Quote:
Originally Posted by Favorite Jeans
Yeah the cheek swabs are real but there is no evidence to guide their use in day-to-day clinical settings. It's still basically a research tool. So I think this clinician is acting with a lot more confidence than he should be given the current state of scientific knowledge about psychiatric pharmacogenomics. That's unethical. He needs to tell patients that they are essentially participating in research, that this is not the standard of care in the profession and certainly as long as this is not the accepted treatment, neither patients nor their private insurance should be paying to have research done on them.
Regardless, I absolutely agree that the OP needs a T who can be present and provide the support and care they need. To me, the fact that this doctor has failed to set up his client with more support-- despite ample evidence that she needs it-- further suggests that this clinician is not meeting his ethical obligation.
From the second of the above-cited articles:
“I think the way to get the best quality evidence is to begin the study with groups of patients who are genotyped at the front end, so we know who is a slow metabolizer and who is likely to respond to one drug or not,” Mrazek said. “These studies are just beginning to be done.” - See more at: Psychiatric Pharmacogenomics | Psychiatric Times |
I agree with everything you said, this so called "doctor" does not support me, I don't know about his other patients, but I'm someone who will not hesitate to say something if I feel something is wrong.
I had a LCSW that I saw shortly after I started seeing a psychiatrist when I had my accident in 2002, but after a couple of months it felt more like we were friends.
Since this was the first time I saw anyone I was not sure it should be like that and I started to feel I really wasn't getting anything out of seeing her.
She recommended a doctor in another town and I saw him until the end of last year, when he said I'd just have to keep trying different medicines until one of them worked. After trying over 20 and having a bad reaction to the last two I wasn't willing to do that, and I'm still not.
I'm tried of trying, it's all gotten out of hand and I truly don't feel up to basically trying different doctors until I find the right one.
As for the cheek swab, I said some of it was true, however I don't believe it should be used as a tool when deciding which medicines to prescribe unless the patient can tell what they have taken that is on the list and if it worked or didn't.
The charlatan I saw these past few months is history as far as my ever seeing him again, but I may still bring some more things to a person I spoke with when I made the complaints on him.