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I was done marking my notepad: DMT-22, date, protocol number, dose. Blood pressure and heart rate columns. When all was said and done, we three—Alex, Laura, and myself— looked at each other. If a plane were flying overhead, we paused, waiting for it to pass. As the time for the injection approached, the air in the roomand on the ward took on a certain density. There was little more to say.
Alex put on the eyeshades, and we lowered the head of the bed. I prepared all the syringes and moved my chair closer. Laura warmed up her hands, getting ready to hold Alex’s if he needed a loving touch. “Are you ready?” I asked. “Yes.” Barely audible. Laura said, “Good luck. We’ll be here waiting.”
I watched the second hand of my watch as it approached the 9. I said, “I’ll start in about 5 tolO seconds.” Then, as the second hand hit the 12, I told him quietly, “I’m beginning the injection now. . . .”
Ten, 20, 30 seconds, slowly emptying the drug into Alex’s vein. My feelings at this point were always intense and contradictory: jealousy of his impending fantastic experience, sadness for any pain he might undergo, doubt mixed with certainty regarding the wisdom of what I wasdoing.
Taken from : DMT The Spirit Molecule - Rick Strassman MD.
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“Okay.” Alex smiled thinly but determinedly. “What do you normally do when you find yourself overwhelmed in a psychedelic experience?”
“I usually breath deeply and slowly. That’s something I learned from my years of meditation. Or I may touch these,” he said, fingering hisnecklace of Tibetan prayer beads.
Other volunteers might hold a fetish, a rock or piece of wood. Some might hum, sing, or chant. A few evoked the image of a teacher, friend, or loved one. Those with a deep and sustained meditation practice started meditating before the DMT went in and tried to maintain that mental balancethroughout the session.
I said, “Sometimes people think they’ve died, or are dying, or that we’ve overdosed them. So far, no one’s been injured. This is a physically safe dose, although your blood pressure and heart rate will probably take a nice jump. We can respond if there are problems.
“If you think you’ve died, there’s two ways I tell people they can deal with it. One is ‘Man, I’m dying, and I’m going to kick and scream and try and stop it.’ The other is ‘Okay, I’m dying, now let’s see what this is like. Very interesting.’ Easier said than done, of course.” “I know what you’re talking about.” “You probably won’t notice the first blood pressure reading at 2 minutes.You’ll most likely be down enough at 5 minutes to feel that one.”
Taken from : DMT The Spirit Molecule - Rick Strassman MD.
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Before wrapping up this session, I said to him, “Don’t eat or drink too much tonight. Get a good night’s sleep. Remember to skip breakfast. If you must have coffee, make sure you drink it at least two hours before youcome in.”
This was commonsense advice. If the DMT brought on intense nausea, it was best to have an empty stomach. However, it wasn’t worth bringingon a coffee-withdrawal headache.
I dated the note in DMT-22’s chart and wrote: “Low dose tolerated without incident. Patient sent home on overnight pass from the hospital. Will return tomorrow a.m. for high dose.” Alex returned the next morning. We followed the same preliminary routine until it was time for the injection. I looked over at Laura, on the other side of the bed, and noted that there was a vomit basin close enough for her to pick up, just in case. Tossing the used alcohol swabs and their wrappers into the nearby wastebasket, I began, “It comes on just as fast, but it’s a lot stronger. It may startle you. Don’t bother trying to resist,because it’s usually impossible.”
Taken from : DMT The Spirit Molecule - Rick Strassman MD.
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We adjusted his bed. Some volunteers liked their head a little elevated. A few preferred to have their knees slightly bent, for which we raised that part of the bed or placed a pillow under the knees. We made sure the eyeshades fit loosely but securely. A few deep breaths, some adjusting of clothes, arms, legs, feet, and then Alex’s words:
“Go ahead.” “Good. Let’s start in about 5 seconds here. . . . Okay, I’ll start right now.”
Gently pressing on the plunger of the syringe, I hoped there would be no obstruction, which would indicate a clot or that the needle had worked its way loose out of the vein. The syringe was empty at 30 seconds. I pulled it out of the line. “The DMT’s in.” Using my teeth, I pulled off the cap covering the needle attached to the saltwater syringe. Inserting that needle, I said, “Here’s the flush now.” Fifteen seconds later, pulling out that needle: “All right, I’m all done.”
In addition to familiarizing Alex with the technical details of getting IV DMT on this low-dose day, it was an excellent time to instruct him in filling out the questionnaire. We might spend an hour going over any questions he had about what particular terms or phrases meant. After a fewsessions, Alex could complete the questionnaire in 10 minutes.
Taken from : DMT The Spirit Molecule - Rick Strassman MD.
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As I described the process to Alex and prepared this small dose, I was thinking ahead to how Alex would negotiate tomorrow’s high dose. However, there was no guarantee that this minor dose might not have some major effects. Several people did drop out after this first session. Others we had to excuse because their blood pressure surpassed our predeterminedcutoff point.
I continued: “Alex, it starts fast. Perhaps even before the injection is done. It can be a little frightening. Do your best to remain alert and relaxed, poised but passive. The effects will peak in a couple of minutes. Then relax and wait a while until you decide to start talking. It’s tempting to speak right away, but you’ll miss some of the subtle coming-down effects if you don’t wait at least 10 or 15 minutes, even today. So, let’s getstarted. Are you ready?”
Alex answered, “Sure, I’m ready.” For the deep letting go and relaxing necessary to successfully experience the full effects of DMT, it was best if the volunteers were lying down for the injection. Otherwise, there might be a lot of fussing involved with maneuvering Alex into a more comfortable position as he was losing normalawareness of his body and the rush of psychedelic effects began.
Taken from : DMT The Spirit Molecule - Rick Strassman MD.
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