[quote]PureChance wrote:
[quote]Bricknyce wrote:
YOU are advising the doctor?
Shouldn’t this be the other way around?
I also don’t understand what is so goddamn hard about being prescribed a medication and just taking!
[/quote]
look Brick - even you admitted to seeing some pretty crappy doctors and not getting help until you found your current doctor.
when a person has a doctor who is not well versed in HRT and said person has already tried and been unsuccessful in locating a truly good HRT doctor and is limited due to resources, insurance, family, etc. then they really only have three choices:
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do exactly what the doctor says even though it never helps or seems to worsen the situation (which is how your advice comes across). and finally go on anti-depressants (per the doctor’s orders) and just limp along through life feeling horrible until you finally die,
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ignore the doctor, give up, crawl back home, get into a fetal position and wait to die because you feel so bad there is no point in going on, or
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you can treat your doctor as a knowledgable person who is fallible and realize that your doctor is not GOD and does not know everything. so you start treating him or her like a paid consultant (which is what they are), and you engage them in conversations about YOUR health. You offer alternatives and push back on the doctor when they are asking you do to something you don’t agree with unless they can convince you why they are offering that option (something besides dessicated thyroid meds are boggtywoggety because some drug rep told me so - or I don’t test for Estradiol because only women have estrogen).
am I missing any options or missing something here?
and for the record, yes I advise all of the doctors I have seen. This is MY body, and I have put a lot of time and energy into looking for solutions. Do I know everything? Not by a long long long shot, but does my doctor know EVERYTHING? NO, he is human. He makes mistakes, he gets tired after a long day, he also jumps to conclusions at times or makes assumptions (as we all do). He does know more than me, and I respect that and value that.
does this mean that I control my treatment plan 100% of the time? NO. I listen to the doctor’s OPINION (since most realize that HRT is more art then science at this point in history) and I value his insight and opinions, but I want him to explain WHY he is offering those specific options as opposed to others. I want to make an informed decision.
just like a car mechanic who tells you to add some fuel additive into the mix to clean out your engine, but you have had bad experiences with that or have mechanic friends who say it is worthless… do you simply ‘obey’ the mechanic and get the additive because he told you to? I mean he is afterall the professional who has more knowledge and experience than you? OR do you question him, request alternatives, offer alternatives of your own based on your knowledge and understanding, and arrived at an informed decision/agreement?[/quote]
Dude, this is a very good posts, as are all the rest of yours. I have no 'net beef with you.
I understand that I’m very lucky to have a top notch doc. Even my own mother is grateful for him because she witnessed me having a near nervous breakdown at 22 years old because of hypogonadism. I follow his orders without question at this point because I’ve had nothing but success with him, and he treats symptoms as well as lab values.
Very few times have there been any adjustments made in my medication. I used Androgel for a very long time, and recently switched to Testim because Androgel was drying out my skin this past winter and it wasn’t absorbing the way it usually does. I was getting lower readings than usual - lower than in NINE years. So he switched me to Testim, which has a better emolient (pentadecalactone), and everything is running liek it usually does. (Getting Testopel Friday, as written above.) So when I say to him "Doctor, I think something’s wrong… " or “I’m not feeling like myself…” he listens and takes it seriously.
MANY doctors aren’t like that - and I’m fully aware! There are numbskulls in every walk of life.
On the other hand, I see and meet men who are completely negligent, careless, and non-compliant with their medication. Or as with nutrition and exercise on this board and in real life, they engage in more mental masturbation and thinking than they do complying and DOING!
Maybe I am a bit thick-headed at times. I actually am considered by many in real life (especially in my profession, which is in healthcare) to be “exceedingly patient” (exact words by many). However, I honestly believe that once the right doctor is reached, this shit is not much of a friggin’ project.
Here’s how my whole thing worked, step by step:
- Prescribed Androgel for 5 grams.
- Take Androgel.
- Don’t feel like myself. Tell doc, “Doc, I still don’t exactly feel like myself.”
- Doc says, “Alright, we can go to two packs, which is the highest dose; but keep in mind it might take some time to feel good again. I’m gonna write you a script for some Viagra in the meantime too; you might need some help with your erections in the meantime.”
- Lab values are higher. I ignore them though and go about life for the next three months waiting to feel like myself again.
- Life returns to normal after several months.