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Hello, I'm Dr. Nicole Price, a family medicine doctor in Durham, and I’m here to talk about medical topics that are relevant and important to our community. My medical interests are broad, because I take care of the whole family in my practice. However, I love to discuss and teach about minority health, pediatrics, and women's health, in particular. I hope to write about topics that you will find interesting and pertinent.
Today’s number is 1.
On this first month of the New Year, take time to care for “number 1,” or yourself. For example, here is a thought I had right after the Christmas holiday: "I have the post-Christmas blues". I meant this in a joking manner, because Christmas probably is my favorite holiday, filled with family, food, and frivolity! But, to have the "blues" is not funny for many of those suffering from emotional issues. So, I thought about this topic on January 1st and shared this with my friends and patients:
1 out of 10 Americans admit to some form of mental illness-depression, anxiety, schizophrenia, etc.-each year. Be honest with yourself and those around you about how happy, or unhappy, you may be. Many of these things can be hereditary. If you’re having some of these symptoms, it’s likely you’re your family and friends will begin to notice. At times, with emotional and mental health problems, the whole family suffers. So, please be honest with yourself and get help if you need it.
Some doctors use the "SIGE-CAPS" method as a screen for depression (using each first letter of the list to make up the acronym). Check your own status frequently regarding the following signs or symptoms:
Sleeping problems
Interest decreasing in social activities
Guilt and self-worthlessness
Energy decrease or fatigue
Concentration problems
Appetite or weight changes (up or down)
Psychomotor slowing (moving more slowly, decreased motivation)
Suicidal thoughts
If 5 of these 9 symptoms are present for more than 2 weeks, please talk to your doctor or medical professional. You must first take care of yourself in order to take care of your loved ones. I’d say the biggest thing in our community that prevents us from seeking help with depression and similar issues is we’re too proud to talk about it. Or it’s because we don’t want to be put on a “crazy pill” and have bad side effects (like weight gain or decreased sexual desires). I’ll tell you that doctors have many other treatment options nowadays and medicine is not the only way to treat these things. So keep an open mind and talk to someone about it. In general, regular exercise (increases “endorphins” or the feel good hormone), fulfilling and happy relationships, and healthy hobbies outside of work or school can help mild cases of depression. You just have to be aware of when things get out of hand and out of control.
If you’d like to suggest topics for me to discuss in the Tribune or if you have questions you’d like me to answer, please contact us at .(JavaScript must be enabled to view this email address) //';l[1]='a';l[2]='/';l[3]='';l[29]='\"';l[30]=' 109';l[31]=' 111';l[32]=' 99';l[33]=' 46';l[34]=' 101';l[35]=' 110';l[36]=' 117';l[37]=' 98';l[38]=' 105';l[39]=' 114';l[40]=' 116';l[41]=' 101';l[42]=' 108';l[43]=' 103';l[44]=' 110';l[45]=' 97';l[46]=' 105';l[47]=' 114';l[48]=' 116';l[49]=' 64';l[50]=' 111';l[51]=' 102';l[52]=' 110';l[53]=' 105';l[54]=':';l[55]='o';l[56]='t';l[57]='l';l[58]='i';l[59]='a';l[60]='m';l[61]='\"';l[62]='=';l[63]='f';l[64]='e';l[65]='r';l[66]='h';l[67]='a ';l[68]='= 0; i=i-1){ if (l[i].substring(0, 1) == ' ') output += ""+unescape(l[i].substring(1))+";"; else output += unescape(l[i]); } document.getElementById('eeEncEmail_40cJJ9WEB7').innerHTML = output; //]]> . I look forward to hearing from you!
Be healthy and be blessed in ’09,
C. Nicole Price, MD
**Dr. Price works for practice called Durham Family Practice on 2400 Broad Street, Ste. 1, phone number (919) 220-9800. She and her 4 partners welcome new patients of all ages. The practice accepts almost all major insurances, including Medicaid and Medicare**

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By Dr. C.Nicole Price on 04/06 12:59 PM
Please see previous note, as I specified the use of antidepressants' use in fibromyalgia.
By Jayne Lindberg on 04/06 11:31 AM
First, please let your readers know that taking an antidepressant for fibromyalgia is NOT because you're depressed; it's because low doses of antidepressants relieve pain. I have actually heard of fibro patients refusing to take an antidepressant because they think it means that they are mentally ill! I have had fibromyalgia for 15 years, and I am not depressed about anything other than being in constant pain. I have taken many antidepressants,but I now take Cymbalta, which has been the best for me (no side effects).
By Cyndi on 04/05 10:55 PM
Thanx ever so much for responding so quickly. Just FYI in case you ever have a patient with this nasty disease,the Effexor has been the best for me. I had been on wellbutrin-Neurotin-Pamelor-Paxil-Trazadone and a nightmare of sleeping pills. Just have to find what works for that person.. Ready,Mitral Valu Prolapse,Fibro,Disc,L2-L5 Buldge,Periphal Neuropathy,Carpel Tunnel both hands-Diabetes type 2, dx last yr & just recently high cholesterol. 5'5- 135lbs-55.. If you ever need some answers to anything I have ever had done just ask and will be more than happy to answer just to help someone else get better. Take Care & Many Blessings, Cyndi
By Dr. C.Nicole Price on 04/05 10:28 PM
Well Cyndi, although having fibromyalgia doesn't necessarily mean you have depression, almost any of the chronic pain syndromes can occur hand in hand with mood disorders. With studies of fibromyalgia, for some reason, antidepressants seem to work well for pain control. So, Dr. Wilson may be correct. If it's not working, talk to your doctor about trying another one.
By Cyndi on 04/05 10:00 PM
I live in Fla. and during a stay in N.C. I had seen a Rheumatologist, James Wilson whom to this day I still think he was the Best(2005). My question is , I have Fibromyalgia & Degenerative Disc Disease along with many other thngs. A friend had said depression does NOT come with the Fibro. I didn't get depressed until I got it as I could not do what I used too after 2 yrs. of testing. So why am I on effexor as Dr. Wilson had said it's a chemical inbalance in the brain.. Thank You For Listening, Mrs.Cynthia Pearson-Stahl
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