I think the resident missed the mark. I was on Zoloft by itself, then Paxil by itself, but I don't think it's right to mix them, then not advise counselling, and then offer her no form of after care or med supervision. I think the rez was careless. What if the patient flips out on the meds given? Then she's right back in the ER, another huge copay, and worse off than before.

This is a good example of why I don't let residents touch me. They make alot of mistakes, careless ones, the smartass ones argue with me like they know more about my disease than I do, brush off and discount my opinions, (And honey, I have some), then shoo me away with an incomplete script and no way to get it fixed if (a) it's not on my insurance's formulary, or (b) the pharmacy can't read the writing.

I always demand to see MD's, and if the rez or the 3rd year student wants to watch or comment, that's fine. I always then ask the student how she would rate the MD's performance in my case, in front of the MD, to get a smile.

I have been in that spot, that of the woman you wrote about, and I regretted going to the ER because I did not get my money's worth.

Did an MD supervise and approve what the rez did in this case, Laser?