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Date: Mon, 08 May 2000 21:00:01 -0500
To: wendell grogan <wgrogan@dc*.ne*>
From: Richard Hollingworth <dikndi@me*.ne*>
Subject: Re: question regarding Hyperoxic Seizures
Cc: hlthcom@ix*.ne*.co*, Aqua Tech Dive Center <scuba@di*.co*>,
     cave dive , techdiver@aq*.co*, quest@gu*.co*
Wendell

Point taken. But the question still remains, would you want Him/Her as your 
buddy?

Also the risk of Hypertensive crises ( a well known side effect of MOAI'S ) 
must surely preclude diving activities. As this side effect can manifest 
even when the patient is tolerant.

But like I said, from my point of view, the patients who I have seen ( 
granted it was always in a hospital environment where worst cases are 
always seen) are not compatible with normal daily activities, let alone diving.

Richard

" There are two kinds of People in this world. Those that speak English, 
and those that are English. However, I feel as though I am in the minority"
Richard Hollingworth


At 08:06 PM 5/8/00 -0400, wendell grogan wrote:
>Richard,
>I think you're missing a very important point here.
>If someone is taking an MAOI and it works, then that means that all
>these scary symptoms are under control.  I think the very important
>point is that someone who should be on an MAOI and isn't shouldn't be
>allowed near a dive boat.
>Wendell G
>
>Richard Hollingworth wrote:
> >
> > At 07:50 AM 5/8/00 -0400, wendell grogan wrote:
> >
> > >MAOI's are very touchy medications.  As you point out, they are
> > >generally only used now as a last resort.
> >
> > Diving and MAOI's are strictly contraindicated. A cording to the DSM3 the
> > type of patient that suits MAOI therapy will have some, but not limited to
> > "Psychomotor agitation and retardation, slowed thinking and impaired
> > concentration, suicidal ideation or attempts" these occurrences must be
> > prominent and relatively persistent (nearly every day for at least 2 weeks)
> >
> > Having sold both MOAI and SSRI's to Psychiatrists I have seen enough to
> > convince me that ANYBODY who is on a  MOAI should not dive, especially deep
> > and in caves.These types of Patients are at the last resort, and tolerate
> > the risks and side effects of theirs drug only as means of gaining control
> > of their disease.  ( I am unsure on SSRI'S too many are prescribed as
> > bottled sunshine, def not the case with MAOI'S
> >
> > Richard
> >
>
>"There are two kinds of people, those who do the work
>         and those who take the credit. Try to be in the
>         first group; there is less competition there."
>                    (Indira Gandhi)

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