I just moved to Michigan and my doctor is a money grubbing douche bag and keeps telling me random **** that prob isn't true. If a nurse practitioner in another state diagnosed me with ADD/ADHD, does the diagnoses stand in Michigan law or will I have to get it rediagnosed?
Also - can you mail order 3 months of ADHD medication (namely adderrall)) in Michigan? I was so sure you could but then he claimed to know nothing about it. I really don't have much options about switching docs. =(
Help anyone? I'll give you madd points since this is so technical. I just moved to California from Michigan and though I know a lot about ADD I don't know the answers to your questions.
1)My advice is this... contact Chadd
http://www.chadd.org/AM/CustomPages/home...
They are an organization that should be able to either answer your questions or put you in touch with someone who can answer your questions.
They can refer you to another dr. or tell you the laws in your state. If you are not in therapy I recommend it.
I would guess that doctors or NPs can only prescribe in the state they are licensed in. I am sure you should be able to mail order adderrall in large shipments.
2) I would contact the old NP too and see if there is anything they can do for you. Write a letter explaining the diagnoise. Transfer a RX to get you by.
3)Next I would question why switching Dr.s is not an option. Is there someone else in the practice that you can see. I disliked my primary care DR. but was able to see someone in the same practice.
4)This is one of those cases where firm, adult, transactions need to take place.
" I was on Adderall in _______________ for _____ years. I found it _______________ (explain specifically what it is that changed, focus, attention, temperment, ect.) I would like to continue on with the treatment. Is there a problem prescribing this for me. If so I would like to be referred to another dr. "
Some dr.s don't think adult add is a real disease while others worry about long term affects on the liver and kidneys.
I would call my doctor and asked to be called back at home. Don't take no for an answer but don't be rude either.
This is your health. It is very important. Dr.s have the right just like anyone else to have personal opinions. Some may not believe in birth control for example but if they don't want to prescribe it then they should be able to get you in touch with someone who can. That is just fair.....
(speaking of adderall I assume if you are a woman should make sure you are on birth control while taking it, it does cause birth defects but you probably already knew that.)
5)http://www.additudemag.com/
This is a website to a wonderful magazine. You can either order or read articles on line.
6) Read "Woman and ADD" by Sari Solden. The foremost expert in the field lives in Ann Arbor Michigan. It is a wonderful book that you can get at the library.
I hope that helped. There are support groups, drs, nurses, lawyers, writers, and a entire population of people who have answers and have walked the walk you are walking. Therapy is strange for me to consider because I grew up in a working class enviroment. no one went to therapy. But behavior modification with medicine is the most affective treatment.
I went to a woman and ADD talk Chadd sponsored a few years back. I couldn't believe these successful woman (including the speaker) who all had ADD.
It helped me from feeling all alone. I hope my answers helped. This is one of those things that I don't think will be an easy answer but I think it will be worthwhile quest in the end.
I would start with #4. Firm, polite, honest. "If you can't help me please refer me to someone who can." I would call once a day until I received the answer I was looking for. If my calls were not returned I would call my HMO as well as the other dr.s in the practice. Explain your case " Dr. No Help is not returning my calls. Who can I complain to about not getting a referral for the medication I need?" Dr. No Help will quickly call back.
Firm, polite, and calm. Firm, polite, calm. I would even write down what I was going to say before I called so my emotions wouldn't get the best of me.
Going without meds when you are used to them is really really hard. Especially when the world doesn't seem to get why they matter so much to you.
Good Luck. Hope I helped. You will one way or the other win. I know it. My friend's son has ADD, from my understanding she has to show her i.d. to even pick up his prescription because it's a narcotic...so I'm assuming the answer will be no.
From my research a nurse practioner is a registered nurse with advanced training a Master's Degree, and are able to give the same care as a physician.
I can't argue with Wikipedia, so my answer would be yes they can diagnosis a patient, and they are also able to open their own practice and give the same care as a primary physician. They usually treat for non-emergent conditions, and for more complex situations will refer the patient to see a physician. Good question.
http://en.wikipedia.org/wiki/Nurse_pract...
You would probably get more answers for this question in the Health section. Sometimes physicians answer the questions in that section, or very informed people. Good Luck! if you are trying to get some form of disability?
you might need to be re diagnosed
I will say form past experience - original diagnosis can be wrong
I would think re: the prescription plan- you need to talk to your insurance Company re: the availability of the drug and the forms needed to obtain 3 months supply
MD's really dont know much about insurances and or prescription coverage |
