Erin Allman‑Updyke

speaker

983 appearances 2 recordings 1 series first heard Sep 2026 last heard 4d ago

Erin Allman‑Updyke’s voice in public audio — every appearance, attributed to the second.

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recordings per month · last 12 months

Recordings per month over the last 12 months — 2 in all, peaking in Sep 2026 with 2.

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This Podcast Will Kill You · Ep 221 Electroconvulsive Therapy Part 2: A current conversation · 8 Sep 2026 podcast

Let's say you don't have a right foot or something like that.

You can use something else.

Okay.

I guess I didn't really need to answer the placement question.

No, but it was

gonna ask that question.

So the seizure threshold means

the lowest amount of electricity that's going to give you a seizure.

How we determine what that seizure threshold is kind of depends on where you're going to be getting ECT and how they're going to do it.

There are like age-based guesstimates that we can use.

The other thing that you can do to try and estimate it is to start with a really low charge and then go up in increments until you get to a seizure, and then you know, okay, the threshold was somewhere in between the the most lowest that didn't do it and then this one that did.

But the key actually is that we're not just hitting that seizure threshold.

The goal is actually to

Give an amount of electricity that's between two and a half to five times that minimum seizure threshold.

That based on all the data that we have is what seems to be the most effective for ECT.

Two and a half if you're doing bilateral.

So two and a half times threshold for bilateral, and about five times if you're doing only unilateral.

So you need a higher charge if you're doing unilateral placement.

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