1988 Processing and Closure about Rabies Vaccine by Keith Torkelson, MS, BS

 

Contents

• Trauma Coping Exercise – Reframe Thinking
• Reconciliation
• Vaccine Associated Event (VAE) Assessment Index
• Vaccine Adverse Event Reporting System (VAERS)
• Can the vaccine be ruled out beyond a reasonable doubt?
• Behavioral Health Legal
• Panic Mechanism
• Psych Ward Qualification Scale Score 19 Items
• Acceptance Letter for Veterinary School
• And More

Satisfied with Amount of Closure – Moving Ahead

Finding satisfaction with the amount of closure you have is a pivotal step toward moving ahead, often requiring a shift from seeking external validation to creating internal resolution. True closure is not about receiving an apology or explanation from someone else, but rather the internal decision to accept a situation, stop ruminating, and focus on your own healing.

A panic mechanism

A panic mechanism is the body's "fight-or-flight response" that gets triggered by the perception of danger, even when no real threat exists, leading to overwhelming feelings of fear and intense physical symptoms. In this heightened state, the amygdala (the brain's fear center) activates the sympathetic nervous system, which releases adrenaline and prepares the body for intense physical exertion, resulting in a racing heart, rapid breathing, and other symptoms of a panic attack. This automatic response can become a "false alarm" that feels debilitating and out of control.

https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.1015349/full

Scored by and for Keith Torkelson, MS, BS

Psych Ward Qualification Scale 19 Items

LSF = Low Scores are Favorable

Why reconcile a bout of disease?

Reconciling a bout of disease—or "reconciling with illness"—is the process of accepting, integrating, and adapting to the profound life changes caused by a health crisis, particularly chronic or life-altering conditions. This process moves beyond merely managing physical symptoms to reconstructing a meaningful life, establishing a new "normal" and fostering psychological growth.

 

Why reconcile a bout with disaster?

Reconciling a "bout with disaster"—meaning coming to terms with, processing, and integrating a traumatic event or crisis—is a necessary, albeit difficult, process for recovery, rebuilding, and psychological survival. It allows individuals and communities to move from being "victims" of uncontrollable events to active agents in their own recovery.

Scored by and for Keith Torkelson, MS, BS

Psych Ward Qualification Scale 19 Items

LSF = Low Scores are Favorable

Describe an Ideation

Ideation is the structured, creative process of generating, developing, and communicating new ideas or concepts to solve specific problems. As a core phase in design thinking, it emphasizes divergent thinking—creating a large volume of, often unconventional, ideas without immediate judgment—followed by convergent thinking to refine them.

 

Describe an Ideation in Psychology

Ideation in psychology refers to the cognitive process of forming, developing, and expressing ideas, mental images, or concepts. It encompasses the entire thought cycle from initial brainstorming to actualization, crucial for problem-solving, creativity, and daily functioning. It also describes specific, often distressing, thought patterns like suicidal or paranoid ideation.
Is Panic a Form of Anxiety?

Yes, panic attacks and panic disorder are forms of anxiety, with panic disorder being a specific type of anxiety disorder characterized by sudden and repeated episodes of intense fear and physical symptoms, often without an apparent trigger. While anxiety is typically a prolonged state of worry, a panic attack is a discrete event involving physical symptoms like a racing heart, dizziness, and shortness of breath, which can feel like a heart attack. Experiencing panic attacks doesn't automatically mean someone has panic disorder, as some people only have one or two in their lifetime.

 

Compare Anxiety to Mania

Anxiety is a pervasive feeling of worry, fear, or unease, often with physical symptoms like muscle tension and fatigue, while mania is a state of elevated mood, excessive energy, and impaired judgment, with shared symptoms like racing thoughts, irritability, and sleep issues. The core difference is the direction of symptoms: anxiety involves converging feelings that overwhelm the body, whereas mania is a physical state that "explodes" feelings and often includes a sense of euphoria or invincibility absent in anxiety. Additionally, anxiety is a standalone condition or a symptom, while mania is a hallmark of bipolar disorder, often followed by depression and potentially accompanied by anxiety.

 

Criteria for Psych Ward Hospitalization

Psych ward hospitalization criteria generally revolve around assessing the immediate risk a person poses to themselves or others due to a mental health condition, and whether they require intensive treatment that can't be provided in a less restrictive setting. This includes evaluating for suicidal or homicidal ideation, self-harming behaviors, psychosis, severe depression, and inability to care for oneself.

 

Gravely Disabled

In the context of California law, "gravely disabled" refers to a condition where an individual, due to a mental health disorder or severe substance use disorder, is unable to provide for their basic needs like food, clothing, shelter, or medical care. This inability to meet essential needs puts the person at risk of serious physical harm. This definition is primarily used within the Lanterman-Petris-Short (LPS) Act, which governs involuntary treatment holds and conservatorships for individuals with mental health disorders.

 

Sleep as a cause of mental illness

Sleep problems are strongly linked to mental health issues, acting as both a symptom and a potential cause. Insufficient or poor-quality sleep can exacerbate existing mental health conditions and may even contribute to the development of new ones. Conversely, mental health conditions can disrupt sleep patterns, creating a bidirectional relationship where sleep and mental health problems influence each other.

 

Associated > In House > Metadata >

Autobiography_Keith_Episodic_Case_23101001_STR

 

What does the term sequelae mean?

In the medical field, the term sequelae is used to define any complication or condition that results from a pre-existing illness, injury, or other trauma to the body. Some sequelae may also arise from a past medical intervention, such as a vaccine, a specific treatment, or surgery. Jan 6, 2025

 

Injury

An injury is harm or damage to a person's body, either physical or mental, resulting from an external source. Injuries can be caused by accidents, violence, or even natural factors.

 

Illness

Illness refers to a state of ill health, either physical or mental, where the body or mind is not functioning correctly. It can range from a minor discomfort like a headache to a serious, long-term condition. Illnesses are often characterized by symptoms that affect how someone feels, thinks, or behaves.

 

Trauma

Trauma is a response to a deeply distressing or disturbing event that overwhelms a person's ability to cope, leading to lasting negative effects on their mental, emotional, and sometimes physical well-being. It can stem from a single event or ongoing experiences perceived as threatening or harmful. Trauma is highly individual, and not everyone reacts to the same event in the same way.

 

Pre-existing

Britannica Dictionary definition of preexisting is existing at an earlier time…existing before something else. The insurance does not cover preexisting medical conditions. They made changes to the preexisting law.

 

Segue to Biology & Medicine

Lysogenic cycle:

The lysogenic cycle is a different viral replication strategy where viral DNA integrates into the host cell's genome and replicates along with the host cell, without immediately causing cell lysis. This is not the typical behavior of rabies viruses.

 

Rule out Lysogenic Rabies

Lysogenic rabies is not a recognized term in the context of rabies virus infection. The term "lysogenic" typically refers to the lysogenic cycle of certain bacteriophages (viruses that infect bacteria), where the viral DNA integrates into the host's genome and replicates with it, without immediately causing cell lysis. Rabies, caused by the rabies virus (RABV), is a neurotropic virus that primarily follows a lytic (lytic cycle) infection pathway in host cells. In this process, the virus replicates within the host cell, eventually leading to cell lysis and the release of new viral particles to infect other cells.

 

Rule Out Encephalomyelitis

Rabies is caused by viruses in the Lyssavirus genus, and these viruses typically cause an acute, progressive, and fatal encephalomyelitis. The virus replicates through a lytic cycle, not a lysogenic cycle. In the lytic cycle, the virus infects a cell, replicates, and then lyses (breaks open) the cell to release new virus particles.

 

What tissues does Rabies destroy?

Rabies primarily destroys nerve tissue in the central nervous system, specifically causing severe damage to the brain and spinal cord. The neurotropic virus travels through peripheral nerves to the brain, causing fatal encephalitis and neuronal dysfunction.

 

Adverse Reactions to a Prophylactic Rabies Vaccine

Adverse reactions to the modern rabies vaccine are generally mild and self-limiting, commonly including pain, redness, swelling, or itching at the injection site (11–90% of cases), along with headache, nausea, abdominal pain, muscle aches, and fever. Serious allergic reactions like anaphylaxis are rare. Reactions are typically managed with OTC medicine and should not stop treatment.

 

Informed Consent

Informed consent is an ethical and legal process ensuring patients or research participants voluntarily agree to a procedure, treatment, or study after understanding its risks, benefits, and alternatives. It fosters autonomy and trust, requiring clear communication, voluntary agreement, and competence. It applies to medical care, research, and data usage.

 

Number of doses of prophylactic rabies vaccine given each year

Prophylactic (pre-exposure) rabies vaccination, also known as PrEP, currently requires two doses administered intramuscularly on days 0 and 7 for individuals at risk, according to Centers for Disease Control and Prevention (CDC) guidelines. This updated 2-dose regimen replaced the previous 3-dose series to provide protection for up to 3 years.

 

PrEP

While approximately 30,000 to 60,000 Americans receive post-exposure prophylaxis (PEP) annually, specific, publicly available, aggregated data for the total number of prophylactic (pre-exposure, or PrEP) rabies vaccine doses given each year in the United States is not explicitly tracked or published in the provided search results.

 

Meaning of Rare in Medicine

In medicine, a rare disease is generally defined by a low prevalence, affecting fewer than 200,000 people in the U.S. or less than 1 in 2,000 people in the EU. These conditions, often called "orphan diseases" frequently have genetic origins, lack approved treatments, and face significant diagnostic delays.

 

The Number of Veterinary Students in a given year in the US?

Total enrollment at U.S. veterinary colleges reached 15,157 for the 2022-23 academic year. First-year enrollment exceeded 4,000 for the first time during this period, with student numbers increasing by an average of 2.7% annually from 2012-13, driven by expanding class sizes and new veterinary schools.

 

A Key Event Timeline (SCR)

• [1988]
• Selection for Admission (Document Included)
• Vaccinated

Onset of illness

• [1989]
• Move and randomize belongings
• Panic - Fear of Train
• 1^st Hospitalization
• Resilience
• Work full time
• Return to school full time
• Make grades

• [Circa 1990]
• Panic - 2^nd Hospitalization
• Return to parents’
• Move out on own

• [1992]
• Return to school
• Make grades
• Car accident (1993)

 

Episode 2004

• [Skip to 2006]
• Agree to LPS Conservatorship
• In modified lock down
• Work a program we authored
• Devise 2 quantitative assessments

• [2007]
• Contest Conservatorship
• Off Conservatorship (Document Included)
• Association with the OC Health Care Agency
• Get license back

 

How did Buster Perform? (GPA 3.491)

Pretty well for a sick person!

Selection for Admission (1988) – Page 1 of 2

FAQ – Did this make Buster Hypomanic?

For 1988 Buster Scored 9.40% for hypomania and for 1989 Buster scored 9.40% for hypomania.

Selection for Admission (1988) – Page 2 of 2

April 1988 - Public Health Aseptic Meat Production

>Buster was doing pretty well after receiving the great news he was accepted to UC Davis veterinary school.  He was class high earning an A+ in Epidemiology and Preventative Medicine 254.  He also was in the first class ever of Molecular Evolution (ME) offered at UC Davis.  Both Research and ME were only offered Pass No-pass. 15 units not counting Dance, now that is rather nice.  Yet remember he is still depriving himself of adequate rejuvenating sleep.  It had grown into a serious risk factor for health including behavioral health concerns.  Aside - We wished that they would list the professors on official transcripts.

Notice our writing quality (penmanship) went to pieces

Compare with Health Center Charge Record & Caliper Drawing

Figure – Vaccine Adverse Event (VAE) Timeline

Student Outpatient Charge Record (9-21-88)

Rule Out - Can Measles Rubella (MR) vaccine contribute to mental health problems?

No, extensive scientific evidence from numerous large-scale studies has consistently found no causal link between the Measles, Mumps, and Rubella (MMR) vaccine and mental health problems, including autism spectrum disorder (ASD).

 

Buster Lab Work – About 1 month after his treatment

https://files.mtstatic.com/

 

Amnestic Response after one Rabies dose (vaccination)

An amnestic response (also known as a secondary or booster response) is a rapid and heightened immune response triggered by a subsequent exposure to an antigen that the immune system has previously encountered. In the context of vaccination, this occurs after a single dose of a vaccine in individuals who have: Previously been infected with the pathogen the vaccine targets: This applies particularly to diseases like COVID-19. Studies show that individuals previously infected with SARS-CoV-2 exhibited a faster and stronger antibody response after receiving a single dose of the mRNA vaccine compared to those who hadn't been infected.

 

Single Dose

>In 1988 Buster exhibited an Amnestic Response as indicated in his Immunoglobulin titer after only one dose of the three planned Rabies Vaccine.  It was brought to the dean’s attention and he passed on the word that Buster was to receive no more Rabies doses.

 

Have people died after receiving a prophylactic rabies vaccine?

It's important to differentiate between death from rabies despite vaccination and death caused by the vaccine itself.

 

Vaccine Adverse Event (VAE)

The Vaccine Adverse Event Reporting System (VAERS) is a national early-warning system in the United States, co-managed by the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) that monitors the safety of vaccines after they are approved for public use. It serves as a surveillance tool to detect potential safety problems, unusual patterns, or unexpected, rare adverse events (side effects) that may require further investigation.

 

Death from rabies despite vaccination

There have been documented cases where individuals have died from rabies even after receiving post-exposure prophylaxis (PEP), which includes rabies vaccine and potentially rabies immunoglobulin.

 

Death caused by the vaccine itself

Serious adverse reactions to rabies vaccine are rare, and deaths directly attributable to the vaccine are extremely rare.  The Centers for Disease Control and Prevention (CDC) states that as with any medicine, there's a very remote chance of a vaccine causing a severe allergic reaction, other serious injury, or death.  However, serious problems from rabies vaccine are very rare, and the risk of a vaccine causing serious harm or death is extremely small.

 

FYI - Rabies - What you need to Know?

https://www.nmhealth.org/publication/view/marketing/948/#:~:text=What%20are%20the%20risks%20from,rabies%20vaccine%20are%20very%20rare.

 

Ditto - Have vaccines been implicated in mental illness?

Based on current research, vaccines, including childhood vaccines and COVID-19 vaccines, have not been definitively linked to an increased risk of developing mental illness in the long-term.  However, some studies have explored potential short-term psychiatric adverse events (AEs) following vaccination, especially with COVID-19 vaccines.

 

Any vaccines associated with mental deterioration?

In the overwhelming majority of cases, vaccines do not cause mental deterioration. Large-scale studies have found no evidence linking routine vaccinations to neurodevelopmental or mental health issues like autism, cognitive decline, or dementia. Instead, vaccines protect against infectious diseases that can cause severe neurological damage and cognitive impairment.

 

In House > Metadata >

10_BMB_Xenobiotics_14081802 V.2015

Classed as Brain and Mind and Behavior

 

Drugs of Abuse & Prescribed Medications

The Drugs Of Abuse - Urine test is a diagnostic procedure that screens for the presence of 12 different drugs in the urine. These drugs include Amphetamines, Methamphetamine, Cocaine, Barbiturates, Cannabinoids, Opiates, PCP (Phencyclidine), Benzodiazepine, Morphine, Tricyclic Antidepressants (TCA), and MDMA (Ecstasy).

 

Aside – Tricyclic Antidepressant (TCA) Check - Wellbutrin

No, Wellbutrin (bupropion) is not a tricyclic antidepressant (TCA). It belongs to a completely different class of medication known as norepinephrine-dopamine reuptake inhibitors (NDRIs) and is classified as an atypical antidepressant. It works differently than TCAs by targeting dopamine and norepinephrine, rather than serotonin, without affecting histamine or muscarinic receptors.

 

Aside - #ListerLista

Hashtags are used on social media to categorize content, increase reach and engagement, and help users discover posts related to specific topics. By using relevant hashtags, creators can connect with audiences interested in their niche and expand the visibility of their content beyond their immediate followers.

 

Remarkable Sleep Deprivation

Sleep deprivation, whether acute or chronic, has profound and often negative impacts on various aspects of human health and functioning. It can lead to impaired cognitive performance, including memory and attention deficits, as well as increased irritability and mood disturbances. Long-term sleep deprivation can also contribute to serious health problems, such as heart disease, diabetes, and even potentially increase the risk of neurodegenerative diseases like Alzheimer's.

 

How is it that the vaccine period was traumatic? – Buster’s Words

>On 9-21-88 I was instructed to go to Cowell Student Health Center @ UC Davis for a Veterinary School intake appointment.  I was given two vaccines (reference the receipt).  Forty eight hours later my life changed forever.  I fell ill continuing to get worse month by month.  Late in fall quarter 1988 I deamed it necessary to leave Veteriary School.  I had worked for 7 years or so to get into Veterinary School.  The trauma is that I was facing losing my seat in Vet School.  When I began to fall ill I was with the whole class on a routine orientation.  This day falling ill in front of my class of veterinary students was self-stigmatizing for me.  After the onset of symptoms I began working with the Associate Dean, Dr. Robert Hansen.  I didn’t know how far he would go to get me up and going again.  With my first hospitalization I was treated with Haldol (See prose below).  I went to work full-time as a clinical lab associate for Hospital Pathology Central Laboratory.  I returned to Vet School for fall quarter 1989.  I made grades for two quarters and then got sick again.  In 1993 I left Vet School for the last time.  It was mostly because I did not wish to be a financial and time burden on my parents any longer there were new doctors and new medications to afford. 

 

Depression Consumer-survivor

The "consumer-survivor" or "consumer/survivor/ex-patient" movement in mental health is a social justice and human rights movement advocating for the rights and self-determination of individuals who have experienced mental health services. This movement challenges the traditional, often medicalized, view of mental illness and promotes the idea that individuals with lived experience of mental health issues should have a central role in their own care and in shaping the mental health system.

 

Intervention Assessment

Intervention assessment is the process of systematically evaluating the effectiveness and impact of an intervention, particularly in fields like education, healthcare, and social work. It involves gathering data to understand whether the intervention is achieving its intended goals and to identify areas for improvement. This assessment can encompass various aspects, including the intervention's implementation, its immediate effects, and its long-term impact on individuals or the target population.

 

Treatment

Haldol and Navane

Haldol (haloperidol) and Navane (thiothixene) are both typical antipsychotic medications used to treat schizophrenia, but they have some key differences in their formulations, administration, and potential side effects. Both are effective in managing symptoms like hallucinations and delusions by blocking dopamine activity in the brain.

 

Haldol and Navane Adverse Reactions

Haldol (haloperidol) and Navane (thiothixene) are typical antipsychotics that commonly cause movement disorders (extrapyramidal symptoms), including tremors, rigidity, stiffness, and restlessness. Other common side effects include sedation, dry mouth, constipation, dizziness, blurred vision, and weight gain. Severe, rare adverse reactions include Neuroleptic Malignant Syndrome (NMS), tardive dyskinesia, and heart rhythm issues.

Yes doctor he is “Sketched Out”

Not one of this world

With this reality, our real world

 

Dose em, loading, on Haldol

Stop em from becoming a psycho puppy

 

Inside I feel my clocks running awry

The little clock, the big clock

Now I’m feeling pain in my tummy

I feel bugs crawling through my skin

 

Doctor he is not responding

Throw in Lithium and Ativan

Yes, doctor he is drooling

Walks on and on all night long

Wonder how he is feeling

 

My muscles near tetanus

I cry out

To the ER I go

Thank God for Benadryl, IV

 

Doctor I think he is

Maxed out on the AR’s

He can’t get any worse

Can he?

 

Yes, his eyes are glaring, staring, tortured

His face looks so stioic

Dead

 

I pray they stop this Med

And its’ neuroleptic mechanisms

Women and Men OD’ed on Haldol

Remember?

The forgotten years … years after …

 

Neuro-psychiatric decline

Neuro-psychiatric decline refers to a decline in cognitive and/or behavioral functions due to damage or disease of the brain. This can manifest as a variety of symptoms including changes in mood, personality, behavior, social skills, motivation, and memory. These symptoms are often associated with neurodegenerative diseases like Alzheimer's and Parkinson's, as well as other conditions like brain tumors and infections.

 

Neuropsychiatric Symptoms in Mild Cognitive Impairment and Dementia Due to AD: Relation with Disease Stage and Cognitive Deficits

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8415837/

By WA Wiels · 2021

Background

The interaction between neuropsychiatric symptoms, mild cognitive impairment (MCI), and dementia is complex and remains to be elucidated. An additive or multiplicative effect of neuropsychiatric symptoms such as apathy or depression on cognitive decline has been suggested. Unraveling these interactions may allow the development of better prevention and treatment strategies. In the absence of available treatments for neurodegeneration, a timely and adequate identification of neuropsychiatric symptom changes in cognitive decline is highly relevant and can help identify treatment targets.

‎

Method - Neuropsychiatric Evaluation

A neuropsychiatric evaluation assesses cognitive and emotional functions to understand how the brain impacts behavior and mental health. It helps diagnose and manage conditions where brain function is altered, like dementia, traumatic brain injuries, or learning disabilities. The evaluation involves a clinical interview, standardized tests, and sometimes a review of medical records.

 

Across Neuropsychiatric Severity Groups

"Across neuropsychiatric severity groups" refers to the practice of comparing the prevalence, characteristics, or effects of neuropsychiatric symptoms among different categories of severity. This is crucial for understanding how symptoms evolve with disease progression, tailoring treatment, and evaluating the impact on both patients and caregivers.

 

Cognition

"Cognition" broadly refers to the mental processes involved in acquiring knowledge and understanding through thought, experience, and the senses. It encompasses a range of abilities, including thinking, attention, language, learning, memory, and perception. Essentially, cognition is how the brain works to process information and enable us to interact with the world.

 

Cognition > Metadata >

Cognition FRI Assessment

Aside - Functional Reading Independence (FRI) Index

The Functional Reading Independence (FRI) Index is a patient-reported outcome measure developed to assess how effectively individuals with geographic atrophy (GA), a form of vision loss due to age-related macular degeneration, can read independently. It quantifies the impact of visual impairment on daily reading activities, providing higher scores for greater reading independence. The FRI Index was created using expert consultation and patient interviews to understand the specific challenges and needs of people with GA in their reading tasks.

 

Purpose

Track treatment impact

The FRI is used in clinical trials to evaluate whether therapies for geographic atrophy effectively improve or maintain visual function related to reading.

 

Complement other measures

As a binocular measure (measuring both eyes), it provides additional insight into a patient's real-life visual experience beyond what can be measured with monocular (single-eye) tests.

 

Evaluate real-world function

The index helps researchers understand the relationship between GA progression and a patient's daily reading ability.

 

Cognition PRI Assessment

PRI assessment in a healthcare context

As the Patient Review Instrument (PRI), the assessment is a medical evaluation tool primarily used in New York State to determine the cognitive and physical status of individuals, particularly seniors. It is often paired with a "Screen" assessment.

 

Purpose

To determine the appropriate level of long-term or skilled nursing care for a patient.

Cognitive components

The PRI assesses a person's cognitive status, which is a factor in determining their overall care needs and eligibility for placement in certain facilities.

Administration

It must be administered by a certified Registered Nurse.

What it measures

The assessment details a patient's medical and cognitive characteristics, as well as their ability to perform activities of daily living.

 

Aside - Cognition VCI Assessment

A Cognition VCI Assessment refers to the evaluation of Verbal Comprehension within a broader context of Vascular Cognitive Impairment (VCI), a condition caused by reduced blood flow to the brain that leads to cognitive deficits. The VCI assessment, often using parts of the Wechsler scales, measures acquired knowledge and verbal reasoning, while a broader VCI assessment screens for deficits in executive functions like processing speed and the ability to switch tasks. This comprehensive assessment uses neuropsychological testing, clinical interviews, and neuroimaging to characterize VCI, which can range from mild impairment to dementia.

 

Aside - Verbal Comprehension Index (VCI)

What it measures

The VCI assesses verbal acquired knowledge, verbal reasoning, and understanding, often reflecting a person's fund of knowledge gained through experience and education.

How it's measured

It is derived from specific subtests of intelligence scales like the Wechsler Adult Intelligence Scale (WAIS) and Wechsler Intelligence Scale for Children (WISC).

Significance

The VCI can provide insight into a person's verbal abilities, impacting performance in areas like reading comprehension and written expression.

 

Predisposition for Neuro-psychiatric and cognitive decline

A predisposition for neuro-psychiatric and cognitive decline can stem from a combination of genetic, lifestyle, and environmental factors. Genetic predisposition, particularly in the form of certain gene variants like APOE e4, can increase susceptibility to conditions like Alzheimer's disease and mild cognitive impairment. Lifestyle factors, such as physical inactivity, poor diet, and lack of social interaction, can also contribute to cognitive decline. Additionally, certain medical conditions like high blood pressure, diabetes, and brain injuries can elevate the risk.

 

Structured Temporal Reconciliation (SCR)

 

Outline > Symptoms > Deficits V Strengths

Signs Before & Predispositions

Stress Diathesis

The diathesis-stress model proposes that psychological disorders arise from the interaction of a genetic or biological predisposition (diathesis) and environmental stressors. It suggests that individuals with a predisposition to a disorder are more vulnerable to developing it when faced with stressful life events. Essentially, both nature (genes) and nurture (environment) play a role in the development of mental illnesses.

 

Other factors and during process of decline

Features – Aspects of Illness

 

Factor	Note	Detail
Delayed Treatment	Complained of Headache	Dr. Clark at health center treated it with Aspirin Should have been a corticosteroid
No VAERS	Not available	System not in effect yet
Corticosteroid	Missed opportunity	For arresting my immune response
Referred to psychologist	Needed medication such as Lorazepam	Intervention not early enough
Inappropriate Treatment	Needed corticosteroid	Dr. prescribed aspirin
1989 Winter Moved	From Pinon 1989 Removed From Comfort Zone	Randomized my belongings 3 Bedroom Housing into a 1 Bedroom & Living Room
Overwhelmed	Sorting things out	Leads to panic
Nature of Injury (Damages)	Sensation Inflammation	Some indicators of Meningitis alternating with Encephalitis
Initial Diagnosis	“biochemical imbalance”	Hansen along with Katherine told me I had Ketoacidosis Based on breath smell (ketones)
Series of Working Diagnoses	Neurologic challenges	Assessment Battery Deteriorating Behavioral Health Fitness Score
1989 Spring and Summer	Demonstrate Resilience	Worked for Hospital Pathologist Central Lab Great sleep, food, job, and entertainment
1989 Fall	Return to Vet School	2 Quarter GPA = 3.550
Overall (1989-1993)	Vet School	4 Quarters GPA = 3.491 63.30 units completed

 

https://www.vetmed.ucdavis.edu/photo-galleries/2019-alumni-reunion

 

Neurological – Elimination List

 

Encephalitis

Encephalitis is an inflammation of the brain that can cause a wide range of symptoms, from mild to life-threatening.

 

Sleep Disorder – Intentional Deprivation

Sleep deprivation refers to an intentional or unintentional reduction in sleep time, resulting in insufficient sleep. It is often caused by sleep disorders, work demands (e.g., night shifts), and study pressure.

           

Meningitis

Meningitis is an inflammation of the membranes (meninges) that cover the brain and spinal cord. It can be caused by various microorganisms, including bacteria, viruses, fungi, and parasites.

           

Treatment for Encephalomyelitis      

Encephalomyelitis, an inflammation of the brain and spinal cord, requires prompt and appropriate treatment to minimize complications and improve outcomes. The specific treatment plan depends on the underlying cause and severity of the condition.

 

Acute Disseminated Encephalomyelitis (ADEM)

ADEM is an autoimmune disorder that affects the central nervous system (CNS), causing inflammation and damage to the myelin sheath, the protective covering around nerve fibers.

           

Rabies – Overt - Uniformly fatal

"Rabies – Overt - Uniformly fatal" means that once clinical symptoms of rabies become apparent, the disease is almost always lethal, with the virus attacking the central nervous system. Prompt medical care and post-exposure prophylaxis (PEP), which includes wound treatment, immune globulin, and vaccination, are nearly 100% effective in preventing rabies if given before symptoms appear. However, once the virus progresses to the brain and the disease manifests, survival is extremely rare.

 

Adverse Reaction to Vaccine - No VAERS available

A report to VAERS does not mean the vaccine caused the event. A VAERS report alone does not indicate whether a vaccine caused or contributed to an adverse event. Aug 7, 2024

 

Aside - Latent & Lysogenic Notion - Ran by Dr. Yan Ghazikhanian at airport in Acapulco, Mexico.  He indicated that lysogeny was not impossible.

 

Diagnosing Encephalomeningitis

Encephalomeningitis, an inflammation of both the brain and the meninges (membranes surrounding the brain and spinal cord), is diagnosed through a combination of physical exams, medical history review, neurological assessments, and laboratory tests. These tests may include blood and cerebrospinal fluid analysis, imaging studies like CT scans or MRIs, and EEG to assess brain activity.

Percentage of People in the US with Behavioral Health Disorders

Approximately 23.4% of U.S. adults—over 61 million people—experienced a mental illness in 2024, with roughly 1 in 20 (5.6%) experiencing a serious mental illness. Nearly 1 in 5 adults (roughly 20%) have a diagnosable condition in any given year, while 46% may meet criteria at some point in their lifetime.

 

Key Behavioral Health Statistics

Adult Prevalence: In 2022, 23.1% of adults (59.3 million) had any mental illness (AMI), with higher rates among females (26.4%) than males (19.7%).

 

Percentage of Older Adults in the US with Behavioral Health Disorders

Approximately 15% to 25% of older adults (aged 65+) in the US suffer from a behavioral health disorder, such as anxiety, depression, or substance use issues, with 20–30% reporting symptoms of depression or anxiety. Despite high rates of mental health conditions, less than half of these individuals receive treatment.

 

UCD Cowell Student Health

https://shcs.ucdavis.edu/

>1988 told to treat with aspirin after vaccinations by Dr. Clark. 

 

Aside - Is UC Davis Medical Center a good hospital?

U.S. News recognizes UC Davis among nation's best in specialty care and access for vulnerable populations. UC Davis Medical Center has been ranked the No. 1 hospital in the Sacramento region according to the 2025-2026 U.S. News & World Report prestigious Best Hospitals ranking. Jul 29, 2025

 

Aside - Is UC Davis a great school?

UC Davis among top 10 best universities in new rankings | The ...UC Davis consistently ranks as a top public university, often placing in the top 10-15 nationally for public schools and within the top 40 overall, recognized for social mobility, research, and specific programs like Veterinary Medicine and Agriculture, with recent rankings in 2025-2026 placing it around 9th-10th among public universities by various outlets like U.S. News & World Report and Times Higher Education.

 

1988 - How does UC Davis Vet Med rate?

In 1988, the UC Davis School of Veterinary Medicine was already established as a premier institution, with officials boasting that it was the best in the country. Based on the provided search results, there is no direct Wikipedia ranking of veterinary schools from 1988. However, historical and current context indicates that schools like UC Davis, Cornell, Colorado State, and the Royal Veterinary College (London) have consistently been recognized as top institutions.

 

Record Request for Vaccine Day

>Sometime after we requested our 1988 records, we contacted Cowell Student Health Center.  Since 1988 they selected a cut-off year to digitally preserve.  1988 didn’t make the cut.  The records were reported as destroyed.  We lost the case details.

 

 

Complaints - How sick was Buster?

Scored on August 19, 2025 (TU) - Retroactively

Self-score (SS) by Keith “Buster” Torkelson, MS, BS

Out of Scope (OOS) - Symptomatic for Mental Health diagnoses

Based on the provided search results, the figure "75%" frequently appears in the context of the early onset of mental health conditions: Onset by Age 24: Approximately 75% of lifetime mental health conditions begin by age 24, with 50% beginning by age 14.

 

Psychiatric Signs and Symptoms

Since the Injury

What is a flat-liner less than zero?

A "flat-liner less than zero" likely refers to a character from the novel Less Than Zero by Bret Easton Ellis who is emotionally empty or dead inside. It is a metaphorical expression, combining the medical term "flatliner" with the book's title to describe a person who experiences life with an extreme lack of emotion or purpose.

 

Depressed with no hope of getting better

If you're feeling depressed with a sense of hopelessness, please seek professional help immediately by calling or texting 988 in the U.S. to connect with the 988 Suicide & Crisis Lifeline. You can also talk to a trusted friend or family member, eat nutritious food, stay hydrated, and try to get some rest. For long-term support, consider consulting a mental health professional for psychological counseling or discussing potential medication or brain stimulation therapies.

 

Onset 1988 – 19880921 – In Buster’s Words

>The onset of my problems begin 48 hours after my vaccinations on September 21^st 1988. Even though I was getting very sick I still attended lectures and labs. The course that stood out the most was anatomy it was to be the class where we had our first examination. Up until examination day I had perfect attendance with my lectures and labs. At one point before our anatomy examination, I misplaced my proprietary veterinary school anatomy study guide. I went to the UC Davis School of Veterinary Medicine bookstore to get a replacement and they said they didn’t have any. So I went to the anatomy department to see if they had a copy and like the bookstore they said they didn’t have a copy of the anatomy Study Guide. So before the first examination I really didn’t have the correct material to study up on. 

 

Not Typical

I didn’t feel that I was ready on exam day. On exam day I told the professor Dr. Ralph Kitchell that I would like to test out of the exam orally. At that point he noticed my distress and said I needed to go visit Dean Hansen. He knew that this was not my typical behavior.  Dr. Robert Hansen observed and identified that I was ill and started to help me with my case. Later after the Anatomy exam in lecture I discovered my lecture guide materials on a seat in the lecture hall. This led me to be a little bit paranoid that something was going on beyond my control. It was.  My Behavioral Health symptoms were progressing off the charts.

 

Upon My Return

>Upon my return to veterinary school fall quarter 1989 Doctor Hansen (or Dean Hansen) organized oral examinations to get me back in sync with the class. I was given oral examinations in Virology and Cardiac Physiology. I had experience with oral exams back in the avian sciences department when I took an oral final for Avian Genetics. I was also eventually offered oral examinations to test out of Respiratory Physiology and Radiology. My Radiology experience was insufficient.  When I took Advanced Radiology I had a difficult time. Eventually my sleep deprivation method of studying caught up with me again and in 1990 I became sick again and had to be hospitalized. My father picked me up and my family helped me move back to Orange County. This time at home my incidental sleep deprivation caught up with me again but I still had my set sights set on returning to veterinary school. I didn’t finally permanently leave veterinary school until 1993.

 

I would “never get better” (Dean and Grabow (V Graman)

>Initially back in 1989 when I was first hospitalized the treating physicians were Dr. Dean and Dr. Grabow. When I asked them if I would ever get better they agreed saying I would never get better. They prescribed for me Haldol and so begin the term of Haldol Hell (Reference Prose). Haldol has some terrible side effects including fatigue. In 1989 I began a lifetime of near 100 percent adherence to the treatment plans that the doctors sold me. I will be on medication for the rest of my life. One of the biggest motivators to be adherent was because Dr. Hansen a trusted associate of many years (I had him as a professor as an undergrad – he knew me from office hours) was the first one who told me how sick I was.

 

Haldol Hell - Associated Document > Metadata >

Worksheet_Med_SideEffects_13082403_Haldol v.2025

 

Day of onset best option

>On the day of onset for my progressive and chronic illness was 48 hours after I received my vaccinations for veterinary school it would have been best rather than direct me to go home and get some rest to direct me to the Health Center and have them work up my case with due diligence.  For the summer of 1988 the only thing I did different was to have the vaccines.

 

Demonstrate Resilience

>When I returned sick from Davis in 1989 I was first suffering terrible side effects due to Haldol. At my parents’ house where I was staying rent free I had good nutrition and a hobby. After getting over the problems with Haldol my sleep was excellent and most importantly I got a full time job at a local clinical diagnostic laboratory called Hospital Pathologist Central Laboratory. Eventually Dr. Arnold P Deutsch (my psychiatrist) found that I was competent to return to veterinary school and he wrote the necessary letter or note for Doctor (Dean) Hansen. Thus, for fall quarter of 1989 I was back at it again. I was living at Oxford Parkside Apartments.  I performed well making grades for two quarters and then I began panicking. I cycled home again and this time my problems increased.  Out of shape I returned to Davis (1992).  Ditto - In 1993 and I bid farewell to Davis permanently. I have only been back to Davis one time since I left in 1993.  The visit helped me move ahead with my closure. 

 

Definition for Getting Better

"Getting better" means to improve a condition, situation, or skill, or to recover from illness or incapacitation. It implies a movement from a worse state to a more favorable or healthy one, whether referring to personal health, the quality of something, or the development of proficiency in an activity.

 

Interfered with Relationships

>My illness interfered with both my relationships with Leanna Kielian and Milinda Lommer. M. Lommer was my lab partner in my final go round with Vet School.  It pans out that Dr. Lommer is a super successful veterinarian (See book she co-authored).  She owns her own practice and she is an Associate Clinical Professor Vol at University of California, Davis.  It wasn’t till years later about 1998 that I was able to get close with a female. Her name was Joan “Marie” Nemec-Zhorne and I love/loved her dearly. Joan most likely succumbed to complications of dementia.  In 2016 when I last saw her she had become very frail and disoriented.  In 2016 she was rescued by one of her daughters.  As of 2026 she would have been about 83 years old.  I am uncertain after 2017 what her fate was.

 

Mechanism for catastrophic decline

A catastrophic decline is the sudden and severe degradation of a system, often triggered by a tipping point or critical threshold that leads to a rapid, irreversible shift to an alternative and less desirable state. This process is driven by internal feedback loops that amplify the initial disturbance, making recovery exceedingly difficult.

 

Currently

>Currently if I do not sleep or sleep well for 3 days I will rapidly develop severe symptoms including panic.

 

Vicious Cycle

If you experience severe symptoms like panic attacks after just three days of poor sleep, it is critical to consult a doctor or mental health professional. Your reaction is an intense form of the well-documented "vicious cycle" in which sleep deprivation and anxiety worsen each other.

 

History - Living Arrangements

As I have with changing psychiatrists I have also moved around. When you move there is a chance that you will get a new psychiatrist.  When I first went to UC Davis I was living in the student housing dormitory called the Castilian.  After living in the dormitory for three years in 1985 I moved out on my own with my friend and ex-roommate Lawrence D. Chan. We moved into Pinon Apartments on Guava Lane in Davis while I was sick in 1989 my family came and helped me move to Ivy Town Apartments in Davis and like I said they randomized my belongings. I was overwhelmed. One night I panicked and called my mother and she had an emergency team pick me up.  They transported me by ambulance to a hospital in Woodland CA. After being in the hospital I moved back home with my parents. After a relatively brief period of recovery I demonstrated resilience and bounced back returning to veterinary school. I moved into Ivy Town apartments near Pinon. At this point I was consuming enormous amounts of coffee and I panicked again and once again my family came to the rescue. This time I moved home but I wasn’t so resilient. Yet I did give returning to Davis one more try in 1992. At this time I moved into Wake Forest Apartments in Davis. I ran myself into the ground and panicked once again and left Davis for home leading to an automobile accident in which I almost passed away. In the accident I dislocated vertebrae in my neck. It took until 1997 and as my mother put it to get back on my feet. Somewhere around 1997 definitely before the middle of 1998 my mother gifted me work and eventually a partner share in in the family business that she and her sister help create.

 

Choices while depressed

These three options represent different responses to a depressive episode. Psychologists and medical professionals generally recommend making orderly and measured progress, a core principle of behavioral activation, as the most effective strategy for recovery.

 

Anhedonia

Anhedonia is the inability to feel pleasure. It's a common symptom of depression as well as other mental health disorders. Most people understand what pleasure feels like. They expect certain things in life to make them happy. Oct 20, 2020

 

FYI - Anhedonia: Symptoms, Causes, Treatment – WebMD

https://www.webmd.com/depression/what-is-anhedonia#:~:text=Anhedonia%20is%20the%20inability%20to,life%20to%20make%20them%20happy

 

Metadata >

 Things that made/make me happy

Things that make people happy are highly personal, but common themes include spending time with loved ones, enjoying nature, engaging in hobbies like reading or listening to music, experiencing physical comforts like a warm shower or a freshly made bed, achieving personal goals, and performing acts of kindness. Making lists of things that bring joy can help you to identify and focus on these positive experiences.

Change Gears to Medication

I’ve been on CloZAPine on and off since 2006.

Searching for Alternatives

Year CloZAPine came into use?

 

FYI - A Brief History of CloZAPine | Psychology Today

https://www.psychologytoday.com/us/blog/freud-fluoxetine/202203/brief-history-clozapine#:~:text=Clozapine%20was%20synthesized%20in%201958,in%20the%20U.S.%20until%201989.

 

Approved - CloZAPine

Clozapine was synthesized in 1958 but wasn't FDA-approved in the U.S. until 1989 due to earlier reports of agranulocytosis (a severe form of neutropenia) causing deaths, leading to its withdrawal from the market in Europe. Its approval in the U.S. required a special surveillance program, now known as the Clozapine REMS program, mandating weekly blood tests and patient registries to monitor for this potentially fatal side effect.

 

FYI - The history of CloZAPine is not inspiring - The BMJ

https://www.bmj.com/content/363/bmj.k5421/rr-5#:~:text=Clozapine%20was%20first%20produced%20in,there%2C%20and%20then%20across%20Europe.

 

When was cloZAPine first used?

Again, CloZAPine was first produced in 1958. It was marketed from 1970. It began killing patients. After multiple deaths in Finland, it was banned there, and then across Europe. Dec 27, 2018

 

FYI - Termination of CloZAPine Treatment Due to Medical Reasons

https://www.psychiatrist.com/jcp/bipolar/mood-disorders/termination-clozapine-treatment-due-medical-reasons/#:~:text=Other%20side%20effects%2C%20such%20as%20agranulocytosis%2C%20myocarditis%2C%20cardiomyopathy%2C,immediate%20discontinuation%20of%20clozapine%20treatment.

 

Why was CloZAPine brought back?

CloZAPine was brought back after being temporarily withdrawn due to serious side effects, because of its unique and superior efficacy in treating severe, treatment-resistant schizophrenia. The reintroduction was based on extensive evidence showing that its benefits for severely ill patients often outweigh the risks, particularly when managed with strict monitoring.

 

CloZAPine - Other side effects, such as

Agranulocytosis

Myocarditis

Cardiomyopathy

QTc interval > 500 milliseconds

 

Immediate Discontinuation

Immediate discontinuation of cloZAPine is warranted for life-threatening side effects such as agranulocytosis, myocarditis, cardiomyopathy, and a confirmed QTc interval greater than 500 milliseconds using the appropriate correction method. Other conditions, like neuroleptic malignant syndrome and diabetic ketoacidosis, may also require prompt discontinuation, with the possibility of a re-challenge later. However, some conditions, such as mild leukocytosis or eosinophilia, are generally managed rather than leading to discontinuation.

 

Neuroleptics that cause drowsiness

Neuroleptics (antipsychotics) that commonly cause drowsiness include CloZAPine, olanzapine, quetiapine, and perphenazine. Other medications like risperidone can also cause moderate somnolence, while drugs like aripiprazole are less likely to cause sedation. Drowsiness is often a dose-dependent side effect that can sometimes be managed by taking the medication at night.

 

20150801-SAT: Notes & ListerLista

Metadata >

Hyperbaric Treatment

Hyperbaric oxygen therapy (HBOT) is a medical treatment that involves breathing pure oxygen in a pressurized chamber. This increased oxygen pressure allows more oxygen to dissolve in the blood, which can benefit certain tissues and conditions.

 

Induced Coma

An induced coma is a medically induced state of unconsciousness where a person is given sedatives or anesthetics to temporarily suppress brain activity. This is done to protect the brain from further damage or to allow for medical interventions.

 

Corticosteroid Treatment effect on vaccine efficacy

High-dose, systemic steroids (e.g., prednisone 20mg/day for >2 weeks) can suppress the immune system and diminish vaccine efficacy, potentially requiring a 1-month wait after stopping treatment before getting vaccines. While short-term, low-dose, or local (injections, inhalers) steroids generally do not interfere, experts often recommend spacing, such as avoiding steroid injections 2 weeks before to 1 week after COVID-19 vaccines.

 

Vaccine Adverse event – Treat with Aspirin

Using aspirin to treat minor side effects (like pain or fever) after a vaccine is generally not recommended as a first step, as it may potentially reduce the vaccine's effectiveness. Experts often suggest avoiding pain relievers immediately after a vaccination, or using non-aspirin alternatives if necessary, as researchers at the University of Rochester Medical Center explain.

 

Mistaken Beliefs

Mistaken beliefs are erroneous or incorrect opinions based on inaccurate information or misunderstanding. They can lead to emotional upset, negatively impact self-esteem, and affect relationships and career. Examples include the belief that one must be perfect or that their worth depends on external factors.

 

Will corticosteroids stop an immune response?

Yes, corticosteroids, often used as immunosuppressants, can significantly reduce or stop certain immune responses. They do this by lowering the activity of the immune system, which is the body's defense against disease and injury. Corticosteroids can help manage symptoms of autoimmune and inflammatory conditions by reducing inflammation and swelling.

 

Aside - The Efficient Pre-med or Med Student

>As an undergrad, grad and professional student Buster met several students more efficient than himself.  These were: Vickie Clark (Pre-Med), Heather Libke (Pre-Med) and Milinda Lommer (Veterinary Student).  One of the reasons Buster was not as efficacious as them was he had confidence issues.  This contributed to him putting in extended hours studying to make the grade.

 

Character – POI - Dr. Robert Hansen

>1982 Buster entered UC Davis class of 1986.  He transferred some prior units in 1982.  Either when Buster was a sophomore or junior he studied Physiologic Chemistry: Under professor Dr. Robert Hansen.  Buster aced this course.  When Buster first met Dr. Hansen he did not let Doctor Hansen know he had his sights set on Vet School.  1988 Buster did get into UC Davis School of Veterinary Medicine.  He was approached by his professor to leverage his Physio-chemistry knowledge as a Tutor in Vet School.  Things were looking very good for winter and spring quarters of 1988.  Then Buster fell progressively ill.  Dr. Hansen acting as Dean Hansen (student services) said it was a bio-chemical imbalance.  At one point Dr. Hansen asked Buster if he was using cocaine.  Buster wasn’t therefore he responded: No.  He also told Buster you are demonstrating an amnestic response to a rabies vaccine and that you are suffering ketoacidosis.  “You have the odor of ketone bodies on your breath.”  He referred Buster to a psychologist.  Buster says: It was not very helpful.  Buster returned home in 1989 and was as Dr. Deutsch (APD) would tell him: “You are overmedicated”.  For the first part of 1989 APD decreased his medications.  Buster ate really well, and most importantly he attained rejuvenating sleep.  For fall of 1989 Buster was back at Vet School.  Dr. Hansen said that Buster was fit.  Buster waded through the episodes of 1990 and 1993.  He wasn’t prescribed the game changer CloZAPine until 2006.  In 1993 Buster said goodbye to Vet School and UC Davis.  After 3 episodes Buster decided not to keep pressing it and would not return to UCD.  His parents had been footing the bill and it made no sense to keep doing things the same.

 

Revisit – Episode - Predispositions & Risk Factors (1988 and Before)

How is it Trauma?

Trauma is the lasting emotional, psychological, and physical response to an event that overwhelms an individual’s ability to cope, creating deep feelings of fear, helplessness, or danger. It occurs when a threatening experience—such as violence, accidents, or disasters—alters a person's nervous system, causing long-term stress, flashbacks, and mental health struggles.

 

PTSD

Post-Traumatic Stress Disorder (PTSD) is a mental health condition triggered by experiencing or witnessing terrifying events like accidents, abuse, or war, with symptoms lasting over a month. Common symptoms include flashbacks, nightmares, avoidance of triggers, and severe anxiety. It disrupts daily life, potentially causing long-term issues like depression, substance misuse, or chronic physical pain.

 

Cross-cutting Mental Health Signs and Symptoms

Cross-cutting mental health signs and symptoms are common, foundational indicators that span multiple psychiatric diagnoses and indicate a need for closer evaluation, as outlined in the DSM-5 Level 1 Symptom Measure. Key areas include depression, anxiety, anger, irritability, somatic symptoms, sleep disturbance, substance use, and suicidal ideation, which are often tracked over 2-week periods to assess severity and change.

Treatment

Aside – Librium - 1978

Librium, also known by its generic name chlordiazepoxide, is a benzodiazepine medication used to treat anxiety disorders, according to Drugs.com. It's also utilized for managing alcohol withdrawal symptoms and can provide short-term sedation. Librium functions by depressing the central nervous system, producing calming and relaxing effects.

 

Chlordiazepoxide - Wikipedia, the free encyclopedia

https://en.wikipedia.org/wiki/Chlordiazepoxide

Chlordiazepoxide was the first benzodiazepine to be synthesized and the discovery of chlordiazepoxide was by pure chance.  Chlordiazepoxide and other benzodiazepines were initially accepted with widespread public approval but were followed with widespread public disapproval and recommendations for more restrictive medical guidelines for its use.  Chlordiazepoxide has a medium to long half-life but its active metabolite has a very long half-life. The drug has amnestic, anticonvulsant, anxiolytic, hypnotic and skeletal muscle relaxant properties.

‎

Librium

Librium, the brand name for the generic drug chlordiazepoxide, is a benzodiazepine that acts as a central nervous system depressant. The brand name has been discontinued in the U.S., but the generic form is still available. Disclaimer: This information is for educational purposes only and is not medical advice. Consult with a qualified healthcare professional before taking any medication.

 

Contraindications

Librium (chlordiazepoxide) is used to treat anxiety disorders, symptoms of acute alcohol withdrawal, and preoperative anxiety. It is contraindicated in people with known hypersensitivity and is used with extreme caution in patients with respiratory depression, severe liver disease, and a history of substance abuse.

 

Interactions - Librium

Librium (chlordiazepoxide) has serious and potentially fatal interactions with alcohol and other central nervous system (CNS) depressants, such as opioids. The combination of these substances can lead to severe sedation, respiratory depression, coma, and death. Patients must be fully transparent with their doctor about all drugs, supplements, and alcohol they consume.

 

Side-effects - Side Effects of Librium

‎

Aside - Klonopin

Clonazepam, sold under the brand name Klonopin among others, is a benzodiazepine medication used to prevent and treat anxiety disorders, seizures, bipolar mania, agitation associated with psychosis, obsessive–compulsive disorder (OCD), and akathisia. It is a long-acting tranquilizer of the benzodiazepine class.

 

FYI - Legal

Conservatorship - Key Event in Treatment – LPS Conservatorship

An LPS conservatorship is initiated when a person with a severe mental disorder is found to be "gravely disabled"—unable to provide for their own basic needs for food, clothing, or shelter. The key event is a, or multiple, involuntary holds (5150 72-hour hold or 5250 14-day hold) where a psychiatrist deems the individual requires involuntary treatment.

 

LPS Conservatorship Restrictions

LPS (Lanterman-Petris-Short) conservatorships in California are strictly limited to adults with severe mental disorders who are "gravely disabled"—unable to provide for their own food, clothing, or shelter. They authorize a conservator to manage specific, court-ordered, personal, and financial needs, typically lasting one year before requiring renewal.

 

Key Restrictions and Limitations

Definition of Grave Disability

It must be proven "beyond a reasonable doubt" that the person cannot provide for basic needs due to a mental disorder. If another person can provide these needs, the court cannot find the person to be gravely disabled.

Duration

LPS conservatorships expire automatically after one year, requiring a re-petitioning process to continue.

Limited Scope of Authority:

A conservator's powers are restricted to specific, court-ordered areas (e.g., placement, medical treatment, financial management).

Rights Restrictions

A court may limit the conservatee's rights to vote, enter contracts, drive, or own a firearm.

Involuntary Medication/Treatment

While a conservator can consent to treatment "limited authority" restrictions apply, often requiring a separate petition and a 7-point letter from a doctor for invasive medical treatments.

Placement

The law requires placing the person in the least restrictive environment possible, though this may include a locked facility if necessary.

Financial Restrictions

The conservator cannot pay themselves, take loans, or make gifts from the estate without a specific court order. An LPS conservatorship is not for individuals who are merely mentally ill or making poor decisions; it is strictly for those who cannot survive on their own due to a mental health crisis.

 

Surviving on your own

Surviving alone, whether in an urban or wilderness environment, requires proactive safety measures, self-reliance, and mental resilience. Key strategies include maintaining daily social check-ins, having emergency supplies (food, water, first aid), establishing strict routines, and managing your mental health to combat isolation.

 

Sue Beck – Forensic Psychologist (2007)

>After about 3 months (2006-2007) on LPS Conservatorship, Buster contested his conservatorship.  Sue Beck interviewed him while he was in modified lock-down.  She felt that he could take care of himself and passed on her findings to the appropriate body.  The court agreed with Beck and Buster and ended Buster’s LPS conservatorship.  The most important thing was he regained the privilege to drive an automobile.  Driving came in handy because Buster’s family needed him to help-out with a family business start-up.

 

Proof beyond reasonable doubt

Proof beyond a reasonable doubt is the highest standard of proof in the legal system, required for conviction in criminal cases, where evidence must leave jurors firmly convinced of guilt without a reasonable, logical, and evidence-based doubt. It does not require absolute certainty, but rather that no other reasonable explanation exists.

 

Expense of a LPS Conservatorship

LPS Conservatorship costs in California typically involve initial filing fees of around $435, plus investigation fees and ongoing attorney costs, which can range from $1,500 to over $10,000. If the proposed conservatee cannot afford these, a fee waiver can be requested. Expenses are generally paid from the conservatee's estate.

 

Ditto - Satisfied with Amount of Closure – Moving Ahead

Finding satisfaction with the amount of closure you have is a pivotal step toward moving ahead, often requiring a shift from seeking external validation to creating internal resolution. True closure is not about receiving an apology or explanation from someone else, but rather the internal decision to accept a situation, stop ruminating, and focus on your own healing.

 

Cost of Mental Illness

Mental illness imposes a massive financial burden on the U.S. economy, estimated at $282 billion annually, a figure comparable to an economic recession. This includes roughly $225 billion in direct treatment costs and significant indirect costs from lost productivity, with 1 in 5 adults affected.