Posts by Nicole Barrett76

Tom, I truly believe it would be wise for you to consult with a psychiatrist regarding higher doses of niacin (vitamin B3) as a way to mitigate your medication side effects.

For instance, I personally struggle with hypothyroidism, and I find that I only feel functional when I take 100mg of B-complex twice daily.

In the United States, some psychiatrists and nutritionists prescribe niacin dosages as high as 4500mg for schizophrenia, which is staggering when you consider the RDA for niacin is a mere 17mg—just enough to prevent something like pellagra or beriberi due to a deficiency.

Those living with schizophrenia often have a much greater physiological dependency on niacin, given that the condition is fundamentally a neurological disorder.

If it were possible, perhaps you could attempt a regimen of 1000mg of niacin daily alongside one or two tablets of B-complex? These supplements typically contain 100mg each of vitamins B1, B2, B3, B5, and B6, and in my experience, the B-100 from KLM is the most effective option.

Please keep in mind that this is not intended as a cure, but rather as a supportive measure to "simply" help reduce side effects and facilitate better management of the illness; one cannot simply abandon their prescribed medications.

Kevin Nguyen3 said:It's a rare subtype of schizophrenia.
But honestly? The prognosis is actually better than most other subtypes out there. That’s probably why we don't run into catatonic cases nearly as often as others.
There are certain nuances, sure, but if you follow the treatment plan—specifically staying on top of your medication—you can really maintain a high quality of life.
However, because of those commanding auditory hallucinations, there is an inherent risk of hurting yourself or others, which sounds like what you might be dealing with right now.
I'm not entirely sure though... are you also experiencing bouts of stupor or periods of extreme agitation?

Is it not true that disorganized schizophrenia carries the most daunting prognosis, even if we must admit that such a diagnosis is also quite uncommon?

Scorpion7, how is business treating you these days?

Edward Gray9 said:I need to set up a chapter structure for my Master's thesis in Word

that should look something like this:

Introduction
1. First Section ......................
1.1. Subsection ....................
1.2. Another one .................
2. Second Section ..................
2.1. Sub-section ..................
2.1.1. And so on ..................

I'm wondering, how can I make Word automatically generate those dots from the heading all the way to the edge of the page?
It needs to look just like a standard Table of Contents you'd see in an American college term paper.

If you happen to be using Word 2003 in the American English version, simply follow these steps.

1. Go to the insert drop-down menu.
2. Navigate to the references section.
3. A sub-menu will appear where you should select index and table.
4. Once you choose index and table, a dialog box titled Index and Table will pop up.
5. Inside that dialog box, click on the Table of Contents tab.
6. You will see two windows—one on the left and one on the right.
7. Click the window on the left and then hit Enter. Just make sure your cursor is placed at the very end of your document.

Keep in mind, however, that this option won't work if you haven't already tagged your headings within Word. If you haven't done that yet, follow these instructions.

1. Highlight each heading within your text one by one.
2. Move your mouse to the toolbar. On the far left, before the font settings, you should see a tool labeled STYLE.
2. Ensure your heading is still selected, then left-click that tool. A drop-down menu will appear with options like HEADING 1, HEADING 2, HEADING 3, and so on.

The higher the number in the HEADING title, the smaller the heading text will be.

Essentially, select Heading 1 for your main chapters, Heading 2 for major sections, and Heading 3 for minor subsections.

So, pick the appropriate heading level, then move to the next sub-heading and repeat the process until you have assigned a style to every single heading and subheading throughout your entire document.

I truly hope that Tom and actually received psychiatric hospitalization.

Kevin Nguyen3 said:What you’re really looking for is the "Americans with Disabilities Act."
It breaks down into:
1. general provisions
2. fundamental principles
3. the rights and responsibilities of individuals with mental health conditions and those responsible for their care and protection
4. voluntary admission to a psychiatric facility
5. (this is what you need)—involuntary detention and involuntary commitment to a psychiatric facility
6. discharge from a psychiatric facility
7. involuntary commitment procedures for certain individuals and convicts
8. the use of physical restraint in the care of individuals with mental health conditions
9. commissions for the protection of individuals with mental health conditions and psychiatric facilities
10. penal provisions
11. transitional and final provisions

That legislation was established back in 1998.
So, there is absolutely no need to speculate or guess, because everything is already laid out clearly.
Here is the link for you:

Thank you so much.

Nicole Barrett76 said:Suppose an individual experiencing their first psychotic episode is brought into a psychiatric ward against their will and refuses to cooperate. In such a scenario, would the medical staff "merely" conduct a psychiatric evaluation before admitting them, or would they also insist on a full physical examination? After all, how can one be certain if the symptoms are purely psychological or if the patient is simply under the influence of narcotics?

@Tomo,
Please understand that I intended no personal slight toward you.

Furthermore, I find myself compelled to ask a follow-up question regarding this matter... if anyone here possesses the knowledge. Is it possible for a person to be forcibly admitted for a psychiatric evaluation, only to be released back home under heavy sedation because the hospital is overcrowded and lacks available beds? Is it even ethically permissible to release someone in such a state? If that occurs, would a primary care physician be obligated to visit the patient to administer regular injections or medication, or is the patient simply placed in any available bed in a different department to sleep until they can be properly treated in psychiatry?

Or, is the patient admitted to psychiatry only to be unexpectedly released early to make room for another individual who is feeling slightly better?

Suppose an individual experiencing their first psychotic episode is brought into a psychiatric ward against their will and refuses to cooperate. In such a scenario, would the medical staff "merely" conduct a psychiatric evaluation before admitting them, or would they also insist on a full physical examination? After all, how can one be certain if the symptoms are purely psychological or if the patient is simply under the influence of narcotics?

Kyle Johnson2 said:I am hardly a mind reader, so unless you attach an example, I have no idea what we are even discussing.
By the way, how on earth do you expect to enter numbers into a range where you don't even have user permissions to write?

Personally, I wouldn't bother typing them in manually; instead, wouldn't it be more efficient to simply configure Excel to automatically begin its sequence from my desired starting number rather than defaulting to 1?

Kyle Johnson2 said:If I understood you correctly, you're looking for a way to quickly generate a numeric sequence in Excel. You might find this tutorial helpful:

I believe there has been a significant misunderstanding regarding my request.

I am referring specifically to the far-left column where the row numbers always run from 1 to an unknown end, which is also consistently highlighted by a specific color (in my case, gray), and into which we users are unable to input any data whatsoever.

Would it be possible to force Excel to begin those row numbers at a value of my choosing, rather than defaulting to 1?

I am currently faced with the daunting task of inputting a massive amount of data into Excel, and to maintain some semblance of order, I have decided to organize my entries into groups of 250 within each individual file.

The issue, however, is that every single time I generate a new file, the numbering sequence resets back to one.

Is there any way to compel Excel 2003 to bypass this default starting point and instead begin the count from a specific number of my choosing? (I am referring specifically to the very first column on the far left.)

How might one achieve such a thing?

Angela Wright said:Since I'm coming into this fresh after my second Imperial Cut, I've done quite a bit of digging into the details.
Because my first delivery was an emergency C-section at just 28 weeks, my uterus had a vertical incision, which meant there was a real risk of uterine rupture if I tried a vaginal birth during my second pregnancy; therefore, a scheduled C-section was the only safe way forward. Essentially, I was told that the moment any signs of labor appeared on the fetal monitor or if I felt even the slightest sensation, I had to get onto the operating table immediately, because once the baby descends into the birth canal, it's far too late for a C-section.
If complications arise during a vaginal delivery, an emergency C-section is performed under general anesthesia. However, for a planned C-section—even in urgent situations like preeclampsia or HELLP syndrome—spinal anesthesia is typically used. The main distinction between epidural and spinal anesthesia is that the epidural is administered more superficially, whereas the spinal goes deeper into the spine.

I am truly grateful for this information! Now I know exactly what terms I should be searching for on Google if I don't find the answers I need from others. So, it's epidural anesthesia (well, I've known that for ages), spinal anesthesia, preeclampsia, and HELLP syndrome.

Nicholas Wells74 said:At what stage of labor does the window for an elective C-section officially close, leaving one with no choice but to proceed with a natural delivery?

Is it not true that local anesthesia is standard during an Imperial Cut? However, if a physician must perform the procedure after labor has already progressed significantly, does one wonder if the anesthetic approach remains identical to that used in a scheduled Imperial Cut?

It is my sincere understanding that during a vaginal birth, the administration of epidural anesthesia is a practice sometimes utilized to manage pain.

Angela Wright said:They likely learned the ropes by observing animals (all while ensuring their cattle survived, given how precious that livestock was)

Cattle remain an immense source of wealth even today; however, for us Westerners—and I use that term in its broadest sense—who have become so profoundly alienated from the natural world, they are not.

If you were to search YouTube for "cow giving birth," would you not see for yourself how incredibly perilous those moments can be? When a cow is calving, the surrounding environment becomes a zone of danger because a single, sudden kick can be fatal. Is it truly plausible to suggest they learned everything from cows? Perhaps they began with sheep, goats, or even domestic pets like dogs and cats instead.

Angela Wright said:they probably needed a few slaves as well, allowing them to practice on the upper class.

Regrettably, your observation is quite accurate. Even in our modern era, when it comes to the dark stage of human experimentation, does it not always begin with the impoverished before it ever reaches the elite?

Donna Hayes12 said:"The true etymology behind the term Imperial Cut (sectio cesaria) remains shrouded in mystery, leading to three distinct theories:
1. According to an unproven legend, Julius Caesar was actually born via this procedure, which is why the operation eventually took his name.
2. There is a belief that the name stems from ancient Roman law (lex regia), where a child had to be removed from a deceased mother through a process known as lex cesaria.
3. During the Middle Ages, the word 'caesarea' referred to the act of cutting (from the Latin 'caedere'), and since the word 'sectio' also means cutting, the term 'sectio caesarea' might actually just be a tautology.
I pulled this information directly from an American obstetrics textbook, so feel free to decide which theory resonates most with you.🙂

I am uncertain if I find the concept appealing, yet does the tautological theory not seem to be the most logical of the three presented?

I have a quick question for everyone, and I feel a bit awkward starting an entirely new thread just for this, though I wasn't quite sure where else it might fit. I actually looked for a parenting or motherhood forum to ask this, but I realized I've completely forgotten my password for those sites.

My question is as follows:

Suppose a pregnant woman has already coordinated a scheduled C-section with her OB-GYN. However, if she goes into labor prematurely and—heaven forbid—there isn't enough time to perform the surgical intervention before things progress too far, what happens?

At what specific stage of labor does it simply become too late to opt for a C-section, making a natural delivery inevitable?

From a purely logical standpoint, I suspect that once the baby has significantly entered the birth canal, the window for a C-section may have already closed (though I could be mistaken). Could it even be too late before the baby fully engages with the birth canal? Or perhaps a C-section is still attempted if doctors determine that passing through the birth canal would pose too much risk to the mother or the infant? It surely varies from person to person and from one labor to the next, but surely there must be some established medical guidelines or criteria documented online that I simply haven't found yet? If anyone possesses more expertise on this, please share.

I attempted to search Google using terms like "too late for c section" and "too late for cesarean section," but I couldn't find any precise clinical criteria.

Angela Wright said:Why would I doubt it? In Egypt, they've found mummies where CT scans revealed traces on the skull bones suggesting they performed open brain surgeries, and the individuals actually survived and lived for quite some time after the procedure. Ancient civilizations were far more intelligent than we give them credit for today.

Precisely so. Ayurvedic texts, through their rhythmic and encrypted verses, describe how to perform surgeries not just on the brain, but on all parts of the body.

Anyone who still doubts the technological advancement of ancient civilizations should simply look at what the Egyptians left behind in the form of those three great pyramids.

Or let someone discover the smallest unit of time recorded in the Veda. It amounts to perhaps one thousandth or even ten-thousandth of a second.

Now, if we assume they were merely technologically backward shepherds, why would our dear God require such an incredibly brief increment of time for the farming and pastoral peoples of India?

In contrast, during the Middle Ages, the smallest unit of time that an average person was aware of and could manage was roughly fifteen minutes.

What does this imply? If you agreed to meet on a certain day at a specific spot, went home, and returned for the appointment at the appointed hour, if someone arrived fifteen minutes late, they would barely have even noticed. Their very concept of time was fundamentally different from ours today.

Good grief! Civilizations rise and fall; they reach a peak of technical mastery, destroy themselves with that very technology, and then the entire system undergoes a total reset.

Kate Foster12 said:Look, it’s nice of you to care, really—but you don't actually understand this kind of pain because you'll never experience it.

And yes, taking medication is better than just suffering through it; enduring constant pain is a massive stressor on the body. Not to mention, sometimes the cramps are so debilitating you’re literally doubling over in bed.

As for your acquaintance—what exactly do you think you can do about her menstrual pain? Most women deal with painful periods; it’s not cancer, nor is it a terminal condition. We just deal with it every single month.

As for myself, there is nothing I can personally do. Perhaps I could offer some guidance to point her toward a path where she might find relief on her own. For you know, I am aware that she refuses to take any tablets, capsules, or even herbal teas that could actually help her. She simply prioritizes saving money over her own well-being.

Roger Martin3 said:Ibuprofen can raise your blood pressure and impact your stomach lining, kidneys, heart...
But most of those side effects are more or less tied to long-term use at high dosages. Still, I'm glad you brought this up—we shouldn't let anyone walk around thinking these things are just candy.

In that conversation I mentioned earlier, one of the women stated she experiences such intense menstrual cramps that she would honestly rather see a doctor and have all her reproductive organs removed, especially since she doesn't plan on becoming a mother anyway. She said she takes two or three Ketorolacs in short intervals—maybe two or three hours apart—and that if she takes more than one within a 24-hour window, that is where the real danger to the heart begins. I am not entirely certain if she specified Ketorolac, but I would bet my life that was exactly what she was referring to.

..................................

I have dealt with stomach aches before, and I have certainly dealt with headaches. However, isn't it true that the pain feels much more intense when it strikes anywhere below the head? Once, my stomach hurt for two full days, and even now, the mere memory of it makes me feel terrible. When I have a headache, it lasts for a day or maybe a day and a half, but that stomach ache truly haunted me for two whole days.