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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by denise1966 on August 28, 2005, at 12:36:42
Hi,
If you have dbs do you have to get your head shaved first does anyone know?
Where-abouts does the battery go and how does the wire leading from the battery to the nodes get implanted? I know they put the battery in the chest area or in the case of women in the stomach but isn't the battery connected to wires, where do they go?
Also it said in the study that that the frontal coretx was low in it's metabolism pre-treatment and then normalised afterwards, was this just the case for responders or did the same affects show in the non-responders as well?
Kind Regards....Denise
Posted by Meri-Tuuli on August 28, 2005, at 13:55:32
In reply to DBS Questions, posted by denise1966 on August 28, 2005, at 12:36:42
Hi Denise
Sorry to sound dumb (and I can't answer your questions!) but whats DBS - some sort of ECT??
Did you mention that its in Bristol....?
kind regards
Meri-Tuuli
Posted by Ocracoker16 on August 28, 2005, at 16:23:18
In reply to DBS Questions, posted by denise1966 on August 28, 2005, at 12:36:42
DBS is deep brain stimulation. That involves electrodes being implanted in the brain. You may be thinking of VNS (Vagal Nerve Stimulation) which recently got approval for treatment resistant depression. The pacemaker device is implanted under the chest and the wires run through the neck. The vagus nerve extends from the brain down into the neck all the way to the vocal chords.
Katie
Posted by bipolarspectrum on August 28, 2005, at 20:22:42
In reply to DBS Questions, posted by denise1966 on August 28, 2005, at 12:36:42
> Hi,
>
> If you have dbs do you have to get your head shaved first does anyone know?Hello,
They shave the front part of your head.. ur hair will grow back after the surgery...> Where-abouts does the battery go and how does the wire leading from the battery to the nodes get implanted? I know they put the battery in the chest area or in the case of women in the stomach but isn't the battery connected to wires, where do they go?
The electrodes are implanted first and then the wires are placed down the back of the skull... next, the battery is inserted under the clavicle and the wires are connected... its the same procedure the parkinson patients have been having done for 15 years...
> Also it said in the study that that the frontal coretx was low in it's metabolism pre-treatment and then normalised afterwards, was this just the case for responders or did the same affects show in the non-responders as well?
I believe that area broadman 25 was reduced in terms of activity in all subjects.. however, only responders had areas downstream from broadmann 25 change metabolically..
> Kind Regards....DeniseYour sure interested in this Denise, are u seriously considering DBS?
bps
Posted by Ocracoker16 on August 28, 2005, at 21:59:42
In reply to Re: DBS Questions, posted by Ocracoker16 on August 28, 2005, at 16:23:18
Sorry. I realize that you meant DBS. I am interested in why you are considering DBS. It is such an invasive procedure to begin with, but then when you have to have a node moved you end up with a lot of surgery.
Katie
Posted by denise190466 on August 29, 2005, at 10:48:51
In reply to Re: DBS Questions, posted by Ocracoker16 on August 28, 2005, at 21:59:42
Hi,
Well I felt so bad last week before taking Zyprexa, I would have considered anything. Like you say it seems to involve a lot of surgery so I think I'll give it a miss for now. But I would definately consider it if I thought I'd be rid of this depression for once and for all.
Thanks for the explanation.
Posted by denise190466 on August 29, 2005, at 11:08:46
In reply to Re: DBS Questions, posted by bipolarspectrum on August 28, 2005, at 20:22:42
BPS,
Thanks for the wonderful explanation, I was sort of thinking about it if I get to the end of my tether with this depression. But it does seem a big op to have if it fails to work and I'm not sure I'm ready to have my blonde locks shaved off just yet.
I'm also interested in why and how it works, which areas are downstream of the broadman 25 area then, and what kind of activity are we talking about?
Kind Regards.......Denise
Posted by ed_uk on August 29, 2005, at 12:15:08
In reply to DBS Questions, posted by denise1966 on August 28, 2005, at 12:36:42
Hi Denise,
Since you benefit so much from Zyprexa, I definately think you should consider treatment with an atypical AP on daily basis, at least for a while.
I know you want to reserve Zyprexa as an 'emergency med'. Seroquel and Abilify can have antidepressant properties. Like Zyprexa, Seroquel is sedating, Abilify much less so - can be 'activating'.
Seroquel can be started at 25mg in the evening. The dose is increased gradually. Abilify can be started at 2.5mg daily (one quarter of a 10mg tablet, the smallest size currently available in the UK). 2.5-15mg Abilify can be used to treat depression.
Kind regards
~ed
Posted by denise1966 on August 30, 2005, at 15:37:54
In reply to To Denise - atypical antipsychotics » denise1966, posted by ed_uk on August 29, 2005, at 12:15:08
Thanks Ed, I may give Abilify a try at some point but for the time being I really want to avoid atypical psychotics if I can. I only take Zyprexa when I don't think I can go on any more.
I so miss the way I used to feel when Antidepressants used to work for me and I'm constantly striving and constantly will strive for that feeling. I've heard many people say that it's like a lightbulb suddenly being switched on and that's the feeling I remember too and that's the feeling I want. I don't think I'm going to get it with atypical antipsychotics.
What Zyprexa does do for me is allow me to carry on and get things do, I get quite a bit of motivation from it and become really efficient on it but in a very sort of officious way. Don't get me wrong I'm not knocking Zyprexa it has really been a life saver for me when everything else has failed.
Thanks for your advice anyway.
DeniseDenise
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