Friday, March 22, 2019

More about TMS

This is a direct update to the immediately previous post.

Apparently there are two competing hardware systems, but little means to evaluate which is better.  We found a provider who uses a less common system which I had not seen in my previous research.  It does use stronger magnetic fields, in case that might be a good thing.

Earlier this week I had my second of two "evaluations" with the provider.  This one was with the actual MD who owns the practice.  It was two hours of intense questioning, more thorough than most psychologists or psychiatrists I have seen.  It all felt pretty casual at the time, but afterwards I was exhausted.  I still have paperwork to do, and they still have to get my history from other providers and work things out with insurance, but it looks like I will be doing this thing.

Daily treatments five days a week for several weeks.  Just showing up to the same place at the same time day after day is going to be difficult for me.  That's kind of why I don't have a job.

I am far less concerned about the treatment experience itself, and certainly less concerned than they expect me to be.  In both evaluations, I had to interrupt long disclosures of risk and accompanying assurances of safety to assure the provider that I had done my homework already.

That's enough about that for now.  Not hopeful of positive results, but glad to get on with it so I can either be surprised, or move on to ECT, Ketamine, or final defeat.

2 comments:

  1. I hope you can get to the treatments and that it works for you.

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    1. Thank you. I was just trying to figure out a way to contact you, since I don't seem to have that information any more. I just wanted to say I'm sorry I didn't do a better job on your past recordings. I was just re-visiting some of my favorites in the process of making a small selection of short tracks to store on my smart watch. In particular, the two NIN tracks and the Funeral scene from Firefly. I was shocked to find that I had used some kind of digital hiss reduction on the "finished" versions I gave you. That's all well and good until one either turns the volume up a lot, or applies compression. I was compressing the dynamic range of the stuff I was putting on the watch because it's little speaker has a very limited dynamic range without distorting. This brought up the noise floor and I heard all of the terrible artifacts of the noise reduction algorithm I had used. Again I am very sorry. I will try to find the original tracks and provide them to you. I don't mind the other liberties I took, such as the reverse reverb on the first part of Funeral and the droned note through the remainder. I hope you are well. Life is not long enough for slow learners such as myself. By the time I've begun to learn what I should be learning, I'm too old to do anything with that knowledge. That's a funny line. I'm going to re-use it.

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