Picking up where we left off from last week we find Jimmy is in quite a state of disrepair as he heads into the surgical suite to meet his destiny.
He was rushed into surgery as the brain surgeon informed us that he probably would not make it. Against all odds he did in fact survive the surgical decompression of his brain but dig this: he’s still on the Seroquel and the SSRI in spite of what I have told you about the dementing effects of the AAP’s. Eerily there was never one hiccup in his dosing schedule, not one! That alone is unusual and preternatural. I was subconsciously hoping the neurosurgeon would have discontinued these meds to allow his brain to heal from the tremendous insult to his brain which was no different that getting hit in the head with a falling anvil. Conversely, I should thank my lucky stars that his surgeon didn’t stop the meds because none of those DIB’s and the other fools up there-trapped in the CSCS Box-would have been able to recognize Serotonin Withdrawal Syndrome which although not likely because he’s doing the old push-me (SSRI)-pull-you (AAP) on his serotonin receptors it can still happen and it can be fatal.
Then talk about a fight if I were to see that happening. As it was the head nurse and one other gal looking like two scared, undernourished church mice became utterly defensive when I simply asked for his med list. Jimmy’s nurse was so up tight that had she farted every dog within a 5 mile radius would have answered. I admit I was stressed and pissed off and the CSCS was acutely bugging me that day as well. I had a good reason we had all thought Jimmy was going to die. Long story short they did not let me see the list which has never happened to me in 20 years. They thought I would sue them if I looked at the med list. What? See this is what I get when I have to deal with invincible ignorance on a fractal scale. First off doctors don’t sue, secondly only if there was something to hide like real malpractice would I ever think of suing. Very disrespectful. I was shocked. But it gets better.
When I was visiting him I quickly noticed that on post op day one, some nurse gave him 5mg of Haldol IV in a knee jerk response the night of the surgery so as to, I’m sure, make him more manageable. Do I even have to say it? After everything we have been discussing, the side effects, the lobotomizing effects, etc. It’s scary, disconcerting and wrong on so many levels that I’m overwhelmed to see this sort of thing occur. You have to understand Jimmy’s post-op state: his brain was nearly killed and now needs nutrients, antioxidants and plenty of down time. Haldol is much like Seroquel and is not part of the recovery picture that I envision. They both are antipsychotics so they both cause the same lobotomizing side effects due to that property. However, Haldol is much more potent. It is used to create a warm mannequin as the chair of the pharmacology department at Georgetown used to tell us, for easy management. That is to say drug him into a vegetative state and forget him. Except for the reality check that I assumed based on common sense everyone would understand:
If your brain is desperately recovering from a massive insult the last thing you give him is a powerful, dementing, chemical lobotomy from Haldol. The LAST thing you should do.
When I found out I mentioned that the pernicious use of Haldol will end today. Rhetorically I asked why are you giving a powerful psychotropic drug to someone who has just suffered a traumatic brain injury…are you nuts? Jimmy was already completely delirious. He had no idea where he was, what had happened or what the day and date were. Yet these supposedly highly trained doctors and nurses had no trouble further contributing to his delirium.Why is this so effin hard to understand?
It’s times like this that I feel it is all hopeless. Hospitals are so wrong and misguided when it comes to wellness that we really need to adhere to this simple slogan: never get stuck in one for God’s sake NEVER. OK go ahead and say it. Modern medicine practiced in America in this day and age is the finest….yada, yada, yada. Ah shut up already. Of course with all this mismanagement I was viewed with a smirk and a jaundiced eye as “the nut.” Yep I’m the nut. I now know in my own small way what Copernicus must have thought when trying to explain to a herd of cattle that it’s the earth that circles around the sun not the other way…….
Even the neuro-psych doctor, a PhD, looked stymied when I mentioned the dementing effects of the AAP’s. That means that she didn’t know about it. That’s the neuropsychiatric doctor, they are the ones that are supposed to understand the powerful effects of drugs on organic brain disease. Now sometimes it’s a breath of fresh air when you encounter another doctor that’s not an MD because a few posses a different mind-think. Wishful thinking anyway. Do they have separate reading rooms for the CSCS people? Why haven’t they read this stuff? It’s right there.
I can tell you with absolute certainty that Jimmy’s final condition was the direct result of his mismanagement which started the day he was put on an AAP and an SSRI. He’s been on Seroquel for 20 years. In that time from the chronic use of antidepressants and antipsychotics he has developed heart disease and a heart attack, diabetes, peripheral neuropathy, obesity, tardive dysphoria, cognitive dysfunction (he no longer reads books), apathy, loss of energy and vitality, anhedonia, affective dysregulation, anosognosia , AAP induced organic brain dysfunction and hypertension.This suite of diseases reads as a who’s who in drug side effects from the chronic use of these medications. This is not an exceptional presentation either. This happens all the time-all of the time.
Now Jimmy’s days consist of sitting on the couch and watching television-all day long every day and not much else. Contrast this to a guy who as a baby just got up one day and started walking, never used baby talk: he spoke in complete sentences and could rattle off the names of every dinosaur in the book by age 2. As an adult he could polish off a book a night, double majored in English literature and history, the funniest and wittiest person I’ve ever known. He seduced every good looking girl in town. He wasn’t just smart he was also beautiful. He could recite any poem or bit of English or French history you ever needed to know in excruciating detail and always be correct. He also wrote virtually every paper my younger brother and two sisters ever had in college while tutoring a kid into passing the law school admissions exam even though he didn’t know anything about it.
Look at it this way, if Jimmy’s first doctor twenty years ago had been a health guru with a far different approach his addled, disease ridden future would never have happened. Instead he would have become the most eligible bachelor in the state pulling in millions a year as a famous criminal defense attorney. Now how many more are there like him-right now-becoming fat and stupid with the proven to be ineffective CSCS approach? All that intellectual potential being erased from society in the land of co-opted psychiatry and medicine complemented with arrogant, vindictive DIB’s while Big Pharma’s fat cats run the show from box seats. Now you know why I get a little passionate when it comes to polypharmacy because you see Jimmy’s my older brother.
That’s it for this section. If you are depressed or you have anxiety remember that there is a far better and safer way to get back in the saddle by simply following the principles I lay out in the book. It requires more effort than taking a pill every morning but you should be comforted in the knowledge that you will still have a bright and productive future when you steer clear of these drugs and the jesters that prescribe them.