James Schaller, MD—Depression Medical Lab Testing For Children, Adolescents And Adults
You Might Not Be Happy With Depression Lab Testing
In another article I list a mere twenty-five proofs for the evidence of biological depression.
It is not a mere character defect.
But the flaw I have found over the last decades is the increased lack of training in depression caused by more and more medical problems. These medical problems are not known by psychiatrists, and even primary care physicians do not know them—it is impossible since some are new or not a priority in large Pharmaceutical Controlled education. Simply, no one on earth has enough training to test for all medical problems that cause depression. And the treatments add to what is examined as a cause. So if you have a serotonin deficit, you need a serotonin drug. While this is often true and my experience has saved thousands of lives, this misses the entire point I want to make very clear.
Is it possible that 500 medical troubles can cause depression which responds to serotonin depression?
It is likely well over a thousand things can cause depression, and serotonin drugs can help some with this problem, but the underlying cause might be a virus, an alteration or falling hormone associated with aging starting as early as 31, or a drop in anti-inflammation chemicals of great power like VIP and MSH.
The insurance industry may or may not care if someone kills themselves from this top fatal illness—depression. Once dead you may be cheaper. And we have typically thought the death rate for major depression is about 15%. My point is not the exact number, but even a mere 1/10 or 10% is utterly stunning, and yet treatments are often impulsive or sloppy, and increase agitation by following mill practice of excess dosing with whole tablet and starting dosing in the first 6 hours of use.
But in this article I want to discuss the dirty little error that even I am embarrassed to admit was a flaw in my care in years past.
When you look at one of the vast numbers of psychiatry books on the treatment of depression, two things become very clear (but not to most patients and still not to many practitioners treating depression):
1) THE LAB TESTS SUGGESTED ARE ALMOST THE SAME IN ALL BOOKS AND STUNNINGLY ONLY TEST FOR:
OBVIOUS ORGAN DAMAGE
Some psychiatrists actually spend time with and listen to their patients, and others even regard them as the Primary Care physicians of the mentally ill, such as the one in five women who get biological depression between the ages of 14 and 44 years of age.
Here are three examples of perhaps a thousand causes of medical issues creating depression we hope to publish in a book in early 2012.
a) Men over 50 often do not have the messenger to the testes to release testosterone. And we find some men and even ladies over 50 to have no free testosterone. To think that the replacement of gentle bio-identical testosterone has been known for 55 years and is not routinely known, does not help mood is sad. In some it helps markedly, and not merely with the return of libido and erections without a heart risk synthetic drug. It has also been ported to at least possibly help bone growth and dilate aging constricting blood vessels—dilation in elderly blood vessels in the heart and brain is a good thing—yes?
b) Many years ago we published the first use of bio-identical serenity natural progesterone using a routine transdermal carrier and this was used to fix PMS/PDD depression, and published in the largest pediatric journal in the world. Others suggested serotonin drugs as better. Because that is the answer to everything in psychiatry—simple-minded single drug company controlled options for everything. I am not opposed to them—they do save unknown massive numbers of lives. I just do not like mind control and medical leaders who add 2 + 2 and get an anti-depressant to all mood issues. They are not wrong. It is they are too simplistic, and their options are only what is promoted with Big Pharm Medical Education.
c) Metformin drops B-Vitamins significantly when used for diabetes. I have met only 1/20 physicians who knows this, yet it is in almost every source of medication education—so why is this unknown? We have had 1/35 patients get depression, merely reversed with a couple strong B-Complex capsules each am and possibly a little L-5-HTP, the immediate precursor to serotonin in the brain.
Some have been mildly suicidal over an extended time on Metformin, and tingling fingers were the sign in some of the loss of B-vitamins in the fingers, hands or feet nerves.
Other testing might include an EKG to see if older antidepressants, that are almost never used these days, would be safe. It is not done to test for depression from heart issues.
Very rarely someone might order an EEG, which is almost never positive in a depressed patient with clear thinking
2) THE REAL ISSUE IS SIMPLE: DEPRESSION DUE TO A MEDICAL CONDITION IS AN AREA OF IMMENSE IGNORANCE AMONG ALL PHYSICIANS. DEPRESSION IS ROUTINELY A SYMPTOM—NOT THE CORE DISEASE! TWENTY YEARS AGO I WAS A FETUS IN TERMS OF KNOWING OVER TWENTY CAUSES OF MEDICAL DEPRESSION.
No money exists in looking for these causes according to most insurance companies overseeing healers. The insurance companies tend to get in the way of healers and might terminate a physician's contract for excessive testing considered over the norm.
Do you want to see a modern leper? Many exist, but one is a patient who does not respond fully to antidepressants and who might have a medical cause for depression. These medical causes often do not jump out during an exam, in the history of the patient's bad feelings or in mere organ failure lab tests
So slowly these patients can be rejected or terminated or passed over because they make the office staff and healer feel like losers. Why? These patients do not fit the big Pharmaceutical Company model: "Depressed people should take our drug 'A' and then they will be themselves again."
LET US TALK ABOUT ONE MEDICAL CAUSE OF DEPRESSION—INFLAMMATION.
Excess inflammation definitely can cause depression. Do you know how many inflammation chemicals exist in the human body? My impression is that it is over one hundred. So how might you test this cause�after also uniquely training yourself to see signs of inflammation—which are profoundly hard to see in the body—by physical examination?
One option is derived from a bike wheel analogy. You look at the spokes and test one part of the spoke, with the idea that the hub of the wheel is inflammation.
The dirty little secret of modern medicine and psychiatry is that no one has really been trained, past very obvious, simple lab testing, to look for medical causes of depression
And when someone has been to ten physicians who fail to help that suffering person's mood in an illness with a 15 percent suicide risk, is it not the norm to look at more than organ failure lab tests like CBC, CMP, ALT, Basic Urinalysis, TSH, and sedimentation rate? It makes sense unless your "Standard" is sadistic or simple-minded drug company medicine that people increasingly dislike and find inept.
[Dr. Schaller makes no claims to be able to fully fix 100% of depressed people 100% back to full perfect contentment. He does have profound success and has treated "treatment-failures" for many years. He also does not know every cause of medical trouble that can cause depression. Of course, no on earth knows all of these either, since new causes discovered at least every season. He does confess to being obviously passionate about ending depression—his capitals show this is not meant to a casual interest but an immense drive to make you recover contentment. And he does not accept failure casually, and fights to find missed causes, instead of following cookbook simple books on depression that are narrow and limited even if super in their contributions. No Depression Bible exists. Indeed, not even the best twenty books on primary depression or depression as a symptom of medical or social troubles combined are remotely enough to treat this problem. And no one on earth has the final perfect word on depression].