Posted by Aldus Huxley on April 21, 2004, at 19:13:51
In reply to Re: Why is it so hard to get diagnosed wit Adult ADD?, posted by Bill LL on April 14, 2004, at 12:36:38
> The "doctor ego" issue is one that a lot of us have to deal with.
>
> Insurance companies put pressure on docs to practice in a certain way. If docs over-prescribe certain drugs or do too many tests, the companies can drop that doc from their list of preferred doctors. If that happens, the docs will lose some business. This situation can be even worse if you are in an HMO.
>
Let's not forget how insane the DEA and FDA are by threatening license revocation (e.g., the whole overblown oxycontin mania). My suggestion is similar to others; do research and come in educated. Also be patient and do not expect to get a SII drug simply by asking for it. If your doctor trusts you maybe this might happen, but if not, the pdoc has to feel comfortable in the fact that he or she did their job diligently and tried other options first (i.e., non SII options), so they have a valid defense if sanctioned or threatened by one of our glorius parental federal agencies should some problem arise. So many doctors are frightened to prescribe SII drugs which may have some abuse potential (Adderall), and instead prescribe something 10% as effective and damaging to the liver (Cylert). Even when compared relatively, the deaths and damage as a result of using/abusing alcohol are exponentially greater than those of any SII drug.
poster:Aldus Huxley
thread:336012
URL: http://www.dr-bob.org/babble/20040417/msgs/338519.html