Ketamine Infusion Or Oral? Which Is Better For Depression And Pain?

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A small correction to my live stream: not every milligram of medication given in an IV will reach the brain, as there are some losses throughout the body. Nonetheless, IV administration is considered the gold standard with regards to bioavailability (100%) and precision of administration.
IV Ketamine is used for infusions. It is the most direct way of delivering Ketamine to the body to treat depression, chronic pain, anxiety, addiction, or other conditions. However, it is not always the right treatment for every individual. Such a discussion requires deep discussion with an expert who does not just recommend their own treatments!
Discover the transformative potential of ketamine as we delve into its various administration methods, including IV, intramuscular, and nasal routes. Learn why IV ketamine is considered the most effective for treating conditions like depression and chronic pain, understand the concept of bioavailability, and explore patient-centered considerations for treatment. Join us as we discuss the medical facts behind ketamine's effectiveness and the ethical considerations in its prescription.
Timestamps
0:00 - Introduction to Ketamine and Its Uses
1:03 - Historical and Current Uses of Ketamine in Medicine
2:25 - Bioavailability and the Efficiency of Different Administration Methods
3:55 - Comparing IV, Intramuscular, and Nasal Routes
5:00 - Real-life Applications and Patient Experiences
6:00 - Financial and Ethical Considerations in Prescribing Ketamine
7:00 - Personalized Medicine and Patient Suitability
8:00 - Misinformation and Misrepresentation in Ketamine Treatment
9:00 - Interactive Q&A on Ketamine Uses
💛 Learn about Dr. Kaveh's transformational Ketamine clinic: www.clarus-health.com
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This video/speech/channel DOES NOT CONSTITUTE MEDICAL ADVICE. Patients with medical concerns should contact their physician. If your concern is an emergency, immediately call 911. This information is not a recommendation for ANY THERAPY. Some substances referenced in this content may be illegal, and this content is not a recommendation for, or endorsement of, their use in any way.
#KetamineTreatment, #MentalHealthAwareness, #ChronicPainRelief

Опубликовано:

30 июл 2024

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Комментарии : 268

@TheWilliamHoganExperience 7 месяцев назад

I did an infusion in 2018. It cured my lifelong anxiety and depression. I am autistic. I didn't know it then though. A single treatment was all it took for me. Cured me. No other drug or therapy did that. Ketamine heals.

@bjdefilippo447 7 месяцев назад

I'm fascinated at your results. I am also autistic, and just started infusion therapy for my treatment resistant depression, PTSD, and chronic pain. I couldn't believe how much better I felt the first week! I don't feel like the 30mg lozenges do anything, but they tell me I'm not supposed too feel anything, and it's just to keep a baseline level in my system. I was really surprised about the IV experience. I thought I might feel more of an altered state, or hallucinations, or something, and expected to have thoughts or feelings to go over with my therapist. However, the other medications they gave suppress that for some reason, which makes me feel a little cheated on the therapeutic potential. One thing I noticed is that everyone else said they slept through their infusions. I was reading, watching TV, and doing puzzles. Made me wonder if my dose was low, or if it was just my neurodivergence.

@marianneellman1139 7 месяцев назад

Oh l would love to have this treatment. Anxiety &depression just sucks the life out of you.

@cremebrulee4759 7 месяцев назад

@@bjdefilippo447everyone reacts differently, so I don't think you need to be concerned that you didn't sleep.

@bjdefilippo447 7 месяцев назад

Thanks!

@julieyoung3315 2 месяца назад

A single treatment? Wow. I've had 4 with no effect.

@chippychin 7 месяцев назад

Who needs drugs when you have a medical professional with the voice and disposition of an angel? He makes me feel so chill.

@Bellywash 7 месяцев назад

Oh I do agree!! What a sweetheart Doc! ❤

@brendaeberwein8338 7 месяцев назад

I totally agree. This anesthesiologist is really one of a kind. I want him for my dr.

@eQui253 7 месяцев назад

I do!.. he is still cool tho

@Bellywash 7 месяцев назад

@@brendaeberwein8338 Oh me too! I’m up by the border in Bellingham Wa. On disability ( $1347/mo) and they do have 2 new Ketamine treatment centers here in town. But, soon as I mentioned that word to my obviously completely unaware Dr, her tone was that of a shrill freaked sort, like I was looking to get horse trancs, for real. Did not help me. I looked into it, and the cost is too high for my pockets and they don’t accept Medicare up front, yet. I’m hoping though in future they will more readily. It’s established, we are all getting great vibes here anyway. 😊❣️, that goes a long way for me living with chronic pain and anxiety, some depression and bad insomnia. I watch him and he just makes me feel better ❤️‍🩹🌻 Pray you all feel better too!!

@Metroid250 7 месяцев назад

I do. No voice can soothe the painful truth my hips give me. Wish they could lie to me from time to time to not have pain

@lindagilbertson7488 7 месяцев назад

I really appreciate your videos. I have been getting ketamine IV and IM's over the past year and a half, for C-PTSD, depression and anxiety. It has been like a miracle for me. I feel like myself again. I am so grateful for this treatment and hope it will be FDA approved for depression soon. People deserve to know about this drug.

@k.mcdonald1960 7 месяцев назад

Wow, thank you for sharing this. I’m on the waitlist to start getting ketamine infusions and haven’t been sure what it would be like. This makes me very hopeful!

@Christynmaine 7 месяцев назад

We need more doctors in congress, imo.

@dorindageorge7989 7 месяцев назад

What kind of dr prescribes ketamine therapy? I have heard good things about it. Curious though how this works…….

@elizabethdesmet89 7 месяцев назад

15:51

@laurag1024 11 дней назад

Hi Linda, I had the IV yesterday (just one day is given here in the Netherlands) and yesterday my back pain stopped completely, but then today I feel it again. In your case how did the pain stop? Immediately? 😪

@Suekyle 7 месяцев назад

I’m currently doing iv treatment for depression after my son died. It’s helping me so much

@MedicalSecrets 7 месяцев назад

I am so sorry for your loss. I hope you are finding healing with your current therapy 🙏

@mhurd390 7 месяцев назад

🙏 That's amazing.

@jenbraswell8396 7 месяцев назад

Thank you very much for the information. I've been to a Ketamine infusion clinic for Occipital and Trigeminal Neuralgia. My anesthesiologist is the most compassionate and caring Dr I've ever seen. I've had initial rounds of IV Ketamine which took all the pain away for 14 days. Unfortunately, my insurance companies refuse to pay for it, so I pay out of pocket for emergencies. He does also prescribe me oral Ketamine every month which helps me to not have to take addicting and stronger meds nearly as often. Finding compassionate and well knowledgeable Drs who use Ketamine is a key. Thank you for all you do.

@amyc4259 7 месяцев назад

Thank you for sharing your experience. I was recently diagnosed with Trigeminal Neuralgia, and just had my first infusion yesterday through my doctor's office. It was a low dose IV over 4 hours. I had pain through the whole session, which was frustrating, and am not feeling any difference yet. I realize I may need more infusions for it to benefit, but I'm curious about your experience with dosage and length of time for IV? I'm struggling not to get really depressed as well, as this has pretty much limited my life to focusing day and night on some level of pain management, so it feels like higher doses to address that would be helpful as well.

@nikkigranzin3139 7 месяцев назад

Fellow ON and TN sufferer! Chronic Migraines too. Ketamine has helped me significantly

@irenenavarrette1918 7 месяцев назад

Thanks for this video. Most information is not given by doctors before surgery. You have empowered us to take action and speak to our doctors!

@debramanning2911 7 месяцев назад

I did get ketamine infusions. The first time I felt like I would imagine it would feel like if I was dying. It was horrible. Horrid anxiety and nausea. My blood pressure went up to 199/100. The Dr said not a problem that it will come down. I needed help to get to my car. ( my husband drove me) but horrible experience!! However, the next couple days it was a miracle! I literally felt lighter and even my neighbors noticed. I have severe depression over the loss of my daughter. I went 3 more times at lower dose, then back up to first dose and I never got back to those couple of days I did well. The anxiety and nausea was too much and I couldn't afford to keep going.

@marianneellman1139 7 месяцев назад

Thank you for sharing.

@frankly1744 7 месяцев назад

I was given ketamine years ago, and felt it was amazing I felt better for a long time. But here, in my state you will not get pain treatment. Question; Is Ketamine addictive? I have Chronic pain, Lupus, absolutely diagnosed neurologic problems throughout my body and so I am looking into going to Colorado to try psychedelics hoping I can get some help. This is tragic that pain is not treated as it wears one out. Thank you Doctor for your kind heart and for educating the masses... We appreciate you!

@marianneellman1139 7 месяцев назад

Suffered and suffering anxiety and depression. Would love to have infusions...unfortunately it is unaffordable for most people. But thank you for you sharing this information. ❤️

@randlecarr3257 5 месяцев назад

Try spray!

@RobG1729 7 месяцев назад

I receive IV ketamine for managing chronic pain from peripheral neuropathy, an in-patient procedure over five days. I'm admitted on Monday afternoon and discharged late Saturday morning. My vital signs are checked every four hours, every two hours for the first eight. For the IV a peripherally inserted central catheter (PICC line) is inserted. That's routinely done for patients as ketamine is viscous and somewhat caustic. Before this I got IV lidocaine, seventy infusions over seven years. Ketamine is much more effective in reducing (not eliminating) the neuropathic pain. I've had ten IV ketamine infusions over three years. The next treatment is in January, four months after my last treatment. Though this use is off-label, the treatment is paid for by Medicare, and I have secondary health insurance coverage. I live in the SF Bay area, and receive treatment at Stanford Hospital.

@geekgurl2000 7 месяцев назад

Thanks, I was wondering if Medicare covered it.

@RobG1729 7 месяцев назад

My only prescription medicine is gabapentin. I take a dozen vitamins and supplements including bromelain, an enzyme from pineapple, for inflammation and magnesium for muscle tension. A bonus was kicking my cigarette habit with the first IV ketamine. Though I hadn't gone in intending to give up that addiction, I'm so glad I did.

@geekgurl2000 7 месяцев назад

@@RobG1729 gabapentin scares me, so I only take it a few days per month. It leaches out calcium, and has rotted my friend's teeth out.

@straighttalknomessing3934 7 месяцев назад

I’ve suffered headaches due to head trauma as a child that’s why I have had headaches all my life

@jennifer97363 7 месяцев назад

Hi Dr Kaveh, I enjoy the channel so much (PACU RN); periop,by far,has been my career- favourite clinical specialty. I can’t find that you’ve yet done a segment on the potential for anaesthesia, and/or post-operative, complications when one is on Ozempic, Wegovy, etc. It would be timely and important advice for sure! Thanks again for hosting such a quality space on the Internet.

@jeanward9984 7 месяцев назад

When I had gallbladder surgery, I actually needed so much and many different narcotics. I have to have such large doses of ketamine, fentanyl and versed because I literally detoxify those drugs so fast so it makes everything risky! I have amnesia so I don’t remember how the ketamine was administered. If my surgery was only like a 5 minute scope test I can probably get away with using propofol but anything that takes longer than 5 minutes, I will need something stronger than propofol. I didn’t want to risk waking up during surgery again while having my sternum cut open so I went without sleep and marijuana and I had the anesthesiologist give me ketamine.

@andrewwhite889 7 месяцев назад

I'm given Ketamine via IV during my bone marrow biopsies. It's quite an experience and each time results in an entirely different experience. Because I don't know what to expect, I have a bit of anxiety beforehand. My next biopsy is next week.

@lesleyharris525 7 месяцев назад

You are so lucky to have pain relief for biopsies I was given nothing and it was so painful and I felt them removing the bone biopsies 😢.

@moniqueengleman873 7 месяцев назад

Yes. Each trip is different. But I strap in like I am going on a circus ride. I love the feeling of coming out of my prison of my body and fly 🕊️🙏

@const141 7 месяцев назад

Thank you so much for explaining! This video showed me you really listened to the results of your recent survey as to what people really want to learn about. Awesome!

@molindawotring4449 7 месяцев назад

I was getting benefits for the first time with ketamine infusion therapy & I had hope for the first time in decades, but it couldn’t afford to even get one booster so because of the fda protocol… they don’t want us better! I haven’t been living for about 3 decades… I feel I just exist. I have suffered through trying almost every antidepressant and dealt with all the negative effects that many have & I even made sure I was on each medication long enough for me to get full benefits of the medications. I finally had hope for the first time in 2 decades after trying the ketamine infusion therapy only to find out that insurance companies don’t cover anything. $750.00 for each infusion and for me it was $2,250.00 for the first set. I couldn’t afford to get any boosters so my hopes were crushed knowing that what actually was showing promise was not an option

@anneturner8439 Месяц назад

Insurance is the BIGGEST SCAM RIP OFF EVER !! It should cover WHATEVER will help the patient. Our Government wants us dead ☠️

@Piper73 7 месяцев назад

And once more, I have to tell a medical related channel a big thanks for not actually showing the entire syringe on their thumbnail! I have a phobia of syringes and needles and I’m being triggered at least twice per week in one of the lessons in school or on thumbnails I see on RU-vid. Really, I am grateful that some medical channels don’t go all in for the shock effect. Thanks!❤

@philnicholson7863 21 день назад

Maybe the medical field isn't for you, bud.

@tobymichaels8171 7 месяцев назад

Having been treated with ketamine via every RoA over the years, I would assert that the "best way" is the way that is most accessible to any given patient. I wouldn't challenge the studies that show IV is most efficient, most effective, safest but the difference is marginal in my experience. Some of my most transformative experiences have come via sublingual K. Not every patient has access to IV infusions due to geographic or financial barriers. I'd hate to see suffering patients avoid available, affordable local options because they heard on RU-vid that IV is the "best and safest." Every practitioner has their own rationale for why their RoA is best but I'm reminded of a slogan I saw hidden on the wall of the break room at a car dealer, "The right car for your customer is the one that's on the lot!"

@ajasen 3 месяца назад

best comment. accessibility is the key, and having to have someone licensed to give IV ketamine reduces that drastically. Everything he says about titrating dose and bioavailability is true. But does it justify the cost of paying another licensed professional (hopefully there's already a therapist involved)?

@rafiahmad7548 7 месяцев назад

Really helpful videos Dr. Kaveh! Sorry I wasn’t able to join due to timing here in the UK. More people should know about this and just how much power we have over our health!Thanks for the information! :)

@TheDove1953 7 месяцев назад

Sure wish more doctors were like you. Docs nowadays make one feel like the patient is more of an inconvenience especially if you want to confide in them.

@barbgardiner5719 7 месяцев назад

I’ve never heard of this before! I’ve been in constant pain since about 1980! Why doesn’t it get prescribed? Im tired of government ruling over patients getting a pain reliever that works. I was literally on a fentanyl patch(which was iffy for results!) Can I get it by the industrial drum? I need to dunk my Whole Body!

@MedicalSecrets 7 месяцев назад

I am so sorry to hear about what you have been through. This is a tricky medication, because it's anti-pain effects may not be achieved with oral dosing. I'll have to do a video specifically on ketamine for chronic pain. In the meantime, do you have somebody helping you cope with your pain?

@barbgardiner5719 7 месяцев назад

@@MedicalSecrets my NP is good when she’s not off chasing another type of “religion” or medical type of treatment ( like east/ west) and a bunch of others

@klburke 7 месяцев назад

Both my family doc and my pain doc have recommended Ketamine for my depression and chronic pain, both caused by my MS. I cannot afford it though, so I am unable to see if it will work. The cost and unavailability just add to my depression.

@HiKingMargo 7 месяцев назад

There are so many instances proving that it helps people with such a variety of things. I really hope that it is covered by insurance soon. The out of pocket cost is insane!! I'd like to try it for several of my issues, but I can't afford it either. I also can't get any other kind of help. So I'm just stuck suffering 🙃 Something needs to change soon. I hope we can get access to it reasonably in the future 🙏

@klburke 7 месяцев назад

@@HiKingMargo I hope you're right! I am so sorry for your suffering without any relief. I can empathize. Take as care as much as you are able. 🥰

@tylerzumalt784 7 месяцев назад

Ketamine infusions have saved me from my chronic pain. We have sublingual as well and its for inbetween infusions so they last a bit longer

@MedicalSecrets 7 месяцев назад

I am so sorry to hear about your chronic pain, but that is exactly the strategy that I often advocate for, using the fewest number of treatments for the longest lasting benefit. Thank you so much for sharing your story

@tylerzumalt784 7 месяцев назад

@MedicalSecrets thank you for this video I'm lucky to have a boyfriend that was a director of an infusion clinic but people need to know this is out there and it can really help. I also get lidocaine infusions and those are life changers as well. I just wish insurance would pay for them

@coodi_16 7 месяцев назад

Doctor you the best. im always excited about this lessons of ketamine. thank you so much you the best.

@MedicalSecrets 7 месяцев назад

I'm so happy to hear that!

@k.mcdonald1960 7 месяцев назад

Thank you for this well-timed video! My pain management team recommended I try ketamine infusions, and I did not know much about it. I appreciate you sharing your knowledge.

@MedicalSecrets 7 месяцев назад

I am so sorry to hear about your chronic pain. Have you started the infusions yet?

@k.mcdonald1960 7 месяцев назад

@@MedicalSecrets I’m on the waitlist, so hopefully soon. Thank you for being such a caring person 💜

@connieirwin7786 7 месяцев назад

Thank you for continuing to sharing your heart and knowledge. ❤

@lunacouer 3 месяца назад

I appreciate you going over how effectiveness is measured via bioavailability and that it really is patient, condition and symptom dependent. Thank you. I am both poor and have Bipolar II, so ketamine infusions are off the table for me. Given that, my psychiatrist (a local doctor I meet with monthly, not an online one*) has me on daily, low-dose ketamine troches compounded at a local pharmacy, which is only $65 for 3 months. It took me a long time to go from 25mg daily to 75mg (so 25mg-ish in my bloodstream now), because even at these low doses, the slight dissociation/need to take a nap feeling has never gone away like it does for others. She's told me we can go higher, but I'm really not a fan of that feeling. It definitely took way longer to get me from "I need to do a death cleaning and think about what I wanna write in my notes" to "No, wait, I wanna LIVE" than with infusions - like a year - but we have to go slow so I don't end up in a manic episode. I don't wanna re-blow those circuits we're repairing, lol, which is why I'm still on Lamictal. It's still important to keep that glutamate in check. However, I've been able to get off sertraline and been able to very slowly decrease my dose of Lamictal. My chronic pain is better enough that my pain doctor and I are decreasing my buprenorphine this month. So good things are happening - it's just been much slower than it may be for others. *No shade to patients who use online clinics. All of us with depressive conditions, PTSD, chronic pain, we're doing the best we can out here, and for some of us, online clinics are literally the only option. Like don't tell patients there's this miraculous new treatment, and then say "Just kidding, it's only for the privileged". I only added the caveat that it's my local doctor because a lot of HCP are rolling their eyes at the online clinics, so was just bumping up the "credibility" of my treatment to perhaps prevent that. Some eyerolls are warranted - the marketing for some of these places gets seriously questionable. It's just that that eyeroll ends up pointed at patients a LOT.

@theshowlifeyoungs-Gabrielle 7 месяцев назад

Was wondering how this is different from fentanyl was given this ( fentanyl )once for a lumbar puncture and passed out and have been given a nerve block before which is scary to wake up to so now I'm scared of stuff like this...

@ICHope1 7 месяцев назад

Thank you for your informative videos. Anesthesia is one of my favorite medical (and nursing) specialties. 😊

@mpirrocco 7 месяцев назад

Six sessions of ketamine IV for my drug resistant depression. Worked for a while…

@WisePhoenixRising 7 месяцев назад

I am having a consult next month about starting an interesting clinical trial. I will keep you posted!

@MedicalSecrets 7 месяцев назад

I wish you the best in your research and healing 🙏

@priscillawrites6685 7 месяцев назад

Must rule out serotonin syndrome before administering ketamine or psilocybin, or prescribing SSRIs, Tricyclics, or MAO inhibitors.

@KseniaHazael 7 месяцев назад

True nobody thinks about this but yeah I've had serotonin syndrome from taking ssrs

@ashatan4554 4 месяца назад

@@KseniaHazaelCan I ask what it felt like

@ajasen 3 месяца назад

that's a lot of different things. Serotonin syndrome is a potentially fatal condition that happens when there's too much serotonin activity. This can, for example, happen with MDMA taken along with MAOIs, and maybe MDMA along with SSRIs. MAOIs in general don't combine well with other meds. SSRIs and mushrooms aren't likely to cause serotonin syndrome (check with a doctor don't take the word of a RU-vid comment!), but effects of mushrooms might be diminished. I didn't look too hard but there is a case report of a patient on Prozac (an SSRI) who was given IV ketamine for pain in hospital for 4 days, and had effects consistent with serotonin syndrome.

@tamirule4216 7 месяцев назад

I just subscribed, because he is so easy to understand, and I appreciate his honesty and caring demeanor. Oh, and also, he’s not hard to look at lol.

@darriontunstall3708 7 месяцев назад

Ketamine is very powerful strong and good when used by an anesthesiologist or emergency room doctor! I really enjoy donating to the anesthesiologist foundation,since it was hard for me to go to college because of my cerebral palsy, I really wanted to be an anesthesiologist! I went to the doctor for my yearly physical exam today, everything check out good! I have to have physical therapy because my muscles are tight because of my cerebral palsy! You been hocking loogies? 😂, I’m still waiting on a date for my eye doctor, they are trying to find a CRNA and anesthesiologist at the surgery center is busy! You rock man! It takes a special person and skills to be a CRNA or anesthesiologist, and you’re one of them, I’m gonna donate to the anesthesiologist foundation again new years

@elinlopez4890 7 месяцев назад

Does Ketamine work for severe OCD?? I’ve tried every kind of medication and I’m desperate for something that works.

@carrieseay7385 Месяц назад

I just wish my insurance would cover it. I’ve been chronically depressed for 40 years. This is what I need

@philnicholson7863 21 день назад

This might be the thing to take out a loan for. What's more debt compared to happiness? That's what I'd do if I was in your position.

@ticklesitter 19 дней назад

I was recently prescribed sublingual ketamine and its quite affordable in comparison to IV from what I've gathered. And although it may not be as bioavailable as the IV method I consider it well worth a try. Talk to your doctor about it.

@moniqueengleman873 7 месяцев назад

I had the most AMAZING Ketamine therapy ever. It calmed my pain for a long time and it bounced me right out of depression. I am a fan.

@swimfit57 7 месяцев назад

Thanks for all the great information!

@tamarahead3311 7 месяцев назад

I am interested in this for my step-dad. He has tried so many different medications to help with his depression and PTSD but to no avail. I will talk to him about this treatment.

@debramanning2911 7 месяцев назад

I just want my daughter back and nothing can help that.😢

@leonerose1715 7 месяцев назад

Seems I keep missing you live Doc, always catch late. Love this channel. ❤😊

@MedicalSecrets 7 месяцев назад

Thank you for the kind comments! I hope you learned something new to advocate for your health 🙏

@leonerose1715 7 месяцев назад

@@MedicalSecrets Absolutely, I've tried Ketamine at home, can't find clinic near Olympia/Tacoma, WA. So many now State do in your home, yes doesn't seem work. Will continue looking. You're awesome thanks.

@brendag.3384 7 месяцев назад

Yesss. IV ketamine for bioavailability. I get 150mg (10mg bolus) over 50 minutes. My last two surgeries I asked for extra to save me a trip to the ketamine clinic and they were like “sure no problem”

@annabellechose243 Месяц назад

I started a nasal treatment a few weeks ago. I tried to talk to them and explain it just did not feel strong enough. I was made to feel even crazier than I am for such a thought. I got the impression they thought I might be an addict or something. It was honestly devastating to almost feel relief, and then it is gone. This makes so much sense. Thank you so much!

@annabellechose243 Месяц назад

I keep going over research, trying to prove to myself that I am not wrong. I don't fully understand a lot of medical stuff. I am very self-aware. I also have a lot of pain on a daily basis from degenerative disk disease. You explained the difference between treatments so well.

@myste1973 7 месяцев назад

I've been on spavada (nasal ketamine) for over a year. I don't think it works the same every time, based on my nasal mucous or other factors. I think this is the only form my insurance will cover. What can I do to ensure it works more uniformly?

@marindareed8301 7 месяцев назад

I have a couple of questions. Is it possible to provide IV ketamine through a butterfly or does the patient have to have an IV cannula? I have CPTSD that originated during a nine month hospitalization at Stanford in 1971, which included SEMLS and Gallows traction completely without analgesia or muscle spasm control. I then developed osteomyelitis which led to sepsis, blood poisoning, systemic candidiasis and pneumonia. Yeah I come by it honestly. Fast forward to 2023 and I also have severe chronic pain which is going untreated and medication resistant CPTSD related specific phobias, depression and anxiety. Can someone with this type of profile benefit from ketamine therapy? How can someone find a qualified physician practicing in California’s Capital Corridor? I hope you and your loved ones have a wonderful Holiday season. I love your posts.

@JRsProfile 2 месяца назад

Thank you so much for this, and all of your videos!🙏🏻🙏🏻🙏🏻

@JB-Hae 7 месяцев назад

He’s correct about ketamine. I’ve been receiving ketamine infusions every two weeks for severe crypts. Fibro. Severe degenerative back pain bulging discs etc. depression and anxiety. Also porphyria. I’m a non responder to antidepressants as well. Once been a runner for 30 years and had to stop do to severe body pain and a chielectomy on my right big toe. It helps a great deal. If you can find the right doctors to work together it’s a very helpful tool to have to have a decent quality of life.

@MedicalSecrets 7 месяцев назад

I am so happy to hear about the healing you have found. I am wishing you the best in your ongoing healing, and I hope you can inspire others to advocate for their health with your story

@charlesvickers4804 7 месяцев назад

So at 58yo and looking at bypass in both legs. I have a diagnosis of PTSD,bipolar , clinical depression and anxiety, and MS , degenerative spine and sciatica nerve issues. Not looking forward to this.still haven't been able to make it clear that I will be totally on my own after. Not supposed to drive for a week after. I'm quite rural. I often fight and break things when waking up. The max automatic feed for my animals is four days and no one exposed to them. So many issues outside of the meds and surgery. Thankfully I've worked myself sick and tired pulling my house together from the last roommate that trashed it 2hile I was sick. I did have a small heart attack on the table while they placed the stint in the right side of my heart about 6 months ago. If they knew I drove myself home they wouldn't have been happy. I hired a 2oman off the street to sit in the lobby and tell them she was my driver. Don't think I'll be able to pull that one off again with the next surgery. I'm not afraid of this, just afraid that I won't have everything in order when it gets here. It's no different than preparing to deploy and be dropped in some toilet somewhere that you may not come home from. You make your peace ,prepare for the worst and go do what must be done.that state of mind is almost addicting. The calm ,overwhelming calm. You go fight the battle ,knowing for better or worse you will come out the other end for ever changed. Thank you for what you do. it's like anesthesia boot camp.

@aniawood 7 месяцев назад

I have had chronic pain due to Ehlers Danlos for over 20 years. I’m curious about using ketamine to help with the pain - obviously I have structural issues creating the pain… loose joints and bones that fall out of place easily, but I’ve also had moments on psychedelics where the pain completely disappeared… so I wonder about something like ketamine that supports neuroplasticity helping minimize the pain, even if the source is structural. I hear you saying IV gets better results than oral however I have a severe needle phobia… I get vitamin C IVs occasionally to help my collagen production but I am basically on edge the entire time and don’t nearly get them as frequently as I should just because my nervous system freaks out at the sensation of something puncturing me. So I am super wary to do IV ketamine because there’s no more uncomfortable setting I can imagine than being hooked up to an IV… so in my case, would oral be better? Or have you ever done IV ketamine with someone who gets a panic response at needles and had their body’s response change due to the influence of the drug?

@Susan-gh6gx 7 месяцев назад

I used to be the same way about shots and especially IV’s but the clinic I go to have such skilled nurses that do my IV that I hardly ever feel it! They use a butterfly IV because I am old and have fragile veins and once you go into the ketamine treatment I have no pain or anxiety unless I have a bad trip, which is unusual and they also give me an anti-anxiety and anti-nausea medicine either in my IV or sometimes the anti-anxiety is given in pill form before starting the ketamine infusion. I have u diagnosed hED and/or Sjogrens Syndrome depending on which of my medical professionals you talk to because they both have lots of the same symptoms. I also have ankylosing spondylitis, osteoarthritis, scoliosis, and MDD and anxiety with PTSD nightmares. The infusion that helps both my chronic pain and emotional disorders is the chronic pain infusion which is 4 hours. The depression/emotional infusion of ketamine for 1 hour do not help me. I hope you get some relief because I know the torment you are going through. At least I think I know.

@donnagreyerbiehl7043 7 месяцев назад

Can ketamine be useful in severe nerve damage pain? A friend fell & had a very severe traumatic hematoma, causing nerve damage due the amount of swelling in the leg & also required multiple blood transfusions due to blood going in to the joint. They had talked about doing surgery on their leg due to compression syndrome?

@jaeljade3609 7 месяцев назад

I'd give anything to be able to try this. I've suffered from depression for too many years. You'd think people like me would be at the front of the line. I've nearly died a few times from this and can't work so I can't afford to have it done. I'd love to work, I'm not lazy, but fibro, CFS and other issues have made it impossible for me. Unfortunately we are so based on profit instead of working towards the well being of all.

@nicolewilson191 7 месяцев назад

I contacted wafermine and they emailed me this evening and said a specialist can prescribe it, and gave me their (wafermines) info to give my Dr to get it worked out. The specialist for me would be a psychiatrist or pain doctor. And I just happened to get a referral to a psychiatrist earlier today. we will see what happens. Email them and see what they say. I just told them how I thought it would help and asked if there is a way to get it since it's still in trials.

@pamsmith7029 7 месяцев назад

I have a question. I’ve had 4 surgeries in a 12 month period. It has been 3 months since my last surgery & now I am losing a lot of hair. Can that much anesthesia in that short of time cause hair loss?

@nanag818 7 месяцев назад

I love your channel. I watch it all the time

@randlecarr3257 5 месяцев назад

True IV is most controllable and predictable. But nasal is $50 and IV is $600.

@doc2help 4 месяца назад

Being double boarded in Anesthesiology and Pain Medicine ,it was entertaining to watch and hear your presentation. We prescribed ketamine in multiple forms for the indication of pain. More than one patient came to me severely traumatized by unethical ER doctors who had administered ketamine with no education/consent. All one needs do is look at the ‘spring break’ debacle in Florida over the past decade to see how horrible a ‘good thing’ can become when it is wide open with no education/warning and guidance.

@dianesellars1282 7 месяцев назад

Can katamein and morfine be given together I was give both at the hospital er woke up almost four hours later in for serious pain

@ninahall2845 7 месяцев назад

Are you mostly referring to ketamine clinics rather than in the OR with general anesthesia? A ketamine clinic recently opened in my town

@MXflaregirl 7 месяцев назад

I’ve received about 16 treatments of Spravato. It’s been helpful, but mostly in the short term. Additionally, it has really affected my ST memory. Thoughts?

@Rambz1 7 месяцев назад

so if ketamine is given sublingually which contains 10-30% bioavailability, does it take 10 or less sessions of oral ketamine take to get one session of 100% bioavailability of ketamine IV?

@lifeunfiltered4822 7 месяцев назад

I've gotten ketamine in surgery and recovering from surgery. Some doctors scoff and sat no way will they give me that. But with my cyp450 ultra rapid metabolism of narcotics, this is one that works. However just an IV injection of it only last maybe 10 minutes. Do you have any advice for a patient like me?

@patriciaritchie1181 7 месяцев назад

Would Ketamine be safe for a pt with Malignant Hyperthermia? Thank you for your time!

@lindadove8298 7 месяцев назад

Thanks for the video! I don't know this was live??

@MedicalSecrets 7 месяцев назад

This was live!

@donnagreyerbiehl7043 7 месяцев назад

I recently broke my femur & the ambulance crew used ketamine. I had never heard of it & they said it’s being used more & more for pain. They were going to do 25 mg, but only got in 10 mg & I got so nauseous that they had to stop. In route to the hospital, they tried to give the remaining dose, but only got in another 5 mg & again it made me super nauseous. Once at hospital, they used dilauded. Is this common, now, to use ketamamine in ambulance patients?

@robertkorozsi518 7 месяцев назад

It was a really interesting video to watch! Thanks! I am from the EU, Hungary, and I battle with treatment resistant depression for more than a decade now. My insurance! accepted ketamine therapy, but here we only have the Spravato nasal spray. I am on it 3 weeks now and already got really promising effects from it!:) Anyway my point is I weigh 130 kg or 286 pounds and I am 194 cm or 6,36 feet tall male. So one spray contains 28 mg of esketamine. For me one session consists of three 28 mg nasal sprays to achieve the desired effects. My doctor is a neuropsychiatrist so IV is out of question:) But IM too because only vets and anaesthetists have access to it.. But I am more than happy with this nasal form because it WORKS! :) Have a nice day Sir!

@MedicalSecrets 7 месяцев назад

I am sorry to hear about what you have been struggling to heal from. It is so in heartening to hear your positive results. I hope you can inspire others also working to heal from treatment resistance depression

@robertkorozsi518 7 месяцев назад

Thanks for kind words!:) It means a lot to me as a person who four weeks ago was too anxious to even comment on RU-vid.. I would add a final point to my comment. My progress in healing is not just to the ketamine it is also about finding the right doctor! @@MedicalSecrets

@AnonymousQwerty 3 месяца назад

You’ve convinced me that oral is absolutely the way to go! Thanks for the video

@sepsiskills999 7 месяцев назад

I had this subcut for pain & i have given it by IV infusion. The last time i had it after major surgery it didnt make me feel to good after i was given it for 3 days but then had to go back to suegery 3 days later as had a huge bleed into my tummy the second time i was given it for 3 days IV it made me feel very freaked out & emotions were out of control I was in ICU it may be the fact i had no sleep so the ketamin & no sleep made me feel weird. But it does do wonders for pain . Im in the UK tho

@juliemitchell6892 7 месяцев назад

I recently dislocated my hip twice within 10 days and at the first visit to the ER they used a mixture of propofol and ketamine to reduce my hip. I did feel outside my body as I was coming out of sedation and felt like I was floating on a cloud like a float in the Macy’s Thanksgiving Day parade and was telling everyone in the room😂 As it continued to wear off I began to feel my body touching the bed and it actually hurt. I was talking up a storm at this point but completely not in control of what I was saying and said, “gravity sucks” as my body grew heavy as the drug wore off. Is this normal and/or is this a k-hole? Thanks! I find your channel so helpful!!!

@memesnow3788 7 месяцев назад

How long in the case of chronic pain does an iv ketamine last before you need to do it again?

@richardmacpherson3924 Месяц назад

Thanks!

@brendag.3384 7 месяцев назад

Is it just saline in the bag with ketamine or is it something else?

@Suekyle 7 месяцев назад

You are awesome!!!

@janeannelson9332 7 месяцев назад

What do you do for patients that have TMJ?

@bobbianderson5055 7 месяцев назад

I have Anesthesia Dolorosa with the not surprising depression on the side. I am in my 4th year and 2nd year of nasal Ketamine. I had a bad reactive with the nasal, over amount and it was not good and gave me panic and pain I think was a bit higher due to panic. AD really is hard to get pain control. I am better suicidal with time but this is not my dream life.

@julieyoung3315 2 месяца назад

I would like to know if you've been om xanax, and opioids for severe back pain and anxiety for years; will ketamine work instead or with or against these other meds. Thank you.

@Nukeaon 7 месяцев назад

I've gotten Ketamine IV for pain in an ER setting, was hooked up to all the Heart rate monitors in the world i think too!

@colleenstevens8368 7 месяцев назад

If ketamine is not monitored carefully during an operation I presume that it can cause damage to the nervous system then. Would that be fair to say?

@lucyannmcwilliams3889 7 месяцев назад

I have had ketamine in surgery a coule times. Had such a scary experience with FENTENAYL, UNABLE TO USE IT FOR SURGERY. Because of complex regional pain syndrome, It also did help with the pain syndrome, as well as the anxiety and stress. Last surgery ketamine had NO side affects FROM KETAMINE UNLIKE MANY OTHER DRUGS. THANK YOU

@MedicalSecrets 7 месяцев назад

I'm happy to hear that you had a positive outcome. It is a powerful medication when used appropriately, and I hope that we can share knowledge about its responsible use. Is your CRPS under control now?

@lucyannmcwilliams3889 7 месяцев назад

@@MedicalSecrets IT IS DEFINITELY BETTER. I STILL HAVE HORRIBLE MONSTER EPISODES OF SEVERE CRAMPING AT NIGHT OR DAY THAT DROPS ME TO MY KNEES . . . I HAVE TO STRETCH OUT THE HORRIFIC PAIN. IT IS HORRIBLE WHEN IT FLAIRS. NO LONGER ABLE TO DO WHAT I USED TO DO. VERY ACUTELY AWARE OF HOW MUCH I CAN DO. I TRY TO PACE MYSELF. IT IS DIFFICULT. MANY THINGS TO DO!! A JUGGLING PROCESS. NERVE COMPRESSION OF RT BIG TOE. FRACTURED AND COMPRESSING NERVE.

@user-nv9cc5wh4z 2 месяца назад

Question for you: I watch your channel and I have Ehlers Danlos type 3. You had the episode about how we metabolize meds differently- I learned that the hard way years ago. How do you think it can impact the dosing of ketamine infusions??

@josephinemartinezvera3620 2 месяца назад

Hello, how are you? I have done Ketamine IV for depression and addiction to heroin. I have been on suboxone for 8 years and am lowering my dose slowly. I feel that I will one day be off of it. I have been dependent on stimulants since I was prescribed them at the age of 13. I have tried and tried to live without them but it feels impossible. What do you suggest?

@ashatan4554 4 месяца назад

There is no access to Ketamine through IV where I live in Canada. There is a clinic that uses tablets. I have Fibromyalgia and nothing has helped the pain. It’s constant and it’s everywhere. I plan to try it but it is pretty expensive. Should I not bother? I have spent a lot of money over the past 10 years trying different things.

@maumau1958 7 месяцев назад

How do I tell the difference between a legitimate and non legitimate Doctor or Clinic ?

@RobG1729 7 месяцев назад

The doctor covered some of that in an earlier video. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-wd9Optc3ido.htmlsi=tjQuMksr0_ZoKb1S

@ToLoveIsToLive89 7 месяцев назад

I am on over 18 medications, 6 or which are for severe chronic pain, depression and anxiety, one of which is an opioid and is so complicated to get and keep. I wonder if this one medication could replace those medications?! Is it easier to get than opioids? I can fully function on my medications, does Ketamine cause drowsiness, fatigue, does it make you feel loopy?! I am so intrigued!!

@MedicalSecrets 7 месяцев назад

These are great questions. In short, I have seen patients reduce their needs for other medications. However, it depends on many factors, especially the wrap around therapies provided to address the root causes of the other conditions. Would you like me to do a video on this topic?

@mpiedad1 7 месяцев назад

PLEASE! My daughter needs this treatment urgente, she lives in Maryland! Any información as to a Doctor who does this treatment in Maryland??

@aletheacourtenay7550 Месяц назад

Can Ketamine go with Diazepam? thankyou for your information

@janeannelson9332 7 месяцев назад

I am not going to write anymore because because when do write nobody answers my questions?

@sandramr 2 месяца назад

I would do anything to be able to try ketamine but my doctors (Kaiser) say they don't use it and refuse to talk about Ketamine or LDN saying they don't prescribe it or use it. Its damn near impossible to get help for pain if a kaier patient.

@mattm3874 7 месяцев назад

If only infusions were as affordable as oral.

@elizabethdesmet89 7 месяцев назад

I am allergic to anesthesia. I want toco e toSan Francisco to see you. How do I reach you?

@Mr.Avuncular 7 месяцев назад

I've been in pain for over 2 years they've been using bupenorphine 2mgs4xa day I. Was on morphine sulfate for over 8years. My neck is fused back also and hips r failing now.what to do?? 62 yrs old

@thekeysman6760 7 месяцев назад

Hi. Perhaps get on the Live Chat next time so he can answer your question. That sounds pretty rough, brother man. I wish you all the best there. Fused sounds terrible. My friend's mother in her 60s also had a bone crumbling disease and her back just wasted away slowly. Not nice. Be well. 🕊️❤️

@Mr.Avuncular 7 месяцев назад

@@thekeysman6760 thankyou for the response mine is a special case because of complications due to fusions and ongoing issues . I hope to speak with him, it would be a honor 👍❤️🙏

@joannaud49 7 месяцев назад

How long does IV Ketimine work for chronic pain.....😅

@jilldecker6257 7 месяцев назад

Does ketamine stop that pain loop from CRPS ? Thank you

@shellcshells2902 7 месяцев назад

I am a chronic pain patient... how can this help us who have ongoing pain and dont want to be on daily opioids?

@MedicalSecrets 7 месяцев назад

I'm so sorry to hear about that. It sounds like I need to do a whole video on ketamine for chronic pain. There is evidence for use in complex regional pain syndrome, which I recently described in a video. There is also evidence for neuropathic pain conditions, including phantom limb pain.

@donpodlas5546 2 месяца назад

I've had very profound and positive results with oral Ketamine. I live in Oregon. At the moment, Intravenous Ketamine therapy at a clinic is very cost prohibitive for average folks. Oral Ketamine may not be as effective as IV Ketamine but it comes in at abut 1/10th the cost.

@vulcancity6990 4 месяца назад

It’s life changing.

@tousifk3138 Месяц назад

Not sure how to use it , dealing with fibromyalgia and peripheral neuropathy, doctors don't know much about it here india and those who know trying ti charge too much,

@carolray3296 7 месяцев назад

I've gotten Ketamine IV in the past for pain control. Both times in the ER I had severe hallucinations. Never again if I can avoid it.

@paulpoppenfuse7071 7 месяцев назад

Loving ❤️

@chefdownunder92 4 месяца назад

Had it for postoperative pain because typical postoperative analgesia didn't relieve my pain. I was so amazed when my pain istantaneously vanished. Then I was tripping hard. The nurse station moved away from me but I didn't feel freaked out by it. Unfortunately, it wore off fast.

@travisbrewer3546 5 месяцев назад

Needles are scary can you still get the effects orally?

@spunkysparks1779 7 месяцев назад

I remember my ravers days we dried the ketimine on a pyrex pan with a blow dryer. We would snort the crystals. See us ravers were on to something! Mdma is being used to ptsd. Ketimine is being used for depression all these taboo drugs we used are no longer taboo.

@spunkysparks1779 7 месяцев назад

I must say ketamine helped me with the depression of losing my mother in 2002.

@MedicalSecrets 7 месяцев назад

I'm so sorry to hear about the depression after your mother passed away. I hope you have found continued healing 🙏