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Re: Q for Dythymic Duck

Posted by Dysthymic Duck on October 28, 1999, at 15:03:30

In reply to Q for Dythymic Duck, posted by andreweb on October 22, 1999, at 9:27:26

> >
> > My doctor treats a lot of CFS, FMS, and
> > occasional (I think) people with depression,
> > bipolar, etc. His ability to treat CFS stuns me,
> > and he yet he said to me once,
> > "CFS is easy [to treat]. Depression is hard."
> I thought that CFS and Fibromyalgia are hard to treat? What kind of doctor is he? How does he treat those disorders?

You're right CFS&FMS are hard to treat -- I
should've said "*treatment resistant*
depression is hard to treat". He gets reffered
the local refractory cases, I think.

His treatment for CFS is contravertial. Basically
he runs through a list of meds, and depending on
how you react sort of follows of "flowchart"
until you get to a med that works. He says it's
sort of like finding the right neurotransmitter
"button" to push. A lot of people are helped by
gabapentin, nimodipine, hydralazine, mexetiline,
and some others I can't remember. It varies a
lot between people, though.

His method is an easily assaible one (and often
is), but... well what can I say, a vunerable
idea is not by necessity wrong. And all new
ideas start out unproven anyway (there's a great
essay by Einstien on that subject).

His belief, so he writes, is that if
he can help someone by using meds that are safe
and work, then he has a moral obligation to help
them. His detractors say he's usng unscientific
methods, because his treatments and methods aren't
aren't double-blind verified yet.

Me, I'm all for the scientific method, but now,
this moment, I need to eat, be able to read,
and be able to stand upright 10 minutes without
passing out. He has found things that help me with
all those things. Not 100%, but significantly.
Few of the 9 other docs I saw before him even
tried. Ok, I better stop before I go on a
rant. :-)




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