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  #1  
Old 09-02-18, 11:39 AM
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Family vs Treatment

I have just recently seen the psychiatrist for the usual check in. He told me that he was leaving the practice effective immediately and I need to find a new prescriber. He asked that I see if my PCP would continue to prescribe.
My PCP is out of town and the nurse stated my doctor wants me to ask them (the Behavioral Health Department, same clinic) to find another prescriber.
The BH Dept, has one provider left. My daughter (she, my grandson & her fiancť live with me while they get on their feet) has multiple issues (some rare) and sees multiple specialists. One condition she has is PANDAS and was diagnosed by the last remaining provider in the BH Dept. +10 years ago. There are few providers in my State that are knowledgeable about her conditions.

My problem is that they ďtransferredĒ me to the same provider as my daughter now. (I donít actually have an appointment until months from now). I know that I have an appointment with him, but my daughter doesnít know. If I tell her she might think her information isnít kept separate or that we are talking about her regardless of what anyone else says to the contrary. But I also would feel that I wouldnít be able to openly express pride about either daughter (my youngest just graduated Air Force BMT like I did when I was her age). I raised them by myself & they affect my life every day. - where I live, date, my grand children etc...
If I donít tell her and she finds out, she could feel betrayed. If I go somewhere else, we have to change insurance & clinic and she will lose all her specialists.

So my problem is minimizing the repercussions to my daughter or I give up treatment. Any suggestions?
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Old 09-02-18, 02:36 PM
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Re: Family vs Treatment

How would she know if you saw the same person unless you told her ?
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Old 09-02-18, 03:11 PM
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Re: Family vs Treatment

Itís possible to find out. She could see the Dr. Name on my prescription one day, she could it figure out since heís the only behavioral health provider remaining, mailed correspondence contains the return address of behavioral health, there are multiple scenarios to find out. If she asked me the providerís name out of curiosity or whatever reason, I would have to tell her.
She might feel betrayed not being told by me & or the provider (even though heís not allowed to disclose it). She could be understanding, but limit what she shares with me and/or the provider. I know Iím going to feel awkward since I donít share anything typically at check-ins. I am aware of some things she does share, some things she doesnít share and that she shares things she doesnít want anyone else to know.
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Old 09-02-18, 03:29 PM
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Re: Family vs Treatment

I would tell her up front and see what her reaction is. You might be overthinking this. But if she has concerns about privacy, assuage them by reminding her HIPAA exists and you are a person of integrity and trust the provider is as well.
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Old 09-02-18, 04:33 PM
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Re: Family vs Treatment

Just tell her what happened. Doctors are required to keep everything confidential, but if it doesn't work out, aren't there other providers you could see outside of this Behavioral Health clinic? Since she needs that particular specialist, I can see how she couldn't change providers. I had a hard time finding a provider one time because of Medicare, which almost all psychiatrists won't accept. Fortunately, I live near a large city, so eventually found one that accepts Medicare.
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Old 09-03-18, 08:07 AM
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Re: Family vs Treatment

How old is your daughter?
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Old 09-03-18, 09:01 AM
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Re: Family vs Treatment

My oldest daughter is 21.

If I go somewhere else, we have to change insurance and clinic & she will lose all her specialists.

I know worrying about my daughter could be a non-issue. But if she feels betrayed or feels she canít be as free as before, I would feel horrible destroying that long term relationship of trust. He was her doctor at least a decade longer than seeing me. I have only met with that doctor before when my daughter was a minor, for my daughter.
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Old 09-03-18, 10:45 PM
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Re: Family vs Treatment

I think telling her is fine and appropriate so you don't run around hiding.

You can tell her that you didn't want this situation ... but your doc quit and so on ... and tell her the health information about unavailable doctors.

Your daughter is 21, so HIPPA comes into play there. Her doc can't tell you anything about her condition. Actually I think he's barred from even acknowledging to you that she is his patient. Maybe if you attended one of her appointments with him he would acknowledge that. But your daughter would have to specifically wave HIPPA rules to allow the doctor to share anything with you.

Tell her and don't hide your agony ... This is one of those situations that I've learned when ... you want to show your reluctance and awkwardness ... and fear. Because you're being real and your daughter can pick up on this.

You can say to her that if she objects, you will go elsewhere (assuming that is a real option).

And go ahead and get vulnerable and tell her that your ADHD treatment really helps you be a good father, do you job and live! ... And if I remember correctly, you had a previous doctor who stopped seeing you was it? So this is the time to open up and be real. Own up to being worried that she would think you are interfering with her life and so on.

But eriously, doctors are nuts about HIPPA these days! A friend of mine is a doctor and I am close friends with her husband. Her husband (I'm closer to him so he would disclose) says his wife NEVER tells him about her patients or who she treats. NEVER! She might mention gender and age and talk about someone that way.

In fact, the husband has only figured out who some of her patients are because they live in small area and at dinner, some of the wife's patients will come up to her and say hi and banter with her, which is their right. But even then the wife doesn't reveal anything to my buddy. And this is an extremely close and loving and happy couple.

I think your situation is where we can see the benefit of HIPPA, and I'm guessing your daughter knows that.
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Old 09-13-18, 03:51 AM
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Re: Family vs Treatment

I feel like almost you are making more out of this than there needs to be. You are just as important as she is and so is your treatment. To be blunt, its not anyone's business who you see for care..even your daughter. You can always tell her you respect her privacy and she can respect yours. You need a knowledgable adhd doc and this one is it.
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