Yeah, don't mess with possible toxicity. I've been in the hospital pretty sick (although not ^ sick) too and it's not good at all. For me one toxicity seemed to make me prone to them and I had lots of minor ones and after the 3rd horrible one I had to stop lithium even though it was really effective for me. Once your levels get up to 1.1-1.2 there's just no wiggle room and toxicity is so easy. I even managed to get toxic twice when my levels had been maintained at .4 or .6 until suddenly they were very high.

I can't believe the on-call pdoc didn't help. My family dr has been involved with one toxicity but my pdoc told him what she preferred he do and the other 2 times she handled it herself.