Episodios
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Join myself and Dr. Michael Shuman (PharmD, BPCC - Board Certification in Psychiatric Pharmacy) as we discuss the negative impact of Direct-To-Consumer-Advertising (DTCA) in the US Healthcare System. This is a recurring series where Dr. Shuman and I will talk about various examples of the negative impacts of DTCA in America over the last 40+ years. We're living and working in a system now that is rife with misinformation and poor-quality research, and we want to make everyone a little more aware of just how many examples exist in US healthcare history of poorly designed and carried out drug trials and direct manipulation of data, leading to tragedies like with Vioxx. Hopefully, we can instill systematic change that will improve how we go about measuring the safety and efficacy profiles of each new drug.
In this 2nd episode, we discuss Vioxx, or Rofecoxib, an NSAID (Non-Steroidal Anti-Inflammatory Drug) created and marketed by Merck Pharmaceuticals just a couple of years after a loophole made DTCA essentially legal in the US. Vioxx was marketed as safer in terms of the risk of GI bleeding (which it was), but Merck's own internal study (VIGOR) clearly showed a 4-5x increased risk of much more serious problems related to clotting, including heart attacks and strokes. From 1999-2004, it is estimated that over 50,000 Americans died as a result of taking Vioxx and it was eventually pulled from the market in 2004. Efforts were made by Merck representatives to silence Doctors who tried to sound the alarm (shoutout to cardiologist Eric Topol for putting his neck on the line for his patients and the American public) on the dangers. Eventually, Vioxx was recalled, but not before tens of thousands of Americans died, and more than a hundred thousand suffered from heart attacks/strokes. Hope you enjoy. Michael will be a recurring guest for this recurring series on DTCA for our listeners to enjoy over the next several months.
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Join me and PharmD Michael Shuman as we discuss the negative impact of Direct-To-Consumer-Advertising (DTCA) in the US Healthcare System. This is a recurring series where Dr. Shuman and I will talk about various examples of the negative impacts of DTCA in America over the last 40+ years. We're living and working in a system now that is rife with misinformation and poor-quality research, and we want to make everyone a little more aware at just how many examples of poorly designed and carried out drug trials and direct manipulation of data exist in history. Hopefully, we can instill systematic change that will improve how we go about measuring the safety and efficacy profiles of each new drug.
In this first episode, we delve into the history of DTCA and marketing in healthcare. We discuss the Wild West of drug marketing and distribution in the 1800s and into the 1900s, the transition from pharmaceutical marketing dollars being targeted towards physicians to directly to consumers, and how the Sulfanilomide and Thalidomide catastrophes influenced the evolution of the system in the United States. Michael discusses how companies will run condition ads that superficially appear to be Public Service Announcements (PSAs), but unsurprisingly, we discover that the same company that runs the 'educational PSA' also produces the medication or treatment for said condition. Finally, we reveal how the 'Brief Summary Requirement' loophole of 1997, allowing pharmaceutical companies to direct consumers to a toll free phone number OR their pharmacist OR their website paved the way for our current advertising system where roughly 1 in 6 TV advertisements are for pharmaceutical products (and significantly higher during the pandemic, with some areas having 75% of TV ads promoting pharmaceutical products. Hope you enjoy. Michael will be a recurring guest for his recurring series on DTCA for our listeners to enjoy over the next several months.
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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¿Faltan episodios?
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Please join us this week for a discussion on Relational Frame Theory (RFT) and how it relates to Acceptance and Commitment Therapy/Training (ACT), with the conceptual creator of RFT and ACT, Dr. Steven Hayes. I highly recommend you view this on YouTube so you don't miss out on all the added video graphics that supplement our discussion. Dr. Hayes found himself at a crossroads during his early career as an academic psychologist due to his struggle with panic disorder, and like so many difficult things in life, it became critically important to the remainder of his professional development in the field of psychology. He used a background in neurolinguistics and psychology to generate some fundamental ideas about human cognition and summarized them in his theory, RFT, which centers on the unique human ability to NOT just learn through direct experience, but also learn through derived experience or information, which we'll discuss further in our conversation. Once he had strengthened the proof for his theory through reproducible experimentation, he converted THAT understanding into the framework for ACT, and has been spreading this message of openness, flexibility, love, acceptance, and values-based living ever since! In Part 2 of our conversation, Steve gives us an alternative conceptualization of 'mental illness' through the lens of RFT and ACT, and as a comprehensive bio-psycho-social phenomenon. We discuss problems with psychiatric rating scales and the importance of understanding and managing problems in individuals' lives as opposed to searching for a medication 'cure' for a solely biological disease. We talk about the importance of an evolutionary understanding of the world to better understand mental health problems and effective approaches to patients, as well as the advantage to assuming a paw-print in the sand outside of the evolutionary cave is a predator as opposed to a prey. Dr. Hayes tries to recreate the CLICK, or FLIP of understanding again through relation of 2 seemingly unrelated objects in an unrelated way. I hope you enjoy, Dr. Hayes has had a HUGE influence on my life and I hope he has the same for our viewers and listeners!
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Please join us this week for a discussion on Relational Frame Theory (RFT) and how it relates to Acceptance and Commitment Therapy/Training (ACT), with the conceptual creator of RFT and ACT, Dr. Steven Hayes. I highly recommend you view this on YouTube so you don't miss out on all the added video graphics that supplement our discussion. Dr. Hayes found himself at a crossroads during his early career as an academic psychologist due to his struggle with panic disorder, and like so many difficult things in life, it became critically important to the remainder of his professional development in the field of psychology. He used a background in neurolinguistics and psychology to generate some fundamental ideas about human cognition and summarized them in his theory, RFT, which centers on the unique human ability to NOT just learn through direct experience, but also learn through derived experience or information, which we'll discuss further in our conversation. Once he had strengthened the proof for his theory through reproducible experimentation, he converted THAT understanding into the framework for ACT, and has been spreading this message of openness, flexibility, love, acceptance, and values-based living ever since! In Part 1 of our conversation, we talk about some of his past influences, including a personal revelation about how his father held onto a professional baseball dream to the detriment of his ability to move towards other things that mattered in his life, he talks about how we can avoid making the same fundamental mistake, and we discuss THE CLICK, or THE FLIP, of understanding RFT that can instantly makes life simpler and more fulfilling. We try to help listeners experience that click via what I call the AB/CD experiment, and a couple of other tricks Dr. Hayes provides to us. I hope you enjoy. Come back next week for Part 2...
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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This week, we're back to give you more information on bipolar illness, lithium, dementia, and the failures of the NIH in their research efforts, with one of the world's leading psychiatric experts, former Chief of the biological psychiatry branch of the National Institutes of Mental Health (NIMH) for 20 years, Dr. Robert Post, MD and psychiatrist. Dr. Post has spent nearly the entirety of his career working in academia and research, and like our last guest, Janusz Rybakowski, MD, is a former recipient of the Mogens Schou Award. In Part 2 of this conversation, we talk about lithium's protective effects against dementia, the role of memantine in dementia and rapid cycling, the latest example of a profit > progress version of snake oil, the failing new class of monoclonal antibodies (-canamabs), and the failures of the NIH to give clinicians good comparative data of available treatments. I almost get Dr. Post to curse, but he stays true to his promise to his wife not to... Hope you enjoy!
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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This week, we're back to give you more information on bipolar illness in youths and the use of lithium with one of the world's leading experts on both, former Chief of the biological psychiatry branch of the National Institutes of Mental Health (NIMH) for 20 years, Dr. Robert Post, MD and psychiatrist. Dr. Post has spent nearly the entirety of his career working in academia and research, and like our last guest, Janusz Rybakowski, MD, is a former recipient of the Mogens Schou Award. In Part 1 of this conversation, Dr. Post emphasizes how much sicker we are in America compared to our European counterparts, specifically in reference to bipolar illness (though extending into other chronic medical conditions as well), with a higher prevalence, increased markers of severity, and earlier onset. He emphasizes the need for early and aggressive treatment, sometimes requiring the use of multiple mood-stabilizing medications... This leads to a back-and-forth with me imploring that we are already an overdiagnosed and overmedicated society, while Dr. Post argues that delayed treatment leads to worse outcomes. We reconcile with discussions on balancing the risk of overmedicating with the benefit of early treatment, ensuring appropriate diagnosing with the utilization of long-term daily or weekly mood charting, and the avoidance of the most commonly prescribed medication class to youths and adolescents, the SSRI "antidepressants," and the need to utilize more lithium. We additional reconcile on the initial use of safe and effective non-pharmacologic treatments such as Family-Focused Therapy, as well as safe supplements that have efficacy in managing bipolar symptoms such as N-Acetyl-Cysteine (NAC), L-Methyl-Folate (LMF), and Acetyl-L Carnitine (LAC). In addition, we talk about the role of consciousness in the ability to develop bipolarity, as well as the role of inflammation with so many pro-inflammatory sources that exist in America that are banned in Europe (food additives, environmental wastes, etc.). Thanks for listening, check out part 2 next week.
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Hey there again... This week, we're back to give you more information on lithium with one of the world's leading experts on lithium, Dr. Janusz Rybakowski, MD and Polish psychiatrist. Janusz was one of the first researchers in the world to illuminate some of the ancillary medical benefits of lithium, publishing one of the first series of reports with JD Amsterdam on Lithium's ability to directly inhibit Herpesvirus replications, when they saw in their lithium-treated bipolar patients a decrease in the # and intensity of cold sore outbreaks. He has gone on to detail several other medical benefits, including its' dementia-prevention effect, positive immuno-modulatory effects, decreasing the incidence of several respiratory viral infections including COVID, as well as several other less-proven but very intriguing benefits. I hope you enjoy and I appreciate Janusz being so gracious with his time and all the materials he has sent me since our conversation.
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as I'm starting to add graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Hey all, hope you enjoy this latest episode with Nicole Lamberson, PA with the Taper Clinic, who graciously has shared her story about being over-medicated on psychiatric medications. We discuss why limited duration 'Rehab' and 'Detox' units can be extremely harmful to patients with dependence on certain prescription or illicit drugs, using her own experience with an escalating dose of prescribed Xanax (and several other medications), followed by abrupt withdrawal and persistent protracted withdrawal symptoms that she is still dealing with today. We reference a couple of very influential historical psychiatrists who tried to sound the alarm on how to effectively withdraw patients in the long-term from benzodiazepines, whose professional valid opinions had been dismissed until years after their deaths. Nicole tells her story as a warning to others who may be struggling or in a similar situation, and hopefully, alleviate their distress and move our field forward, focusing on progress over profits. Hope you enjoy!
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as I'm starting to add graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Join me with Cara Hoepner, a San Francisco-based PMHNP, to discuss how we SHOULD be practicing psychiatry. This is a 2-part series and in this 2nd part, we talk more about some of the issues that plague our field. We talk about how our first imperative has to be to rule out any medical cause of psychiatric symptoms, then discuss how Cara individualizes her treatment for each patient, balancing non-pharmacologic necessities for good mental health like diet, movement, and breathing/meditation, with a creative but safe pharmacologic armamentarium, all in an effort to address ROOT CAUSES of psychiatric symptoms. Cara discusses some of the risks of long term antipsychotic use, the importance of sleep and diet, and points out that 98% of Americans are metabolically unhealthy from a functional and integrative psychiatry-perspective. Another interesting part of the discussion is Cara revealing her own journey with MCAS, or Mast Cell Activation Syndrome, and how that allows her to more easily recognize MCAS and refer patients to the appropriate treating clinican. We talk about the common overlap of MCAS with OCD. Lastly, we briefly talk about the benefits and detriments of using acute anti-inflammatory agents, which, of course, leads us to a lengthy detour talking about lithium and its unique anti-GSK-3-beta chronic anti-inflammatory action. Hope you enjoy!
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Join me with Cara Hoepner, a San Francisco-based PMHNP, to discuss how we SHOULD be practicing psychiatry. This is a 2-part series and in this first part, we will talk more about Cara's background that led her into psychiatric practice, then discuss the inherent problems with the DSM's massive over-expansion of psychiatric diagnoses and the major inherent limitations in modern psychiatry. We discuss how the "guidelines" for psychiatric practice DO NOT promote individualization of treatment, critical thinking skills, and DO NOT typically address the root causes of illness. Cara discusses her number one motion to DO NO HARM, causing her hesitance with using SSRIs and promoting the belief that SSRIs may be contributing to or causing a more rapid cycling between depression, mania, and euthymia (normal mood) in bipolar disorder (formerly manic-depressive illness) patients. We talk about addiction treatment and how our rapid tapers lead to protracted withdrawals, how addiction services create cookie-cutter treatment regimens they try to apply to every patient that walks through the door, regardless of individual factors of duration and amount of use and giving their brains and bodies time to adjust to lower doses of illicit and licit drugs/medications in their treatments. Lastly, we share a disagreement on industry's influence on our current malfunctioning system. Cara points out how the relationship between doctors/providers and industry representatives has shifted over time, and I emphasize the idea that if I don't promote that there are major problems with how industry operates and its lack of enforced regulations, then how will the system ever change? Hope you enjoy!
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Clozapine is one of the first antipsychotics with a unique chemical structure compared to any other antipsychotic. It is the most effective at treating patients with treatment-resistant schizophrenia, but is severely underutilized despite its efficacy. It does have a significant side effect profile that needs to be monitored and managed, but can provide relief to patients who have not found relief from other medications. Today, I bring on Jose Rubio, MD, at Zucker Hillside Hospital, who specializes in treatment-resistant schizophrenia and is an expert on using Clozapine. He also trained under John Kane, the original MD and researcher who was tasked by the FDA, which was trying to ban Clozapine due to a string of Scandinavian deaths related to a rare side effect, to bring inpatient treatment-resistant schizophrenic patients in the 1970s OFF of clozapine, and came back to the FDA saying that he wasn't able to find effective treatment for the majority of them and petitioned the FDA to reconsider their ban due to Clozapine being so effective. Clozapine is very cheap and is another example of us prioritizing less effective and more expensive treatments over tried-and-true treatments. It DOES have a severe side effect of agranulocytosis (along with a couple others), which impairs the person's immune system to fight off infections, so it requires a significant amount of monitoring especially early in the treatment. But, for the vast majority of patients, Clozapine is not only tolerated, but provides them relief from their symptoms and a chance to live a more normal life. Hope you enjoy!
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Enjoy my rant on a healthcare bill. Please send me your rants if you have them and I'll post them.
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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This series is about encephalitis, or brain infection. This is such an important topic in psychiatry because it is a potential medical cause of psychiatric or behavioral symptoms. I've seen encephalitis patients misdiagnosed and put on the inpatient psychiatric unit, and that delay of care can be disastrous for their brain's chances of recovery. In this series, we welcomed Australia's Philip Britton, MD, a world-renowned expert on childhood encephalitis, then talked to Alex, an old friend of mine with the onset of primarily behavioral changes that was later diagnosed with and treated for viral encephalitis, and in our final installation, my old friend and colleague, Jaime Shoup, MD, returns to give his take on encephalitis. You can watch this entire series on my YouTube channel which includes video; search 'Renegade Psych' on YouTube to find the page. All future episodes will be live video recordings, but we'll still produce an audio-only version as well, so view on YouTube, listen on other platforms, or don't do either, Life is full of choices!
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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I'm super excited for this first PATIENT EXPERIENCE episode with a live interview with an old friend of mine, Alex, who recently suffered a bout of likely VIRAL ENCEPHALITIS, or brain infection, that led to primarily behavioral changes before any obvious focal neurologic deficits. This is such an important topic in psychiatry because it is a potential medical cause of psychiatric or behavioral symptoms. I've seen encephalitis patients misdiagnosed and put on the inpatient psychiatric unit, and that delay of care can be disastrous for their brain's chances of recovery. In this series, we welcomed Australia's Philip Britton, MD, a world-renowned expert on childhood encephalitis, AND IN THIS EPISODE, we welcome our first patient guest, Alex, to talk about his personal experience with contracting encephalitis, and in our final installation, my old friend and colleague, Jaime Shoup, MD, returns to give his take on encephalitis. You can watch this entire series on my YouTube channel which includes video; search 'Renegade Psych' on YouTube to find the page. All future episodes will be live video recordings, but we'll still produce an audio-only version as well, so view on YouTube, listen on other platforms, or don't do either, Life is full of choices!
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Hey! Welcome to my next series on ENCEPHALITIS, or infectious causes of encephalopathies, or medical problems that cause altered mentation and behavior. It's such an important topic in psychiatry because it is a potential medical cause of psychiatric illness. I've seen encephalitis patients misdiagnosed and put on the inpatient psychiatric unit, and that delay of care can be disastrous for their brain's chances of recovery. In this series, we welcome Australia's Philip Britton, MD, a world-renowned expert on childhood encephalitis, then we welcome our first patient guest, Alex, to talk about his personal experience with contracting encephalitis, and lastly, my old friend and colleague, Jaime Shoup, MD, returns to give his take on encephalitis. You can watch this entire series on my YouTube channel which includes video; search 'Renegade Psych' on YouTube to find the page. All future episodes will be live video recordings, but we'll still produce an audio-only version as well, so view on YouTube, listen on other platforms, or don't do either, Life is full of choices!
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Thanks for listening. I hope you've enjoyed this series on the US Drug Epidemic. This week, I am just re-releasing all 6 episodes of the series in one episode, for those who prefer 3.5 hours of drug epidemic talk/information. I recommend watching this entire series on my YouTube channel so you can see several charts/graphics you won't be able to see otherwise; search 'Renegade Psych' on YouTube to find the page. All future episodes will be live video recordings, but we'll still produce an audio-only version as well, so view on YouTube, listen on other platforms, or don't do either, Life is full of choices!
I recorded this series solo on a topic I consider myself very well-versed in, the drug/opioid epidemic, which has taken the lives of millions of Americans, caused medical and psychological complications for hundreds of millions more, and has led to heartbreak in so many others caring for those with substance use disorders, in the last 25 years. While the official overdose fatality figures hover above 100,000 annually as of 2022, there are likely significant numbers of fatal overdoses that get logged as other deaths. The 1st episode of the series emphasized the severity and under-representation of the magnitude of the drug epidemic problem, the 2nd, 3rd, and 4th episodes traced the evolution from an increase in opiate marketing and prescribing, primarily initially Oxycontin, to a black-tar heroin epidemic once the US government introduced regulations restricting opiate prescribing domestically, and a massive increase in the number of people injecting drugs, carrying a host of other potential fatal and non-fatal complications, followed by the 3rd wave of fentanyl contamination into the entirety of the US drug supply, causing an even bigger surge of overdose deaths and non-fatal complications related to illicit drug use. Then, we looked at more non-fatal consequences and complications in the 5th installment. And lastly, we talked about solutions to the problem in the 6th installment.
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Thanks for listening. I recommend watching this entire series on my YouTube channel so you can see several charts/graphics you won't be able to see otherwise; search 'Renegade Psych' on YouTube to find the page. All future episodes will be live video recordings, but we'll still produce an audio-only version as well, so view on YouTube, listen on other platforms, or don't do either, Life is full of choices!
I recorded this series solo on a topic I consider myself very well-versed in, the drug/opioid epidemic, which has taken the lives of millions of Americans, caused medical and psychological complications for hundreds of millions more, and has led to heartbreak in so many others caring for those with substance use disorders, in the last 25 years. While the official overdose fatality figures hover above 100,000 annually as of 2022, there are likely significant numbers of fatal overdoses that get logged as other deaths. The 1st episode of the series emphasized the severity and under-representation of the magnitude of the drug epidemic problem, the 2nd, 3rd, and 4th episodes traced the evolution from an increase in opiate marketing and prescribing, primarily initially Oxycontin, to a black-tar heroin epidemic once the US government introduced regulations restricting opiate prescribing domestically, and a massive increase in the number of people injecting drugs, carrying a host of other potential fatal and non-fatal complications, followed by the 3rd wave of fentanyl contamination into the entirety of the US drug supply, causing an even bigger surge of overdose deaths and non-fatal complications related to illicit drug use. Then, we looked at more non-fatal consequences and complications in the 5th installment.
In this 6th installment, I talk about SOLUTIONS to the problem. Some solutions are obvious and we simply need to overcome the stigma and demonization of this population to implement them on a more widespread national level, while others are less proven but have substantial evidence that they would be helpful. We talk about harm reduction, including MAT and Suboxone (Buprenorphine/Naloxone), and potentially even legalizing and regulating the entirety of the drug supply. If nothing else, WE HAVE TO DO SOMETHING DIFFERENT because WHAT WE ARE DOING IS NOT WORKING.
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Thanks for listening. I recommend watching this entire series on my YouTube channel due to there being several charts and graphics that you won't be able to see on other platforms; just search 'Renegade Psych' on YouTube to find our page. Future episodes will be live video recordings, but we'll still produce our audio-only version as well, so view on YouTube, listen on other platforms, or don't do either, Life is full of choices!
I recorded this series solo on a topic I consider myself very well-versed in, the drug/opioid epidemic, which has taken the lives of millions of Americans and caused medical and psychologic complications for hundreds of millions more, and has caused heartbreak in so many others caring for those with substance use disorders, in the last 25 years. While the official overdose fatality figures hover above 100,000 annually as of 2022, there are significant numbers of fatal overdoses that get logged as other deaths. The 1st episode of the series emphasized the severity and under-representation of the magnitude of the drug epidemic problem, the 2nd, 3rd, and 4th episodes traced the evolution from an increase in opiate marketing and prescribing, primarily initially Oxycontin, to a black-tar heroin epidemic once the US government introduced regulations restricting opiate prescribing domestically, and a massive increase in the number of people injecting drugs, carrying a host of other potential fatal and non-fatal complications, followed by the 4th installation discussing the 3rd wave of fentanyl contamination into the entirety of the US drug supply, causing an even bigger surge of overdose deaths and non-fatal complications related to illicit drug use. In this 5th installment, we discuss a litany of different non-fatal problems associated with illicit drug use to try to emphasize ALL of the complications, not just the deaths, related to ongoing substance use disorders. In the 6th and final installment of the series, I will review some of my proposed solutions to combatting our drug epidemic.
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Thanks for listening. I recommend watching this entire series on my YouTube channel due to there being several charts and graphics that you won't be able to see on other platforms; just search 'Renegade Psych' on YouTube to find our page. Future episodes will be live video recordings, but we'll still produce our audio-only version as well, so view on YouTube, listen on other platforms, or don't do either, Life is full of choices!
I recorded this series solo on a topic I consider myself very well-versed in, the drug/opioid epidemic, which has taken the lives of millions of Americans and caused medical and psychologic complications for hundreds of millions more, and has caused heartbreak in so many others caring for those with substance use disorders, in the last 25 years. While the official overdose fatality figures hover above 100,000 annually as of 2022, there are significant numbers of fatal overdoses that get logged as other deaths. The 1st episode of the series emphasized the severity and under-representation of the magnitude of the drug epidemic problem, the 2nd and 3rd episodes traced the evolution from an increase in opiate marketing and prescribing, primarily initially Oxycontin, gave way to a black-tar heroin epidemic once the US government introduced regulations restricting opiate prescribing domestically, and a massive increase in the number of people injecting drugs, carrying a host of other potential fatal and non-fatal complications. In this 4th installment of OVERDOSED: The Worst Drug Epidemic in Human History, we follow the evolution of the 3rd wave of massive fentanyl contamination, and the somehow even bigger surge of overdose deaths and complications following the COVID-19 pandemic beginning in early 2020.
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Thanks for listening. I recommend watching this entire series on my YouTube channel due to there being several charts and graphics that you won't be able to see on other platforms; just search 'Renegade Psych' on YouTube to find our page. Future episodes will be live video recordings, but we'll still produce our audio-only version as well, so view on YouTube, listen on other platforms, or don't do either, Life is full of choices!
I recorded this series solo on a topic I consider myself very well-versed in, the drug/opioid epidemic, which has taken the lives of millions of Americans and caused medical and psychologic complications for hundreds of millions more, and has caused heartbreak in so many others caring for those with substance use disorders, in the last 25 years. While the official overdose fatality figures hover above 100,000 annually as of 2022, there are significant numbers of fatal overdoses that get logged as other deaths. The first episode focused on the scope of the problem, outlining that it is way more serious and severe than the 'official numbers' indicate and the second episode traced the evolution of the 1st wave of the epidemic involving an increase in the precriptions of Oxycontin and other opiates/opioids for minor aches and pains. This 3rd episode shows how the government, with apparently good intentions, tried to reduce the over-prescribing 1st wave of the epidemic by putting in regulatory constraints that actually created optimal conditions for the Xalisco cartel of Mexico, in its infancy prior to the 2nd wave, to become the primary producer and distrubitor of black-tar heroin, on its way to becoming the 2nd most powerful drug cartel in all of Mexico. We'll trace the evolution of the 2nd wave, as well as the massive increase in the amount of people injecting drugs (roughly 3.7 million Americans in 2018, or 5x more than just a few years prior to that in 2011), and the subsequent increase in so many dangerous and potentially deadly consequences or sequelae of Intravenous Drug Use.
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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