Has your pdoc been asking to much after discharge

I was inpatient one month then 5 weeks IOP intensive out patient therapy.
My current pdoc is asking too much of me. She wants jeff to handle my meds fill a pill box for only one days worth of meds. She doesn't trust me, because I took 5 klonopin one night and she thru a fit, said I could have died. I just wanted to go to sleep and was desperate. She was only giving me melatonin and visteral(hydroxyzine) which was not working. I would lie awake listening to jeff breath heavy and finally had to start wearing ear plugs...
At my inpatient experience they started me on some meds that really put me to sleep. Exactly what I needed. I go right to sleep now. I was taking .5mg of klonopin before that but I was drinking at the time and she said that she could not leave me on klonopin because I drank. Now, I am on .5mg in the am for anxiety and 2mg to sleep at night. I have been sleeping like a baby thru the night.
Spoke with my pdocs nurse today and she said that She would take me on as a patient if I followed her rules. therapy 2 times a week, jeff monitoring my meds locked, dooling out one days worth of meds at a time.

I think that is too much to ask for. And I know that she will take away my klonopin!!!!!!!!!!
I have been looking for a new pdoc(Matthew declouet nurse practitioner.) and think I found one that I like.
He will get the vermillion hospitals Doctors notes. and IOP notes too. But I am not going to give him permission to see dr. orazio notes for the past 18 years.Isn't this disturbing?
bizi

Im sorry you have been going through such a hard time

I have had to give my husband my meds before when I am not safe. I over served myself Xanax 7-8 years ago. My Pdoc agreed to leave me on Xanax IF my husband had control my meds, So I would fill up my pill boxes in front of Steve and I'd get 2 days out at a time. I dont think its unreasonable that your Pdoc is requesting this. As things settle down and your safe again you will have control of meds again.

Your Pdoc is just trying to keep you safe

(((((((((( bizi ))))))))))

I once took too much of my Adderall. My pdoc found out and no more Adderall. Ever!!!!!!!!!! Tragic for me. But., I get his concern.

My partner helped me with my meds before. I don't think you should view this as a negative. It is not a sign of some weakness or failure to achieve liftoff on your part. You have a serious brain illness. We sometimes need more help than other times. Why judge yourself or her about it? Just maybe suggesting taking the energy out of this for awhile.

That said, if she seems too controlling, perhaps a new pdoc would be better.

I completely agree...

it is not a sign of ''weakness'' or ''failure'' on your (or our) part....

Although the brain may lie and tell us so....

I also agree that maybe if she is a bit too controlling maybe a new pdoc?


Hugs and respect

Hi Bizi,

Getting out of IP and IOP can be a confusing time.

Maybe sit down and write out pros and cons of getting involved with either practitioner?
I agree that your pdoc means well and wants you safe. While this might feel a little overbearing, we know of plenty of cases where the pdoc was not as caring.

Maybe she's willing to negotiate?

I'm concerned that you don't want a new practitioner to have access to clinical info over the past many years. Maybe only the past 3-5 years are most important. You could always ask her to write a summary, not releasing ANY notes.

I hope all works out to be most beneficial to you.
Much Love to you and to Jeff!

Thank you for your replies!
I am taking a lot of serious meds wonder if I could even be manged by a nurse practitioner?
bizi

Maybe your pdoc also feels you are taking some very potent meds, too?
Maybe her extra concern IS founded? Maybe she's very concerned by something you'd said or had done when unstable? She knows you quite well by now.
Maybe her current requests are "right on target" for all you have been going through?

As for an NP's abilities to fully manage your meds, that may depend upon the NP, of course. Some are more skilled and intuitive than others.

Have you asked WHY she wants Jeff to help you with your meds?

You've mentioned Jeff has some respiratory symptoms. How is he doing?

I hope for the best for you, my friend!

We want you to be safe, bizi. Clearly your psychiatrist does, too. Sometimes we don't realize how unsafe we are, and we need others to take care that we remain so.

There were a couple years when my husband kept all of my medications, except one pill box, in a safe. I did not, and still don't have the combination, even though he's long since kept it unlocked. There was a good reason. A very frightening reason, including for my husband. It resulting in one of my hospitalizations. My husband worried that I would die as he rode in the ambulance with me. It's common to think that "That would not happen to me," but it all too often does.

Please be careful with the Klonopin. What seems like still a small dose is sometimes too much. It was only a couple months ago that when picking my refill up, the pharmacist warned me not to take it at the same time as prn Ativan. Definitely alcohol is a no-no. It's really serious! I could tell some very very scary stories about mixing my medications with alcohol. No exaggeration.

Some of them are outstanding. On the other hand, I had a friend unintentionally killed by a PNP in the hospital when she over-prescribed too many benzos, so...

Of course we want you to be safe. I like it that the NP is being cautious.

Love and respect

thanks fuzzy, I have not called this Matt NP yet, they are closed on fridays so I will call him on monday.

I have been fixing my meds for the past 5 weeks.
Jeff lied to her and said he was monitoring my meds.
He is not and doesn't want to. and I don't either.
This was one condition of her accepting me...
another thing is that she wants me in therapy 2 times a week.
lord only knows how often she wants to see me.
She doesn't take our insurance. I was just off work for 9 weeks and

we had to take money out of our line of credit against our home equity.
Thank goodness we have that our credit cards have high interest rates,

the line of credit has 4% interest rate vs. credit cards

being a lot higher like 19%-24% ouch!I am working a lighter
load mostly seeing 3 clients a day when I used to see 4 average a day.
I saw 3 people today I am working the weekend also seeing
4 on saturday and 3 on sunday then 3 on monday.

It feels great working again, I am tired but that is

because for 9 weeks I sat and did nothing.

I am weak.
jeff rubbed my back when I asked him. It felt great!

We have been watching reruns of downton abbey and love the show.
we watch it around 10pm it is only 45 long...
but we still manage to stay up until 12midnight.

My alarm goes off at 745am but I frequently stay in

bed hitting snooze for several times the alarm gets

louder with each snooze. I sometimes just turn if off

then go back to sleep which is dangerous might over
sleep.
Jeff has been helping me get up which I appreciate so much.
bizi

Everything else aside have you stopped drinking alcohol?

Please don't judge me.....no I have not stopped drinking alcohol.
I do limit my consumption to 2 then I switch to the 0% heinekin.
I really like that non alcoholic beer. so that is good.
bizi
I see the new NP(Paige deClouet) on wednesday, I faxed their 12 page packet back to her. She will be back in the office monday. Same with my letter to Dr. orazio, letting her know that I was not coming back to her.
I really hope that Paige will accept me as a patient.
have a nice evening.
bizi

I wasnt judging you at all! I myself am an alcoholic so I was just asking.

Quote:

Originally Posted by bizi Please don't judge me.....no I have not stopped drinking alcohol. I do limit my consumption to 2 then I switch to the 0% heinekin. I really like that non alcoholic beer. so that is good. bizi I see the new NP(Paige deClouet) on wednesday, I faxed their 12 page packet back to her. She will be back in the office monday. Same with my letter to Dr. orazio, letting her know that I was not coming back to her. I really hope that Paige will accept me as a patient. have a nice evening. bizi

sorry sarah,
I was stating that "please don't judge me" as a request for any body who follows my threads.
I have tried alcohol free life and find I like drinking better.
I know that I should not drink but am unable to give it up.
When I was Inpatient the pdoc there said he did not think I was an alcoholic.
he asked me a few questions, I answered no to every one of them. He said you're not an alcoholic.
bizi