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Biotech / Medical : Ionis Pharmaceuticals (IONS) -- Ignore unavailable to you. Want to Upgrade?


To: Scott H. Davis who wrote (2353)11/8/1998 11:34:00 PM
From: Marshall Teitelbaum  Read Replies (1) | Respond to of 4676
 
off topic to Scott,

Still can't agree with you unfortunately, although I do hope that your son is doing well. Since this is my area of expertise, it is difficult for me not to question inaccurate information when it is presented as fact, as you did, regardless of how many presentations you have attended. What I stated in my previous post was made up of factual information.
I'm not sure what you meant by physiologic treatment as opposed to psychiatric.....the latter is heavily physiologic, especially in regards to neuropsychiatric ailments. Although at times making dietary changes help a.d.d., there are no studies that confirm this consistently in a statistically significant manner, nor does this in any way confirm food allergies. Also, I do agree that a.d.d. in itself brings up confusing points, as many of the behavioral problems occur in the course of other psychiatric disorders, as well, such as pdd, and more specifically, autism. However, anyone worth their grain in salt knows that the "classic" type of a.d.d. is the genetic type that is responsible for the majority of a.d.d. cases, and this isn't referring to any special fetal neurologic injury or food allergy, etc. However, the disorder as described in the dsm-iv is just a cluster of symptoms, and this is why I believe that a well-trained psychiatrist, or at times neurologist, should be the one doing the assessment and treatment, both diagnostically and for treatment (and this is especially including when pharmacologic intervention is needed, not simply therapy). It is extremely important to understand the cause of the cluster of symptoms to treat it properly.

On a more important note, although I don't know details about your son, it is extremely common for such severe a.d.d. as you describe to be linked with bipolar disorder, if the problem wasn't caused by or associated with another ailment, such as neurologic trauma, etc. If this hasn't been discussed, it should be. However, with classic a.d.d., up to 85% of people respond quite well to one of the stimulants, and I routinely see it change people's lives in very positive ways. I take offense to a lot of the uneducated or overzealous preaching types who cause people to let the stigma keep them away from treatment. It becomes the only area of medical care where a dr. with an available medical treatment to a clearly established medical problem is perceived as more humane to withhold care, something I see as bordering on malpractice.

Aside from all of the othe stuff, don't mean to be confrontational in any way, and if you want to discuss this further, why don't we take it to private. If I can be of assistance in any way, please don't hesitate to run it my way. Most important is still the health and well-being of people, especially children.

Regards,

Marshall