Our expert says:
WOW, this is a LONG one ! And posting it three times is surely an accident, but the cumulative effect feels rather overwhelming ! Lets see.
Over-all, it sounds as though your elderly neurologist may be getting a bit past it ? Maybe a second opinion from a fresh younger neurologist would be useful ?
Yes, he should of course have asked you why specifically you had arranged to see him at that time - but I suppose you could also have been a bit more assertive and told him anyway ! IF that information hadn't led him to more pertinent questioning and physical examination, then you'd have had stronger grounds for complaint.
Having had a relapse was indeed very significant and he needed to be told about that.
Its not totally clar from your message, but did you actually try to Provigil for a month, and find it to be of no use to you ? Or did you decide it wouldn't be helpful and not get it and take it ? Some people find it very useful indeed, and I gather it is used by the US military special ops teams to help them keep alert during special missions, so it must be of some use to someone !
DO I understand that you took it and still felt it necessary to back it up with the over-the-counter stimulants ? The dependency on those could be relevant, and might even interfere with the actions of Provigil or other drugs.
I haven't heard of kickbacks for prescribing Provigil ! But then, despite the many wicked people I have come across in life, nobody's even offered me a kickback so far !
And whether or not he got kickbacks ( which is actually highly unlikely ) if the MS meds have been helpful for you, surely you should remain on them ? For your own sake ?
I'm really not sure whether reporting the matter to the HPCSA would help you - in my experience over many years, they have been pretty well useless in dealing with terribly serious offenses and other matters, and they could waste your time considerably without ptoviding you with any satisfaction in the end. Better to see a second opinion from a younger and more energetic doctor. Maybe also it'd be easier for your new neurologist to get copies of your previous medical records if you part from your old neuro in a more neutral if not exactly friendly fashion ?
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