medicine

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Recently, a patient’s widow called to cancel a routine assessment because the patient suddenly died. There had been no freak heart attack and it had not been one of those undiagnosed cancers.  He just “died, suddenly, in his sleep, I guess,” she said. That got me thinking.

The first class of drugs I think about, when I think of sudden death, are the stimulants.  I remember when someone decided that everyone who was going to get stimulants needed to have a “cardiocentric” examination first.  Doctors asked a lot of questions about chest pain, and administered an electrocardiogram.  These precautions were especially interesting because they were – of course – used before prescribing Ritalin. Many child psychiatrists had laughed at me when I cautioned usage of this job, claiming it was the safest medication ever invented. Once – at the peak of my massive weight — an endocrinologist offered me a prescription of Meridia, to get rid of my excess weight.  He did not think the fact that there had been a “few” reports of sudden death should get in the way of my using it. Read more on Sudden Death in Psych Patients — From Medicine…

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I’m nowhere near what anyone would call a “News Junkie.”  My husband, a former newspaper man, often calls my attention to articles of interest and I see headlines occasionally on various web pages, such as Yahoo or Google. But this type of story seems to come up pretty regularly any more.

Yes, most people in our country are in terrible shape.  I probably harp about it more than I need to.  But remember what Mark Twain (another newspaper man) once said:

“Everybody talks about the weather, but nobody does anything about it!” Read more on Who Needs Wonder Drugs? We Have Vitamin C!…

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I think everybody loves to eat.  Eating can be pure, sensual delight.  And those that don’t like eating – well, they come see somebody like me because that can be a real problem.  It can be a problem for those that REALLY love to eat also – like the 700 lb. woman that not only makes her living in eating contests, but wants to be a record holding “Most Obese Woman” in the world.

I’ve seen some patients who could be in the running for this. Sometimes they have medical treatment to blame. Many medicines can add weight even if you eat nothing but air and water – seriously. I have seen people gain weight regularly, usually 15 to 20 pounds a month or so.  Steroids, psychotropics and some other drugs can make you gain weight and keep you losing weight.  Even treatments for diabetes – like insulin. Read more on Will Your Doctor Help You Lose Weight? Fat Chance!…

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How much time did it take people to figure out that treating something will prevent its spread? About 30 years for AIDS, according to our major news media.

DUH!  We have already figured out demographically that treating influenza prevents its spread. Our friends at the CDC have the flu nicely codified.  A nice list of things we can do to prevent it.  One of them is, of course, using those lovely new antiviral drugs.  Yes, you can treat it, and clearly, that is a good thing, for not only does the patient get better (sometimes they are actually grateful), but it does stop the disease from spreading. Read more on AIDS Treatment=Prevention…

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I’m sure you’ve heard of Americans who need health care but don’t have insurance or aren’t qualified for whatever programs are offered by the government going to Canada or some other country to take advantage of their universal health care programs.  Or maybe somebody who has joined the military to get benefits.

But what about the person who robbed a bank – with the full intention of getting caught and going to prison so he could have healthcare. Read more on Going To Prison For Healthcare…

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Despite his appearance, my patient claimed he was a good boy with no disciplinary problems — no gang affiliation, nothing. 

That’s why he was so shocked when somebody shot him.

The young man was just 20 years old and a product of his environment – inner-city LA.  He was obese and had shaved his head, and probably could be cast on any of the cop shows on TV as a suspect in the case of the week.

Yet he could think of no reason why he got shot. Read more on Tincture Of Time…

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We did not really know where this patient was at. I figured out he was some kind of bipolar, because he talked about mood swings.

When I first saw him, he seemed to have a delusional system that had something to do with idealizing a woman pharmacist and feeling he had offended her and thinking obsessionally about her.

He was starting to idealize me, and commenting on my hair and clothes, and I will admit that I wanted to fix this guy as quickly as possible, so I would not get incorporated into one of what sounded like a series of delusional systems. He had come into the clinic several times, usually with sequentially weakening delusions — always an idealized woman. He gave the impression of being gay — always wearing at least one piece of jewelry that I would have expected to see on a woman. Read more on How To Shock Your Doc — New Uses For A Medicine Bottle…

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“I wants me some of them-there antidepressant pills.”

He was a 47 year old good old boy of the sort I had treated in Oklahoma and other rural parts west –a real cowboy. He had herded animals and done the rodeo and all of that.

No, he had never seen a psychiatrist before, ever.  He had been out crying on the front porch, and it was a next door neighbor who had somehow convinced him that there were medications and he did not have to tell his whole life story to get pills. Well, maybe that would work with a general practitioner, but he was not only disappointed but also angry that it was plainly NOT going to work with me. Figuring he had been had, he broke down and told me the story.  I could understand at once why he had been reluctant to get into this, for we went through half a box of Kleenex while he gave me a plot that was worthy of a tear-jerky country song. Read more on A Cowboy’s Lesson — Antidepressants Won’t Work Well With Alcohol…

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It does not matter what country they were from. The father got into the system when his 19 year old son went stark raving looney bonkers and started destroying the homestead. Luckily it was an apartment in an urban setting, or I don’t think anyone else would have known about it. There was one older child who had already flown the coop, one wife who had died because the strain of leaving the old country had been too much. I had a feeling she had also gotten raped or something, but that was father’s post-traumatic stress disorder if anything. I told him to come back for himself, but I never saw him again. He swore on a stack of bibles that his son did not use drugs.  He said nobody had ever explained to him what was wrong with his son. At least no way he could understand and explain back to me.

For an American the solution would have been a support group, like the Alliance for the Mentally Ill. They lived in a rural area, though, and I did not know if the local chapter had anybody who spoke his language.  There is no way the patient could have handled that – and probably not the father, either. Read more on You Can’t Pick And Choose Which Medicines You Want…

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My husband told me something that I thought was a joke, but he convinced me it was serious.

During “drive-time” he heard an advertisement for a medical marijuana dispensary on the radio.  Among the many conditions it promoted marijuana as helping was eating disorders.

My thoughts went immediately to stoners with the midnight munchies making an emergency run to 7-11 for Cheetos or the late-night drive through at Burger King. Read more on Standardizing and Regulating Medical Marijuana — Who Are We Doing It For?…

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