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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 25 of 26. This is the beginning of the thread.
Posted by Bob on April 2, 2011, at 16:41:32
Am I the only one wondering what happened to Scott (SLS)? Did I miss something?
Bob
Posted by sigismund on April 2, 2011, at 17:05:04
In reply to Whereabouts of SLS?, posted by Bob on April 2, 2011, at 16:41:32
It was on Admin, a while ago now. Maybe a month ago.
Posted by sigismund on April 2, 2011, at 17:10:00
In reply to Whereabouts of SLS?, posted by Bob on April 2, 2011, at 16:41:32
http://www.dr-bob.org/babble/admin/20110117/msgs/978533.html
Posted by Bob on April 2, 2011, at 17:12:22
In reply to Re: Whereabouts of SLS?, posted by sigismund on April 2, 2011, at 17:10:00
> http://www.dr-bob.org/babble/admin/20110117/msgs/978533.html
Ok, thanks! I thought something more grave might have happened.
Posted by desolationrower on April 3, 2011, at 0:22:48
In reply to Re: Whereabouts of SLS? » sigismund, posted by Bob on April 2, 2011, at 17:12:22
ah
wish he'd left a forwarding address
-d/r
[agree with him about the inane paternalistic enabling of people's lack of self-efficacy/respect.]
Posted by bleauberry on April 3, 2011, at 4:02:01
In reply to Whereabouts of SLS?, posted by Bob on April 2, 2011, at 16:41:32
He didn't sound like himself in that post. Hope he is ok.
Posted by SLS on April 3, 2011, at 7:02:44
In reply to Re: Whereabouts of SLS?, posted by bleauberry on April 3, 2011, at 4:02:01
Hi Folks.
I really appreciate the concern for my welfare.
I have been feeling better over these last few months. I am far from remission, but the trend has been towards recovery. Adding 300mg of lithium has helped prevent mood lability. This was a surprise, as I only began taking lithium to act in the background so as to encourage neurogenesis and neuroprotection. I wasn't expecting a positive effect on my depressisve symptomatology. All in all, things are better.
> He didn't sound like himself in that post.
Unfortunately, I sounded exactly like myself. I do understand your concern that I might have been experiencing an altered state. Personality is an intriguing property of the human condition. It is easy to form conceptual models of others based upon what we observe over time. One only knows what one sees. The rest is interpretation. Perhaps you have never seen certain aspects of my personality. On Psycho-Babble, few have. I hope I have not disappointed.
The main reason why I submitted the posts on Administration challenging Dr. Bob and his mode of website moderation is because it appears to me that his comport acts as an injurious contagion. His behavior fosters an environment of disputation. People who get this bug remain to participate in the contentious drama of the Administration board. The Administration board is not invisible to the rest of the Psycho-Babble community, and is certainly not invisible to the rest of the world. In his hierarchy of priorities, Dr. Bob seems less interested in the quality of support and education than on an autocratic definition of civility and the stoic manner of its enforcement. I am not so much disgusted by the moderation as I am by its historical effects. Very valuable people also became disgusted enough to leave. The quality of education and support has declined in volume steadily. I find Dr. Bob to be recalcitrant in his embracement of a punitive protocol that judges diction and grammar, and applies cold mathematics to calculate the length of punishments.
I support the moderation of Website forums. However, not all methods of moderation are equally effective. Dr. Bob sure likes his own ideas regardless of their obvious deleterious effects over the posting population.
Dr. Bob = affection for his own ideas.
Psycho-Babble = a rapid decline in posting activity as this affection leads to a refractory cause and effect dynamic that people get SICK of and must extricate themselves from. Many people leave in disgust; the same disgust that I experience when I see that nothing changes. People continue to leave because of the moderation methods. As people grow, they refine their perceptions and attitudes as insight evolves. Thus also changes their behavior in order to optimize the way they interact with their environment. The evolution of these interactions require change. The perpetual cycle of cause and effect must be interrupted in order to make corrections.
Dr. Bob = Years of unchanged behavior foster a website that continues to decline measurably.
Einstein = Insanity: doing the same thing over and over again and expecting different results.
* What are the results that Dr. Bob would like to see happen?
Anyone?
- Scott
Posted by Phillipa on April 3, 2011, at 10:54:34
In reply to Re: Whereabouts of SLS?, posted by SLS on April 3, 2011, at 7:02:44
Seems that when posting picks up that's when the blocks again start and bingo posting disappears. Especially anyone new. Who knows what someone else is thinking maybe just see how long some keep posting. I do think a lot have found other sites to post on. I check out of habit when sit at computer. As for admin I don't like conflict so do try and avoid that board. Sometimes write a post and don't return to the thread. There is that delete button on my emails so can delete posts from admin then without reading. Scott sincerly glad you are doing better. Maybe lack of babble? Phillipa
Posted by ed_uk2010 on April 3, 2011, at 15:32:59
In reply to Re: Whereabouts of SLS?, posted by SLS on April 3, 2011, at 7:02:44
Hi Scott,
>I am far from remission, but the trend has been towards recovery.
Excellent. Just out of interest, what is your lithium level on 300mg/day? Since it seems to be helping and you've not mentioned any adverse effects, I'm not sure that your level is important, but it would still be interesting to know.
High doses of lithium don't seem to be used too much any more. Other meds are used in acute mania with low doses of lithium being continued in the long term. Many also end up on thyroxine.
Posted by floatingbridge on April 3, 2011, at 17:20:30
In reply to Re: Whereabouts of SLS?, posted by SLS on April 3, 2011, at 7:02:44
And I am glad to hear you are feeling some improvement.
Warm regards,
fb
Posted by Bob on April 3, 2011, at 18:46:14
In reply to Re: Whereabouts of SLS?, posted by SLS on April 3, 2011, at 7:02:44
Hey Scott,
Good to hear you're ok. So I assume you're still taking the nortrip and... what was it - nardil?
Posted by desolationrower on April 4, 2011, at 2:17:26
In reply to Re: Whereabouts of SLS?, posted by SLS on April 3, 2011, at 7:02:44
hey sls.
i like seeing your personality (just so you aren't showing me up on the technical stuff :) )
its good to hear from you
-d/r
Posted by SLS on April 4, 2011, at 7:00:03
In reply to Re: Whereabouts of SLS?, posted by desolationrower on April 4, 2011, at 2:17:26
> hey sls.
>
> i like seeing your personality (just so you aren't showing me up on the technical stuff :) )
>
> its good to hear from you
>
> -d/rYou're funny.
:-)
Thanks.
- Scott
Posted by SLS on April 4, 2011, at 7:12:10
In reply to Re: Whereabouts of SLS? » SLS, posted by Bob on April 3, 2011, at 18:46:14
> Hey Scott,
>
> Good to hear you're ok. So I assume you're still taking the nortrip and... what was it - nardil?Hi Bob.
I truly appreciate you concern.
My current regime comprises:
Nardil 80mg
nortriptyline 150mg
Lamictal 200mg
Abilify 10mg
lithium 300mgI have taken note of a few posters who described waiting 4 or more months before responding robustly to Nardil. I began taking Nardil in August. I began to respond well to it in December; having waited 4 months. I added the low dose lithium about 3 weeks ago. Unexpectedly, it has exerted a mild antidepressant effect and has also had the effect of mood stabilization. My mood is not nearly as variable. I had begun taking lithium to enhance neuroplasticity and provide neuroprotection. I expected lithium to do these things invisibly in the background. Instead, I experienced an acute therapeutic effect. Lucky choice.
- Scott
Posted by Phillipa on April 4, 2011, at 19:53:08
In reply to Re: Whereabouts of SLS? » Bob, posted by SLS on April 4, 2011, at 7:12:10
That's truly fabulous!!!! Phillipa
Posted by Bob on April 4, 2011, at 23:10:43
In reply to Re: Whereabouts of SLS? » Bob, posted by SLS on April 4, 2011, at 7:12:10
> > Hey Scott,
> >
> > Good to hear you're ok. So I assume you're still taking the nortrip and... what was it - nardil?
>
> Hi Bob.
>
> I truly appreciate you concern.
>
> My current regime comprises:
>
> Nardil 80mg
> nortriptyline 150mg
> Lamictal 200mg
> Abilify 10mg
> lithium 300mg
>
> I have taken note of a few posters who described waiting 4 or more months before responding robustly to Nardil. I began taking Nardil in August. I began to respond well to it in December; having waited 4 months. I added the low dose lithium about 3 weeks ago. Unexpectedly, it has exerted a mild antidepressant effect and has also had the effect of mood stabilization. My mood is not nearly as variable. I had begun taking lithium to enhance neuroplasticity and provide neuroprotection. I expected lithium to do these things invisibly in the background. Instead, I experienced an acute therapeutic effect. Lucky choice.
>
>
> - Scott
>
>
So it looks like you've stayed on course for a good while with your current regimen and that it is providing some pretty good results. That sounds like at least a partial success story!Bob
Posted by morgan miller on April 5, 2011, at 0:05:40
In reply to Re: Whereabouts of SLS? » Bob, posted by SLS on April 4, 2011, at 7:12:10
Happy to hear you are doing better and both lithium and nardil are providing relief. I truly hope the trend continues, hopefully going even further in the positive direction.
I appreciate your candid post about your thoughts/feelings on Dr. Bob and psychobabble.
Take care of yourself Scott, don't be a stranger : )
Morgan
Posted by SLS on April 5, 2011, at 4:03:23
In reply to Re: Whereabouts of SLS? » SLS, posted by ed_uk2010 on April 3, 2011, at 15:32:59
> Hi Scott,
>
> >I am far from remission, but the trend has been towards recovery.
>
> Excellent. Just out of interest, what is your lithium level on 300mg/day?If I had to guess, I would say that it is probably at 0.4 ng/ml or less. I'm titrating clinically using low dosages. 600mg has yielded 0.450 ng/ml in the past. I decided to take it up a notch to 450mg based upon my feeling a letdown at the end of each dosing period when I was taking 150 b.i.d. Hopefully, that dosage won't flatten me out. My greatest concern is not toxicity, but the occurrence of cogwheel like muscle tone when lifting weights (if I ever get back to it). It is somewhat embarrassing to be seen that way.
I read yesterday that lithium + exercise is better than lithium alone in promoting neurogenesis in the hippocampus (rat study). I guess it's time to start an exercise program now that I have more energy to work with.
> Since it seems to be helping and you've not mentioned any adverse effects, I'm not sure that your level is important, but it would still be interesting to know.
It would be. If I get a blood test, I'll let you know.
> High doses of lithium don't seem to be used too much any more. Other meds are used in acute mania with low doses of lithium being continued in the long term. Many also end up on thyroxine.
Is the thyroxine used as a prophylactic against thyroid damage or is it used only if lab results are abnormal?
Thanks, Ed.
- Scott
Posted by mtdewcmu on April 5, 2011, at 11:34:36
In reply to Re: Whereabouts of SLS? » Bob, posted by SLS on April 4, 2011, at 7:12:10
> I have taken note of a few posters who described waiting 4 or more months before responding robustly to Nardil. I began taking Nardil in August. I began to respond well to it in December; having waited 4 months. I added the low dose lithium about 3 weeks ago. Unexpectedly, it has exerted a mild antidepressant effect and has also had the effect of mood stabilization. My mood is not nearly as variable. I had begun taking lithium to enhance neuroplasticity and provide neuroprotection. I expected lithium to do these things invisibly in the background. Instead, I experienced an acute therapeutic effect. Lucky choice.
>I would have thought that lithium's toxic effects would outweigh any benefits on brain health. How often do you have to take it? Do you take instant release or time release? How are the side effects?
Posted by floatingbridge on April 5, 2011, at 12:25:15
In reply to Re: Whereabouts of SLS?, posted by mtdewcmu on April 5, 2011, at 11:34:36
MtDew,
Lithium also being discussed a bit on alt board.
My doc gave me low dose lithium (150, I think) for 'neurogenesis' (his term). I don't understand it myself.
fb
Posted by ed_uk2010 on April 5, 2011, at 14:40:19
In reply to Re: Whereabouts of SLS? » ed_uk2010, posted by SLS on April 5, 2011, at 4:03:23
Hi Scott,
>Hopefully, that dosage won't flatten me out. My greatest concern is not toxicity, but the occurrence of cogwheel like muscle tone...I guess you can easily decrease the dose back down if you do experience any adverse effects.
>Is the thyroxine used as a prophylactic against thyroid damage or is it used only if lab results are abnormal?
Only if lab test are abnormal. I assume they frequently are.
Ed
Posted by Phillipa on April 5, 2011, at 23:40:59
In reply to Re: Whereabouts of SLS? » ed_uk2010, posted by SLS on April 5, 2011, at 4:03:23
Scott I know to Ed but according to Mary Shoman docs are now discovering that adding low dose of synthroid to euthroid patients can stop progression of thyroid illness. So yes google one of her sites and it's all there. Phillipa ps a lot prefer armour compounded.
Posted by SLS on April 6, 2011, at 5:14:19
In reply to Re: Whereabouts of SLS? » SLS, posted by Phillipa on April 5, 2011, at 23:40:59
Posted by SLS on April 6, 2011, at 8:23:59
In reply to Re: Whereabouts of SLS?, posted by ed_uk2010 on April 5, 2011, at 14:40:19
Hi Ed.
> I guess you can easily decrease the dose back down if you do experience any adverse effects.
I took your advice and decided to reduce my dosage of lithium to 300 mg. I take it 150 mg b.i.d. It was a simple decision. If I lose the benefit at 300 mg, I can return to 450 mg. I would rather do it this way so as not to commit to taking 450 mg long term unnecessarily.
Thanks.
- Scott
Posted by Frustratedmama on April 6, 2011, at 23:06:04
In reply to Re: Whereabouts of SLS? » ed_uk2010, posted by SLS on April 6, 2011, at 8:23:59
Glad you are still here!!!!
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Dr. Bob is Robert Hsiung, MD,
[email protected]
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