Friday, December 28, 2018

Silver Linings Playbook-- Good grief.

I recently watched "Silver Linings Playbook"-- a 2012 romantic comedy about many things including love and mental illness.  A cute film.

There was a scene where the protagonist takes his medicine just as the trajectory of the character begins to heal.  The scene was meant to be a feel good moment and a marker of success.

At that moment I had a meltdown of my own as I felt my grief over having dispensed so much poison over twenty years.

I spent eight years studying pharmacology and applied therapeutics to help people.  For a year and a half I worked in Sandoz Drug Safety Assessment Lab primarily on a project to mitigate antipsychotic side effects.  I worked at the Keck Center for Integrative Neuroscience characterizing serotonin pathways and also at the Poison Center while in Pharmacy school.  A lot of my life creativity in science and in communication with other health care providers went into mitigating harm in healing.

When I saw the medications I had dispensed thousands of times I broke out crying.  Paused the film. I sobbed and felt the grief of having done harm when I meant to do right. 

I knew when I dispensed them that someday those meds would be described as barbaric. I knew they would someday be derided historically in a similar way we describe blood letting to balance the humors or radiating children's oversized thyroids in the 1950s (leading to adult thyroid cancer) or so many medical superstitions of the past.

"It was the best treatment we had at the time."  "It was the standard of care."  "I was just following (medical) orders."
I still carry deep grief over trying to assist the medical system to get people well by any means possible and yet distributing flawed tools.  Tools less than optimal that simultaneously made the manufacturer and insurance industries a lot of money.

Seroquel, Abilify, Cymbalta, Ambien, Xanax XR to name a few.  Phenomenally expensive and with many soft pedaled risks.  I stayed in my box as a pharmacist until specifically asked by prescribers, patients or family.

I am available for consultation.  Not to dispense.  I can recommend the film.

Tuesday, October 30, 2018

Sleep, perchance to dream.

I'm NOT a fan of using medicine for sleep unless it is a dire or dangerous situation.
Early in my career I lamented the hundreds patients and physicians too who took anxiolytics such as Xanax or Sonata or Ambien EVERY night.  The practice is changing as the dangers were eventually undeniable.  I really did not enjoy bickering with people over these substances.  I preferred the heroin addicts in Haight Ashbury Drug Detox to little old ladies on Xanax who would go from sweet to hell raising bitter in a moment.  A tough situation demanding the extreme empathy.

The best way to beat insomnia take a hard look and manage stimulating activities. Sleep hygeine must be primary: managing screen time and infotainment, caffeine, and steady routines are paramount.

Here's a good article on what I mean.

My sleep battles for many years stemmed from working nights (7 on 7 off), traveling for work with my own pharmacy relief company and using computers late into the night bleeding off the stress of the day.  I also was blessed to live in Fairbanks Alaska for a year and loved the looooong Summer days.

Supplements I have used include melatonin as a liquid and sustained release, herbs: valerian, chamomile and magnolia.  And blends of each.

Tryptophan and 5HTTP back in the day but they were not available for a while and I am not so enamored as a sleep aid although I do occasionally use an amino acid blends  by NAP earlier in the day for neurotransmitter support.

I recently attended a lecture where an integrative physician described using 5mg CBD or a 1/3 CBD to 2/# THC blend to get to sleep.  She suggested letting chocolate dissolve in the mouth instead of eating an edible which can have a prolonged onset/wait time.

I like magnesium beverages i.e."Calm" before bed.  Or herbal teas like SleepyTime or straight up  Chamomile.

Mellow music has been good for me and also binaural beats on youtube or from Sacred Acoustics.

I'm sleeping pretty well without any nutritional or chemical assistance these days but I am interested in having a singleshot of Pure Encapsulations "Sleep Solution" on hand: it has melatonin, magnesium and theanine.

I'll let you know how it goes.

Sleep Well.

Thursday, October 18, 2018

Just had a great conversation with a friend reclaiming thyroid health.
She is working with talented a naturopathic physician and I presume a local MD to monitor progress.
Says she feels good and is down to 25% of her original daily dose of levothroid.
I am so stoked for her.
I have pondered why so many have thyroid disease and the skyrocketing increases in thyroid prescriptions over my time in health care.  Remember when George W. Bush and his wife had to start using thyroid medication?
Is it loss of Iodine in soil and therefor diet?  Or loss of the mineral cofactors involved in adding Iodide to tyrosine or even a lack of tyrosine itself.
The lack of regenerative agriculture over the last century and the chemicals used to destroy essential amino acid producing weeds and bacteria are likely culprits.
My friend has a very complicated herbal regimen.
I like to offer the Thyroid Support Complex supplement from Pure for those working to restore Thyroid health.  The basics of Tyrosine, Iodine and mineral cofactors needed to process are all there.
Ask your doctor.  Connect if you want to talk about it.

https://www.purecapspro.com/akamairx/pe/products/product_details.asp?ProductsID=650