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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by Garnet71 on February 3, 2009, at 0:16:45
I just wanted to pass on a little gift for anyone interested:
http://www.mhc.com/Algorithms/Depression/frameBig.htm
If that link doesn't work:
http://www.mhc.com/Algorithms/Depression/frame1.htm
http://www.mhc.com/Algorithms/Depression/frames.htm
It may be a bit outdated, but it's interesting.
Enjoy!
Posted by Phillipa on February 3, 2009, at 0:34:51
In reply to Treatment decision tree - algorithms, posted by Garnet71 on February 3, 2009, at 0:16:45
I like the flow chart interesting. Personality disorder with melancholic depression interesting didn't know that. Thanks for the links. Phillipa
Posted by bleauberry on February 3, 2009, at 5:30:37
In reply to Treatment decision tree - algorithms, posted by Garnet71 on February 3, 2009, at 0:16:45
The funny, or sad, thing is that in nearly all patients the very first step is brushed over very lightly or not at all..."Diagnose organic disease". I've had many doctors and none ever attempted to diagnose anything. A glance at thyroid TSH and a routine blood draw was about the extent of it. That is not exactly what I would call diagnosing organic disease.
Sigh.
At the very least I would think it should be routine to do a provoked heavy metal test, ask about dental history, do advanced testing for Lyme, chart the cortisol daily 24 hour curve, test thyroid TSH, freeT3, T4, and thyroid antibodies, test Candida, and possibly an MRI.
If it was the heart or kidney or something else suspect, they put all kinds of effort into finding out exactly what is wrong. But the brain, the most important organ of the body, oh no, it's fine, just feed it some Prozac.
Posted by SLS on February 3, 2009, at 7:56:42
In reply to Re: Treatment decision tree - algorithms, posted by bleauberry on February 3, 2009, at 5:30:37
> The funny, or sad, thing is that in nearly all patients the very first step is brushed over very lightly or not at all..."Diagnose organic disease".
Absolutely. It is almost as if some doctors take your word for what your diagnosis is, especially if it is not the first doctor you've seen.
> I've had many doctors and none ever attempted to diagnose anything. A glance at thyroid TSH and a routine blood draw was about the extent of it. That is not exactly what I would call diagnosing organic disease.
In agreement.
I was fortunate enough to be first diagnosed by Michael Liebowitz et al. at Columbia-Presbyterian and was tested there for organic disease. I was tested even more thoroughly at the NIH some 10 years later. Nothing. No, I'm afraid I have no excuse for not pulling myself up by my bootstraps. :-)
- Scott
Posted by Garnet71 on February 3, 2009, at 19:49:42
In reply to Re: Treatment decision tree - algorithms, posted by SLS on February 3, 2009, at 7:56:42
Turn on your babblemail.
Posted by softheprairie on February 4, 2009, at 5:42:12
In reply to Treatment decision tree - algorithms, posted by Garnet71 on February 3, 2009, at 0:16:45
Thanks for posting these!
I agree, they are very interesting, even if a bit dated.
> I just wanted to pass on a little gift for anyone interested:
>
> http://www.mhc.com/Algorithms/Depression/frameBig.htm
>
> If that link doesn't work:
>
> http://www.mhc.com/Algorithms/Depression/frame1.htm
>
> http://www.mhc.com/Algorithms/Depression/frames.htm
>
> It may be a bit outdated, but it's interesting.
>
> Enjoy!
This is the end of the thread.
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