Tuesday, July 7, 2009

Quick! Hit the Treat button

So i just got the opportunity to observe some ECT (Electro-Convulsion-Therapy) and it was pretty uneventful.
For those who don't know, ECT is a completely safe treatment mostly for Depression, but also for some acute psychotic episodes as well as mania and is used in a few other scenarios. ECT is the safest treatment for depression in pregnant women and is a better alternative in geriatric populations than pharmacotherapy which may have adverse effects that are amplified in the older population. There is a chance of mild memory loss that usually resolves fully within 6 months. There can be some permanent memory loss in the hours just prior and following the treatment.

So the process is this: First the patient comes in a lays on the stretcher or bed. An anestesiologist then administers some drugs that put the person to sleep and temporarily paralyzes the muscles. Electrodes are place on the temples and the chest, and then the doctor walks over to the machine and presses the yellow "treat" button. About a minute later, the seizure (which is localized to the brain thanks to the muscle relaxant) ends and the anesthesiologist wakes the patient up. The patient is groggy and is taken to recover. A normal treatment consists of between 6 and 16 sessions and dramatic results can be seen.

This is one of the only places in medicine where you get an "Easy button". ECT is AWESOME!

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