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	<title>Comments for Fond du Lac Psychiatry</title>
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	<link>http://fdlpsychiatry.com</link>
	<description>How Psychiatry Should Be!</description>
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		<title>Comment on  by christy</title>
		<link>http://fdlpsychiatry.com/talk-to-me/#comment-653</link>
		<dc:creator>christy</dc:creator>
		<pubDate>Thu, 09 Feb 2012 22:29:15 +0000</pubDate>
		<guid isPermaLink="false">http://fdlpsychiatry.com/?page_id=60#comment-653</guid>
		<description>I was on methadone when  I gave birth to my daughter.   Unfortunately I had to have a c-section.  I went through this whole process with NO pain management as they treated me as an opiate seeker and said there was nothing they could do fr me. I was also treated this way when my gall bladder was removed and actually walked out of the hospital an hour after surgery becausee I thought if they aren&#039;t helping me I might as well go home and watch Desperate Housewives. I was given 3mg of morphine for both surgeries and told that was all they could do.  Why is there not a better way to treat pain for people who are legitimitely needing pain relief, especially for severe pain such as a c section or car accident. I fear every day something will happen as I don&#039;t want to go through another surgery with no pain management.</description>
		<content:encoded><![CDATA[<p>I was on methadone when  I gave birth to my daughter.   Unfortunately I had to have a c-section.  I went through this whole process with NO pain management as they treated me as an opiate seeker and said there was nothing they could do fr me. I was also treated this way when my gall bladder was removed and actually walked out of the hospital an hour after surgery becausee I thought if they aren&#8217;t helping me I might as well go home and watch Desperate Housewives. I was given 3mg of morphine for both surgeries and told that was all they could do.  Why is there not a better way to treat pain for people who are legitimitely needing pain relief, especially for severe pain such as a c section or car accident. I fear every day something will happen as I don&#8217;t want to go through another surgery with no pain management.</p>
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		<title>Comment on  by admin</title>
		<link>http://fdlpsychiatry.com/talk-to-me/#comment-645</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Wed, 08 Feb 2012 23:30:28 +0000</pubDate>
		<guid isPermaLink="false">http://fdlpsychiatry.com/?page_id=60#comment-645</guid>
		<description>There is no generic Suboxone that I am aware of. There IS generic buprenorphine, which works exactly the same way, and costs as little as $2.50 per tab at some pharmacies--- but some doctors won&#039;t prescribe it, afraid people will inject it.  I think that fear is overblown for most people on buprenorphine.  

I don&#039;t know about China or Mexico, whether they have a generic form of Suboxone.  I have never read or heard about that medication being produced by any generic companies-- but it might be out there somewhere!</description>
		<content:encoded><![CDATA[<p>There is no generic Suboxone that I am aware of. There IS generic buprenorphine, which works exactly the same way, and costs as little as $2.50 per tab at some pharmacies&#8212; but some doctors won&#8217;t prescribe it, afraid people will inject it.  I think that fear is overblown for most people on buprenorphine.  </p>
<p>I don&#8217;t know about China or Mexico, whether they have a generic form of Suboxone.  I have never read or heard about that medication being produced by any generic companies&#8211; but it might be out there somewhere!</p>
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		<title>Comment on  by Fran</title>
		<link>http://fdlpsychiatry.com/talk-to-me/#comment-644</link>
		<dc:creator>Fran</dc:creator>
		<pubDate>Wed, 08 Feb 2012 21:46:05 +0000</pubDate>
		<guid isPermaLink="false">http://fdlpsychiatry.com/?page_id=60#comment-644</guid>
		<description>I talked to a pharmacist this morning (Walgreens) and he assured me that the generic version on Suboxone is not availabel in the US.  But I could find it in Mexico or China...?????  How true is this statement?</description>
		<content:encoded><![CDATA[<p>I talked to a pharmacist this morning (Walgreens) and he assured me that the generic version on Suboxone is not availabel in the US.  But I could find it in Mexico or China&#8230;?????  How true is this statement?</p>
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		<title>Comment on  by admin</title>
		<link>http://fdlpsychiatry.com/talk-to-me/#comment-631</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Tue, 07 Feb 2012 01:22:19 +0000</pubDate>
		<guid isPermaLink="false">http://fdlpsychiatry.com/?page_id=60#comment-631</guid>
		<description>&lt;a href=&quot;http://suboxonetalkzone.com&quot; target=&quot;_blank&quot; rel=&quot;nofollow&quot;&gt;&lt;/a&gt;
Kristina, I will write a reply on my blog, Suboxone Talk Zone.

JJ</description>
		<content:encoded><![CDATA[<p><a href="http://suboxonetalkzone.com" target="_blank" rel="nofollow"></a><br />
Kristina, I will write a reply on my blog, Suboxone Talk Zone.</p>
<p>JJ</p>
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		<title>Comment on  by Christa</title>
		<link>http://fdlpsychiatry.com/talk-to-me/#comment-629</link>
		<dc:creator>Christa</dc:creator>
		<pubDate>Mon, 06 Feb 2012 16:21:25 +0000</pubDate>
		<guid isPermaLink="false">http://fdlpsychiatry.com/?page_id=60#comment-629</guid>
		<description>Hi again Dr. Junig,
I forgot to thank you for your nice reply.  I like the thought that you are an expert on the brain because I have seen my primary that believes this is all behavioural and that ADD is just because of those behaviors.  I can link my past to ADD type behaviors and I have done so much research on the neuro side of it, and have seen that people treated for ADD helps them to get through recovery to stop bingeing/purging and on to cognitive behavioral therapy...etc.  I hope you will consider  helping me.</description>
		<content:encoded><![CDATA[<p>Hi again Dr. Junig,<br />
I forgot to thank you for your nice reply.  I like the thought that you are an expert on the brain because I have seen my primary that believes this is all behavioural and that ADD is just because of those behaviors.  I can link my past to ADD type behaviors and I have done so much research on the neuro side of it, and have seen that people treated for ADD helps them to get through recovery to stop bingeing/purging and on to cognitive behavioral therapy&#8230;etc.  I hope you will consider  helping me.</p>
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		<title>Comment on  by Kristina</title>
		<link>http://fdlpsychiatry.com/talk-to-me/#comment-625</link>
		<dc:creator>Kristina</dc:creator>
		<pubDate>Mon, 06 Feb 2012 05:19:22 +0000</pubDate>
		<guid isPermaLink="false">http://fdlpsychiatry.com/?page_id=60#comment-625</guid>
		<description>I have been on Suboxone for quite a while now (years) and I have this issue I need to understand better and I hope you can help. Every single morning I awake to feeling completely sick and so sick it freaks me out and I am jumping up to get my medicine in me as soon as possible. This would not be such a bad thing, except that I also feel the same if I take a nap in the afternoon. The longer the sleep, the more severe the sickness. I was on Methadone a very long time ago and they did some tests on me that proved I was metabolizing the methadone so fast I needed a split dose. I often take Suboxone in the evening, so that I may have a decent night of sleep, because sometimes I need to take a dose in the evening also. I do not take a dose in the evening every day, but some days are different than others. I need to know if this is normal, or if I have some kind of super metabolism for opiates. When I was on heroin, I definitely needed more than most others, but everyone thought that was just the addiction talking. I am unsure if heroin, methadone and Suboxone all metabolize the same. Please help me, this is kind of upsetting and I need to understand why it is happening.</description>
		<content:encoded><![CDATA[<p>I have been on Suboxone for quite a while now (years) and I have this issue I need to understand better and I hope you can help. Every single morning I awake to feeling completely sick and so sick it freaks me out and I am jumping up to get my medicine in me as soon as possible. This would not be such a bad thing, except that I also feel the same if I take a nap in the afternoon. The longer the sleep, the more severe the sickness. I was on Methadone a very long time ago and they did some tests on me that proved I was metabolizing the methadone so fast I needed a split dose. I often take Suboxone in the evening, so that I may have a decent night of sleep, because sometimes I need to take a dose in the evening also. I do not take a dose in the evening every day, but some days are different than others. I need to know if this is normal, or if I have some kind of super metabolism for opiates. When I was on heroin, I definitely needed more than most others, but everyone thought that was just the addiction talking. I am unsure if heroin, methadone and Suboxone all metabolize the same. Please help me, this is kind of upsetting and I need to understand why it is happening.</p>
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		<title>Comment on  by admin</title>
		<link>http://fdlpsychiatry.com/talk-to-me/#comment-517</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Sun, 25 Dec 2011 17:05:49 +0000</pubDate>
		<guid isPermaLink="false">http://fdlpsychiatry.com/?page_id=60#comment-517</guid>
		<description>Ideally no, but I suppose that it could.  I do know of people who believe that they have been &#039;labelled&#039;, and now cannot get the pain medications that they believe that they need.  The problem, of course, is that we are both assuming that the medical profession will fail you-- that if doctors know the absolute truth about your situation, they will NOT use that information in a positive way-- but will instead judge you, and treat you in a way that is not consistent with your health needs.

I wish I could say that such an idea is &#039;poppycock&#039;- but I don&#039;t know if that would be a truthful response.

You could, of course, not share that info with a future doc.... I don&#039;t know if that is something one could rely on, in an era of health systems and computerized records.  

To be frank about pain and Suboxone, if you truly have severe pain-- and only you know the truth of that situation-- then you will likely be disappointed by buprenorphine/Suboxone.  But if the pain is at all secondary to other things-- to fear of withdrawal, for example-- then by all means, change to Suboxone, and you&#039;ll never look back.</description>
		<content:encoded><![CDATA[<p>Ideally no, but I suppose that it could.  I do know of people who believe that they have been &#8216;labelled&#8217;, and now cannot get the pain medications that they believe that they need.  The problem, of course, is that we are both assuming that the medical profession will fail you&#8211; that if doctors know the absolute truth about your situation, they will NOT use that information in a positive way&#8211; but will instead judge you, and treat you in a way that is not consistent with your health needs.</p>
<p>I wish I could say that such an idea is &#8216;poppycock&#8217;- but I don&#8217;t know if that would be a truthful response.</p>
<p>You could, of course, not share that info with a future doc&#8230;. I don&#8217;t know if that is something one could rely on, in an era of health systems and computerized records.  </p>
<p>To be frank about pain and Suboxone, if you truly have severe pain&#8211; and only you know the truth of that situation&#8211; then you will likely be disappointed by buprenorphine/Suboxone.  But if the pain is at all secondary to other things&#8211; to fear of withdrawal, for example&#8211; then by all means, change to Suboxone, and you&#8217;ll never look back.</p>
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		<title>Comment on  by Ashley</title>
		<link>http://fdlpsychiatry.com/talk-to-me/#comment-515</link>
		<dc:creator>Ashley</dc:creator>
		<pubDate>Sun, 25 Dec 2011 08:46:50 +0000</pubDate>
		<guid isPermaLink="false">http://fdlpsychiatry.com/?page_id=60#comment-515</guid>
		<description>I live in Vancouver Bc. I currently have been self medicating myself being that I havent found a doctor that will tend to my chronic pain. I cant afford to buy oxys off the street anymore so I have no choice to get off of the at the cost of being in constant pain. I want to know if I do find a doc to prescribe me subs will it red flag me from ever being prescribed narcotics again???</description>
		<content:encoded><![CDATA[<p>I live in Vancouver Bc. I currently have been self medicating myself being that I havent found a doctor that will tend to my chronic pain. I cant afford to buy oxys off the street anymore so I have no choice to get off of the at the cost of being in constant pain. I want to know if I do find a doc to prescribe me subs will it red flag me from ever being prescribed narcotics again???</p>
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		<title>Comment on  by admin</title>
		<link>http://fdlpsychiatry.com/talk-to-me/#comment-410</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Thu, 08 Dec 2011 20:40:34 +0000</pubDate>
		<guid isPermaLink="false">http://fdlpsychiatry.com/?page_id=60#comment-410</guid>
		<description>You are having something called hypnogogic hallucinations and hypnogogic sleep paralysis;  the symptoms can be caused by a number of factors, although the difference between generic buprenorphine vs Suboxone is not one of them (the two substances are actually clinically identical).  Opioids can cause these effects, and perhaps simply going back on buprenorphine is what is doing it.... they can also be caused by stress, changes in sleep schedule, and other psychotropic substances.

The symptoms are a general sign that a person&#039;s sleep schedule is off track, and sometimes things get better by enforcing a very regular schedule.  Sometimes medications can accomplish that as well.  Another trick-- if you are paralyzed, you will find that you still can control your breathing;  if you remember to take larger and larger breaths, that will supposedly wake the person out of the state that he/she is in.

Look up &#039;sleep paralylsis&#039; and you&#039;ll find plenty&#039;&#039; &#039;hynogogic&#039; means occuring while falling asleep, whlile &#039;hypnopompic&#039; are things that happen as a person is waking from sleep.

JJ</description>
		<content:encoded><![CDATA[<p>You are having something called hypnogogic hallucinations and hypnogogic sleep paralysis;  the symptoms can be caused by a number of factors, although the difference between generic buprenorphine vs Suboxone is not one of them (the two substances are actually clinically identical).  Opioids can cause these effects, and perhaps simply going back on buprenorphine is what is doing it&#8230;. they can also be caused by stress, changes in sleep schedule, and other psychotropic substances.</p>
<p>The symptoms are a general sign that a person&#8217;s sleep schedule is off track, and sometimes things get better by enforcing a very regular schedule.  Sometimes medications can accomplish that as well.  Another trick&#8211; if you are paralyzed, you will find that you still can control your breathing;  if you remember to take larger and larger breaths, that will supposedly wake the person out of the state that he/she is in.</p>
<p>Look up &#8216;sleep paralylsis&#8217; and you&#8217;ll find plenty&#8221; &#8216;hynogogic&#8217; means occuring while falling asleep, whlile &#8216;hypnopompic&#8217; are things that happen as a person is waking from sleep.</p>
<p>JJ</p>
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		<title>Comment on  by Krista</title>
		<link>http://fdlpsychiatry.com/talk-to-me/#comment-408</link>
		<dc:creator>Krista</dc:creator>
		<pubDate>Thu, 08 Dec 2011 07:15:24 +0000</pubDate>
		<guid isPermaLink="false">http://fdlpsychiatry.com/?page_id=60#comment-408</guid>
		<description>Hello there.  I have a question that perhaps you will have an answer to.  I have been on the generic subutex 8mg 3x day for about a year.  I moved out of state and was unable to find a new doctor right away, so I was off the meds completly for about three weeks.  When I found a doctor, they would only prescribe suboxone, so that is what i started up on. (same dose as the generic subutex)  I have been on it for two days, and I am finding that right after I lay down at night, I start having disturbing &quot;dreams&quot;, but it seems as though I am not even asleep yet.  I just lay there for awhile, having these strange, disturbing thoughts, and it almost feels like i cannot move.  I finally have to force myself to come back to reality and get up out of bed.  It is disturbing.  I have had vivid nightmares since starting the subutex initially, but never anything like this.  I don&#039;t know if this is common or what about the suboxone could be causing this?  Any insight would be greatly appriciated doctor.  Thank you for your time.</description>
		<content:encoded><![CDATA[<p>Hello there.  I have a question that perhaps you will have an answer to.  I have been on the generic subutex 8mg 3x day for about a year.  I moved out of state and was unable to find a new doctor right away, so I was off the meds completly for about three weeks.  When I found a doctor, they would only prescribe suboxone, so that is what i started up on. (same dose as the generic subutex)  I have been on it for two days, and I am finding that right after I lay down at night, I start having disturbing &#8220;dreams&#8221;, but it seems as though I am not even asleep yet.  I just lay there for awhile, having these strange, disturbing thoughts, and it almost feels like i cannot move.  I finally have to force myself to come back to reality and get up out of bed.  It is disturbing.  I have had vivid nightmares since starting the subutex initially, but never anything like this.  I don&#8217;t know if this is common or what about the suboxone could be causing this?  Any insight would be greatly appriciated doctor.  Thank you for your time.</p>
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