Most of the time I think they can't understand. You must have been there. Some doc told me when I complained about unbearable side effects, that the illness isn't without side effects either. But change one hell for another isn't always something you want to do.
When I refused Zyprexa, my doc told me that if I was worried about gaining 40 pounds that is an eating disorder! (I'm already overweight) I doubt she would have accepted it. (She said I should expect that kind of weight gain)
I've also been pushed to continue a med that made me not able to move, I physically froze and could only move a little at a time. I refused. Doc thought I was giving up too easily.
I guess maybe they hear less affected people complain, and think we're just making it up. Like with my iron tabs, I don't think the doc actually understood my "puking my guts out" right after taking it, as actually cascade vomiting at every attempt to take it, I think she thought maybe I exaggerated a little and maybe vomit a little once a week or so.
What do I know?
I'm glad my current meds are not a big problem. My main med is without side effects.
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