Monday, November 11, 2013

PROFESSOR INNES PARK AT WORLD VEG FESTIVAL 2013

SF VegSociety

Professor Innes Park "Raw Vegan Can Be More Vegan" date: Sunday Sept 29, 2013 at San Francisco Vegetarian Society's 14th annual World Veg Festival event. For more info: worldvegfestival.com




Tuesday, November 5, 2013

HOW I GOT OFF OF PSYCHIATRIC MEDICATION


 December 28, 2008
I’ve written bits and pieces here about how I why I withdrew from individual psychiatric medications.  However, I haven’t provided the details of how I actually did it, how I worked with my prescribing doctor through the process, or why I chose to withdraw the way I did for each drug.  Please don’t consider this any kind of “how-to.”  Withdrawing from psychiatric drugs is dangerous, though not necessarily for the reasons psychiatry would like you to believe:  that your original symptoms are returning, and that adverse events experienced during withdrawal are just reminders of the severity of your “underlying illness.”  That may be true for some, but more universally and more pressing, no matter what the original reason for the prescription, these drugs cause profound changes in the brain and body, and to remove them, suddenly or slowly, causes further changes as the body readjusts to their absence.  In general, in both academic settings and in my own experience of treatment, I have found that prescribers of these drugs are not aware of the possible severity of withdrawal symptoms, the breadth of possible withdrawal symptoms, or the appropriate time course for a sensible withdrawal schedule.  In spring of 2003, at the end of my first year of graduate school, I was taking zyprexa, celexa, klonopin (only intermittently), and Tegretol.   Drug by drug, here is how I got from this down to zero.
Zyprexa Withdrawal:

  • Original dose: 10 mg/day
  • How long had I been on the drug? about 1 1/2 years
  • Why did I choose to withdraw? Extreme concern about adverse events, particularly diabetes risk, especially given my extreme weight gain on the drug (30 lbs onto a previously slender 5’4″ frame), and risk of permanent movement disorders (tardive dyskenesia).  I was particularly concerned once I learned the prescription had been overzealous off-label treatment of anxiety, which seemed like overkill once I knew the risks.
  • What did I tell my prescriber? I told her my health concerns.  At that point I still believed I was bipolar and in need of heavy medication.  I just didn’t want to be on zyprexa anymore.
  • Length of taper: 2 months (one month at 5 mg, one month at 2.5 mg, then nothing)
  • Withdrawal Symptoms: I did not experience withdrawal symptoms until after the final drop, but after that they were extreme.  Severe disabling tremors (holding a fork to eat was difficult), heart palpitations, panic attacks (I had never previously experienced these), crippling anxiety (far worse than the anxiety that led to the original prescription), insomnia, overall physical malaise, fatique, loss of ability to concentrate.
  • How long did withdrawal symptoms last? About 4-6 months after my final dose.  There was some concern that the tremors might be permanent, but thankfully they faded.  However, I do still have some tremors in stressful situations or with fatigue.  I don’t recall such tremors from before drug treatment, but it is hard to say if this is truly permanent damage from the drug.  At several points, my prescriber offered to reinstate zyprexa to solve my withdrawal symptoms, while fully acknowledging they were signs of physical dependence, not necessarily symptoms requiring drug treatment.  I was so miserable I considered it, but I’m stubborn and stuck it out.
  • Unexpected fallout: I became heavily dependent on the Klonopin that I had previously used only occassionally  in order to have some semblance of control over the anxiety that withdrawal induced.  I also immediately lost all the weight I gained on zyprexa and more.  I lost over 30 pounds within one month of my final dose.  My period also returned to a more regular schedule.  I hadn’t noticed how infrequent it was until it came back, and had never been informed that this was a common side effect of zyprexa.
  • What did I do wrong? I tapered the drug much much much too fast.  Note however, my taper was far slower than that suggested by my prescribing doctor.  6 months, or even longer, would have been a more appropriate taper, and I would have ignored advice not to cut unscored pills.  My final drop in dose needed to be much smaller than the smallest pill available for sale (2.5 mg).
At this point, I changed doctors, and my new prescriber was concerned that an SSRI (Celexa) was not appropriate.  She weaned me quickly off of the drug and introduced lamictal.  This change was uneventful, or perhaps it just paled in comparison to the zyprexa withdrawal.
Klonipin withdrawal

  • Original dose: 3 mg
  • How long had I been on the drug? Off and on on xanax or klonopin for four 1/2 years
  • Why did I choose to withdraw? I was heavily dependent on the drug after increasing its use during my zyprexa withdrawal.  I found it no longer provided any relief, even at a fairly high dose (I believe 3 mg/day).  I was growing suspicious that the drug was actually causing me increased anxiety between doses.
  • What did I tell my prescriber? Exactly the above.  She was amenable to withdrawing the drug, I think because psychiatrists are trained to be cautious about dependence on benzodiazapenes.
  • Length of taper: About 6 months, very incremental drops in dose, timing drops in dose to correspond to school breaks or times of reduced stress.  Until my final fraction of a milligram, I would remain at each newer low dose until my withdrawal symptoms abated.  Near the end, this became impossible as the withdrawal symptoms were constant.  I was on a tiny dose and decided to cut my losses and do the final withdrawal all at once. I believe this final drop was from about a quarter of a .5mg pill.
  • Withdrawal Symptoms: Crippling throbbing headaches that started at mid-day and lasted into the night.
  • How long did withdrawal symptoms last? At first, with each drop in dose the headaches lasted about a week, but lasted longer and longer as my dosage drop.  Ultimately, the headaches lasted 2-3 months after my final dose.
  • Unexpected fallout: I became addicted to alternating doses of tylenol and naproxen in order to barely control my headaches, both taken at their maximum possible daily doses.  I had to taper carefully off of these pain relievers several months after my final dose of klonopin.  This much less dramatic withdrawal also resulted in headaches, but for a much shorter period of time.
Tegretol Withdrawal:
  • Original dose: 1000 mg / day
  • How long had I been on the drug? About 8 years
  • Why did I choose to withdraw? I didn’t want to be on drugs anymore.  I had completed a solid round of Cognitive Behavioral Therapy, and was functioning so much better than I had when I was on heavy doses of drugs.  I was growing suspicious that the drugs in general were doing more harm than good.  I was starting to question the circumstances of my original diagnosis, and to wonder if I was capable of living without drugs.
  • What did I tell my prescriber? That I was concerned about long term effects of tegretol on my blood work (I had longstanding low white blood cell count), I was on a maximal dose of the drug, but my blood level was now below “therapeutic” (this happens with tegretol frequently, because your body gets better at efficiently removing it from your system over time), so it’s efficacy was likely minimal at best in any case.  I was doing extremely well and was symptom free, and wanted to see if I would be fine on a single remaining drug (lamictal).
  • Length of taper: about 6 months, timing drops in dose to correspond to school breaks or times of reduced stress.
  • Withdrawal Symptoms: Increased anxiety immediately after each drop in dose
  • How long did withdrawal symptoms last? Not long, perhaps a week after each drop in dose, and about two weeks after my final dose
  • Unexpected fallout: I started to laugh again.
Lamictal Withdrawal:
  • Original Dose: 250 mg/day
  • How long had I been on the drug? About three years
  • Why did I choose to withdraw? I was healthier than I had been since childhood, both mentally and physically.  I was deeply questioning the basis of my diagnosis and no longer believed I was mentally ill.   I hadn’t had anything you could remotely call a symptom in 2 1/2 years, even with the stress of withdrawal.
  • What did I tell my prescriber? I was planning to try to get pregnant in one year (which was true), and wanted to be free of meds well before I tried, especially since I was doing so well, in order to make sure I was stable off meds prior to pregnancy
  • Length of taper: About 7-8 months, but two of these months were a pause in withdrawal near the time of my daughter’s birth (my wife carried and birthed our daughter).
  • Withdrawal Symptoms: Minimal increase in anxiety and slight insomnia.
  • How long did withdrawal symptoms last? A few days after each drop in dose, including the final drop in dose.  My Lamicatal withdrawal was virtually pain free, though I count myself lucky, as I have read many horror stories about the stress of lamictal withdrawal.
  • Fallout, this time expected: Freedom.
http://tiltatwindmills.wordpress.com/2008/12/28/how-i-got-off-of-psychiatric-medication/


ARE YOU BORN TO LEAD?

Tuesday, September 10, 2013
Have you ever heard someone described as "born to lead?" According to this point of view, great leaders are simply born with the necessary internal characteristics such as charisma, confidence, intelligence, and social skills that make them natural-born leaders.
I .Great man theories assume that the capacity for leadership is inherent – that great leaders are born, not made. These theories often portray great leaders as heroic, mythic and destined to rise to leadership when needed. The term "Great Man" was used because, at the time, leadership was thought of primarily as a male quality, especially in terms of military leadership.
2. Trait Theories:

Similar in some ways to Great Man theories, trait theories assume that people inherit certain qualities and traits that make them better suited to leadership. Trait theories often identify particular personality or behavioral characteristics shared by leaders. For example, traits like extraversion, self-confidence, and courage are all traits that could potentially be linked to great leaders.
If particular traits are key features of leadership, then how do we explain people who possess those qualities but are not leaders? This question is one of the difficulties in using trait theories to explain leadership. There are plenty of people who possess the personality traits associated with leadership, yet many of these people never seek out positions of leadership.
3. Contingency Theories:
Contingency theories of leadership focus on particular variables related to the environment that might determine which particular style of leadership is best suited for the situation. According to this theory, no leadership style is best in all situations. Success depends upon a number of variables, including the leadership style, qualities of the followers and aspects of the situation.
4. Situational Theories:
Situational theories propose that leaders choose the best course of action based upon situational variables. Different styles of leadership may be more appropriate for certain types of decision-making. For example, in a situation where the leader is the most knowledgeable and experienced member of a group, an authoritarian style might be most appropriate. In other instances where group members are skilled experts, a democratic style would be more effective.
5. Behavioral Theories:
Behavioral theories of leadership are based upon the belief that great leaders are made, not born. Consider it the flip-side of the Great Man theories. Rooted in behaviorism, this leadership theory focuses on the actions of leaders not on mental qualities or internal states. According to this theory, people can learn to become leaders through teaching and observation.
6. Participative Theories:
Participative leadership theories suggest that the ideal leadership style is one that takes the input of others into account. These leaders encourage participation and contributions from group members and help group members feel more relevant and committed to the decision-making process. In participative theories, however, the leader retains the right to allow the input of others.
7. Management Theories:
Management theories, also known as transactional theories, focus on the role of supervision, organization and group performance. These theories base leadership on a system of rewards and punishments. Managerial theories are often used in business; when employees are successful, they are rewarded; when they fail, they are reprimanded or punished. Learn more about theories of transactional leadership.
8. Relationship Theories:

Relationship theories, also known as transformational theories, focus upon the connections formed between leaders and followers. Transformational leaders motivate and inspire people by helping group members see the importance and higher good of the task. These leaders are focused on the performance of group members, but also want each person to fulfill his or her potential. Leaders with this style often have high ethical and moral standards
 


Sunday, November 3, 2013

ISRAEL BANS FLUORIDE IN DRINKING WATER!


By Micah Naziri
Douglas Main reports for Live Science that Israel’s Supreme Court has just ruled that water fluoridation must end not later than 2014.
This is a landmark decision that goes even further than legislation by the health minister Yael German announced earlier this year. According to the Irish publication Hot Press, that decision would effectively have ended mandatory fluoridation nationwide.
Israel is one of the few countries that has widely fluoridated water, besides the United States, Canada, Ireland, New Zealand and Australia. The addition of fluoride to public drinking water supplies has been the subject of what Main terms “intense controversy,” especially, he explains in countries outside of the United States. “Opposition to the practice, on the grounds that fluoride has adverse effects on the thyroid, brain and bones, and is an unethical form of mass-medication, appears to be growing.”
The Israeli government’s decision to ban fluoridation follows a vote to preclude the practice in Portland, Oregon and in Wichita, Kansas. It was also recently overturned in the New Zealand city of Hamilton recently.
Strangely, many within the United States seem to think that fluoridated water is just a matter of course, and a fact of life.

http://politicalblindspot.com/israel-bans-fluoride-in-drinking-water/