Saturday, January 14, 2012

Treatment 4 and my NIH Adventure Part I


The treatment was good today – although a little more painful than the others, but I'm thinking now that I may have been too reclined in my ‘treatment throne’ (as I like to call it – AKA a chair).

So let’s see, I was going to share with you a little about my adventure to Bethesda, Maryland (in 2009 – I think).

I actually made two trips to Bethesda, the first time I was only there for a month or so, but had to come home quickly as my mom’s heart surgery didn’t go too well. Thankfully she, after lots of time, tears, and prayers, recovered. Needing to get home to my mom quickly, the wonderful people at NIH not only arranged my flight back to Calgary in the middle of the night, but they also paid for it. Following her recovery (not sure how long), I returned to Maryland to continue the drug trial (again they paid for my travel).

From NIMH website: The study is to examine whether Ketamine can cause a rapid-next day antidepressant effect in patients with Major Depression/Bipolar Disorder.  “Purpose: This study will test whether a single dose of ketamine - a drug that blocks a brain receptor called NMDA - can cause a rapid (next day) antidepressant effect in patients with major depression. Several medications are effective for treating depression; however, they take weeks or months to achieve their full effects. A more rapidly acting antidepressant would have a significant impact on the treatment of depression. In a previous study, ketamine produced a rapid antidepressant effect within hours, but the effect lasted less than 1 week. Understanding how ketamine works may lead to a better understanding of the causes of depression and the design of a longer lasting rapidly acting antidepressant.”

It was an amazing experience, where I met many amazing people and made some great friends. I am not even sure how to explain the adventure.

 It all started with me doing online research into new treatments for Bipolar Disorder, as none of the conventional treatments were working. I happened upon the National Institutes of Health website, and the Ketamine study. I figured the American organization wouldn’t allow a Canadian to participate, but I decided what the heck and sent an email to the contact listed.  To my surprise, less than a week later, I received a call from NIH. Over a few weeks several phone interviews were conducted, and then they decided I would be a good candidate to come to Bethesda for a face to face interview. I was told to pack for several months, in case I was accepted. As mentioned above the NIH paid for my flight to the facility. I was picked up from Dulles International Airport in Washington, DC, by a cab sent by NIH, and after about an hour and a half arrived at a very nice hotel in Bethesda, Maryland. I was to spend my first night in Maryland, at the hotel and head over, via NIH Shuttle, to the NIH Campus in the morning.



When I arrived at the Campus, in the way too early morning, I was in complete shock and terrified. The facility is HUGE.  It is the size of a large town, and to get in you have to pass through an intense security protocol. You are searched, luggage is searched, and the vehicle is searched, which involves a quick bomb residue test.  I was given a temporary access badge at the security check-in, and then we continued our drive up a long drive way to this immense building. 


When I arrived inside, I walked across the giant atrium of this amazing building in complete awe. I checked in, signed some papers, got some information, had my photo id made, and was then escorted up to the unit that I would be staying in.  Once upstairs in the unit, I was welcomed by some staff and asked if I wanted some breakfast while I waited; I was pretty freaked out, so I passed on the food. Several things transpired that morning, I met the doctor that I had spoken with on the phone, had a complete physical, was assigned a room, donated a ton of blood so they could test it for every illness known to man, and had a six hour (slight exaggeration) meeting with another psychiatrist to ensure that my diagnoses of Bipolar Disorder was correct (and they agreed it was, plus they added Anxiety Disorder – like I needed more problems J). The days that followed included many medical activities; like daily talks with the nurse assigned to me, art therapy, and relaxation sessions. They also let me access their physio, and neurological team, as I was struggling at that time with my back issues (it was amazing - let’s just say, at noon they decided they wanted me to have an MRI, and by 2pm I had it).

There is so much stuff. I don’t think one blog post will do it justice, so I think I will continue this in tomorrow’s post. I have some pictures and information of nonmedical things that I was able to access. It was an incredible experience – Oh and I haven’t even spoken about the actual event of taking the Ketamine J

Until tomorrow people…….

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