hannu_ikonen,
@hannu_ikonen@med-mastodon.com avatar

Hi.

  1. If I, a doctor, tell you that neuropsych testing has done the Conners the Wechsler the etc etc on you, and I am telling you they have documented reports indicating against an ADHD diagnosis

  2. and I then say given this, my hands are tied unless I get contradictory data, and

  3. I then send you a list of neuropsychologists to contact for a SECOND OPINION,

  4. I AM LITERALLY SPELLING OUT WHAT I NEED to not look like an asshole to prescribe a stimulant.

hannu_ikonen,
@hannu_ikonen@med-mastodon.com avatar

This is NOT ME being a prude, not me denying ADHD is a clinical diagnosis. Its me needing more than just sheer hubris to overcome DOCUMENTED lack of indication for a medication.

Its that simple.

Give me a reason to treat, and I will. Come to me with testing showing no ADHD, then wtf do you think Im going to do?

Id be happy to have contradictory reports and be like the Vice Prez in the Senate, a tiebreaker weighing in.

But I wont throw away my license to be a callous freewheeler.

hannu_ikonen,
@hannu_ikonen@med-mastodon.com avatar

I feel like Ellen Ripley every day.

"Did [deeply flawed, racially & culturally] IQs just drop while I was away?"

cstross,
@cstross@wandering.shop avatar

@hannu_ikonen Don't underestimate the effects of pervasive barely sub-clinical brain damage from COVID19-induced microvascular inflammation in the brain, maybe? So many folks have had it and there's so much rage, careless/bad driving, etc out there right now I'd be astonished if there wasn't widespread cognitive impairment happening as well. (That'd be in your wheelhouse, I guess?)

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