Date: Sun Mar 11, 2001 6:00pm I've just been accepted by this group, and am so very glad to have found you. Right now, I'm dealing with so much anger because of the situation I'm in - caused by a doctor who refused to take any of my complaints seriously, since he'd decided - for no explainable reason - that I must be depressed. Of course, I was - because I was in constant pain and was losing strength and physical function. In terms of dealing with SSRI's, I'm luckier than some of the people here. I had bad side effects early on from two of them, so refused those, and a third made me genuinely depressed after about a month. I opted to get off it by going cold turkey. It was hard, but I wasn't too deeply into it, so it was doable. The upshot of it all, though, is that the doctor's refusal to acknowledge any of my complaints resulted in a signficant delay in diagnosis, one that resulted in a far more significant and difficult surgery, a hellish recuperation (nowhere near done), limited likelihood of success, a lifetime of more pain and physical limitations. I have also learned that diagnosing my problem should have been easy. I'm 51 years old, but it turns out that I was born with a mild case of spina bifida, with a classic external clue (which no doctor ever noted), and a tethered spinal cord. (This means that the filum terminale, which should hang freely from the base of the cord, is tied to the base of the spine, thus pulling on the cord, with resultant neural problems.) Everything I've seen on the problem is absolutely clear: It should be diagnosed as early as possible, and surgery should be done immediately because it never ever gets better, only worse, and the longer neural deficits exist, the less likely they can be recovered. Aside from the external clue, diagnosis from an MRI is simple. Of course, none of this happened until I forced it to, because when the tethering grew worse, the primary care doctor refused to pay attention to any of my complaints, opting to try to cram SSRI's down my throat. And, since the surgery two months ago, I've had to deal with a doctor-induced addiction to oxycontin. (Rather than allowing me to take it on an as-needed basis, I was instructed to take it on a schedule.) In dealing with the withdrawal symptoms, I asked for help - and you know what happened. The doctor tried to give me an SSRI, which would, of course, have done nothing for the immediate withdrawal symptoms, but would likely have resulted in addiction to that drug later on. And, since then, after dealing with more than anyone should have to handle in a short time - incredible nerve pain, addiction, loss of primary source of income and unable to even start dealing with it because of dealing with recuperation, realization that new symptoms are developing since the surgery, permanent incontinence, self-catherization, realization that friends can provide only so much support since they do have their own lives to lead, and I could go on - I hit a point of severe anxiety. So, I asked for a little temporary help, something like valium. And, of course, the doctor tried to give me an SSRI, which of course would not have done a thing for the immediate problem. He was, of course, quite angry when I refused, but did agree to give me a valium-type drug. I took three of those, which got me over the hump. I am convinced that doctors do this primarily because they're control freaks. Nothing could possibly give doctors better control over people than getting them on SSRI's, which forces you to acknowledge the doctor as the central figure in your life, and forces you to return again and again to get the fix that the doctor has prescribed, and for which the doctor will do everything he (or she) can to keep you from getting off it. And you happen to have other, genuine, problems? So what? That requires real work on the doctor's part, and we certainly woudn't want them to have to earn the obscene amounts they make, would we? Heidi Date: Sun Mar 11, 2001 6:41pm Response1: Heidi, sorry to hear that you've been through such horrible stuff! I think you've found a good group to help you. Hang in there! Renee Date: Mon Mar 12, 2001 10:00am Response2: Hi Heidi, don't be too hard on yourself about what happened, I have been very observing in my life and I feel that I should have known better but we just don't know, every situation seems different and we never see these things until it is too late. Randy Date: Mon Mar 12, 2001 3:48pm Response3: Heidi, on which 3 SSRI's were you on ??? Charly Date: Mon Mar 12, 2001 4:16pm The three SSRIs I had were Prozac, Celexa, and Paxil. I don't recall which was which, though one gave me a horrible headache and I stopped taking it after two weeks. The headache continued for another week. It approached the severity of a spinal headache (the sort caused by a myelogram gone bad, and I've had one of them). One made me constantly tired, and did so within a week, so I stopped it quickly, too. The third I sorta thought was making me feel better (though, on looking back, I'm sure it was just my wanting it to), but then about four to six weeks into it, it sent me into a maelstrom of depression. I stopped taking it, cold turkey. There were a couple of days of utter hell, but I hadn't been on it long enough for it to cause me long term problems. From what I've been reading here, I was lucky. By the way, since the surgery for a tethered spinal cord (the one that wasn't diagnosed because of being tagged as depressed), I've had two different doctors try to put me on SSRIs. One was Effexor. I brought the sample home and actually took one pill. I'd asked for something to help with withdrawal from oxycontin (and that addiction was because of a doctor's telling me to take it on a schedule, not as needed), and that's what I was given! I did a little online research, learned what it was, and dumped the rest of the pills. Contacted another doctor and got a little valium, which got me through the withdrawal. Later (just last week, in fact), I found myself spiraling into a severe depression/anxiety attack. (This, by the way, is the first time that's ever happened to me.) With what I've been dealing with, I don't think it's surprising. The surgery, recuperation, loss of income, and lots more - well, there's just so much a person can take. I asked for some help -something immediate. And the SOB tried to give me Paxil- and had the gall to be angry with me for refusing it. (Fortunately, I was able to get him to prescribe a little of a valium-type drug. Three pills out of the ten got me through that bad patch.) Oh yes -he was also angry with me when I told him that my medical insurance won't cover mental therapy- as if it's my fault. Heidi Date: Mon Mar 12, 2001 4:34pm Response1: Heidi, believe it or not, I took prozac for 15 days, and I believe I may have permanent damage, I know people who have taken only 1 pill and 5 years later still are having problems. This is the whole thing with these drugs, no one knows if that 1st pill is going to be the one that sends them over the edge or if it will be the 7th pill. It's just not worth taking the chance, and that is what the drug companies dont want us to know. And yes, your pretty lucky..., take care, Cynthia Date: Mon Mar 12, 2001 5:08pm Response2: Saying "the drug companies don't want us to know" may be THE understatement of the decade! From what I am discovering, Eli Lilly, for one, spent a lot of money to keep us from finding out what they already knew about Prozac, most of which holds true for all the SSRI antidepressant drugs. You know, after my life fell apart, I had to practically insist on stopping my Effexor, although my psychiatrist finally agreed, saying "You might not tolerate antidepressants." There's another classic understatement for you. So, I decided to read up on this class of drugs a bit and see if anyone else had experienced these sorts of problems. What I have discovered (which continues to grow by the day) is that these drugs devastate people's lives, do permanent damage, and cause people to die. That's about as bad a set of side-effects as you can have, if you ask me. So why is it so %#$@ed hard for the FDA and the courts to see the truth? It is up to us, the victims, to do whatever we can to fight the high-dollar campaigns mounted by the manufacturers, and to educate the doctors on the REAL dangers they are exposing their patients to when the wantonly prescribe these drugs. The 30 seconds it takes them to write a prescription for one of these meds all too often does damage that no amount of time can reverse. That's a huge responsibility -- and I think they are taking it far too lightly. May we be successful in our war against the drug companies and the ignorance they are investing highly to perpetuate! Dan