Here, Dr. Gillman and I summarize our thoughts on our topic of discussion for listeners. Then, we transition to listening to a song by a local Louisville artist. We hope you enjoyed this series as well as the song, "Santa Maria," by the band/artist, NOLIA NOON.
Ethan: I grew up in the area that was most afflicted by the opiate epidemic and I lost several friends and classmates from high school and college, and it really adds a dose of skepticism. It has gotten me to a point where in terms of what I understand about my field and how to operate in it, I have to use my eyes and what's in front of me as my top resource and then bolster that with research, read with a very, very skeptical eye.
Ken: I think that's the parting message for all our younger colleagues: Don't let people bully you into thinking your lived practical experience is not valuable. It's just as valuable as RCTs and in many situations, it's more valuable, really important message.
Ethan: It's okay if we don't know. If we don't have all the answers, let's quit pretending like we do have all the answers and open up that room for all of the uncertainty that is out there in medicine, and especially in psychiatry or mental health.
Ken: Fear is very frequently irrational. That's exactly the case with MAOIs. People's avoidance of them is based on ignorance and fear. And thank you very much to Charlie. Just for listeners, Charlie is one of the Psychotropical Team who helps with our research and various other things, and he's been acting as wingman by giving us little messages in the chat window for reminders or point out things we might say something about. So thank you very much for Charlie. His invaluable knowledge is useful.
Ethan: And thank you again to Dr. Gilman for joining us. Being so willing to share his experience is invaluable in this area. And he is an absolutely trusted resource when discussing this topic. The only closing thought that I would add is that, we as a profession and as a society, need to understand the influence of business in medicine so that we can effectively learn what depression is, and do research on different subtypes to determine what the most effective treatment is, as every medication treatment has potential side effects and detriments. And, considering effective as a couple point reduction on a 50-item scale, though it may be able to be manipulated into statistical significance, is very rarely actually clinically significant. Stick around after the disclaimer and Outro for a listen to a local Louisville artist, Nolia Noon, with their song, ‘Santa Maria.’