The Doctor's View

Ketamine is an anesthetic commonly used in hospitals for numerous surgical procedures. At sub-anesthetic doses, meaning doses less than one would use for surgery, it has tremendous value. I can help persons with untreatable depression, PTSD, chronic pain, neurologic conditions and suicide risk.

If you’re looking at this site, you’ve probably been around looking and there are a lot of great centers doing very good work. However, I’m looking to do something different than the rest. First, I am one of the few officially certified Ketamine physicians and practitioners in the country. Approximately 500 physicians and practitioners have gone through the program run bythe ASKP3. That is the American Society of Ketamine physician, practitioners and psychotherapists.

I’ve been practicing medicine for 30 years. Over that time I have become quite adept at psychiatric care and psychological conditions. I know, anxiety, depression personay. I don’t live that way anymore. I like to say I’m more of a patient advocate than a doctor.

I have been studying Ketamine and all aspects, including history, pharmacology clinical parameters for over a year. I have recently become certified by the ASKP3. ASKP3 view is that many types of providers may be able to give Ketamine provided they have the proper training. No single group can say they own Ketamine as there’s so many faces to treatment and so many areas it can treat.

I’ve been treating patients with Sprovato for sometime now. It has been unbelievable to see what it can do. Patients with PTSD tell me their “ball of hurt” becomes wrapped in duct tape, and they can look at it without any emotional attachment. Hearing this is truly amazing.

When I read about ketamine infusions and suicidality, something went off in my head. I thought this is truly amazing. Why isn’t everyone doing this? That being said….

I truly enjoy what I get to do every day for my medical patients. It is a labor of love my new journey into Ketamine treatments IV and IM. Patients need to be in a very good space coming into the treatment and leaving the treatment and for another 48 hours after as the brain is healing, ie neuroplasticity. It has been difficult for many patients to get transportation. I have one middle-age man who is unmarried with elderly parents and it had become necessary for me to  drive him home after treatment. It has been most interesting to speak with him during our rides. After his third spravato treatment, waiting to see what he would say about it. He paused for a while and then said, “ it was divine.“ I thought how cool is that. 

Returning to the transportation issue, Uber may not be an option as there stories of patients going in an Uber that smelled of tobacco or otherwise was very uncomfortable. I have contracted with a startup called My Therapy Ride. They will be using 2016 Tesla Model S vehicles with free supercharger miles. No cost for gasoline or electric allows cost to be very reasonable. Also the cars are smooth and quiet. We’re looking to see if patients want to do therapy remotely to or from our office. We are also introducing sound self. Which is a digital therapy for to get you very relaxed during your drive.

Best wishes,

Dr.  Bruce Richman