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Originally Posted by Wild Coyote
Thanks! We did consider XR; however, if I cannot tolerate the increase from 300mg to 400mg, it makes sense to me to attempt this in 50mg increments than to accelerate the titration by utilizing 400XL. 
I'm not sure of why people get hung up on the fact that their own pdoc is affiliated with Harvard. Nor do I understand why others take issue with anyone's pdoc who may have a Harvard affiliation.
My pdoc definitely does not feel she is special, quite the opposite, She is quite humble-- and her colleagues often refer to her as having "a big personality without the ego."
Why the "Harvard Hang -Up" expressed often on this site? Both the "bragging" and the "jabs" seem unnecessary to me and I wonder why this is an issue at all? |
You make some excellent points on both fronts, WC, as usual, and I freely admit to having been guilty of once mentioning where my pdoc trained (I also admit to having done some of my own training there as well, which I don't believe I have ever mentiond before, but full disclosure, FWIW).
That said, I have thought a lot about why people, patients, authors, physicians and psychologists, etc., sometimes seem hung up on the H-word in this milieu and in particular, with this specific specialty. I can tell you, having been in two other major specialties at other schools, that you do not really hear people refer to that Boston institution with other specialties the way you do with psychiatry. Overalll hospital quality, you often hear Mayo Clinic. Peds Surgery--CHOP in Philly. Cancer, often MD Anderson, maybe Sloan Kettering. So on. Obviously, there are lots and lots of other terrific places, though. Tons of them, all over the place. The University of Iowa, for example has super-elite ENT and Ortho programs and has forever. Everyone who knows these fileds knows this.
When it comes to psychiatry, though the Harvard program--the entire, massive, spread-out thing--has really been the clear market leader for decades. By a long shot. It has kind of been in its own league, when you just look at overall contribution to specialty over time. I think that impact has really been felt over time and I certainly do agree that people have gotten hung up on it.
Good for you for pointing this out.