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I can’t agree with your anecdote. Your previous doctor could have forwarded your medical records. If multiple doctors are of the opinion they won’t prescribe i

I can’t agree with your anecdote. Your previous doctor could have forwarded your medical records. If multiple doctors are of the opinion they won’t prescribe it I don’t think that justifies drug seeking behavior.

Ancapistani 5y ago
He did. The state discouraged prescribing it. I wasn’t seeking “drug seeking”, I was seeking the only medical intervention that I’ve found that ameliorates a diagnosed condition. You really equate that with someone looking to get high?
- dkdk8283 5y ago
  I was under the impression that without peer coaching you couldn’t get a prescription. If state guidelines are at fault how did you find a in state doctor sympathetic? I apologize but I can’t get over the notion it’s drug seeking and/or doctor shopping. I must assume that there was a reason for the doctor not wanting to prescribe you that medication. If state guidelines were the true root why was another doctor amenable? Using performance enhancing drugs is a losing game. It makes it harder for those who wish to use their natural cognitive abilities. In time it forces everyone to dope up.
  - Ancapistani 5y ago
    > I was under the impression that without peer coaching you couldn’t get a prescription. If state guidelines are at fault how did you find a in state doctor sympathetic? I think you’re misunderstanding - I had an existing, active prescription for Vyvanse when I moved into the state. It took me months to find a doctor who would refill it for me. I had already been through years of counseling at that point. > I must assume that there was a reason for the doctor not wanting to prescribe you that medication. If state guidelines were the true root why was another doctor amenable? The state “looked more closely” at doctors who prescribe stimulants. Basically none of the doctors I spoke to in the beginning was willing to add another prescription to their practice because of this. > Using performance enhancing drugs is a losing game. It makes it harder for those who wish to use their natural cognitive abilities. How does this logic not apply to cardiac drugs? It “makes it harder for those who wish to use their natural cardiac abilities”?
  - vineyardmike 5y ago
    >Using performance enhancing drugs is a losing game. It makes it harder for those who wish to use their natural cognitive abilities. >In time it forces everyone to dope up. With all due respect, say less things like this. You're wrong -the drugs treat a medical condition. Its not "doping" or "performance enhancing". > It makes it harder for those who wish to use their natural cognitive abilities Our society is full of people enhancing their natural abilities... with things like cars and escalators and calculators. Treating a medical condition is fixing a medical "flaw" but it is NOT some sort of get-ahead scheme. This sort of diminutive language leaves people feeling bad about themselves instead of seeking adequate medical treatment.
Spivak 5y ago
You clearly have never experienced medical gatekeeping. It can be really frustrating to be forced to change doctors or insurance and have to fight for years to continue the treatment regimen that actually works for you. Your PCP is the tier-1 tech support of the medical world. They have basically zero specialized knowledge to evaluate different medications outside the brochure the sales rep gave them. There's a reason PCP's punt the responsibility for a diagnosis to a psychologist and then play the game of "spin the wheel of stimulants" to find something that both alleviates their symptoms and has tolerable side-effects. Having to go through the process all again for no reason other than weird politics or a doctor on a power-trip is the worst. Ugh.
- dkdk8283 5y ago
  Rather presumptive to think I haven’t been through the medical system or ran into bad doctors. My experiences will be left as an exercise to the reader. You get medical records sent and see multiple doctors until one is aware of your ailment. Strategizing on how to lie is unacceptable to me. Happy to agree to disagree on this one. If one of my reports used work resources to collude for substance abuse I would do everything I can to fire them.
  - Spivak 5y ago
    So "lying to get a treatment that alleviates the symptoms of their medical condition in a system that punishes honesty" is substance abuse now? I literally wish every time I go to the doctor that stimulants didn't get non-ADHD people high so I wouldn't have to deal with this crap.
  - Ancapistani 5y ago
    > Strategizing on how to lie is unacceptable to me. Where are you getting this? Who lied?
  - vineyardmike 5y ago
    > My experiences will be left as an exercise to the reader. I assume that you've sought medical care and been criticized for it, and now spread that unfortunate rhetoric to others?

Ancapistani 5y ago

He did. The state discouraged prescribing it. I wasn’t seeking “drug seeking”, I was seeking the only medical intervention that I’ve found that ameliorates a diagnosed condition. You really equate that with someone looking to get high?

dkdk8283 5y ago
I was under the impression that without peer coaching you couldn’t get a prescription. If state guidelines are at fault how did you find a in state doctor sympathetic? I apologize but I can’t get over the notion it’s drug seeking and/or doctor shopping. I must assume that there was a reason for the doctor not wanting to prescribe you that medication. If state guidelines were the true root why was another doctor amenable? Using performance enhancing drugs is a losing game. It makes it harder for those who wish to use their natural cognitive abilities. In time it forces everyone to dope up.
- Ancapistani 5y ago
  > I was under the impression that without peer coaching you couldn’t get a prescription. If state guidelines are at fault how did you find a in state doctor sympathetic? I think you’re misunderstanding - I had an existing, active prescription for Vyvanse when I moved into the state. It took me months to find a doctor who would refill it for me. I had already been through years of counseling at that point. > I must assume that there was a reason for the doctor not wanting to prescribe you that medication. If state guidelines were the true root why was another doctor amenable? The state “looked more closely” at doctors who prescribe stimulants. Basically none of the doctors I spoke to in the beginning was willing to add another prescription to their practice because of this. > Using performance enhancing drugs is a losing game. It makes it harder for those who wish to use their natural cognitive abilities. How does this logic not apply to cardiac drugs? It “makes it harder for those who wish to use their natural cardiac abilities”?
- vineyardmike 5y ago
  >Using performance enhancing drugs is a losing game. It makes it harder for those who wish to use their natural cognitive abilities. >In time it forces everyone to dope up. With all due respect, say less things like this. You're wrong -the drugs treat a medical condition. Its not "doping" or "performance enhancing". > It makes it harder for those who wish to use their natural cognitive abilities Our society is full of people enhancing their natural abilities... with things like cars and escalators and calculators. Treating a medical condition is fixing a medical "flaw" but it is NOT some sort of get-ahead scheme. This sort of diminutive language leaves people feeling bad about themselves instead of seeking adequate medical treatment.

Spivak 5y ago

You clearly have never experienced medical gatekeeping. It can be really frustrating to be forced to change doctors or insurance and have to fight for years to continue the treatment regimen that actually works for you. Your PCP is the tier-1 tech support of the medical world. They have basically zero specialized knowledge to evaluate different medications outside the brochure the sales rep gave them. There's a reason PCP's punt the responsibility for a diagnosis to a psychologist and then play the game of "spin the wheel of stimulants" to find something that both alleviates their symptoms and has tolerable side-effects. Having to go through the process all again for no reason other than weird politics or a doctor on a power-trip is the worst. Ugh.

dkdk8283 5y ago
Rather presumptive to think I haven’t been through the medical system or ran into bad doctors. My experiences will be left as an exercise to the reader. You get medical records sent and see multiple doctors until one is aware of your ailment. Strategizing on how to lie is unacceptable to me. Happy to agree to disagree on this one. If one of my reports used work resources to collude for substance abuse I would do everything I can to fire them.
- Spivak 5y ago
  So "lying to get a treatment that alleviates the symptoms of their medical condition in a system that punishes honesty" is substance abuse now? I literally wish every time I go to the doctor that stimulants didn't get non-ADHD people high so I wouldn't have to deal with this crap.
- Ancapistani 5y ago
  > Strategizing on how to lie is unacceptable to me. Where are you getting this? Who lied?
- vineyardmike 5y ago
  > My experiences will be left as an exercise to the reader. I assume that you've sought medical care and been criticized for it, and now spread that unfortunate rhetoric to others?