<div style="margin: 12px 0px; font-family: arial; color: #333333; background: #ffffff; border: solid 4px #e5e5e5; width: 100%; clear: left;"><div class="CM_CTB_Content_Wrap" style="margin: 0px; padding: 0px;background-color: #ffffff;"><div style="border-bottom: solid 1px #dcdcdc; white-space: nowrap; margin-bottom: 8px; background-color: #eeeeee ;background-image: url(http://clipmarks.com/images/source-bg.gif); background-repeat: repeat-x; height: 24px; line-height: 24px; vertical-align: middle; padding-bottom: 4px; color: #666666; font-size: 10px;" ><a href="http://clipmarks.com/clip-to-blog/" title="see clips that are hot right now"><img src="http://content.clipmarks.com/blog_embed/a311d610-369c-4a96-8e65-bb727928052f/360144B6-15FF-42C2-95B1-64DB3E63C172/" alt="" width="19" height="19" border="0" style="vertical-align: middle; margin: 0px 4px; display: inline; border: none; float:none;" /></a>clipped from <a title="http://www.nytimes.com/2008/07/15/health/views/15mind.html?fta=y" href="http://www.nytimes.com/2008/07/15/health/views/15mind.html?fta=y" style="font-size: 11px;">www.nytimes.com</a></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2008/07/15/health/views/15mind.html?fta=y"><NYT_HEADLINE type=" " version="1.0"> Take Two Prozac and E-Mail Me in the Morning </NYT_HEADLINE></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2008/07/15/health/views/15mind.html?fta=y"><div align="center"><img src="http://content8.clipmarks.com/blog_cache/www.nytimes.com/img/0CD7A37C-2612-4E42-8688-F8F8CF678B76" alt="" /></div></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2008/07/15/health/views/15mind.html?fta=y"><P>Ah, the promise of e-mail! The minute I started giving out my address to my patients, I fantasized about how much time I would save on routine phone calls and how clear and unambiguous the communication would be.</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2008/07/15/health/views/15mind.html?fta=y"><P>Indeed, there was a honeymoon period. Could I change a Monday appointment for Wednesday? Of course. Would I phone in a renewal of <A title="Recent and archival health news about Prozac." href="http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/prozac_drug/index.html?inline=nyt-classifier">Prozac</A>? With pleasure. This was really neat: no more phone tag with patients, just simple requests with simple solutions. </P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2008/07/15/health/views/15mind.html?fta=y"><P>Not for long.</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2008/07/15/health/views/15mind.html?fta=y"><P>“Dear Dr. Friedman,” one patient e-mailed at 3 a.m. “I am having dark thoughts and wonder if I should increase my antidepressant. Can you let me know what you think?” </P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2008/07/15/health/views/15mind.html?fta=y"><P>It was 8:30 that morning when I opened my e-mail and read her message with alarm. What exactly were “dark thoughts”? I wasn’t sure, but I had to assume the worst — <A title="In-depth reference and news articles about Suicides and Suicide Attempts." href="http://health.nytimes.com/health/guides/disease/suicide-and-suicidal-behavior/overview.html?inline=nyt-classifier">suicidal</A> feelings or thoughts — and called her immediately.</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2008/07/15/health/views/15mind.html?fta=y">She came in later that afternoon and explained that she felt</blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2008/07/15/health/views/15mind.html?fta=y">bleak and hopeless</blockquote></div><div style="margin: 0px 6px 6px 4px;"><table style="font-size: 11px;border-spacing: 0px;padding: 0px;" cellpadding="0" cellspacing="0" width="100%"><tr><td style="background:transparent;border-width:0px;padding:0px;">&nbsp;</td><td align="right" style="background:transparent;border-width:0px;padding:0px;width:107px" width="107"><a href="http://clipmarks.com/share/360144B6-15FF-42C2-95B1-64DB3E63C172/blog/" title="blog or email this clip"><img src="http://content9.clipmarks.com/images/c2b-foot.png" border="0" alt="blog it" width="107" height="17" style="border-width:0px;padding:0px;margin:0px;" /></a></td></tr></table></div></div>

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