what to do if your dr's pa wont listen?
i have been seeing my neurologist regularly. but my last visit they had me see is pa which at the time i didn't have a problem with but she is not listening to me, she just keeps telling me that i need to give the meds a little longer to work and she keeps trying to put me on tylenol with codeine and that doesn't help my migraines. and my actual neurologist is booked with appointments until after january. any advice
better yet , find out if there are any epileptologists ( neurologist who specialize w/ people who have epilepsy ) in your area. the next best thing would be, to call the epilepsy foundation. they maybe able to help you find a good dr.. and not a pa.
I'm so sorry. This is hard to accept. But sometimes people get to the point that they don't want to socialize. My mother - who was once very social - simply arrived at a point where she only wanted those close to her or the nursing home staff around. She was in a lot of pain which I think was much of it.   
  
If your mother was once social, then you could ask the doctor to experiment with her medications. There may be other options.  
  
However, sometimes we have to accept that these diseases take their course and we can only do so much. Forcing what the person obviously doesn't want isn't helpful.  
  
Offering suggestions - yes - so continue to do that. I'm certain that the AL staff does the same. But you can't make it happen if it's not going to happen. Offer all of the support that you can.  
Take care of yourself, too.  
Carol try to call md office and ask if they can expedite the appointment. if they have cancellation, they hopefully can squeeze you in to their schedule. tell them the urgency. if the pain is so bad and you have no way to be seen early by pmd- consider about urgent care. see more... A.  You wouldn’t go to a pediatrician if you had cancer. You wouldn’t go to a kidney specialist if you had heart trouble. All doctors are not alike. Sometimes we have to go to the right specialist to get the help we need. In your case, you need both a psychiatrist and a therapist who work together to get the right care.


The treatment of choice for your problems is a combination of medication and talk [therapy](https://psychcentral.com/psychotherapy/). [OCD](https://psychcentral.com/disorders/ocd/) and [anxiety](https://psychcentral.com/disorders/anxiety/) disorders can be treated and managed successfully. Generally, patients see their therapist weekly and, after an initial period of weekly visits to get the medication right, they see their psychiatrist every few months. When the two professionals are working in the same practice, they are able to confer with each other easily and work together to give you good care.



I understand that you have been afraid to see a mental health professional because of your grandfather’s experience. But treatments have changed considerably since your grandfather’s time. From the little you shared, I also suspect he had a much different problem.


To find a specialist, ask your primary care doctor for a referral to a practice. You can also go to the “Therapist Locator” on the homepage of PsychCentral.


Please don’t hesitate to make an appointment for an initial session. The clinician will listen to your story and will make suggestions. (Take your letter with you if you want to jump start the conversation.) You are under no obligation to follow through with the treatment plan that is proposed. But I hope you do. You’ve suffered far too long.


I wish you well.  

Dr. Marie


I Have Struggled for Years Good evening, thanks for asking at HealthReplies.com. Complaints that you experience can be caused by various things, which among each symptom can be interrelated or not. Among the possibilities are:



 Pinched nerve disorders Infection or inflammation of the nerve lining Low blood pressure Spinal structural abnormalities Kidney stones This condition is most likely harmless, but it must be checked immediately because up to this point, the possibility is still very diverse, whereas the handling of each possibility can be different. So our advice, try to check yourself to a general practitioner, and may go directly to a neurologist, to find out more about his condition through direct examination. The handling that you will receive later depends on the results of this inspection.



Meanwhile, consume foods that are rich in B vitamins, limit physical activity, meet your fluid needs, and see your doctor immediately. So, hopefully answering your question. hi, thank you for your question. headaches are a common problem among our population. your headaches that causes you to hardly do anything can be a terrifying experience for you. furthermore, the earache that accompanies your headache must be troublesome for you.
there are 2 main types of headaches which are primary headache and secondary headache. primary headache is only due to the headache itself without other causes. examples are tension headache, cluster headache and migraine. secondary headache is due to underlying health conditions, such as sinusitis, meningitis, trauma, tumour, bleeding and medications. some of these conditions are life-threatening and needed to be treated seriously.
it is helpful for your to keep a headache diary which keep tracks on the onset, duration, timing and progression of the headache. this helps the doctor greatly to establish a diagnosis. doctor may also need to know any associated symptoms such as fever, weight loss or history of cancer. this is important to rule out the secondary headaches. for a primary headache, the headache is normally predictable tiggers, stable pattern and individual is feeling fine in between headaches.
migraine is more common among females and can be associated with menstrual period. the headache is commonly described as throbbing, on one side of the head, becomes extremely sensitive to light and sound. if the conditions still persist without any improvement, please seek your healthcare providers to get appropriate treatment.
from your complaints, we believe that your earache condition may have multifactorial causes such as:

ear infection
change in pressure, such as when flying on a plane
earwax buildup
a foreign object in the ear
strep throat
sinus infection

in order for us to provide you with an accurate choice of treatment and management, we need additional details to explore further into your current complaints. therefore, we greatly suggest that you refer this to your nearest medical doctor.
you can easily get ear problems, but don’t let it get to you.
we believe that it could be due to sinus infection from the information given. it fits earache and headache that you are having at the moment. however, this is not definitive and you may call us or seek professional help.
you should get a doctor’s consultation to find out the exact cause of this problem in order to be properly managed. to find out the exact cause of the problem you are encountering, more information is required before conclusions can be made.
therefore, you are strongly advised to refer the matter to the doctor. please click on the link (doctoroncall) to contact your doctor to speak with our pharmacist online. we will protect your privacy. thank you.
discuss your symptoms with an ear, nose and throat(ent) specialist for their expert advice. Shawn,
 
If no brighter suggestions appear, you may try the list:
 
 
 
THE LIST
 
 
If things that should work simply refuse to (all possibilities exhausted including the A) - D) below (and carefully making sure you are performing (all) the needed things)), you may try (the relevant part(s) of) the list 1) - 8 ) below.
 
 
Sometimes, (certain) things may fail or stop working for no apparent reason. When the (other) possible reasons/cures fail to work, it may be some kind of (temporay or permane... medication dosages might not be optimal. discuss with your doctor possible adjustments. see more... A. I am so sorry that you were struggling with these symptoms, and very glad you took the time to write us here at Psych Central.

The intensity of your reactions and the volatility of your thoughts suggest evaluation by a psychiatrist or a psychiatric mental health nurse-practitioner. The forceful and rapid mood swings combined with the internal voices and commands indicates you should make this appointment sooner rather than later. A psychiatrist or a psychiatric mental health nurse practitioner would be in a better position to know if there is a medical concern underlying the symptoms. He or she would also be able to prescribe medicine if it is needed.

Wishing you patience and peace,  
 *Dr. Dan*  
 [*Proof Positive Blog @ PsychCentral*](https://psychcentral.com/blog/archives/author/danielt/)

Confused about My Intense Mood Swings, Rage and Paranoia she might be depressed. judicious low dose treatment might help her.... and you. see a geriatrician. I think many of us have to depend more on observation and self-study than on diagnoses, given the expense of testing and the ugly fact that nothing short of an autopsy can give certainty. Here’s how we are coping with that uncertainty. Before my Mom came to live with us, she had fallen at night going toward the bathroom in her apartment. It was 3 days before anyone found her, and there was severe dehydration and some brain damage due to oxygen starvation. She recovered some functioning in rehab, but we had also noticed before the fall that there were more and more signs of cognitive decline. We were warned by a friend who is a geriatric psychologist to not accept the overall “Alzheimer’s” diagnosis which was bound to occur, but to be aware that there were dozens of dementias, some of which needed very different approaches from what is advised for Alzheimer’s. After she got out of rehab she went through a very bad AL situation and into a very good one. She had a GP who made housecalls but was not that knowledgeable about dementia. She had begun describing what could only be hallucinations and agitation, so her doctor put her on an anti-psychotic, an anti-anxiety and a depression medication. Wow! What a mess! Mom had rarely even taken an aspirin before that so maybe her body was super-responsive to the invaders. Anyway, it did more damage than good, and once we eliminated the meds, she slept all the time. We decided to move her in with us and her new doctor prescribed Namenda. We started with 10 mg, which was too much and increased her agitation. We cut back to 5 mg. once a day at nighttime and it was like a miracle occurred! Now don’t get me wrong, there’s still dementia and it’s still advancing. But my point is that sometimes when you don’t have a diagnosis, it’s useful to read up on the various kinds of dementias, do a checklist of the symptoms to determine which is the best match to the behaviors you are seeing, then become knowledgeable about the various RX’s physicians are likely to try, and get very good at monitoring the response to each and asking about/suggesting others you’ve read about. (I know, you thought that was what doctors did — me, too! Wrong!). I found that as long as I behaved as a fairly well-informed and non-judgmental problem-solving partner (and not as an over-protective, aggressive, critical, and sometimes hysterical relative), I got the same treatment back from the doctors. (Of course, if I did not get that, I did not hesitate to find a doctor with an attitude that worked better for us.). Over time, the troubles with balance, the hallucinations that occur immediately if she misses a dose of Namenda, the depth perception, the amount of activity and conversation that goes on while she’s “sleeping”, the extreme variability from “almost normal” to “almost unable to function”, etc. convinced me it is LBD. It’s not a formal diagnosis because we can’t afford all that testing either. But it’s enough for me to protect her from getting inappropriate medications. While there may come a time to move her to a memory care unit, I will also be able to be proactive with staff about what works with her LBD that is probably vastly different from what works with some of their ALZ patients. Summary: observe, study, and use your best and most loving judgment, with or without a diagnosis. Respect but don’t worship the doctors who are trying to help. And trust your gut. You spend more time with your LO than anyone else and your observations are valuable.