosses and the licensing boards, etc.... but i WOULD get quite a few different sources, asp ones from medical journals discussing Early Onset Bi-Polar (EOBP). Also contact NAMI and CABF to find out if they have any resources that could help. </span></p><p><span style="font-size: 12px"></span></p><p><span style="font-size: 12px">I would also ask WHY she didn't contact his regular psychiatrist (supposed to be part of her job), why she did NOT contact you, and why she administered medications WITHOUT your consent and removed medications WITHOUT your consent. Those are HUGE problems, and I know of cases where docs paid large settlements over the medication issues (giving or removing with-o parent's informed consent - not just consent but INFORMED consent. This means that they explained the benefits and risks to you of each new medication). The other question I would ask, and hammer hard on, is WHY she would tell a child that he shouldn't be on medications when she has to KNOW she has almost no medical history and no input other than a child with serious enough problems to land him in a psychiatric hospital??????? I am sure that she has to know that it is incredibly hard to get a patient admitted, simply because there are so few beds and even fewer funding sources. </span></p><p><span style="font-size: 12px"></span></p><p><span style="font-size: 12px">Make heads roll - hers and anyone who lets her get away with this koi. I am so sorry that she has done so much damage to your child. </span></p><p><span style="font-size: 12px"></span></p><p>[/SUP]</p></blockquote><p></p>
[QUOTE="susiestar, post: 439801, member: 1233"] [SIZE=3]First of all, I would get a copy of The Bipolar Child and highlight passages that discuss rapid and ultra rapid cycling. I am NOT a parent of a child with bipolar but my exsil has it and at times has cycled in several times in an hour. It is terrifying to watch. I would complain to several places, including copies of the pertinent parts from the book and other books you can find. Heck, I would be tempted to go to a medication school library and look it up in the textbooks there and xerox them and highlight them - complete with a copy of the cover and the inside page with the copyright info. I would go as far back as possible to find descriptions of this. I know that when my oldest son was 7 we discussed this possibility for his problems and it was in The Bipolar Child and other books back then. As he will be 20 in a few months, well, she is dangerously behind in her education. Seems someone has been faking her continuing education credits or taking fluff classes from drug reps (who will sign off on almost anything as a continuing ed credit - the drug co's pay for docs to go to conferences in fancy locations where they party and some doctor on the drug co payroll signs that they all went to lectures etc.... NOT ALL docs do this, but those who want to are able to.). I would complain to the CEO of the hospital AND the Board of Directors. I would also complain to the state medical board and to the board that certifies child and adolescent psychiatrists, as well as the AMA (amer medication assoc). Yes, lots of letters and forms, but she has potentially set your son's treatment back years. And it IS known that the cycles of bipolar create changes in the brain that make it harder to control the longer it goes on. Each cycle creates new pathways and establishes them more firmly. It is a major reason that early diagnosis and treatment is so important - to minimize the brain changes so that the person has the best chance of long term stability. I would also see an attorney for advice on suing as the info she gave you is so clearly out of date that it is reckless and irresponsible for her to be treating patients. in my opinion this goes especially for patients who are suffering from mental illnesses where it is known that they have great difficulty with medication compliance and that the longer they go with-o treatment the worse their illness becomes and the harder it is to treat. I don't know if it is possible to get your son to agree to read up on his disorder, to see if maybe he could see some of himself in the symptoms of the disease. This might help convince him to stay on medications. OTherwise, you may have to get medieval. By that I mean that he gets nothing, does nothing, watches nothing, unless he takes the medications that the doctor that YOU trust prescribes. I got very lucky in that my difficult child NEVER fought his medications. We started early, long before any problems, with the idea that parents make medication decisions and kids follow them. Mostly because I have an aunt with a son 6 mos older than Wiz and when her son was 2 she spent 45 min convincing him to take a dose of tylenol - kid had a 104.7 fever and she was trying to rationalize this so he would agree. WTH??? was my reaction. Wiz tried refusing medications a few times as a toddler and he was held down, his nose pinched and they were squirted down his throat. Esp as a toddler they have no business making medication decisions. So we didn't have medication refusal except when a he realized a medication was causing bad side effects - and he hadn't told me. All he had to do was say something and we called the doctor, but we had to practice that a few times. Anyway, I think that everything he enjoys, anything with a screen, any food he enjoys, going anywhere with friends, books, movies, even his own choice in clothing should go unless he takes his medications. he takes them or his world stops until he does. He gets up and leaves, hits, damages property, you call for transport to a different psychiatric hospital. Or for a cop to make him take his medications. As soon as he takes his medications he gets whatever back for the day or until the next dose. But i realize that is far easier said than done and may not be possible. WOuld he consider taking them if you paid him? Maybe start keeping a chart, WITH HIS HELP, of his behavior, attitude, mood, any risky/scary/dangerous/illegal choices and see how they change with the medication - and if nothing ever gets better and his moods never change, then maybe the medications are not needed. But if he isn't on enough medications and is doing those things, then they are documented, and if you can get a therapeutic level of medications in for long enough, and show on the chart how things are, then maybe he would see the logic in medications. It might be worth a try but you would have to stick with it. I would be all OVER that doctor's bosses about her dangerous denial of current medical knowledge concerning bipolar disorder. If wikipedia has this in it, then it has to be fairly common knowledge: [I]Rapid cycling[/I], however, is a course specifier that may be applied to any of the above subtypes. It is defined as having four or more episodes per year and is found in a significant fraction of individuals with bipolar disorder. The definition of rapid cycling most frequently cited in the literature (including the DSM) is that of Dunner and Fieve: at least four major depressive, manic, hypomanic or mixed episodes are required to have occurred during a 12-month period.[SUP][URL="http://en.wikipedia.org/wiki/Bipolar_disorder#cite_note-53"][54][/URL][/SUP] Ultra-rapid (days) or ultra-ultra rapid or [URL="http://en.wikipedia.org/wiki/Ultradian"]ultradian[/URL] (within a day) cycling have also been described.[/SIZE][SUP][SIZE=3][URL="http://en.wikipedia.org/wiki/Bipolar_disorder#cite_note-pmid14642014-54"][55][/URL][/SIZE] [SIZE=3]I probably wouldn't use wikipedia when citing sources for the doctor's bosses and the licensing boards, etc.... but i WOULD get quite a few different sources, asp ones from medical journals discussing Early Onset Bi-Polar (EOBP). Also contact NAMI and CABF to find out if they have any resources that could help. I would also ask WHY she didn't contact his regular psychiatrist (supposed to be part of her job), why she did NOT contact you, and why she administered medications WITHOUT your consent and removed medications WITHOUT your consent. Those are HUGE problems, and I know of cases where docs paid large settlements over the medication issues (giving or removing with-o parent's informed consent - not just consent but INFORMED consent. This means that they explained the benefits and risks to you of each new medication). The other question I would ask, and hammer hard on, is WHY she would tell a child that he shouldn't be on medications when she has to KNOW she has almost no medical history and no input other than a child with serious enough problems to land him in a psychiatric hospital??????? I am sure that she has to know that it is incredibly hard to get a patient admitted, simply because there are so few beds and even fewer funding sources. Make heads roll - hers and anyone who lets her get away with this koi. I am so sorry that she has done so much damage to your child. [/SIZE] [/SUP] [/QUOTE]
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Thinking of filing a formal complaint against inpatient psychiatrist - experience, thoughts?
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