Residency and Provigil

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In that thread, you're getting a lot of opinions from people who rarely or never, or can't prescribe it. While SDN can't give medical advice per se, know that psychiatrists use this medication all the time, and at least in my experience, have yet to experience "severe agitation," even in the elderly population. If you're truly concerned for patient safety and need stay awake on a typical medical student or intern schedule, consider asking a knowledgable GP or psychiatrist for a rx. It's not an unreasonable concern and may be worth exploring.
 
Anasazi23 said:
In that thread, you're getting a lot of opinions from people who rarely or never, or can't prescribe it. While SDN can't give medical advice per se, know that psychiatrists use this medication all the time, and at least in my experience, have yet to experience "severe agitation," even in the elderly population. If you're truly concerned for patient safety and need stay awake on a typical medical student or intern schedule, consider asking a knowledgable GP or psychiatrist for a rx. It's not an unreasonable concern and may be worth exploring.
Thank you, Anasazi23, I will definitely talk to my GP and probably give it a shot. It could be a lifesaver for me.
 
Sometimes I just need some different opionions about when I should actually see a doc...not asking for real medical advice....I simply need a little prodding about when enough is enough and doc-visit is warrented, so I copied my reply that I put on the other provigil thread....Any opinions are helpful!

Wow...Quite a discussion!

I've taken provigil...got some samples from the psych guy when I was on my rotation. Couldn't believe how it worked. I guess in the past 2.5 years, I've taken it about...oh...6 or 7 times. He only gave me a few samples. I've got 4 pills left and I guard them with my life. (I should look to see if they've expired!)

Anyway....hearing some of the posters recommend sleep consults interests me because I've been wondering if I need to do that.

I can't sit and read for more than...literally...a couple of minutes without nodding off and 😴 ....seriously...having an actual dream in the 2-3 seconds I nod off. 😴 I can do this over and over while trying to sit and read. It's to the point where I simply do NOT read all that much anymore, which is a problem. I can't stay awake for lectures. I close my eyes for a second and have that "falling" sensation. A couple of times, I've almost fallen out of my chair. 😴

Now, the part that has me wondering if I really need a sleep study is that I KNOW I am sleep-deprived. I go to bed between 10-11 (most nights...some nights I go to bed and cuddle with my 3 year old around 9)...and I get up at 3:45 so I can run before going to the hospital. Oh, and I am an intern.

So, I already know what some of my problem is. However, the other thing is that I wake up...an average of 4-5 times/night...and those are the times I remember doing so. I wake up, look at the clock, then go back to sleep. 😴

I can fall asleep anytime/anywhere. 😴 There is not a single second in my day that I don't wish I was sleeping. Climbing into bed is - for real - the highlight of my day.

Physically, I am training for the St.Louis marathon...so I don't lack physical exercise. And I don't overtrain by any means.

So....I am afraid to go to a sleep specialist and have him/her tell me what I already know 1)you are an intern...this is expected 2)you need more sleep

That's a LOT of money for diagnosees (sp?) that I can do myself! I also don't want someone to prescribe antidepressants. Not against them...been on them...just honestly don't think I'm depressed. I have a constant, baseline amount of anxiety and agitation...I'm a sleep-deprived type-A...what can I say!

However, if there is a chance that there may be something I can do about this...then I would be willing to go. I just 1)hate going to the doctor 2)hate seeing docs I work with, but don't want to take vacation/sick time to travel to another town to see someone else 3)don't want them to find "nothing" = wasted money and time and then I look like a frickin psych case.

Oh, I am married with a 3-year old daughter. I love my life...but, man, I'm exhausted. 😴
 
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