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"Boy Interrupted" -- man rebooted

Posted on Aug 4th, 2009 by rhobherto : karmic furnace rhobherto






You've done it yourself, or you've seen it in a movie:

A writer, sitting at a desk, pencils a couple of lines on a piece of paper.  Discouraged, or wanting to completely start somewhere else, he crumples the page into a wad and gives it a toss.

Sometimes, the whole functional edifice of my life collaspes, and I succumb to a state of being not unlike one of those crumbled wads, tossed in the trash.

And sometimes, in life and in film, another scene follows:

"Hmmm?!," the writer intones aloud, tapping a finger to his temple.  He hops down on to his knees and begins rummaging through the wads -- some in the wastebasket; some on the floor.  "Here!," he says to the room, finding the discarded line he's decided to go back to.  He retakes his seat and does his best to flatten the page out again atop his desk, pressing the page out with his hands. "Maybe this can work."

Lately, I'm uncrumpling the state of waste my life has, for some time, fallen into.


*            *            *






Watched an excellent film tonight: Boy Interrupted -- a documentary by Dana & Hart Perry about the life and suicidal death of their son, Evan Scott Perry.  At age 15, Evan ended his struggle with Bipolar II disorder by jumping to his death from his bedroom window.

Posted a comment on HBO's forums:

More than the acclaimed works of many renowned authors, artists, and philosophers, Evan Scott Perry's life -- through this loving film -- reveals so very much to us about our fragile humanity.

Thank you, Dana & Hart Perry. Thank you, HBO. Thank you, Evan.

A moving story -- enough to trot my missing-in-action ass over here to say something about it (and a bit more, to boot).


*            *            *


Traveled to Colorado this past weekend to attend a public Q & A with Ken Wilber, at the Boulder Integral Center.

In this photo posted at Boulder Integral's website, I would be the bearded, bald guy in the lower right:





Mr. Wilber:


Mr. Wilber -- Boulder Q & A



Wrote earlier today to someone who works with Ken:

Wow!  The Wilberitis-afflicted enthusiast in me can say, at last,
'I finally got to sit in the same room with the guy!'  Yeehah!  Deeper down, it was awesome to directly hear Ken retell some of his story; talk about things-Integral; and -- most moving -- to receive the encouragement he pressed upon all in attendance to muster our "Divine Pride."  Profound!


A couple of weeks back, I'd registered myself and a dear friend to attend the Integral Spiritual Experience conference at this year's end.

Trading notes at the time with one of the event organizers, I let it out that the conference was looking like an opportunity to realize a decades-old hope of 'someday getting to meet Mr. Wilber' -- Mr. Wilber being among the events many splendid contributors.  Mr. Wilber, I learned, however, with not be in attendance at the Pacific Grove, California event, owing to precautions related to his somewhat fragile state of physical health, but will be "piped-in via teleconference."

'Ah. Drat.' -- decades-old hope . . . dashed.

But wait . . .

I wrote to Ken, asking if he and I could meet, and sit, and talk with one another.

Before hearing back, I learned of the Boulder Q & A get-together, and signed right up.   I jotted out another, Emily-Litella-esque, "nevermind" sort of note to KW -- 'ixnay on our eetingmay -- looking forward to the Q & A in Boulder.'

A couple of days later, I got a reply to my previous request:

Sure.  Let's say Thursday, Aug 13, 1pm.  Yah?

One of Mr. Wilber's assistants sent me the address and a map.  And Thursday after next, I'm going to meet Ken Wilber at his home in Denver.


*            *            *


In the interim, I'm looking to hook-up with a Holotropic Breathwork facilitator, for a group workshop or a private session. [Curious about HB?  See: "Radar to the Infinite -- Holotropic Breathwork and the Integral Vision," by Martin Borosin.]

Postscipt to a note I sent to an HB facilitator in the Boulder/Denver area, asking to arrange a session a day or two before meeting KW:

P.S. My core issue: I've struggled with "refractory depression" (/"dark night") for decades -- suicide attempts; hospitalizations; numerous anti-depressant medication regimens over the years; even submitted to 13 sessions of ECT (cannot recommend it, btw) a couple of years back.  Lost decades of joblessness, homelessness . . . ruined relationships . . . crushed-to-cowering, pinned-down by 'this infinite sadness' . . . years of hiding out -- self-quarantined -- fearful of speading the germ, the contagion of this heartache . . .  Currently off all meds -- for several months, now.  I am "in between" doctors, head-shrinkers, and therapists -- but looking.  The "depressive syndrome" is still operative, chronic, but (mercifully/for now?) non-acute.  "Moving and shaking" as best and while I can here, to sort this shit out. 
 
Notable idiosyncrasy: this whole melancholy slog I've been on, dating back to my childhood, was (wonderfully, Graciously) broken up by a period of what can be described as Non-Dual Awakening.  Near as I can tell, I "Woke Up" to what the Dzogchen traditions describe as "The Innate Great Perfection."  Without interruption, for about a year -- through waking, dreaming, and sleeping -- I was tasting what Ken Wilber describes as "One Taste."  This was about 15 years ago, following a very profound emotional catharsis that included the HB session (mentioned above) with M. Carol Smith.  Managed, however, to fall, since then, rather miserably and desperately back into Samsara's soup.  Yadda, yadda, yadda.


*            *            *






uncrumpled . . .
the side that hasn't been written on!
maybe this can work.





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"Dear [lastest in a succession of over a dozen head-shrinkers]"

Posted on Mar 13th, 2009 by rhobherto : karmic furnace rhobherto

dear doctor







note to Dr. ---------

subject line:

life without skin -- a new angle


Dear [Doctor],

Please indulge me for a few minutes, here.
 
Allow me to ask you to recall any of the situations in your own life when you experienced some serious heartache (breakup, death, etc.); some profound embarrassment or anxiety . . . perhaps even a situation where you felt profoundly threatened and your very life was at risk . . . 
 
Please recall when -- for those intense moments, hours, days, or weeks -- you felt deep sadness, grief, shame, fright . . . 
 
We can surmise that, for you as for most people, the "crisis" of those heart-rending moments, hours, and days passed away; the intensity of those situations waned; and you resumed more "ordinary" states of body and mind.  For you, the "crisis" of those situations came and went; arose and fell away.
 
Please entertain this exercise a little longer. 
 
Imagine, now, what your life would be like if that "crisis" did not immediately or soon go away.  Imagine the whole body-mind syndrome of those intense situations persisting, ceaselessly, for hour after hour, day after day, week after week, month after month, year, after year, after year.   Imagine being "stuck" in that bio-psychological crisis.  What would your life be like if that lump in your throat did not go away; if those tears welling in your eyes did not stop; if your racing heart did not relax; if shame and fright filled your guts day and night? 
 
Do THAT persistently, chronically for weeks and months on end.  Toss in Life's inevitable, added heartaches, insults, embarrassments, injuries, mistakes, risks . . .  Periodically, CRANK this whole syndrome UP, acutely, to a CRUSHING INTENSITY -- FOR NO DISCERNABLE REASON WHATSOEVER!  Sleep this heartache; wake with this heartache; eat your breakfast, lunch, and dinner with this heartache; do this persistent knot of grief, sadness, shame, and fright, all balled together; this chronic agony with acute episodes -- FOR YEARS! 
 
In this imagined scenario, are you getting a little tired and worn out by this?  A little fatigued or bent out of shape by it all?  Figure on being being hospitalized several times, over those years, owing to your utter, complete exhaustion.  Figure on enduring a dozen or more drug trials, over all that time, aimed at abating this ceaseless woe, but to no avail.  And when none of that has helped, then what would you do?  Would you grasp at this therapy (autogenics, neuro-linguistic programming, holotropic breathwork, etc.) or that panacea (fish oil, sam-e, etc.) to find some relief?  Would you undergo electro-convulsive treatments?  Would you wonder, after a decade or more of this, whether or not buprenorphine might help; might "make it stop?"  Would you long for SOMETHING?!, for ANYTHING?!  Would you contemplate suicide?  (They do shoot horses, don't they?)  Would you, more or less, just collaspe and "veg out" in front of your TV, only to wait, and wait some more, for nature's own summary end?  What remedy would you seek, Dr. -------, when no available remedy (namely, antidepressants [including the current medication you are taking -- nudge, nudge, hint, hint], assorted therapies, and ECT) has made any significant, enduring dent in this, your chronic (with acute episodes), unabated state of intense, bio-psychological crisis; this wholely unnecessary suffering; this life without skin? 
 
____________________________________________________________
 
 
Here's a new angle, via Dr. Mark Hyman:
 
 

"Can your brain become inflamed? Can you have a sore or swollen brain—like a sore throat—that causes everything from brain fog to dementia to depression to autism?

You brain can become inflamed just as your body does. And in the 21st century, our bodies and brains are on fire. [<< notable analogy to someone, like myself, whose email moniker is manonfyre ~ R.L.]

Today, the fires of inflammation are raging all over the body. That’s why we are seeing an epidemic of diseases including autoimmunity (24 million people), allergy (50 million), and asthma (30 million), as well as cardiovascular disease (60 million), cancer (10 million), and diabetes (14 million). These, it has been recently discovered, are primarily inflammatory conditions.

Now, new research proves that almost all brain problems are connected to or caused by inflammation as well.

Is Depression Caused by a Virus?

Well, it may be.

Researchers recently discovered a new virus called Bornavirus, which is found in the limbic system (or emotional center) of the brain in 30 percent of the population. One in 6 of the people who carry this virus have depression.

This virus inflames the brain. It is this inflammation that leads to depression in some cases.

Interestingly, the problem can be cured by treatment with short-term antiviral medication.

Think about what that means.

A virus can cause inflammation, which leads to depression. Treating the virus can CURE, not just reduce, the symptoms of depression.

Even the best antidepressant drugs don’t cure depression.

And NO amount of psychotherapy will ever cure depression caused by a virus."

 

See too: 

http://en.wikipedia.org/wiki/Bornaviridae, http://www.psycom.net/depression.central.borna.html

or google borna virus.

 
What do you make of this?
 
Thank you.
 
[rhobherto/manonfyre]
 
 
p.s.  Of course, there is and always has been the "spiritual" angle -- what Lord Gautama taught: "Life is suffering; desire is the cause of suffering; suffering can end; the Way to that end is the Noble Eight-Fold Path."  Similarly, this ceaseless heart-break is none other than the "Dark Night of the Soul (~ Saint John of the Cross)."  "God forgets God so that God may seek God.," as Muktananda said.  And this heartache is merely the agony of that seeking; the agony of my illusory sense of seperation from "the Beloved (~ Rumi)."  Only "Awakening" to what the Tibetan Dzogchen tradition describes as "the Innate Great Perfection" will avail; only the "Realization" of Advaita Vedanta or Khasmir Shaivism, only tasting "One Taste" (see "smartest-man-on-the-planet" Ken Wilber's work), and NO PILL or therapy, will do.  Notions that may or may not interest you.
 
______________________________________________


Note to self for having sent this letter, and for publishing it here: I am an irredeemable, whining no-account/derelict/putz.

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"Up to periscope depth!"

Posted on Mar 12th, 2009 by rhobherto : karmic furnace rhobherto

periscopedepth





Another drive-by, flash transmission from the bottomless depths of this ridiculousness (this so-called "refractory depression") . . .

"Can your brain become inflamed? Can you have a sore or swollen brain—like a sore throat—that causes everything from brain fog to dementia to depression to autism?

You brain can become inflamed just as your body does. And in the 21st century, our bodies and brains are on fire."


[head-shaking, double-taking sound effect]


SAY WHAT?  What might this mean to someone who sports the moniker, manonfyre; whose icon is a portrait of self-immolating monk, Quang Duc; whose agonized contact with Life can feel like living without skin?


"Today, the fires of inflammation are raging all over the body. That’s why we are seeing an epidemic of diseases including autoimmunity (24 million people), allergy (50 million), and asthma (30 million), as well as cardiovascular disease (60 million), cancer (10 million), and diabetes (14 million). These, it has been recently discovered, are primarily inflammatory conditions.

Now, new research proves that almost all brain problems are connected to or caused by inflammation as well . . .

Is Depression Caused by a Virus?

Well, it may be.

Researchers recently discovered a new virus called Bornavirus, which is found in the limbic system (or emotional center) of the brain in 30 percent of the population. One in 6 of the people who carry this virus have depression.

This virus inflames the brain. It is this inflammation that leads to depression in some cases.

Interestingly, the problem can be cured by treatment with short-term antiviral medication.

Think about what that means.

A virus can cause inflammation, which leads to depression. Treating the virus can CURE, not just reduce, the symptoms of depression.

Even the best antidepressant drugs don’t cure depression.

And NO amount of psychotherapy will ever cure depression caused by a virus.

This is like the discovery that ulcers are caused by bacteria and not stress. It completely upsets our thinking about mental illness and neurological disease.

And it should!

The cure for your broken brain may not lie in searching through the intricacies of your past, but in healing your body. One of the key ways you do that is by reducing inflammation."


This guy has got my attention.


Together with a friend, and with this workbook, gonna take a stab at following Dr. Hyman's suggestions.  (Make-over, shape-over plan #283.)

(Said friend suggests I spend less time reading Scott Horton and Glenn Greenwald, as well.)




*          *          *          *          *




still wanna be a better man, still wanna fly like . . .



The Kinks - Superman





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Scott Horton's, "Justice After Bush," now online

Posted on Jan 1st, 2009 by rhobherto : karmic furnace rhobherto

harper s 1208







Justice After Bush: Prosecuting an Outlaw Administration, by Scott Horton


I. The Crimes

Americans may wish to avoid what is necessary. We may believe that concerns about presidential lawbreaking are naive. That all presidents commit crimes. We may pretend that George W. Bush and his senior officers could not have committed crimes significantly worse than those of their predecessors. We may fear what it would mean to acknowledge such crimes, much less to punish them. But avoiding this task, simply “moving on,” is not possible.

This administration did more than commit crimes. It waged war against the law itself. It transformed the Justice Department into a vehicle for voter suppression, and it also summarily dismissed the U.S. attorneys who attempted to investigate its wrongdoing. It issued wartime contracts to substandard vendors with inside connections, and it also defunded efforts to police their performance. It spied on church groups and political protesters, and it also introduced a sweeping surveillance program that was so clearly illegal that virtually the entire senior echelon of the Justice Department threatened to (but did not in fact) tender their resignations over it. It waged an illegal and disastrous war, and it did so by falsely representing to Congress and to the American public nearly every piece of intelligence it had on Iraq. And through it all, as if to underscore its contempt for any authority but its own, the administration issued more than a hundred carefully crafted “signing statements” that raised pervasive doubt about whether the president would even accede to bills that he himself had signed into law.

No prior administration has been so systematically or so brazenly lawless. Yet it is no simple matter to prosecute a former president or his senior officers. There is no precedent for such a prosecution, and even if there was, the very breadth and audacity of the administration’s activities would make the process so complex as to defy systems of justice far less fragmented than our own. But that only means choices must be made. Indeed, in weighing the enormity of the administration’s transgressions against the realistic prospect of justice, it is possible to determine not only the crime that calls most clearly for prosecution but also the crime that is most likely to be successfully prosecuted. In both cases, that crime is torture.


[full article]


Harper’s Magazine and The Center on Law and Security at NYU School of Law convened a panel of legal experts to discuss Mr. Horton's article -- After Torture: A Forum on Justice in the Post-Bush Era.  A summary of those proceedings (with further links) can be found here.


TPMtv interview with Scott Horton at forum venue:

TPMtv: After Torture, Part II




related:

Glenn Greenwald's Salon Radio interview: Scott Horton on war crimes prosecutions

Scott Horton's blog: No Comment


____________________________________________________


background:


"The CIA's Favorite Form of Torture," by Mark Benjamin

"The first thing that happens is extraordinary hallucinations akin to mescaline," explained McCoy. "I mean extreme hallucinations" of sight and sound. It is followed, in some cases within just two days, by what McCoy called a "breakdown akin to psychosis."


"Autopsy reports reveal homicides of detainees in U.S. custody," as released by the American Civil Liberties Union

47 year old white male detainee died while in US custody. Cause of death: Blunt Force Injuries and Asphyxia; Manner of Death: Homicide. Autopsy revealed deep bruising of the chest wall, numerous displaced rib fractures, bruising on the lungs, hemorrhage into the mesentery of the small and large intestine. Examination of the neck structures revealed hemorrhage into the strap muscles and fractures of the thyroid cartilage and hyoid bone. History of asphyxia, secondary to occlusion of the oral airway. Pleural and pulmonary adhesions. Hypertensive cardiovascular disease. According to report provided by the US army CID, the detainee was shackled to the top of a doorframe with a gag in his mouth at the time he lost consciousness and became pulseless. The severe blunt force injuries, the hanging position, and the obstruction of the oral cavity with a gag contributed to this individual's death. DOD 00329 refers to this case as "gagged in standing restraint" DOD 003329 refers to this case as "1 blunt force trama and choking; gagged in standing restraint." DOD 003324 refers to this case with a note indicating "Q[uestioned] by OGA [Other Governmental Agency - non-military, often refers to CIA], gagged in standing restraint."


"Deaths of Detainees in the Custody of US Forces in Iraq and Afghanistan From 2002 to 2005," by Scott Allen, MD, et al

. . . 112 cases of death of detainees in United States custody (105 in Iraq, 7 in Afghanistan) during the period from 2002 to early 2005 were identified. Homicide accounted for the largest number of deaths (43) . . .

"Medical Investigations of Homicides of Prisoners of War in Iraq and Afghanistan," by Steven Miles, MD

 

"Command's Responsibility: Detainee Deaths in U.S. Custody in Iraq and Afghanistan," by Human Rights First

 

"Homicide Unpunished," a Washington Post Editorial


ONE OF THE most shocking photographs from the Abu Ghraib prison in Iraq shows a grinning guard giving a thumbs-up sign over the bruised corpse of an Iraqi detainee. Subsequent investigation showed that the deceased prisoner, an Iraqi named Manadel al-Jamadi, died of asphyxiation on Nov. 4, 2003: He was tortured to death by Navy SEAL and CIA interrogators who took turns punching and kicking him, then handcuffed his arms behind his back and shackled them to a window five feet above the floor.


"Down a Dark Road," by Richard Leiby

"Murder's torture," Lawrence Wilkerson, a retired Army colonel and former Colin Powell aide, says . . . "Murder's the ultimate torture."


"Senate report links Bush to detainee homicides; media yawns," by Glenn Greenwald

The policies which the Senate Armed Services Committee [in their recent report] unanimously concludes were authorized by Bush, Rumsfeld and several other top Bush officials did not merely lead to "abuse" and humiliating treatment, but are directly -- and unquestionably -- responsible for numerous detainee murders.


"War Crimes," by Scott Horton

How often in our nation’s history has a Congressional Committee published a report which concludes that the President is essentially guilty of war crimes? Only once. It happened last week with the release of the Senate Armed Services Committee report on prisoner abuse. Put a sharper point on it: war crimes that produce the death of a detainee are punishable with the death sentence. And in this case we now have more than one hundred deaths potentially linkable to detainee abuse, linked to the President. Yet to the American mainstream media, which has made virtually no effort to comprehend the report, it was a non-event.


George W. Bush, War Criminal? The Bush Administration’s Liability for 269 War Crimes, by Michael Haas



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The MSM is on a boil about Gov. Blagojevich, yet . . .

Posted on Dec 29th, 2008 by rhobherto : karmic furnace rhobherto



MikeConnell GhostInTheGOPMachine






What about Michael Connell?


SourceWatch entry, Mike Connell; Wikipedia entry, Michael Connell; BradBlog entry, "Where's the MSM Coverage of the Death of Connell, a Top Bush/Rove/GOP Operative?"
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an excellent proposition

Posted on Dec 27th, 2008 by rhobherto : karmic furnace rhobherto



MenCanStopViolenceAgainstWomen







Ending Impunity For Rape, by Marianne Mollmann





related:


Nonconsensual Sex  ~ a publication of Family Health International


Stop Violence Against Women ~ an Amnesty International campaign





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Doctor Shopping -- Still Battling the "Blues"

Posted on Dec 12th, 2008 by rhobherto : karmic furnace rhobherto



doctorshopping





"Doctor shopping" typically invokes opiate "addicts" finagling a number of physicians to prescribe them an "abusive" amount of drugs, well beyond what is considered medically "indicated."


"I'm scoring 8 different 'scripts from 3 internists, 2 dentists, and an orthopedist! Oh yeah!"

Excluding nicotine, caffeine, and the illusory presumption of samsara, addiction (opiate or otherwise) has never really been an issue for me.  But I have been "doctor shopping" of late, in an effort to locate a physician willing to consider prescribing buprenorphine as a bane to the "noonday demon" that has devoured so many years of my life.  (Adorning garlic and religious symbols hasn't helped.)

A recent internet search on the subject of "refractory depression" led me to several web forums that include a lot of mounting, anecdotal testimony and clinical observations that indicate some pretty "remarkable" results for treatment of refractory depression with buprenorphine. 

Hanging my nasty, maudlin, sorry, bare ass out here, once again . . .

I will be 50 years-old in January, and I've struggled with "depression" most of this time.  First suicide attempt at 17; several subsequent attempts, 2 of which were nearly fatal . . .  numerous hospitalizations and inpatient treatment programs . . . have probably clocked a hundred thousand hours of "suicidal ideation" over the years, including many (virtually everyday) in recent months . . . a dozen or so antidressant regimens, with and without "potentiating" drugs -- most recently, Remeron . . .  13 sessions of ECT (which, on balance, made things worse) . . . autogenics to holotropic breathwork, to orthomolecular psychiatry, to zen, and so much else in between . . . yada, yada, yada.
 
What follows is the "tip of the spear" in this effort -- a letter to my shrink, Dr. Dilip Rajesh -- a gruduate of Bangalore Medical College.  He is a "resident" psychiatrist-in-training at the local, University of New Mexico hospital where I having been receiving "treatment" for "treatment-resistant" depression (one of life's bitter ironies, that).
 
I share it here in the hopes that the "magic" of any well-wishers who happen by and ponder this post will contribute to the grace I pray for. 

(Also, in hanging my bare ass out here, I imagine these inquiries might benefit someone else burdened with a similar struggle.)

___________________________________________________


[Background: Pending an appointment next week with Dr. R (scheduled several weeks ago), I have been beating the bushes for about a month on this subject, emailing several other UNM-affiliated psychiatrists familiar with the use of buprenorphine.  Unable to reach Dr. R, I kinda left him "out of the loop," and he was a tiny tad of bit miffed.  However, about an hour after I emailed the Director of Inpatient Services at the hospital on this subject, Dr. R called me at home. Oh!, navigating the egos and bureaucracies of health care!]


Dear Dr. Rajesh,

At the close of our recent conversation on the phone, you asked me to refrain from addressing my questions about buprenorphine to other UNM physicians, and to confine and direct my inquiries only to you.  Just for the record, when I first began these inquiries, I called the the Mental Health Center twice in an effort to get in touch with you, managing only to leave messages requesting that you call me back.  Also, I was unable to find your UNM email address published on any UNM websites, or anywhere else on the internet.

Further, it seems that prescribing buprenorphine requires a special "waiver," or whatever, through the Substance Abuse & Mental Health Services Administration.  I was able to identify several UNM-affliliated physicians who have this SAMHSA approval, or whatever it is.  And so, I set out to see if any of them are familiar with the use of buprenorphine as a treatment for refractory depression.  I was just trying to be my own "case manager" or "patient advocate" (something I haven't always been really good at).
 
Please, if you felt slighted or "left out the loop" by this; if i bucked protocol or transgressed "standard operating procedure," I sincerely apologize. 
 
Meanwhile, I remain committed to examining buprenorphine as an option.  Beyond the mounting anecdotal testimony and clinical observations I'm uncovering, I feel bolstered by the kind comments of your UNM colleague, Dr. Nils Rosenbaum:
"You've been through a great deal, and please don't give up hope.
There's always hope. Keep trying and you may find someone to
prescribe it . . .  If you can't find someone locally, look
nationally."
 

In a similar exchange, Harvard psychiatrist Alexander J. Bodkin, co-author of the 1995 study, "Buprenorphine Treatment of Refractory Depression (1)," was equally encouraging:

"[Buprenorphine] is a relatively harmless drug, and sometimes it
really helps depression remarkably. . . You would need to prevail upon one of the local buprenorphine prescribers to step outside of convention to try it with you."

A related study, "Treatment Augmentation With Opiates in Severe and Refractory Major Depression (2)," by another Harvard psychiatrist, Andrew L. Stoll, concludes: 
"Opiates should be considered a reasonable option in carefully selected patients who are desperately ill with major depression that is refractory to standard therapies."
A more recent clinical study,  "Does the antidepressive response to opiate treatment describe a subtype of depression (3)," posits:
"Possibly, the response to opiates describes a special subtype of depressive disorders e.g corresponding to a dysregulation of the endogenous opioid system and not of the monaminergic system."
The study employed dexamethasone suppression testing:
"Though the dexamethasone suppression test (DST) has a sensitivity of only 40-70% in severe depression, it is one of the few neuroendocrine strategies that offers insights in the pathophysiology of depression and will help define more homogeneous subgroups from a bioclinical and therapeutic viewpoint."
and concludes:
"The DST in depressed patients responding to buprenorphine yielded significantly lower cortisol levels than in non-responding patients. However, cortisol secretion and failure to suppress cortisol in response to dexamethasone have been consistently associated with severe depression."


To conclude here, I have two issues I'd like to address in our next session:

 1. Toward determining whether or not "dysregulation of the endogenous opioid system" underlies my depression, is a dexamethasone suppression test in order?

 2. More importantly, please help me determine whether or not I can "prevail upon one of the local buprenorphine prescribers," specifically, a UNM-affiliated psychiatrist, to consider treating my depression with buprenorphine.   (Two other UNM "buprenorphine prescribers" I did not contact: Vicente Tuason and Cynthia Geppert.)

Finally, I may not "present" with obvious, life-threatening, physical trauma.  My guts aren't hanging out.  I have all my limbs and some hold on my basic faculties.  Still, I am confronting, day by day, a critical, potentially-fatal, health crisis.  Grasping for an analogy here, my soul is on fire, Dr. Rajesh.  Beyond suppressing or putting this fire out (perhaps with buprenorhine), I can anticipate a serious amount of behavioral (smoking cessation, diet & excercise) and cognitive work ahead, as well, in order to tackle the entire depressive syndrome that has crippled my life.

Nod toward your eastern background, I appeal here in the spirit of Ganesha -- "The Remover of Obstacles."  Though it is already implicit in our relationship, I entreat you, please, help me anyway you can. 

 

Sincerely,

Robert L.
Sandia Park, NM

 

2. Treatment Augmentation With Opiates in Severe and Refractory Major Depression

3. Does the antidepressive response to opiate treatment describe a subtype of depression
 

Related:

CSAT Buprenorpine FAQ #21:

"Subutex® and Suboxone® [buprenorphine 'brand names'] have received FDA approval only for the treatment of opioid addiction. However, once approved, a drug product may be prescribed by a licensed physician for any use that, based on the physician's professional opinion, is deemed to be appropriate. Neither the FDA nor the Federal government regulates the practice of medicine. Any approved product may be used by a licensed practitioner for uses other than those stated in the product label. Off-label use is not illegal, but it means that the data to support that use has not been independently reviewed by the FDA." [emphasis added]


_____________________________________________________



peace!



Edit: I see alot of format/spacing errors in this post.  If you see them too, I'm sorry.  I'm not going to mess with it.


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Breaking Q. -- Flash Message

Posted on Dec 11th, 2008 by rhobherto : karmic furnace rhobherto




breakout





ˈkwär-ən-tēn

isolation, especially in order to prevent an illness or disease from spreading




Recently traded emails with . . .
 
(alternatively, see: Glenn Greenwald's Salon Radio interview: Scott Horton on war crimes prosecution)
 
 
 
 



peace!
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possible near-future news

Posted on Mar 7th, 2008 by rhobherto : karmic furnace rhobherto

Recent Bush Administration mutterings about an enduring "Status of Forces Agreement" (SOFA) between the US and Iraq, together with the still-pending passage of a new "Oil Law" in Iraq, inspires the following:



white-house-lawn





FUTURE REAL-SPEAK NEWS FLASH -- CHENEY: "IT’S THE OIL!"

Sweet Crude Victory!

US Vice President Richard Bruce Cheney convened a press conference early this morning on the White House lawn to announce and publish, "Our Open Letter to the World: Yes, Our Sights Were Set Upon Iraq’s Oil." The Vice President was flanked by several, prominent signatories of this newly published "Open Letter," later identified as officials or principal participants from the VP’s Energy Task Force; the Pentagon’s Office of Special Plans; and The White House Iraq Group.

The Vice President began his remarks by announcing what he describes as, "[O]ur true and final victory in Iraq." These remarks referenced the Iraqi government’s passage and ratification, earlier this week, of both it’s new "Oil Law" and the "The Permanent US/Iraq Agreement on Military Cooperation."

"Iraq’s new Oil Law," said the Vice President, "at last codifies all three of our fundamental and hard-won objectives in Iraq." The Vice President also noted "the indispensable and enduring importance" of the new "Permanent Agreement," also recently passed by the Iraqi Parliament. "This Agreement, " said the Vice President, "ensures our ongoing ability to enforce the new legal rights granted to our corporations by Iraq’s Oil Law."

A summary of those "three . . . fundamental" objectives was later spelled out in an "Official Supplementary Press Release" distributed immediately after the news conference, which included the full text of "Our Open Letter to the World." As that "Letter" states, those "fundamental objectives" were: "1) The de-nationalization of Iraq’s oil industry; 2) The expulsion of ‘foreign suitors’ for Iraq’s oil; and 3) The delivery of control over Iraq’s vast oil wealth to ‘our’ oil extraction and oil service corporations."

When asked to comment on the US "victory" in achieving these objectives, the Administration official distributing the "Release" remarked only, "Bub-bye France! Bub-bye Russia! Bub-bye China!"

Soon after the press conference, the Vice President was regaled at a "Victory Luncheon" held within the White House. Of all the hortatory remarks lavished upon VP Cheney, it was a statement read by AEI-fellow, Michael Ledeen that brought all the luncheon’s attendees to their feet:

"Our bombs express only our benevolence. Our DU munitions are tipped with love! Our torture chambers are but workshops of our compassion. Our corporations will now begin to export 'shrink-wrapped pallets of cash' out of Iraq, but will plant in this arid, blood-soaked place the patented seeds of our superior McCivilization. And now that our benevolence and love and compassion have conquered the futile resistance to our goodness, let’s join hands around the smoking rubble, the funeral pyres, and ‘blend with ours your voices in the triumph song!’"

Mr. Ledeen summarily punctuated his statement by shaking his fist in the air and exclaiming, "Victory in Iraq! On to Iran!"

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A "SOFA" agreement, together with the "benchmark" passage of a new "Oil Law" in Iraq, encapsulates the real, yet-unresolved, "mother of all legal battles" still roiling both in Baghdad and our nation's Capitol.



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"a Godsend"

Posted on Mar 3rd, 2008 by rhobherto : karmic furnace rhobherto




caught this segment on 60 minutes, about these folks, Remote Area Medical.  Tremendous!






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