yeah the outgoing MD-my provider- explained that he'd be continuing dr. Picker's 300 mg/d Adderall regimen IF dr sassin, the local sleep specialist, also the one to whom the local clinic refers regarding 'specialty meds'.
dr sassin was also the dr from whom my evaluation was ordered by dr. picker, a psychiatrist/neurologist. dr. sassin ordered procedures at Stanford sleep. unknown to us, he then began a 3 month vacation, never having reason to suspect i'd need access to him, not even by email. (dr sassin is normally accessible to his patients in this way)
dr sassin gave us his blessing and my rx was/is continued wisely 1 pill shy @ 270 mg/d.
Stanford was a disaster for us. the reason dr picker ordered the evaluation was that I had requested we titrate up to 450mg/d. he granted the upwards titration to 300mg/d from 150 when + results from the MSLT he ordered were in.
he had awareness all along, 8 years, that my stimulant intake was not exclusively his rx. I may not elaborate the details of this here. prior to the MSLT, sleep apnea (mild) and ADHD were the diagnoses that had us working w/Adderall.
he began the visit by explaining that he was entering us into a verbal contract under which I would cease to be rx'ed Adderall by him if I should obtain stimulants ever again, even once, that he did not prescribe. advised he may drug test me at any time. I agreed. he then asked how much Adderall I needed. after the briefest look of apparent shock on his face, he picked up his pen and granted my 300 mg/d.
my wife and I were obsessed w/confining my treatment to dr. picker's rx. it was very difficult, but for 6 months I was a mainstream American. looking back, it's so fleeting. like in the matrix trilogy where neo and trinity become the only 2 living humans to see the sun, that's what it reminds me of.
so when we decided to 'fire' Stanford and we got no reply from dr sassin to our emails saying as much, we believed we were being ignored by dr sassin. by the time I took it to dr picker in an email, I was highly agitated. and who wouldn't be? my wife has had 9 documented suicide attempts. nothing makes her more despondent than 'the coma' our term for my untreated EDS.
thinking, "this time i'm going to fix things up for good" I sought the 450mg/d. in the end, dr picker replied to our email. but only to tell me I was 'manic' and that my Adderall was stopped. little wonder. I was so duly p.'ed off. he was clueless as to why. after all, he did not know dr sassin was on a 3 month vacation either. all he knew was that I was coming to him about a matter for dr sassin, and that I was doing so in an agitated state. I wish I could be4 in dr picker's practice again but I can't re-open communication. all my asking/explaining to him is met w/silence.
next, the alternate source of my treatment became the exclusive one. this was a very difficult 6 months, until my regimen was continued @270mg/d, the final fill date for the final rx from my provider is tomorrow, thurs. 11/7. the 270mg/d might become unavailable to me, ever again, beginning next month.
I hope we survive.