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Just when I thought we couldn't get lower...
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<blockquote data-quote="seriously" data-source="post: 433768" data-attributes="member: 11920"><p>Actually, a lot of docs don't know much about the other specialists practicing in their region - especially as regards their competence. I would have thought she would know more than most if she is the "top doctor" since she would have been receiving the difficult cases from other docs.</p><p></p><p>And she may have referred you out of her network because she KNOWS the other docs in her network are not competent to handle his case.</p><p></p><p>Has your son had a neuropsychologist assessment or been to a neurologist for assessment of the tic disorder? If not, I would strongly suggest you get both those referrals going. She might be willing to help you with that - don't know. And if you were not being seen at a major university/teaching hospital children's psychiatric program I would also suggest you research the ones closest to you and see if they can do a 2nd opinion.</p><p></p><p>The other thing is that, among doctors, psychiatrists are generally not well respected. As a group, they have a reputation as being the ones who got the lowest grades and are unable to be "regular" doctors because they aren't good enough. I have learned to try and screen psychiatrists by where they got their graduate training both as an MD and as a psychiatrist, if they are board certified, if they are a "child" psychiatrist vs a regular psychiatrist.</p><p></p><p>So it may be that, even though she's the top doctor in your region, she really isn't that great and she knows it.</p><p></p><p>I can't say. It could also always be a matter of economics. If your child's been hospitalized repeatedly or she foresees that coming down the pike, she may have been "urged" to dump him to minimize the medical group's cost to care for him. I know docs try not to let this influence them but there are times when there's a lot of pressure on them to do that.</p><p></p><p>Good luck. I would be on the phone today trying to get ahead of the ball. Call your insurance plan and let them know what the psychiatrist said and her insistence that you go out of network.</p><p></p><p>Another option is to look at the clinical trials for ADHD in your region to see if he might qualify for any of those. He would get free care and presumably the best available in your region.</p><p></p><p><a href="http://www.clinicaltrials.gov" target="_blank">www.clinicaltrials.gov</a></p></blockquote><p></p>
[QUOTE="seriously, post: 433768, member: 11920"] Actually, a lot of docs don't know much about the other specialists practicing in their region - especially as regards their competence. I would have thought she would know more than most if she is the "top doctor" since she would have been receiving the difficult cases from other docs. And she may have referred you out of her network because she KNOWS the other docs in her network are not competent to handle his case. Has your son had a neuropsychologist assessment or been to a neurologist for assessment of the tic disorder? If not, I would strongly suggest you get both those referrals going. She might be willing to help you with that - don't know. And if you were not being seen at a major university/teaching hospital children's psychiatric program I would also suggest you research the ones closest to you and see if they can do a 2nd opinion. The other thing is that, among doctors, psychiatrists are generally not well respected. As a group, they have a reputation as being the ones who got the lowest grades and are unable to be "regular" doctors because they aren't good enough. I have learned to try and screen psychiatrists by where they got their graduate training both as an MD and as a psychiatrist, if they are board certified, if they are a "child" psychiatrist vs a regular psychiatrist. So it may be that, even though she's the top doctor in your region, she really isn't that great and she knows it. I can't say. It could also always be a matter of economics. If your child's been hospitalized repeatedly or she foresees that coming down the pike, she may have been "urged" to dump him to minimize the medical group's cost to care for him. I know docs try not to let this influence them but there are times when there's a lot of pressure on them to do that. Good luck. I would be on the phone today trying to get ahead of the ball. Call your insurance plan and let them know what the psychiatrist said and her insistence that you go out of network. Another option is to look at the clinical trials for ADHD in your region to see if he might qualify for any of those. He would get free care and presumably the best available in your region. [url]www.clinicaltrials.gov[/url] [/QUOTE]
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