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By doctordan, on March 21st, 2018% The last post about folate deficiency got me thinking. Absolute absence of folic acid is a risk for non-response to antidepressants, but suppose you have adequate intake of folic acid. Is that good enough? In most cases, yes. In some cases, no. Lets look at some chemistry so you have a better understanding of why . . . → Read More: Folate part 2: MTHFR and genetic testing
By doctordan, on August 23rd, 2015% I recently got notified about the potential for confusion between two medications. Brintellix, a relatively new antidepressant with a novel mechanism of action, and Brilinta, a medication used by cardiology to help prevent blood clots that could result in a heart attack. Obviously, the names are quite similar, but the conditions they treat could not . . . → Read More: As If The Name Wasn’t Cumbersome Enough–Confusion between Brintellix and Brilinta
By doctordan, on November 10th, 2013% A couple of articles in my local rag caught my attention (The Philadelphia Inquirer . . . and yes, I still read the paper version of it) and has brought me back to the writing table. Thursday’s article about entitled “A global mental health concern” spoke the growing realization that mental health issues are becoming . . . → Read More: The Great Divide–Bridging The Gap Between Medical and Psychiatric Care
By doctordan, on June 23rd, 2013% A common question as we head into the summer months is what to do about medications. Most parents (and some kids) are very reluctant to change medications over the school year since a return of symptoms covered by the medicine can be very, very disruptive. Summertime is the logical time to consider some changes. Antidepressants . . . → Read More: Adjusting Medicine Over The Summer Part I–Antidepressants
By doctordan, on April 21st, 2013% Once again . . . I find I am on the receiving end of another doc’s desperate attempt to control symptoms. The layering of medicine on top of medicine is an inherent problem in Western Medicine. After all, we are spending more and more of our hard earned dollars to go to see someone for . . . → Read More: Peeling The Onion–More Is Not Always Better
By doctordan, on April 14th, 2013% Once loyal readers may have noticed I have not been posting too much recently. Not to say I haven’t thought about it . . . it just seems like between work and home and everything in between my creative juices were tapped just keeping things going. Life is like that, no? I have been reading, . . . → Read More: Book Report: The Book I Wish I Had Written . . . The Do-It-Yourself Guide To Fighting The Big Motherfuckin’ Sad by Adam Gnade
By doctordan, on April 15th, 2012% I fielded a call from a patient, complaining that I wrote XL instead of SR after my prescription for Wellbutrin. My bad. She is on the SR and not the XL. A quick call to the pharmacy and the problem was solved. But, was it a problem in the first place? For a small minority . . . → Read More: Don’t Be Fooled By The Packaging . . . Or The Marketing!!!
By doctordan, on February 25th, 2012% I am encouraging you to go to Philmont Guidance Center’s Facebook page and listen to a 6-minute video I uploaded there. Get past the boring talking head thing (psychiatrists tend to be a bit dry sometimes) and LISTEN to what he is saying and THINK about what this will mean if the trend is generalized . . . → Read More: Advocating For Access To Mental Health Care . . . It Is Time For Us To Stand Up For What Is Right
By doctordan, on November 20th, 2011% Gabrielle Giffords and her husband Mark Kelly have made a few appearances lately, telling their story of bravery and determination following the horrific shooting in January that left Giffords near death. Giffords’ has made a near miraculous recovery, due in large part to a hefty dose of luck, and the determination of those around her, . . . → Read More: In Sickness and In Health . . . Lessons Learned From My Patients
By doctordan, on October 30th, 2011% I had to field a call the other day from a local Children and Youth worker. Nice lady . . . but not terribly informed about mental health issues . . . specifically Major Depression. She was calling about a patient of mine who is trying to get custody of her grandchild after the child’s . . . → Read More: Maintenance Treatment For Depression . . . Medicine . . . TMS . . . Whatever Works
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