簡單來說鋰劑/鋰鹽 (Lithium Carbonate)

13 Jun, 09 at 08:43pm © CL LEE


服食鋰劑/鋰鹽 (Lithium Carbonate)以作為「情緒病」(Affective Disorder) 諸如躁狂症 (Mania)、躁鬱症 (Bipolar)之「病情維護」 (maintenance) 的病人,因鋰劑/鋰鹽的所謂「治療劑量」(Therapeutic Level) 與中毒劑量極為接近,初期服用必須嚴格監察,以後每隔2-3月驗血一次,以確定劑量是否合適、有否鋰鹽中毒、甲狀腺機能失調等跡象。以我為例,醫生並沒有每隔2-3月讓我驗血一次,驗血報告每回都不讓我看,他自己也是在驗血2-3月後、我再次覆診才翻開來看的。每次由外判合約制僱請的生手護理員把針管扎進手肘的皮下靜脈、左刺右探連拿針筒的手都緊張起來,好難才抽足分量的四、五枝深紅色的溫血樣本,要化驗的項目包括:

Amylase, plasma

Calcium, plasma

Lithium, plasma

Renal & Liver function, plasma

CBC with differential WBC

Glucose random, plasma

phosphate, plasma

TFT, ? Primary, Hypo/Hyper-thyroidism

妳不需要知道上述名詞的意思——妳開始去查的話,很可能也想寫一本《房間》、或者想殺人、或者自殺、大聲疾呼——妳只要這麽想一想吧:如果服食這種「抗精神病藥」沒有影響到肝、腎、甲狀腺功能、白血球數目、也沒有影響澱粉酶、磷酸鹽、葡萄糖、鈣質等的血含量,驗血驗那麼多項目來幹嗎?單就驗Lithium, plasma 不就成了?

那麼,此種被用作「抗精神病藥」的工業用原料即使真真有影響到中樞神經系統的生化平衡、並且如精神科醫生堅稱一樣,有達到穩定情緒的「療效」,它同時直接影響到服用者的肝、腎、甲狀腺功能,而且在整個新陳代謝系統中,與白血球數目、澱粉酶、磷酸鹽、葡萄糖、鈣質等血含量作為功能指標的各種內科機能(諸如內分泌、血液透析、骨質修補等) 和免疫系統的正常運作,皆有受到可大可小的影響。

藥不是醫病祛痛的藥、而是天天施壓在天秤一邊的秤陀,另一邊才是健康,病與病體互為宿主、連生綑縛。

其他諸如藥物成癮、由長期服用「抗精神病藥」引致的神經官能性後遺症,以至更根本的醫學倫理、藥檢制度漏弊、「病人」就診療方案的知情權、自決權等等,先暫且不說。

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文章類目: 反精神科,國家的身體
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  • 1. Joey  |  26 Jun, 09 at 02:59pm

    可否讓我轉載這一篇,讓我的服務對象與同學們了解Lithium的真面目?


  • 2. 李智良  |  26 Jun, 09 at 03:16pm

    joey

    注明出處,不用來賣錢就得啦!


  • 3. 黑黑  |  26 Jun, 09 at 10:29pm

    Chileung, any other way out except medical/ physical treatment?


  • 4. © 李智良  |  27 Jun, 09 at 09:09am

    黑黑,

    the quick answer & in principle:

    re-structure your life, because it is yours and no one deserve drugging and being an addict dependent on the psychiatric system. no one

    we can always work on 2 ends:
    1) heal your body by reducing all the harms you did to it… your body is capable of healing if it is given the right condition

    2) do what you truely want to do in life… not doing so seems to be the major source of distress

    —–

    there are many ways out there. we thought there is none because psychiatry monopolize both the “knowledge” and “know-how” of the field. In fact it defines the field and everything is included in it as it strive to expand. pharmaceutical companies has a huge interest in pushing their drugs as the only way to treat “psychiatric illness” – (go check GSK’s yearbook for shareholders and you will see, over a hundred kinds of psychiatric drugs pending for patent each year)

    “psychiatirc illness” are a set of labels for management and control of people – (they call it diagnosis but there is nothing like a clinical diagnoistic tests but talking session, DSM is not based on statistics as its title suggests, it is written by “specialists” half of them work for pharmaceutical companies or insurance companies)

    the distress and vairous bodily manefests of the extreme mental state is something else, it needs not follow the psychiatric distinctions in my opinion – life has ups and downs, the thing is how do we land

    the human spieces has lived without psychiatry for thousands of years… there must be ways

    if you are insomiac, treat the insomnia… if you are distressed, treat the distress… treat the thing, not an “mental illness”

    there are nuturitional appraoches, because many “mental illness” symtomps are actually manefest of environmental intoxication, defeciency of certain vital minerals, or vitamins

    most of the ADHD are largely such a case… if only the child is brought to a medical doctor (內科) instead, the child will be treated very differently

    because environmental toxin such as paint on furniture and paint for drawings, and all petrolum derived products can cause agitation and poor concentration, etc

    a child is being sent for accessment for ADHD largely because s/he is disobedient
    it is a classroom mangament problem
    there is no “problem” in the child, can you see my point?

    so treat the classroom management problem
    not the “illness”
    our educattors are now sending the children to take drug because they can’t solve the classroom mangament problem themselves
    children diagnoised as ADHD are given dangerous drugs such as Ritalin

    likewise, nerveousness, so called “depression,” “anxiety,” “panic” etc can also be intervened in ways OTHER THAN psychiatric drugs

    chinese herbal medicine, excercise, diet change, spa, community-oriented health care programmes will all help

    i came across some material here
    http://www.ethanallen.org/publications/specialreports/VSH.pdf

    read esp p12 onwards, it describes a number of EXISTING community programmes that are much more abling and cost effective than insured psychiatric services provided in centralised hospitals

    the thing is: people are sent to hospitals at their most critical and vulnerable moment…they should have been offered help and assistance long time ago

    the drugs given to them never heal anything, but contains them, making them an addict even MORE prone to relapses

    they are found in a miserable state doesn’t warrant the use of brain disabling drugs and coersive enforcement, imprisonment and electro shock on them

    they could have been healthy in the very first place, but they are neglected and given the worst kind of “treatment” which is in fact torture and diciplinary punishment

    it is a fundamental human right issue
    disguised and explained away as an medical issue

    imagine there is not a ban on electro-shock yet! it is still practiced in hk
    imagine lee chi leung is being held down by 3 male nurses and restrained with bandage by 5 points on a hopital bed because he is crying and emotional

    if we think of the whole issue NOT as a “mental health” problem which is monopolize by psychiatry, but think about it in terms of well being, you will see that psychiatry is really a big business… because what is otherwise considered as life choice, livelihood, well being issues is radically “medicalised” as an illness

    its whole claims on bio-chemestry is but a hoax to sell its drugs

    i speak of all these in my experience, observation and research… i would suggest no one to take any psychiatric drugs

    there must be ways, the problem is whether we are committed to find them

    the doctors are never more knowledgeable than us
    they concerns very different things rather than healing


  • 5. 黑黑  |  30 Jun, 09 at 10:00pm

    i think the problems we read on news of the serious ‘mentally disordered’ recently may worsen the situation, bringing even more control and segregation to the ‘psychiatric disordered’ ?

    seems there’s a need to gather ppl working on this field who share the same thought with you so that it can move on with a more healthy and natural way…

    would you mind if i share your site to one of my friend who is a psychotherapist, i know she’s doing quite a lot on something like your first suggestions, and also many others regarding ways of living….


  • 6. 李智良  |  01 Jul, 09 at 07:33am

    黑黑 ,

    my site is public since day one


  • 7. 宗哲  |  08 Jul, 09 at 11:36am

    看了您的文章有許多感觸
    要讓更多人知道這樣的事情


  • 8. 李智良  |  09 Jul, 09 at 11:39am

    宗哲

    我的書/書會/訪問的經驗是這樣的:大家沒能力、「知識」去理解精神科藥物對服用者的殘害,只會同情的眼光,但是同情太容易、太廉價

    醫生的操守問題、醫藥保險業的利益動機、輸送,病院裡的不人道處境,就是體制的暴力和論述權之巨大,大家沒有親歷、也沒很意識,只能「抽象」理解,而我像一張跳線的唱片不停播放也只是一個人,好像聽了我說說,就可以放心回家了

    所謂精神病患羣體,它的劃分、形成與管理都是醫療機構和所謂「社會工作」、「康復工作」組識所壟斷的,他們都是體制的一部份、或其肢體

    因此很多人對自己或家人的「病」的根本理解,很難有精神科以外的參考
    即使有,立即遇到的處境是,沒有別的選擇。因為別的選擇、和實質條件上與想法上的資源早被切斷了,長期服藥不單是身體上的藥物依賴,而是人的整個生活被醫療體制中介,變成受控制的制度依賴者

    我覺得很可恨
    可是我愈嘗試用理性語言、用數據、用見過和發生在自己的身上的例子去講,「故事」聽完了,還是那普遍的無力感、「無辦法的…」的說法不停反彈過來。醫生繼續每天從早到晚隨便處方這些天煞的精神科藥物


  • 9. 学习  |  21 Sep, 09 at 08:29am

    老师啊,说得太好了,还好我才吃半年的药。要不然我死定了,我真的好伤心变成这样。

    我杀人的,“中共”太冷血了。


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