andrewducker: (Default)
[personal profile] andrewducker

Date: 2018-03-24 10:36 am (UTC)
lilysea: Serious (Default)
From: [personal profile] lilysea
We should absolutely be putting lithium in the drinking water

I strongly disagree. A significant cohort in the population is taking prescription lithium (eg for bipolar disorder), adding it to drinking water would place these individuals at high risk of lithium toxicity.

The [therapeutic dose of lithium] and [the dose required to cause lithium toxicity] are ALREADY very similar, adding lithium to drinking water would push a lot of people over the line.

"Chronic toxicity occurs when you slowly take a little too much lithium prescription every day for a while. This is actually quite easy to do, because dehydration, other medicines, and other conditions can easily affect how your body handles lithium. These factors can make the lithium build up to harmful levels in your body.

CHRONIC TOXICITY

There will likely not be any stomach or intestinal symptoms. Symptoms that can occur include:

Increased reflexes
Slurred speech
Uncontrolled shaking (tremors)

In severe cases of chronic toxicity, there may also be nervous system and kidney problems, such as:

Kidney failure
Memory problems
Movement disorders
Problems keeping salts in your body
Psychosis (disturbed thought processes, unpredictable behavior)"

https://medlineplus.gov/ency/article/002667.htm

Date: 2018-03-24 10:44 am (UTC)
lilysea: Serious (Default)
From: [personal profile] lilysea
Not to my knowledge.

Lithium is prescribed at X dose, increased if it does not have the desired effect, decreased if there is lithium toxicity.

Compounding the issue: people taking prescription lithium experience a LOT MORE thirst, and drink A LOT MORE tap water, than people not taking prescription lithium.

I know someone who takes lithium, and I've seen them get lithium toxicity on multiple occasions. It's very serious, and has prematurely aged them - they are in their 70s, but functionally 15 years older than their same-age peers.

Date: 2018-03-24 10:53 am (UTC)
lilysea: Serious (Default)
From: [personal profile] lilysea
Honestly? I suspect it's either

a) has never occurred to them and/or

b) an individuals ability to cope with lithium already varies so much due to
- other medications
- kidney function
- liver function
- age
- body weight
that there's no one size fits all dose...

Date: 2018-03-24 11:00 am (UTC)
jjhunter: a watercolor 'teal deer' (tl;dr)
From: [personal profile] jjhunter
Good question - in my experience, you get started on lithium at sub-therapeutic levels and then slowly do small, periodic dose increases until there's a positive effect, with the prescribing doctor keeping an eagle eye out for whether you're one of the small but highly significant minority of people who have very bad side effects and should stop taking it immediately.

Anyway, it's the kind of prescription tuning that works well if any environmental/non-prescription lithium intake is relatively consistent, but it might be a problem if you move from a low lithium level in the drinking water to a high lithium level in the drinking water and were unaware of it.

Date: 2018-03-24 10:59 am (UTC)
lilysea: Serious (Default)
From: [personal profile] lilysea
Somewhat tangentially, did you see this? The author is a mental health professional.

"Lead poisoning can manifest as psychiatric illness: and this usually goes undiagnosed"
https://siderea.dreamwidth.org/1388220.html

"Psychiatrists are failing in their duty to consider lead (and other similar biological causes) as a cause of some mental illnesses"
https://siderea.dreamwidth.org/1394433.html

Date: 2018-03-24 03:07 pm (UTC)
dewline: Text - "On the DEWLine" (Default)
From: [personal profile] dewline
And lead poisoning may have been affecting our global situation for decades, if not longer.

Informal networks

Date: 2018-03-24 09:35 pm (UTC)
agoodwinsmith: (Default)
From: [personal profile] agoodwinsmith
The day will never dawn until we stop segregating children by sex or age or ethnicity or any other reason to deal with one group different than the rest, for any purpose whatsoever. Catholic bingo players hang with catholic bingo players; soccer moms hang with soccer moms; sorority girls hang with sorority girls; blah de blah de blah. People who are in the group need to want to include people who are not in the group - which is not how groups operate.

On the other hand, if a female academic only invited female cronies to speak at a conference - you would be able to hear the howling all the way over here.

Date: 2018-03-25 12:49 am (UTC)
armiphlage: (Daniel)
From: [personal profile] armiphlage
I'm not quite sure - in this context, what is a grammar school?

Date: 2018-03-25 03:10 pm (UTC)
armiphlage: Ukraine (Default)
From: [personal profile] armiphlage
WTF? I hope that they cancel that grammar school pilot then, before it can spread.

Date: 2018-03-25 03:27 pm (UTC)
armiphlage: Ukraine (Default)
From: [personal profile] armiphlage
Eek!

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