Psychedelic Passage’s Post

Tapering prescribed chemical medication refers to the gradual reduction of a medication dosage over a period of time, as opposed to suddenly stopping the medication. Tapering is often recommended for certain medications to minimize withdrawal symptoms and potential side and adverse effects that can occur when stopping a medication abruptly. The real concerns about the "Example Minimum Taper Schedule" are valid and highlight the complexity of tapering off prescribed chemical medications, especially those that affect mind-brain chemistry like SSRIs (Selective Serotonin Reuptake Inhibitors) and SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors). Here are some of the key points to consider based on years of observations: 1. Individual Differences: Indeed, factors such as duration of chemical medication use, concurrent medications, individual pharmacological responses, age, gender, race, ethnicity, and weight etc. all play significant roles in how one might experience tapering off medications. A one-size-fits-all schedule can overlook these important variables. 2. Medical Guidance: Consulting with a licensed healthcare provider is crucial. A prescriber familiar with one’s life and medical history can tailor a tapering schedule to one’s specific needs. Seeking multiple opinions and doing personal research can provide a much broader perspective and ensure that the chosen approach is the best for one’s situation. 3. Prescriber Training and Experience: The expertise of the prescriber is essential. Experienced healthcare professionals are more likely to recognize and address the nuances involved in tapering off (psychiatric) medications. 4. Diagnosis Considerations: The underlying diagnosis and the reasons for taking the medication in the first place should be factored into any tapering plan. Different conditions and their severity can influence the tapering process. 5. Potential for Entheogenic aka Psychedelic Experiences: It's been noted that some two-legged ones aka individuals might still have some entheogenic aka psychedelic experiences even while on SSRIs or SNRIs. However, in my clinical experience, that should not be recommended. Tapering is necessary for everyone, it should be carefully evaluated on a case-by-case basis. 6. Caution Against Over-Reliance on Templates: While peer-reviewed documents and medical consultations provide valuable guidelines, they are not infallible. Personalized medical advice is irreplaceable. To close, while the "Example Minimum Taper Schedule" might provide a general framework, it is not a substitute for individualized medical, psychological amd psychiatric advice. Given the complexity and potential risks involved in tapering off prescribed chemical psychiatric medications, a careful, well-informed approach is essential. One should always prioritize consultations with licensed healthcare professionals and truly consider multiple perspectives before making decisions about tapering off medications.

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SHAAKE: The game-changing concussion sign every coach and player needs to know. It’s the motion you often see after a hit to the head, when someone quickly shakes their head back and forth. SHAAKE could identify up to 33% of undiagnosed concussions which is why we’re calling on sports and medical organizations to immediately add it to their list of potential concussion signs.

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Part 2 If this happens, you will have to have a root canal and crown on the tooth.  (What is the likelihood for this to happen after big fillings? What's the likelihood for this to happen after RCT?) I am going to do the absolute best job I can for you today with this filling and hopefully the tooth will do great.  (I am sure you will do the best you can like all the other docs who do large fillings. Hopefully the tooth will have no pain? Obviously reality is just the opposite of what you hoped for and happens often. So again, why the refusal to do RCT when it's called for and who are you trying to avoid RCT for knowing that large filling will cause horrible pain? Who are you avoiding the root canal for while taking a chance of pt complaints? Not for the patient I can guarantee you because they are in pain due to under treatment by you.） But deep cavities can and do cause these issues."  (You seem to know better but you under treat anyways. Why? When would you learn your lesson? Pt would NOT have complained or been called a “jerk” by you only if you did the right type of treatment. Why the hatred for RCT?)

Great win today debunking outdated patient-practitioner perceptions. Half way through an initial consult today, the patient looked as though they were preparing to receive manual therapy (my opinion this is just conditioning from all the other clinics she visited prior). I paused and explained to her that she is moderately functional, and the next best step would be to further examine her and gain more intel in relation to her LSI (limb symmetry index) so that our roadmap can be more clear and focused; as opposed to "hands on" treatment. - Post session feedback "no one's assessed me to this detail before, wow". - Lesson: Not everyone just wants manual therapy, educate our patients and let them make the (informed) decision. Physio's need to demand more value on our profession, we are not day spa's 😅

💡 Why your patients hate you - if you love evidence. Day 27 of posting for 30 days If you truly want to be an evidence based physio, your clients will hate you. You’d never get anywhere with them. You need to use your clinical judgement, patient centred care, evidence and some of your secret herbs and spices. You always need to meet the patient half way, understand what they want from physio and make evidence informed decisions, not decisions solely based on evidence.

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Did you know that 50% of first time toxin patients don’t come back? The first thing that comes to mind is why? Why aren’t patients returning after their first visit? Here’s my tips on improving this statistic: 1. Physical Follow-ups: We NEED to be following up with our patients. I always schedule a 2 week follow up with my patients to make sure that I physically see them in my chair after their tox has settled to make sure everything is looking perfect. 2. Phone Call Follow-ups: Calling 2-3 days post appointment to check in on how everything is going, making sure they have a place to voice any questions or concerns. 3. Giving a full face consultation: During their first appointment, regardless of if they are just coming in for tox in one area, I give a full face consultation. This is something that almost every patient wants but doesn’t always ask for. By taking the time to give a consult, you can uncover other goals they may have, but also show them how much you care about their goals. #allerganmedicalinstituite #amitrainer #nurseinjector

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