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Today is the last day of my medical conference. The last lecture is going to be about ‘psychedelics” and we are all looking forward to that one. Patients are already asking me about the things.  Overall it has been a good conference; it was just the right combination of things I already knew (a comfort to know I am on top of things) and some things I did not know. I can go back to work with some improvements towards questions, care, and documentation.  

Here are some highlights for the Spo-fans:

Fat (adipose tissue) is chock-full of nasty things hell-bent on causing inflammation, which correlates to all sorts of illnesses including depression. Losing weight and eating properly is good for physical and mental well-being, including better response to pain/psychiatric treatments. 

Lifestyle surpasses genetics and upbringing, a relief. 30 days of mindfulness, exercise (walking counts), nutrition improvement, sleep priority, and daily contact with others can do a hell of a lot of good for pain, depression, and anxiety. 

There is a brain part named the lateral habenula. It’s been identified as the section most correlated with gloom, anhedonia, and hopelessness. Nicknamed the ‘misery section” of the brain, it is not amenable to antidepressant medication. Ketamine, however, does, and this may explain why refractory depression cases respond to the drug. Alas, Babylon, the effects are only temporary. However, new medications are going to target this gloomy little part of the brain. Fingers crossed. 

For thoughts of suicide, soon there will be a ‘988’ number to call. AFSP.ORG  (American foundation of suicide prevention) has lots of resources on the topic. 

Lost Vegas was a marvelous party but I am glad to get out of it. Everything is frightfully expensive. Drinks averaged 20$; last night’s buffet was 70$ each. Gasoline is over six dollars a gallon. On the positive, Someone won 160$ and he found a twenty dollar bill, so that’s good. 

I am looking forward to being home where it is quiet and smoke-free. I want to sleep in my own bed with my dog. I hope June will be a quiet month. 

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June 2022

Spo-Reflections 2006-2018