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We recognize disease when it affects the heart, the lungs or the body. We should not suddenly turn disease into a moral failure when the organ affected is the brain.
That does not mean every person who commits a horrific act has a mental illness, nor does mental illness automatically remove responsibility. That is for the court to determine in Lindsay Clancy’s case.
Postpartum psychosis is not sadness. It can involve delusions, hallucinations, paranoia, mania and profound confusion, a genuine loss of contact with reality. It is a psychiatric emergency because, although rare, it can carry a risk of suicide and harm to a child.
We understand that cancer can change what the body is capable of doing. We understand that a stroke can change speech, movement and cognition. Yet when the organ affected is the brain, suddenly people expect someone to simply “think normally.”
When I’m being used for hepatic encephalopathy, nurses monitor:
💩 Stool frequency/consistency
🧠 Mental status
💧 Hydration
🧪 Electrolytes
🚨 Excessive diarrhea
Therapy is commonly titrated toward about 2–3 soft stools/day.
That “something” is…
AMMONIA.
I help trap ammonia in the colon so more of it can be eliminated through stool.
Less ammonia → less reaching the brain. 🧠
Know me yet?
You may see me prescribed for a patient with:
LIVER FAILURE + CONFUSION
I’m not just trying to get their bowels moving.
There’s something else I’m trying to get rid of.
The nurses who become exceptional aren’t necessarily the ones who made the most money in their first year.
They’re the ones who showed up consistently, practiced intentionally, accepted feedback, and never stopped learning.
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