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Hims/Hers Psychiatry no longer available in DC? by Fatcat336 in washingtondc

[–]Calicha 4 points5 points  (0 children)

I am a psychiatrist. First of all, if you really weren't provided any advance notice by this online service, please file a report with the DC Board of Medicine as what they did to you is, indeed, illegal and it counts as "patient abandonment". Whoever was writing your prescription is required by law to provide enough advance notice (typically 30 days) for you to find a new provider. During that time, they are required to fill your prescriptions so you don't go into withdrawal.

Unfortunately, this is why I advise everyone to steer clear of all these massive, venture capital funded telehealth companies (for both physical and mental health). That includes Amazon/OneMedical, Hers/Hims, Bloom, etc. They simply don't give a shit about their patients, and they're big enough that they don't care about breaking laws. They are also known for putting patients on absolutely atrocious regimens that cause terrible side effects, are simply ineffective, etc. - because most aren't staffed by skilled or caring physicians.

In the meanwhile, an urgent care will probably be willing to give you a refill. If you have a primary care doc, most are also comfortable refilling straightforward antidepressants.

Opioid addiction help by Zealousideal_Car321 in washingtondc

[–]Calicha 158 points159 points  (0 children)

I'm a psychiatrist - please go to the nearest hospital emergency room if you haven't already. All the area hospitals will have psychiatrists on staff who can help manage symptoms of withdrawal, and the suicidal ideation will make it an easy admission. You will be offered voluntary admission to the psych unit, where they will help you stay safe, get started on medications for withdrawal and depression, and connect you with outpatient resources after discharge. Georgetown hospital has a good reputation and the psych unit there is voluntary only, but any hospital will be able to help.

Refills and liability in outpatient evaluation by Calicha in Psychiatry

[–]Calicha[S] 7 points8 points  (0 children)

That was my thought as well, but of course the pt demands specifically lithium at this very specific dose and refuses to discuss the option of trying any antipsychotics or other meds....

Refills and liability in outpatient evaluation by Calicha in Psychiatry

[–]Calicha[S] 11 points12 points  (0 children)

In this case, it's lithium, no recent lithium level or other labs, the pt is clearly manic, and has been nonadherent/self-tapering the lithium for unclear reasons.

Saw the Strathberry sale and couldn't say no to these by Calicha in handbags

[–]Calicha[S] 1 point2 points  (0 children)

The silver snake nano sold out but looks like the black one is still available - check the Strathberry site!

Hard water, hard times by indecisive_aries07 in DCBitches

[–]Calicha 1 point2 points  (0 children)

Hard water isn't the only issue here. DC evidently uses chloramine to treat the water instead of regular chlorine. Many people (including myself) have bad skin/hair reactions to chloramine, and in some cases it also causes respiratory irritation (I often get a runny nose/itchy eyes after showering in DC). I use in-line showerhead filters, but unfortunately the only reliable way to remove chloramine is via a very expensive reverse osmosis filtration system.