i have recently obtained and read medical publications by dr. robert yoss of the mayo clinic about narcolepsy and it's treatment w/stimulants.
they were written in the '50's. it seems the conclusions of dr. yoss regarding n. tx/dx have little, if any, impact upon the practice of sleep medicine today.
i wish i could find a rx'er today whose practice still is conducted w/the "obsolete" paremeters of medical practice regarding the rx of amphetamines when treating EDS/fatigue, particularly in reference to determining what mg/d amt. to rx a given patient when these meds are indicated. i do not respond to nuvigil. i do respond to adderall ir, but only if i take in mg/d amts. far in excess of my md's instructions which=wakeful today, w/o any wakefulness at all on another day soon to come.
the med is well tolerated in me, both when i follow rx instructions (and am only half wakeful at best) and when survival/responsibility/avoiding homelessness/extreme perdition via employment absolutely mandates (via the wakefulness it requires)my not following rx instructions, and taking about twice the rx'ed amt. to that end.*
this i wish as the straightforward, down-to-earth writings of dr yoss make far more sense to me than the entirety of the many, many medical publications about n. symptoms/tx from his present day counterparts i have studied .
'narcolepsy treatment' is one of these publications.
anyone else familiar w/the work of this great man?
*i cannot advise other pwn strongly enough not to exceed rx'ed amts of stimulants. my having done so=playing w/fire. my symtoms ought to be fully treated they are not even w/the massive amt. (by comparison to reccomended max. doseaging guidelines, to which i do not respond even in the slightest, even w/3 mo. washout) i am fortunate/grateful to be rx'ed. no dr. wants to again be mr./mrs./miss, i truly respect this. i wish the medical examiners could see and respect my case, perhaps then md's could treat me and others like me (if they exist-450mg/d adderall is indicated) w/o fear of this.
the dawn of a better tomorrow, then. (for little old me at least) best wishes, all.