I agree Cheeto about reading Heavy Fuel's posts (others too).
This is one of the reasons I'm taking the DIY route. As if confronting our problems isn't problem enough......I'm simply not up to fighting with our jackass medical system. I'd had a recent liver panel, so after reading up on it, I was comfortable with a simple order from alldaychemist.
Heavy fuel wrote:
Quote:
I haven’t posted much on my progress. I had a setback I am working through. Nothing to do with my drinking, but everything to do with entrenched lack of thought on how to treat addictions.
As I mentioned previously, I had seen a doctor here and gotten a prescription for naltrexone. I took the Combine study with me and explained I wished to follow that protocol. The doctor took the study and prescribed me 30 days of naltrexone. He then went on about some substance abuse counselor, which should have been a warning to me.
On my return, being a good TSM’er I had my drinking diary and notes. I showed this to the physician and he started railing on and on with the following:
“This is not the standard of care. You are using this as excuse to drink. Numbers are up.” The learned doctor also stated the Combine study was “just someone writing things: it means nothing.” He then said, “I asked others, they haven’t ever heard of this.” He then said the magic words that told me where he was: “we do sobriety here.” He then wanted to prescribe me three different drugs I am not interested in trying at this time. Or injecting me with vivitrol. Oh, yeah, he had an epiphany and called me an alcoholic. Which obviously was supposed to be a newsflash to me…. Anyway, then he claimed I drink because I am emotionally immature. He then said he wasn’t comfortable treating me with this protocol. I told him I wasn’t comfortable with his methods, either.
So, I argued right back. He had the nurse leave the room and we went at each other pretty hard. I didn’t back off. And he gave me my 30 day supply. I explained to him, that number one, from my research I was quite happy with the results gained by those in the Combined study. The results from the combine study showed approximately 16% of study participants adopted abstinence as their means of treatment and asked him that if he described abstinence as the only desirable outcome, what was his success rate with those drugs. He didn’t answer. I also pointed out, naltrexone has nowhere near the side effects as his chemical concoction.
Anyway, I explained to him something he didn’t ask me when we first began this process: I have close relatives who died from cirrhosis and others who had the disease when they died of other causes. I further explained why this happened. He then told me naltexone only works on one type of receptor and I am going to build another receptor. No research I have read shows that. And he couldn't show me one.
Anyway, when he pulled out the “sobriety” card, he and I had an intellectual parting of the ways. That was further exacerbated by his statement the Combine study was “just someone writing things,” meaning being published in the Journal of the American Medical Association has no value. He did not present a single rational argument against TSM. Nor did he offer statistics with harm reduction and abstinence outcomes at a higher rate than TSM. We ended the conversation with him saying I need counseling for my “emotional immaturity” that comes with “alcoholism.” I pointed out I have a corrupted rewards system and will work on that: nothing else is negotiable. I have enough problems without some 12 stepping lunatic attempting to manipulate me.
The net effect of this is I am on the hunt for another doctor. This time, for my own convenience I am going to simply say the naltrexone works wonders and not mention drinking. I just won’t mention the particulars of TSM. I am simply shocked to learn just how entrenched the rantings of Bill W are, even a published study in JAMA cannot override him. Science be damned, a bunch of religious nuts in “the Rooms” know more than anyone else. And it isn’t enough to quit drinking without being “sober,” in their definition of the word. It isn’t enough for some that we regain control of our lives, we have to subscribe to their belief system. Then, and only then, does it seem the Friends of Bill are happy.
It’s just sad.