Why would my thread on Dr. Mariano get deleted?

[zkt]

Not very professional behavior. You cant just leave a patient hanging like that as you all describe. I can see forgetting to refill a Rx occasionly, but not providing a reliable means of communication? I dont want to jump to conclusions because I have a great deal of respect for him, but thats the kind of behavior you see in doctors who are in it just for the money.

 

[GirlyMan]

"Why would my thread on Dr. Mariano get deleted?"

Dunno. But that's why I feel uncomfortable here.

 

[rob_07]

Wow, this is concerning. I have my first appointment with him this week. I almost feel like canceling after reading this thread .... oh well, whatever, I don't really have anywhere else to turn at the moment.

I'm going to Mariano for severe anxiety/moderate depression related to stress induced adrenal fatigue, btw. Mostly I expect him to prescribe antidepressants, so if there was an rx refill problem, that would really suck for a psych med like that.

 

[sako]

Wow, this is concerning. I have my first appointment with him this week. I almost feel like canceling after reading this thread .... oh well, whatever, I don't really have anywhere else to turn at the moment.

I'm going to Mariano for severe anxiety/moderate depression related to stress induced adrenal fatigue, btw. Mostly I expect him to prescribe antidepressants, so if there was an rx refill problem, that would really suck for a psych med like that.

make sure you keep us posted bro! alot of us are interested in developments

 

[mrevis]

Wow, this is concerning. I have my first appointment with him this week. I almost feel like canceling after reading this thread .... oh well, whatever, I don't really have anywhere else to turn at the moment.

I'm going to Mariano for severe anxiety/moderate depression related to stress induced adrenal fatigue, btw. Mostly I expect him to prescribe antidepressants, so if there was an rx refill problem, that would really suck for a psych med like that.

You won't have a rx refill problem. He give prescription for like 6 months at a time. When you have a phone consult he call in your scripts that day as well. I've had nothing, but a positive experience with Dr. Mariano after I wasted 5 years of my life with other doctors who also were difficult to get a hold or or not call me back. The difference is that Mariano is on another level in terms of his knowledge and success in fixing people. With all the fucked up shit you hear about other doctors and what they do, if Mariano not always calling you back is the only thing anyone can complain about him then I could care less. I won't judge how good a doctor is by whether he calls me back, but how he is able to treat my problems. I understand that that some have been upset that it's hard to get a hold of him, but I would never write off a doctor of his caliber who is ahead of his time just because of that.

 

[sako]

he also hasnt posted in his forum in about a month, maybe hes really really busy

 

[mrevis]

he also hasnt posted in his forum in about a month, maybe hes really really busy

He did state many months back that he became very busy because of the amount of patients he now has and that it was becoming very difficult for him to post often. He posts ever once in a while. I remember when I saw him and spoke with his wife that he drives to I believe 3 different places for work all week. He's has his own practice in monterey were he sees patients like us, then he works for a well know University, and has a stand alone psychiatry office someplace in southern part of California. I mean don't quote me on it, but I do remember it was something like what I explained. He is very busy for sure I won't deny that, but I can see why a lot of people go see him.

 

[mcs5309]

You won't have a rx refill problem. He give prescription for like 6 months at a time. When you have a phone consult he call in your scripts that day as well. I've had nothing, but a positive experience with Dr. Mariano after I wasted 5 years of my life with other doctors who also were difficult to get a hold or or not call me back. The difference is that Mariano is on another level in terms of his knowledge and success in fixing people. With all the fucked up shit you hear about other doctors and what they do, if Mariano not always calling you back is the only thing anyone can complain about him then I could care less. I won't judge how good a doctor is by whether he calls me back, but how he is able to treat my problems. I understand that that some have been upset that it's hard to get a hold of him, but I would never write off a doctor of his caliber who is ahead of his time just because of that.

I agree for the most part, however, when it comes to overall treatment (i.e., needing help in changing meds or supps in one's regimen or onset of new symptoms, etc.), a repeated lack of follow-up is frustrating and problematic. I hope this is remedied in the near future, as he certainly seems very top notch, otherwise, we would not have as much positive feedback on him on this and other forums. I just think he needs to perhaps staff up and get a P.A. or someone equally qualified to micro-manage patient followups per his supervision, of course. Delegate, as we say!

 

[rob_07]

Thanks for the positive comments on Mariano, that eased my mind. I guess there are different views to everything. I will go in with an open mind and am looking forward to it. Will report back.

 

[rob_07]

Spent 2 hours with him. He gave me a massive diet overhaul, a few supplements, and kept me on a low dose ssri that my body can handle. I hope it works out. He was a nice guy.

 

[CubbieBlue]

Spent 2 hours with him. He gave me a massive diet overhaul, a few supplements, and kept me on a low dose ssri that my body can handle. I hope it works out. He was a nice guy.

Tell us about the diet and the supplements.

 

[loopy107]

Spent 2 hours with him. He gave me a massive diet overhaul, a few supplements, and kept me on a low dose ssri that my body can handle. I hope it works out. He was a nice guy.

He spend two hours with me as well. He is very intelligent and nice a doctor and goes into so much detail that it blew my mind. I have been seeing good results since seeing him.

 

[rob_07]

I don't have much time at the moment, I will post more later. But it isn't anything I haven't seen before. It is mostly making sure to get 2 servings of meat a day, a good amount of animal fat, leafy greens like broccoli, etc. Its close to the paleo diet, I think, I am not too informed about diets yet.

Its all about decreasing inflammation.

Oh yeah, for supplements he was big on easy iron to help downstream dopamine production (I get severely agitated on as little as 10mg celexa, a huge sign of major dopamine problems. Also, everything is kind of blurry all the time and I have no short term memory). Also vitamin c 1g, a 10,000 iu, D 5000 iu, e 400 iu, fish oil 2g total epa/dha, b complex 100mg, b12 2000mcg

 

[mcs5309]

I don't have much time at the moment, I will post more later. But it isn't anything I haven't seen before. It is mostly making sure to get 2 servings of meat a day, a good amount of animal fat, leafy greens like broccoli, etc. Its close to the paleo diet, I think, I am not too informed about diets yet.

Its all about decreasing inflammation.

Oh yeah, for supplements he was big on easy iron to help downstream dopamine production (I get severely agitated on as little as 10mg celexa, a huge sign of major dopamine problems. Also, everything is kind of blurry all the time and I have no short term memory). Also vitamin c 1g, a 10,000 iu, D 5000 iu, e 400 iu, fish oil 2g total epa/dha, b complex 100mg, b12 2000mcg

rob_07 - whereabouts are you located? Just curious how far you traveled to see him. Also, had you considered any other docs?

 

[rob_07]

I am from Seattle, WA. I didn't really look into any other doctors. He was the first thing I found that had postings on why I became so agitated on such a small amount of an ssri celexa. I thought maybe he was going to help me make a dosage buildup schedule for the ssri or something, idk. But instead he said I have dopamine problems that means I will never be able to handle a higher dosage of ssri until I correct the dopamine problem.

 

[mcs5309]

I have to give Dr. M credit in that he is ultimately focused on treating the underlying foundational issues first that the other docs never even think of, not to mention being consistent in his opinions as well as actual findings.

Unfortunately, too many practitioners, even the so-called experts in their field, are much too narrowly focused on pounding away on their monotherapies when there exists a vast sea of underlying insidious dysfunctions and imbalances very intricately correlated. A case of classic compartmentalization stemming from excessive refinement of a singular approach. Without treating those underlying issues first, the patient will either not have a sustained optimal outcome or will temporarily improve only to relapse later. It's like fixing a house when the foundation is rotting away. What's the point?

 

[sako]

I have to give Dr. M credit in that he is ultimately focused on treating the underlying foundational issues first that the other docs never even think of, not to mention being consistent in his opinions as well as actual findings.

Unfortunately, too many practitioners, even the so-called experts in their field, are much too narrowly focused on pounding away on their monotherapies when there exists a vast sea of underlying insidious dysfunctions and imbalances very intricately correlated. A case of classic compartmentalization stemming from excessive refinement of a singular approach. Without treating those underlying issues first, the patient will either not have a sustained optimal outcome or will temporarily improve only to relapse later. It's like fixing a house when the foundation is rotting away. What's the point?

It'll be very hard almost impossible to find a single doctor who's good at so many things. You might get 'lucky' and find the doctor who speciliazes in the problem you're having, without even knowing it.

 

[rob_07]

Well there is also the kind of stuff like where I went to an endocrinologist and he just looked at me incredulously when I told him my symptoms of extreme fatigue and extreme anxiety. Since I am a healthy looking male on the outside, I know his mind was immediately like "oh god, another hypochondriac, please go to a psychiatrist and get some mental meds". Its like these doctors don't understand a single thing about what psychiatric medications do, and how they interact with other biological processes of the body.

I did so much harm to my body because I thought extreme exercise was the best thing for a "mental anxiety" problem. LOL.

 

[hardasnails1973]

Bump

 

[virtuosa150]

I remember this thread. This was the thread that got me started looking into Dr, Mariano after I started having real doubts about the doctor that i had been seeing.

I'm damn glad I switched to Dr.M. He has me feeling much better. I've been with him for about 6 months. He looked at all my past blood tests and noticed a couple of trends, one being the study decline in my iron level. After him pointing this out, it seemed so obvious, how could my doctor have overlooked such a simple thing? He also instituted other measures to start bringing other things back into optimized levels.

I can't say I'm no where near 100%, I may never get there, but I will say I can now make it through the day without a struggle. It used to be just extreme exhaustion the whole day. My job was really being effected. Last night I actually sleep 6+ hours straight through. 6 months ago I couldn't fathom this. In my book, every dime I've spent on Dr. Mariano has been worth it.

Thanks han for resurrecting this thread.