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Kids can not be diagnosis'd BiPolar (BP), nor Mood-Disorder...
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<blockquote data-quote="Marguerite" data-source="post: 128148" data-attributes="member: 1991"><p>Totoro, I know you feel abandoned by this doctor but hang in there a little longer. He may have something positive, once he's wrapped his head around the problems.</p><p></p><p>You asked him a specific question, he told you his views. But in the way he questioned you,I think he may have been gathering information (and NOT feeding back to you a sudden change of opinion, because he's still sorting out his own view). Hewas honest with you about what he thought.</p><p></p><p>He was right when he said BiPolar (BP) in children is diagnosed far more in the US than in Australia, say. Are we wrong or right in Australia? I don't know, although I do worry when I see cases of kids for whom the more standard diagnosis doesn't seem to fit...</p><p></p><p>The thing is, he didn't just say, "It's not BiPolar (BP), go away, go find someone else," he seemed to me to be digging to find an answer that can really help here.</p><p></p><p>You think he's wrong - he may be. But he strikes me as a doctor who is going to keep looking and digging. </p><p></p><p>You have a number of possibilities arising out of this. </p><p></p><p>You could just leave, go find someone else. This will not change this doctor's views one iota, and the next family to cross his path will go through the same experience. Not your problem maybe...</p><p></p><p></p><p>Or you could stick it out with him, answer his questions, wait for him to catch up to where you are. In the process, he will learn.</p><p></p><p>DOctors are always learning (or should be). I had a specialist who I felt was really good (top in his field) but we didn't always agree. I often put my concerns in writing, he would discuss them with me. He was VERY against complementary medicine and felt that it just exploits patients to no positive end. Many of his patients simply didn't tell him when they saw a chiropractor or a herbalist, which is sill because doctors NEED to know. So I told him everything. WHen he said, "your reflexologist is ripping you off, it's nonsense," I pointed out that she didn't charge me at all, and I also told him when she had red flags for a health problem (such as my liver) and amazingly, the blood tests he then ordered confirmed it (and I wasn't jaundiced, so she couldn't have known). </p><p></p><p>My specialist was a top notch investigator with a blind spot in some areas. I stuck it out with him and educated him; he eventually conceded that there ARE benefits to alternative modalities which he had not allowed for, even if those benefits are purely psychological (or social). He began by trying to treat my illness; he finished by always considering me as part of a family unit with complex issues needing to be considered in the mix. He's retired now, but he still lectures medical students and I hope is passing to them, the need to consider the broader picture.</p><p></p><p>If this doctor suggests something you have already tried with bad results, then ask him to convince you that you will not have these bad results again. Also ask him to tell you what to do in case you DO have the same bad results. Sometimes doctors do not consider the ramifications. For example, mother in law has a problem with swallowing, perhaps due to her myasthenia gravis. The gastroenterologist wanted her to have endoscopy, but to do so she would have to stop taking her blood thinners, and also endure a general anaesthetic. She was understandably reluctant to do this, so she spoke to ANOTHER specialist, her neurologist. He is thinking from a different point of view and said, "we can get the same info more easily."</p><p></p><p>There are other ways and means.</p><p></p><p>A good doctor is not necessarily one you will agree with. He is one who will listen to you and talk it through with you. </p><p></p><p>The more you go up the specialist ladder, the harder it is to find a good 'fit' with a doctor you get on with, who is also competent. Bedside manner is a luxury we often can't afford, at this level.</p><p></p><p>Totoro, this bloke may be wrong in every area, or only some. Or none. I can't tell you, because I'm not a doctor. But he may also be one of the best, in so many other ways. </p><p>Bide your time, if you can. If you do feel, after careful considered opinion, that he simply isn't answering your concerns, then move on. But if there is a chance that he can either change his mind after learning more about you all, or perhaps pulling a rabbit out of a hat in some other way, then this could be the best thing that's happened.</p><p></p><p>Right now he seems like a disaster. It may not be so. But go carefully, tell him every concern you have and ask for reassurance. If he starts floundering because he can't help, then ask him if this means he may need to revise his views. 'Never ever' is SUCH a major statement, especially medically.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 128148, member: 1991"] Totoro, I know you feel abandoned by this doctor but hang in there a little longer. He may have something positive, once he's wrapped his head around the problems. You asked him a specific question, he told you his views. But in the way he questioned you,I think he may have been gathering information (and NOT feeding back to you a sudden change of opinion, because he's still sorting out his own view). Hewas honest with you about what he thought. He was right when he said BiPolar (BP) in children is diagnosed far more in the US than in Australia, say. Are we wrong or right in Australia? I don't know, although I do worry when I see cases of kids for whom the more standard diagnosis doesn't seem to fit... The thing is, he didn't just say, "It's not BiPolar (BP), go away, go find someone else," he seemed to me to be digging to find an answer that can really help here. You think he's wrong - he may be. But he strikes me as a doctor who is going to keep looking and digging. You have a number of possibilities arising out of this. You could just leave, go find someone else. This will not change this doctor's views one iota, and the next family to cross his path will go through the same experience. Not your problem maybe... Or you could stick it out with him, answer his questions, wait for him to catch up to where you are. In the process, he will learn. DOctors are always learning (or should be). I had a specialist who I felt was really good (top in his field) but we didn't always agree. I often put my concerns in writing, he would discuss them with me. He was VERY against complementary medicine and felt that it just exploits patients to no positive end. Many of his patients simply didn't tell him when they saw a chiropractor or a herbalist, which is sill because doctors NEED to know. So I told him everything. WHen he said, "your reflexologist is ripping you off, it's nonsense," I pointed out that she didn't charge me at all, and I also told him when she had red flags for a health problem (such as my liver) and amazingly, the blood tests he then ordered confirmed it (and I wasn't jaundiced, so she couldn't have known). My specialist was a top notch investigator with a blind spot in some areas. I stuck it out with him and educated him; he eventually conceded that there ARE benefits to alternative modalities which he had not allowed for, even if those benefits are purely psychological (or social). He began by trying to treat my illness; he finished by always considering me as part of a family unit with complex issues needing to be considered in the mix. He's retired now, but he still lectures medical students and I hope is passing to them, the need to consider the broader picture. If this doctor suggests something you have already tried with bad results, then ask him to convince you that you will not have these bad results again. Also ask him to tell you what to do in case you DO have the same bad results. Sometimes doctors do not consider the ramifications. For example, mother in law has a problem with swallowing, perhaps due to her myasthenia gravis. The gastroenterologist wanted her to have endoscopy, but to do so she would have to stop taking her blood thinners, and also endure a general anaesthetic. She was understandably reluctant to do this, so she spoke to ANOTHER specialist, her neurologist. He is thinking from a different point of view and said, "we can get the same info more easily." There are other ways and means. A good doctor is not necessarily one you will agree with. He is one who will listen to you and talk it through with you. The more you go up the specialist ladder, the harder it is to find a good 'fit' with a doctor you get on with, who is also competent. Bedside manner is a luxury we often can't afford, at this level. Totoro, this bloke may be wrong in every area, or only some. Or none. I can't tell you, because I'm not a doctor. But he may also be one of the best, in so many other ways. Bide your time, if you can. If you do feel, after careful considered opinion, that he simply isn't answering your concerns, then move on. But if there is a chance that he can either change his mind after learning more about you all, or perhaps pulling a rabbit out of a hat in some other way, then this could be the best thing that's happened. Right now he seems like a disaster. It may not be so. But go carefully, tell him every concern you have and ask for reassurance. If he starts floundering because he can't help, then ask him if this means he may need to revise his views. 'Never ever' is SUCH a major statement, especially medically. Marg [/QUOTE]
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Kids can not be diagnosis'd BiPolar (BP), nor Mood-Disorder...
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