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@notaround

I feel your response to ask my doctor is assuming a lot. I don't know why there's still the myth of the caring family doctor. But it needs to stop being assumed. I can see the appeal but it just isn't in touch with reality. If I could make an appointment with a doctor and they actually helped, I wouldn't be here.

The real experience of medical care for not-wealthy people is a stressed out doctor who double books appointments, spends most of their five minutes in the room looking at a chart because they can't remember who you are, and demands only one issue be addressed per visit but never listens to all the symptoms so they know what is related and what isn't. And gets annoyed if you make more than 3 visits a year. So nothing ever gets solved if you have anything more complicated than the flu.

Also there are some other doctors at the same health center but my old doctor is in charge of them so that's very suspect - doctors do share unofficial info on patients and I worry I've been labeled as 'difficult' based on how they talk to me. I have had my faith in the medical system broken repeatedly. But I don't have a reasonable choice. It's medicine or falling into snake oil sellers. I'm close to giving up on all treatment and haven't only because I made a promise to try everything I could.

Besides, I never have a full selection of doctors since I'm FtM. And it's early January so booked for the next few months since people have insurance for the new year.

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Replies to "I feel your response to ask my doctor is assuming a lot. I don't know why..."

@notaround- I hear your anger and frustration. I really do. The medical profession has really turned on us. They say that healthcare is a commodity but it isn't. With a commodity you have choices. Doctors are often shoveling patients through their offices before they are finished asking questions.
But we can't give medical advice. I can't make any further recommendations because other than the fact that you feel overly sedated and are slowly weaning yourself off of Effexor I have no idea what else could be causing your sedated feeling. Depression can cause this. I knew someone that was so depressed that she'd fall asleep sitting in a chair during therapy sessions!
But I'm not hearing what you think that your next step should be. So, putting my assumptions aside, what do you think is causing all the sleepiness? Other than depression do you have any other symptoms or are you taking any other medicines?

You are so right about doctors in the clinics today. I lived on the west side of Cincinnati with regular insurance living in middle income. I had close doctors that seemed to care. When I moved to the NOrth side of Cincinnati I had no insurance I started getting sick with my lungs. I only went to emergency when I had no choice They judged me so harshly. We could only get one or two things done per visit. We did not have a doctor but a practitioner. The hospital had young men doctors that judged you terribly. One told me I was not sick -One said he would give me some pain meds and lied to me. He sent me home in horrible pain. Not everyone is a drug addict. It is amazing how the Welfare can deny you in 24 hrs. but take 4-5 months to help you get health insurance. It is so sad what people go thru when it comes to getting help from a program that we invented to help us in time of need.

@notaround- I am sorry that you've had very bad experiences with doctors. And yes, I assume that most people have insurance, because they do. They are called the middle class. However I'll watch that assumption.
There are some excellent doctors who do care, very much.
Have you had sex-reassignment surgery?
We are all frustrated with insurance companies who have been allowed to rule decisions that doctors make. The world is far from perfect. And may doctors are also frustrated because they want to be paid for their services and spend adequate time with their patients.
This is the second time that you have called me out because of your anger. Why are you so angry?