{"id":65400,"date":"2016-05-12T19:00:27","date_gmt":"2016-05-12T23:00:27","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=65400"},"modified":"2016-05-12T19:17:59","modified_gmt":"2016-05-12T23:17:59","slug":"good-news-bulletin","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2016\/05\/12\/good-news-bulletin\/","title":{"rendered":"good news bulletin&#8230;"},"content":{"rendered":"<div align=\"justify\" class=\"small\">Since it&#8217;s almost Friday the 13th, I thought I&#8217;d post some good news follow-ups to neutralize any bad luck juju that might be out and about:<\/div>\n<ol><span class=\"small\">       <\/p>\n<li>\n<div align=\"justify\">Unfortunately, the rainy season coincided with the pollen season this year, interfering with the smoothness of my yearly graph on Seasonal Dementia [<a href=\"http:\/\/1boringoldman.com\/index.php\/2016\/03\/26\/a-new-entity\/\" title=\"Permanent Link to a new entity\u2026\">a new entity&hellip;<\/a> and <a href=\"http:\/\/1boringoldman.com\/index.php\/2016\/04\/08\/seasonal-dementia-update\/\">seasonal dementia update&hellip;<\/a>]:<\/div>\n<p align=\"center\"><img decoding=\"async\" width=\"300\" border=\"0\" src=\"http:\/\/1boringoldman.com\/images\/pollen-2016-3.gif\" \/><\/p>\n<div align=\"justify\">As seasoned veterans know [pun intended], the times of greatest affliction don&#8217;t necessarily coincide with the highest pollen counts. In my case, it&#8217;s that second bump in later April that&#8217;s the killer. But this week has been great, and I declare <em><strong><font color=\"#660033\">Pollenarama-2016<\/font><\/strong><\/em> officially over&#8230;<\/div>\n<p>   <\/li>\n<li>\n<div align=\"justify\">I learned today that the blockbuster article that I can&#8217;t seem to stop talking about [<a target=\"_blank\" href=\"http:\/\/content.iospress.com\/articles\/international-journal-of-risk-and-safety-in-medicine\/jrs671\">The   citalopram CIT-MD-18 pediatric depression  trial: Deconstruction of   medical ghostwriting, data mischaracterisation  and academic malfeasance<\/a>] will be published Open Access [full text on-line] [though it will take several days for the link to be changed]&#8230;   <\/div>\n<p>  <\/li>\n<li>\n<div align=\"justify\">Last summer, I saw a patient who presented with Delerium from an outrageous drug regimen &#8211; maximal doses of multiple psychiatric medications [<a href=\"http:\/\/1boringoldman.com\/index.php\/2015\/09\/24\/blitzed\/\">blitzed&hellip;<\/a>]:<\/div>\n<ul>\n<li>Seroquel 600 mg\/day<\/li>\n<li>Trazadone 450 mg\/day<\/li>\n<li>Depakote 2.5 Grams\/day<\/li>\n<li>Neurontin [I forget how much too much]\/day<\/li>\n<li>Cogentin&nbsp;<strike> 4&nbsp;<\/strike> 8 mg\/day [?]<\/li>\n<li>Prozac 80 mg\/day<\/li>\n<\/ul>\n<p align=\"justify\">I began to taper the drugs, and what was lurking underneath was full blown Tardive Dyskinesia with constant back and forth jaw movement, hand wringing, athetoid shoulder shrugging, and restless legs. With continued tapering, her sensorium slowly cleared somewhat, but the Tardive Dyskinesia decidedly worsened [<em><font color=\"#200020\"><a href=\"http:\/\/1boringoldman.com\/index.php\/2015\/10\/27\/some-truths-are-self-evident\/\" target=\"_blank\">some truths are self-evident&hellip;<\/a><\/font><\/em>, <em><font color=\"#200020\"><a href=\"http:\/\/1boringoldman.com\/index.php\/2015\/12\/28\/a-story-getting-near-the-endings\/\" target=\"_blank\">a story: getting near the ending[s]&hellip;<\/a><\/font><\/em>, and <a href=\"http:\/\/1boringoldman.com\/index.php\/2016\/02\/23\/the-verb-to-follow\/\" target=\"_blank\">the verb &ldquo;to follow&rdquo;&hellip;<\/a>]. Even off medications, her cognition and memory remained impaired. So in March, I was finally able to gather enough family to get a coherent history that made it clear that her actual primary diagnosis was Traumatic Brain Injury from a fall two years before [<a href=\"http:\/\/1boringoldman.com\/index.php\/2016\/03\/23\/cases\/\" target=\"_blank\">cases&hellip;<\/a>]. The TD symptoms were improving.<\/p>\n<div align=\"justify\">I saw her yesterday in the clinic, and for the first time in almost a year, she had no symptoms of Tardive Dyskinesia. She does have a residual painful TMJ syndrome from the months of constant jaw movements, but all of the TD symptoms themselves have cleared. She&#8217;s only on Aprazolam for sleep and Prozac 20 mg daily [per her request]. So, one big bullet dodged and a sigh of relief from everyone concerned&#8230; <\/div>\n<\/li>\n<p>       <\/span><\/ol>\n<div align=\"justify\" class=\"small\">Thus ends my pre-Friday-13th good news bulletin&#8230;<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Since it&#8217;s almost Friday the 13th, I thought I&#8217;d post some good news follow-ups to neutralize any bad luck juju that might be out and about: Unfortunately, the rainy season coincided with the pollen season this year, interfering with the smoothness of my yearly graph on Seasonal Dementia [a new entity&hellip; and seasonal dementia update&hellip;]: [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-65400","post","type-post","status-publish","format-standard","hentry","category-opinion"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/65400","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/comments?post=65400"}],"version-history":[{"count":11,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/65400\/revisions"}],"predecessor-version":[{"id":65411,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/65400\/revisions\/65411"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=65400"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=65400"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=65400"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}