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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by SLS on June 20, 2008, at 4:32:35
I am often astounded that Psycho-Babble should attract so many intelligent, well-informed, and caring people. Actually, I don't know of any unintelligent people here. Each and every one has his own gifts to offer the community.
For anyone who does feel that he is lacking in knowledge and understanding, there are no unintelligent questions. Ask away!
- Scott
Posted by Phillipa on June 20, 2008, at 12:17:50
In reply to Smart People, posted by SLS on June 20, 2008, at 4:32:35
Scott how come my pdoc said yesterday I'm getting better? Just cause I can drive far places sometimes. Sometimes just feel good think it's the fluctuating thyroid hormone as not adjusted yet. And she wants me on the same meds. Love Phillip Well Your're intelligent to me.
Posted by SLS on June 20, 2008, at 12:25:53
In reply to Re: Smart People » SLS, posted by Phillipa on June 20, 2008, at 12:17:50
> Scott how come my pdoc said yesterday I'm getting better? Just cause I can drive far places sometimes.
Perhaps. Maybe he sees other positive signs as well.
> Sometimes just feel good think it's the fluctuating thyroid hormone as not adjusted yet. And she wants me on the same meds. Love Phillip Well Your're intelligent to me.
Until your thyroid is normalized, you are less likely to respond to antidepressant treatment.
For you, I believe normalizing your thyroid dynamics is the priority right now. Then you can reevaluate your treatment for depression and anxiety.
What were the results of your most recent thyroid tests?
- Scott
Posted by Midnightblue on June 20, 2008, at 15:44:17
In reply to Smart People, posted by SLS on June 20, 2008, at 4:32:35
Scott,
You are one of the very smart IMO. Regular doc wants me to try Cymbalta. I have a good bit of pain and a nice long history of depression though I am currently minimally depressed. My sister took Cymbalta and gained a ton of weight. It didn't really help her that much. She had to go off of it.
I do NOT need to gain weight, I need to lose, and I am very sensitve to drugs. They sent me home with Soma and Tramadol samples. I took a very small dose of the Tramadol once before and it made me very dizzy. I doubt I will try either.
The problem is I am hurting a lot, finding myself doing less and less and slipping into that depression that has gripped me so strongly in the past. Wellbutrin was a miracle drug for me years ago, then it began to work less well. I acutally haven't been on anything moodwise for three years and have done rather well.
Oh toss in a nice bit of GERD and high blood pressure. Any suggestions?
MB
Posted by SLS on June 20, 2008, at 16:35:34
In reply to Re: Smart People » SLS, posted by Midnightblue on June 20, 2008, at 15:44:17
Hi MB.
> You are one of the very smart IMO.
:-)
> Regular doc wants me to try Cymbalta. I have a good bit of pain and a nice long history of depression though I am currently minimally depressed. My sister took Cymbalta and gained a ton of weight. It didn't really help her that much. She had to go off of it.
>
> I do NOT need to gain weight, I need to lose, and I am very sensitve to drugs. They sent me home with Soma and Tramadol samples. I took a very small dose of the Tramadol once before and it made me very dizzy. I doubt I will try either.
>
> The problem is I am hurting a lot, finding myself doing less and less and slipping into that depression that has gripped me so strongly in the past. Wellbutrin was a miracle drug for me years ago, then it began to work less well. I acutally haven't been on anything moodwise for three years and have done rather well.
>
> Oh toss in a nice bit of GERD and high blood pressure. Any suggestions?
>
> MB
Since milnacipran (Ixel) is not available yet, let me toss in an oddball idea. How about using sibutramine (Meridia) to treat:1. fibromyalgia.
2. chronic pain
3. depression
4. obesityA doctor in Princeton, NJ named Peter Mueller swears by this stuff. I have watched video testimony on the part of several of his patients before and after treatment with sibutramine. The improvements were remarkable.
Of course, there is pregabalin (Lyrica). It is the only drug approved for fibromyalgia in the U.S. at this point. I would not recommend this drug were you to have already displayed a depressive reaction to Neurontin. Otherwise, it might be worth considering.
- Scott
Posted by sdb on June 20, 2008, at 17:02:31
In reply to Smart People, posted by SLS on June 20, 2008, at 4:32:35
> I am often astounded that Psycho-Babble should attract so many intelligent, well-informed, and caring people. Actually, I don't know of any unintelligent people here. Each and every one has his own gifts to offer the community.
>
> For anyone who does feel that he is lacking in knowledge and understanding, there are no unintelligent questions. Ask away!
>
>
> - ScottI don't know what intelligence is. Every measurement is imprecise. Therefore, no participant is unintelligent.
I think that really everybody has somewhere a special talent.
Here are very nice people.
Posted by Bob on June 20, 2008, at 17:49:33
In reply to Re: Smart People » SLS, posted by Midnightblue on June 20, 2008, at 15:44:17
> Scott,
>
> You are one of the very smart IMO. Regular doc wants me to try Cymbalta. I have a good bit of pain and a nice long history of depression though I am currently minimally depressed. My sister took Cymbalta and gained a ton of weight. It didn't really help her that much. She had to go off of it.
>
> I do NOT need to gain weight, I need to lose, and I am very sensitve to drugs. They sent me home with Soma and Tramadol samples. I took a very small dose of the Tramadol once before and it made me very dizzy. I doubt I will try either.
>
> MBI too have a sister on Cymbalta and she has also gained weight. Interestingly, she didn't really gain much on SSRIs, but this SNRI has definitely caused a problem. She's still on it, but who knows.
It seems really hard to beat the twin towers of doom for effective antidepressants: weight gain and sexual dysfunction. They seem to affect many people. Then of course there's poop out.
Posted by Midnightblue on June 20, 2008, at 18:53:45
In reply to Re: Smart People » Midnightblue, posted by SLS on June 20, 2008, at 16:35:34
Scott,
I don't have fibromyalgia. I have arthritis (bone on bone in places) and other arthritic type pain. Neurontin gave me a horrible headache and made me feel like my head was coming off. I only took it once.
I have never been able to take SSRI or SSRI like drugs. Thanks for trying.
MB
>
> Since milnacipran (Ixel) is not available yet, let me toss in an oddball idea. How about using sibutramine (Meridia) to treat:
>
> 1. fibromyalgia.
> 2. chronic pain
> 3. depression
> 4. obesity
>
> A doctor in Princeton, NJ named Peter Mueller swears by this stuff. I have watched video testimony on the part of several of his patients before and after treatment with sibutramine. The improvements were remarkable.
>
> Of course, there is pregabalin (Lyrica). It is the only drug approved for fibromyalgia in the U.S. at this point. I would not recommend this drug were you to have already displayed a depressive reaction to Neurontin. Otherwise, it might be worth considering.
>
>
> - Scott
Posted by IAMtheWalrus on June 20, 2008, at 19:25:01
In reply to Re: Smart People, posted by sdb on June 20, 2008, at 17:02:31
I agree, there are a lot of smart people here. Also, just as important in my mind, there are a lot of caring people here that sincerely want to help people who are suffering. I guess when you have suffered yourself, you become more compassionate toward others who are suffering.
-W
Posted by Phillipa on June 20, 2008, at 20:56:37
In reply to Re: Smart People, posted by SLS on June 20, 2008, at 12:25:53
Scott only two I know the TSH was .178 range .27-4.2. Free T4 1.7 range .93-1.7. Now I'm down to 128 pounds from the 152 presurgery no diet changes and still riding the bike. Agree so glad she didn't make changes. Love Phillipa ps he likes TSH 1-2 but I seem to do better at a higher range. I don't really like endos. I'd much rather have the internist monitor me and will see about that.
Posted by Sky Brite Line on June 20, 2008, at 23:58:35
In reply to Re: Smart People » Midnightblue, posted by SLS on June 20, 2008, at 16:35:34
I come here, when i need help, i know exactly how to explain my situation. I have to explain, whats going on and my opinion.
Right now, my doctor is getting my on alot of things to help me focus, but he doesnt believe in any kind, of benzodiapine, which my current dose was lowered, and i was taken off a benzodipine for sleep.
I have to endure all all this. Irrtiblity, not knowing what going to happen next, i would definently say i act reactive to things.
I dont care really if im smart or not, just if get adivce that is understandable.
Posted by SLS on June 21, 2008, at 5:25:20
In reply to Re: Smart People, posted by Sky Brite Line on June 20, 2008, at 23:58:35
> I dont care really if im smart or not, just if get adivce that is understandable.
I guess you really have no choice in the matter.
Smart you are and, hopefully, smart you'll stay.
It is a fact that you are intelligent. It comes with being human. Tragedy sometimes arises when this is not true, whether an abnormality it be genetic or congenital. I think it is a balanced view. It is only when one begins to stratify intelligence; comparing individuals, does one get into trouble.
Sorry. Pollyanna stuff. I can't help myself right now.
- Scott
Posted by sdb on June 23, 2008, at 10:52:40
In reply to Re: Smart People » sdb, posted by IAMtheWalrus on June 20, 2008, at 19:25:01
> I agree, there are a lot of smart people here. Also, just as important in my mind, there are a lot of caring people here that sincerely want to help people who are suffering. I guess when you have suffered yourself, you become more compassionate toward others who are suffering.
>
> -Wthere's some truth in ' suffered yourself...compassionate toward other'. I agree with that.
warm regards
sdb
Posted by okydoky on June 23, 2008, at 23:15:52
In reply to Re: Smart People » Midnightblue, posted by SLS on June 20, 2008, at 16:35:34
I thought I had a memory that Meridia was taken off the market? Perhaps it's a false memory.
My two cents about Lyrica and pain meds.
Lyrica causes my depression to be unrelenting and insurmountable by the minute and can take several weeks to abate after I discontinue it. I tried a small dose of Neurontin and the results were one; it did not help my pain and two; I cried all day. With Lyrica I can't even cry. Oxycontin does nothing for the arthritic pain. I currently have three different pain medications for different pains. If you are in a lot of pain I personally think it might be worth trying Lyrica, if you can deal with the possibility of a temporary horrible change in mood and I would suggest having a person close to you as a subjective observer of your affect or mood change so you don't get stuck in a depression you don't realize is caused or exacerbated by the Lyrica.
Good luck.
Some tongue and cheek now.
If we're going to try and prescribe for a compilation of diseases ( well who would not prefer to take less medication, hell the drug companies are doing it with "Cauduet" and others and wow now one can take "boniva" once a month instead of, for God's sake, having to take a pill once a day or week. It seems the newest selling ploys are two in ones and once a years[http://www.medicalnewstoday.com/articles/69451.php])
Anyway the following is my personal compilation:
1. Arthritis pain (in the neck literally) see 5*
2. Interstitial cystitis (I cannot "stress" strongly enough the "urgency" of this particular "pain")
3. trd (In layman's terms: The act of being a "Sloth" [deadly sinner] or "slothful": see 8*)
4. eating disorder (A disease that either "feeds" on itself or has one running on "empty")
5. pain in the *ss disease( Still an orphan disease but no doubt pharmaceutical companies are working diligently to come up with a cure. Physicians often prescribe off label for this ailment because of its "die hard" complication, most especially when family lean heavily on the physician or if the treating physician is therapy "Aversive" check http://en.wikipedia.org/wiki/Aversives
6. Stop the world I want to get off syndrome (a dizzying cluster of symptoms)
7. Why was I born dilemma (sometimes prematurely diagnosed) (see 8*)
8. Is there a God (the disease that never presents its true modality, lacks definable symptoms and is often "preexisting")
All in good humor and perhaps a bit of nonsense,
oky
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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