Covid-19 Mental Health Effects

admin General, Mental Health, Physical Conditions and Health Leave a Comment

Neurological and psychiatric symptoms are common in COVID-19 infections A recent meta-analysis looked at 215 studies from 30 countries and found that neurological and psychiatric symptoms such as depression and anxiety are common in patients, and are found as much or more in mild cases as in acute cases requiring hospitalization. Loss of sense of smell and taste, weakness, fatigue …

Understanding a Prescription Label

admin Physical Conditions and Health Leave a Comment

How can I figure out if I will need Dr. Forster to write a prescription for me? Don’t refills happen automatically? I set them to refill automatically on Walgreens.. Why does Dr. Forster say I have a prescription approved when the pharmacist says I don’t have any refills? Prescription labels contain a great deal of information, but navigating the intricacies …

Prolon Healthier You in 5 Days

Prolon and Resuming a Healthy Life Post Covid

admin GPS Update, Physical Conditions and Health Leave a Comment

Many of us have struggle to stay healthy during a year of Covid. As we contemplate the possibility that there may be some return to “normal” in the next several months we are wondering how we can resume a healthier lifestyle. Prolon may be part of the answer. Several of our patients at Gateway have gained a fair amount of …

Coronavirus CDC

COVID-19 or Coronavirus and GPS

Peter Forster About GPS, Basic Science, GPS Update, Physical Conditions and Health Leave a Comment

The current projections for COVID-19 coronavirus infections in California have a considerable amount of uncertainty related to the effects of new variants that may be more infectious. We track this using the IHME model. As of mid-February 2021 it appears that infections are likely to be significantly lower in mid to late June. With this in mind, we are considering …

SSRI and Other Antidepressants and Pregnancy – 2020

Peter Forster Major Depression, Physical Conditions and Health, Treatments of Depression Leave a Comment

We have several other posts on this topic which trace the evolution of our thinking about the risks of using antidepressants during pregnancy. Generally, the data continues to support our view that the risks of depression during pregnancy, both in terms of effects on the mother and effects on the child, usually outweigh the risks of antidepressant use. Another large …

Life Insurance or Disability Insurance and Confidentiality – the MIB and Limits of HIPAA

Peter Forster About GPS, Costs of Treatment, Physical Conditions and Health Leave a Comment

The Health Insurance Portability and Accountability Act (HIPAA) has a few limitations that should be considered when you are applying for life insurance or disability insurance. Life insurance and disability or long term care insurance companies ask you for the names of all the doctors who have treated you and your consent to get records from the doctors. The consent …

TSH or Free T4 for Assessing Thyroid Function?

Peter Forster Best Practices, Physical Conditions and Health, Testing Leave a Comment

There are many reasons why thyroid status is important in a clinic treating people with mood disorders. For one thing, hypothyroidism and hyperthyroidism can mimic some of the symptoms of mood disorders. For another, lithium, a medication we often prescribe, is associated with hypothyroidism in a significant minority of patients taking the medicine. One of the questions we wrestle with …

Inflammation Testing and Antidepressant Selection

Peter Forster Best Practices, Major Depression, Physical Conditions and Health, Testing Leave a Comment

Inflammation and C Reactive Protein Inflammation is often seen in people with depression. And there is evidence to suggest that it predicts treatment response. The most widely accepted standard test to measure inflammation is the C-reactive protein, or CRP. This is a protein that is produced by the liver in inflammatory states. The American Heart Association and the Centers for …

Lithium Associated Hypothyroidism May Be Reversible

Peter Forster Bipolar Treatment, Physical Conditions and Health Leave a Comment

People who develop hypothyroidism while using the mood stabilizer lithium may return to normal thyroid function after the drug is discontinued, according to a study in the Journal of Psychopharmacology. Hypothyroidism—a condition in which the thyroid gland does not produce enough thyroid hormone—has long been known to be associated with the use of lithium. Recent studies have clarified the nature of this association. …

Pharmacy Apps

Pharmacy Apps

Peter Forster About GPS, Best Practices, Physical Conditions and Health Leave a Comment

One of the most perplexing things about our healthcare system is how complicated it can make even simple tasks. This is particularly true when the issue involves sharing information among providers of care. Elsewhere we have talked about the “silo” problem and why it has motivated us to develop a clinic that tries to provide integrated care. Here I want …