TN - Gail Nowacki Palmgren, 44, Signal Mountain, 30 April 2011 - #9

[BeanE]

Just wondering did FB change the picture too?
ETA..My understanding is the picture on her FB page was changed also....JMHO

Oh I didn't see anything about a picture changing. Do you mean the profile picture?

ETA: I'm not going to be any help with that. I just looked at her page, and I can't for the life of me remember what picture was there before to say if it's the same or different lol.

 

[Pearl*]

If you're thinking accident, where's the Jeep?

That's a good question regardless of the reason for her disappearance.

I don't know the answers. I just have a lot of questions. I'm hoping some of them will be answered by someone who knows Gail.

 

[Sleuthy1]

Oh good point, Pearl. I just looked again, and it actually doesn't say the psychiatrist prescribed any of the meds.

Separation papers filed by Matt P_____ state the following:
<snip> The Defendant has been under the care and treatment of Psychiatrist Dr. D S_______. Montgomery, Alabama for quite some time. In June 2010, she lost her job and began medications such as Adderall, Wellbutrin, Sonata and Amitriptyline HCL. See affidavit Matthew P_____, Exhibit A.<snip>
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Re: Post # #545 ---> Removal of AD's name on FB friends list was from MP's FB page not Gail's this morning.

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Re: Post # 550 ---> Gail's FB pic was also changed by whomever changed Gail's page this morning. MP changing his marital status on his own page would not have changed Gail's FB pic too. That would have to be manually changed by someone.

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[Kiln Wood]

Oriah, I would imagine that by now you've accumulated lots of information pertaining to GP and her disappearance. You have skills and abilities that very few of us who read and post on the GP threads seem to have. Have you been able to sort out the information you have and make sense of any of it? I'm wondering if you have the time and interest to share what conclusions you've reached and if you would be comfortable doing so.

Thank you for your searching, probing, and insightful questions!

 

[Pearl*]

Originally Posted by BeanE
Oh good point, Pearl. I just looked again, and it actually doesn't say the psychiatrist prescribed any of the meds.

Separation papers filed by Matt P_____ state the following:
<snip> The Defendant has been under the care and treatment of Psychiatrist Dr. D S_______. Montgomery, Alabama for quite some time. In June 2010, she lost her job and began medications such as Adderall, Wellbutrin, Sonata and Amitriptyline HCL. See affidavit Matthew P_____, Exhibit A.<snip>
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Exactly. It doesn't say the psychiatrist prescribed those specific medications.

Sleuthy, I'm especially interested in your insight from a personal/professional perspective since you are verified here as a friend of Gail as well as a medical professional. Did you ever observe signs of ADD, depression, etc. over the time you have known her? How long have you known her?

 

[glorias]

The photo on FB is now a picture of her and MP (I assume, it looks like him) kissing in silhouette. I have no idea what it was before, and it's not in the Google search cache. So someone changed it to a photo where you can't see faces, while MP also changed his marital status to no longer link to Gail, is that right?

 

[BeanE]

Separation papers filed by Matt P_____ state the following:
<snip> The Defendant has been under the care and treatment of Psychiatrist Dr. D S_______. Montgomery, Alabama for quite some time. In June 2010, she lost her job and began medications such as Adderall, Wellbutrin, Sonata and Amitriptyline HCL. See affidavit Matthew P_____, Exhibit A.<snip>
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Thanks for transcribing that. Yes, it doesn't say the psychiatrist prescribed the meds.

 

[Pearl*]

I'm sorry, I don't understand. You think that a Psychiatrist would be more likely to prescribe a drug such as Adderall with serious implications rather than believe that Gail had ADD because that information is coming from AD? That is a very serious drug. I would be very surprised to see a doctor prescribe that for situational depression, which is what I believe Gail was suffering from. And where did resistant depression come from? I just feel like this is a stretch, in my opinion.

What I think is that we have no idea what medication trials occurred during the course of Gail's treatment, even if it were situational depression. If she did not get sufficient relief from a standard anti-depressant, a psychiatrist is more likely than a general practitioner to combine approaches (including off label), due to the specialized knowledge of those drugs.

I don't think the ADD theory fits in the general picture of things. It's possible, but I think other possibilities are more likely.

I don't understand the reference to a "serious drug."

 

[Melodie]

Separation papers filed by Matt P_____ state the following:
<snip> The Defendant has been under the care and treatment of Psychiatrist Dr. D S_______. Montgomery, Alabama for quite some time. In June 2010, she lost her job and began medications such as Adderall, Wellbutrin, Sonata and Amitriptyline HCL. See affidavit Matthew P_____, Exhibit A.<snip>
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Re: Post # #545 ---> Removal of AD's name on FB friends list was from MP's FB page not Gail's this morning.

--------------------------------------------

Re: Post # 550 ---> Gail's FB pic was also changed by whomever changed Gail's page this morning. MP changing his marital status on his own page would not have changed Gail's FB pic too. That would have to be manually changed by someone.

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Well, that answers the question of when they were first prescribed. Almost a year before she disappeared. Then, I would think an adverse reaction could be ruled out. Not after that length of time. Also, she may not have been taking any of those medications when she disappeared. I am even more underwhelmed by the list now. :twocents:

 

[glorias]

In June 2010, she lost her job and began medications such as Adderall, Wellbutrin, Sonata and Amitriptyline HCL.

So he's saying that this was cause and effect, job loss equals multiple psychotropic medications. That really implies situational depression IMHO. Except Adderall doesn't fit into that theory unless it's for treatment-resistant depression, and it seems rather odd that someone would have depression that is both situational and treatment-resistant.

 

[Pearl*]

Well, that answers the question of when they were first prescribed.

Good catch--I missed it. The Adderall wasn't in the picture until the depression surfaced. I don't think the Adderall was for ADD.

 

[Sleuthy1]

The photo on FB is now a picture of her and MP (I assume, it looks like him) kissing in silhouette. I have no idea what it was before, and it's not in the Google search cache. So someone changed it to a photo where you can't see faces, while MP also changed his marital status to no longer link to Gail, is that right?

:twocents:The pic on Gail's FB page prior to her disappearance was a similar pic (a wide shot). This mornings replacement pic is the cropped version of the same pic.

 

[Pearl*]

So he's saying that this was cause and effect, job loss equals multiple psychotropic medications. That really implies situational depression IMHO. Except Adderall doesn't fit into that theory unless it's for treatment-resistant depression, and it seems rather odd that someone would have depression that is both situational and treatment-resistant.

I'm betting that if the situation isn't resolved, then many cases of situational depression are treatment resistant. Drugs can do only so much....

 

[Melodie]

What I think is that we have no idea what medication trials occurred during the course of Gail's treatment, even if it were situational depression. If she did not get sufficient relief from a standard anti-depressant, a psychiatrist is more likely than a general practitioner to combine approaches (including off label), due to the specialized knowledge of those drugs.

I don't think the ADD theory fits in the general picture of things. It's possible, but I think other possibilities are more likely.

I don't understand the reference to a "serious drug."

BBM
Sorry, I just meant Adderall is not a casually prescribed drug. Wellbutrin more so, but not Adderall. Patients can become very dependent on Adderall and it can have serious side effects. I believe a reputable physician would be hesitant to start her on that unless the benefits outweighed the risks. But, if she had ADD and had taken other drugs in the past with limited or diminishing results, it may have been initiated for that reason. I was under the impression that she had been taking it for a long time, but according to what Sleuthy just posted, it was just started last year along with the other medications? I still think we just don't have enough information, to be completely honest. We have no idea what she was complaining of or exactly why they were prescribed or if she was even taking them. Especially now, considering they were prescribed last year. I have been addressing the typical uses for those drugs with the other information we have. If she is prescribed Adderall and someone who knew her says she had ADD, I just tend to go with that. But, I understand not everyone feels the same way.:twocents:

 

[BeanE]

Well, that answers the question of when they were first prescribed. Almost a year before she disappeared. Then, I would think an adverse reaction could be ruled out. Not after that length of time. Also, she may not have been taking any of those medications when she disappeared. I am even more underwhelmed by the list now. :twocents:

Oh for God's sake, I completely missed the 'began medications'. Thank you sooooo much for pointing that out!

 

[glorias]

:twocents:The pic on Gail's FB page prior to her disappearance was a similar pic (a wide shot). This mornings replacement pic is the cropped version of the same pic.

Ah, gotcha, thanks for the info. Is it possible it's a Facebook thing? Could they have done a software change which autocrops icons and avatars? Just wondering about that.

 

[JBean]

Separation papers filed by Matt P_____ state the following:
<snip> The Defendant has been under the care and treatment of Psychiatrist Dr. D S_______. Montgomery, Alabama for quite some time. In June 2010, she lost her job and began medications such as Adderall, Wellbutrin, Sonata and Amitriptyline HCL. See affidavit Matthew P_____, Exhibit A.<snip>
-------------------------------------------
Re: Post # #545 ---> Removal of AD's name on FB friends list was from MP's FB page not Gail's this morning.

--------------------------------------------

Re: Post # 550 ---> Gail's FB pic was also changed by whomever changed Gail's page this morning. MP changing his marital status on his own page would not have changed Gail's FB pic too. That would have to be manually changed by someone.

-------------------------------------------

HI Sleuthy. My document does not read exactly like that. I suspect we are looking at different documents.
Mine says:

>>The Defendant has been under the care and treatment of Psychiatrist Dr. D S_______. Montgomery, Alabama for quite some time. In June 2010 she lost her job and began experiencing significant bouts of depression. She is currently prescribed significant prescription medication such as [same as listed in Sleuthy's quote].See affidavit Matthew P_____, Exhibit A.<

They are similar but yours has a material change.

 

[glorias]

I'm betting that if the situation isn't resolved, then many cases of situational depression are treatment resistant. Drugs can do only so much....

Someone with more medical experience will hopefully show up here and correct me if I'm wrong, but I don't think situational depression works that way. That is, if it's diagnosed as situational by a professional and the situation cannot or does not change, it's not going to turn into treatment-resistant depression. It's just going to remain situational depression.

Treatment-resistant means IIRC that specific drug and therapeutic treatments have been tried and have not worked. The cases I'm familiar with are all of people who were on treatment for multiple years before being diagnosed with treatment-resistant depression -- you've got to try many treatments first before you know it's resistant, is my understanding.

 

[Pearl*]

If she is prescribed Adderall and someone who knew her says she had ADD, I just tend to go with that.

I don't think AD is lying about it. No reason for that, as far as I can tell. I just think she may have misunderstood something. ADD just doesn't ADD up for me. :shakehead:

 

[BeanE]

Ah, gotcha, thanks for the info. Is it possible it's a Facebook thing? Could they have done a software change which autocrops icons and avatars? Just wondering about that.

There's been some crazy stuff going on on FB the past few days. I've seen pictures change orientation for no apparent reason.