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k~.~ample Une <br /> Un one uccaston I was called into the room by a colleague about twenty hours Wrier Ibogaine had been <br /> administered to a twenty-live year old male heroin-dependent patient. the patient had been using <br /> upproxima[eh I J gram of heroin a day, but soon increased his daih intake ro [wu grans while in the <br /> Netherland,. <br /> I was infunned [hat the patient was complaining of muscle spasms: I asked [he patient i[ thrs was <br /> true, and he concurred. I asked if I might see these spasms and the patient agreed. showing me the <br /> calf of his leg- the patient was echibiting what appeared to be involuntan movements. I checked hi. <br /> pupils and observed that they were nut dilated, nor waa hr eshibitine anv other hirnt or <br /> mani festatiun of withdrawal. When I tamed to nn colleague kor discussion I noticed the patient's <br /> spawns had ceased. When I fumed [o the patient and once again e.~arnined his calf: the spasms <br /> returned. I fumed away once again, but continued to watch him and the spasms ceased again. I <br /> informed the patient that I believed the spasms to be psychusumatic in origin. I placed a pillow [miler <br /> [he patient's calf to give it ;uppon and covered the patient with a blanlvet. hhe spasms did nut occur <br /> again. <br /> I[~antple Iwo <br /> l)n another occasion I received a call from a person imulved with Dutch AddictJalf-Help i DASH I <br /> groups who had been observing a number of treattttents. She informed me that a Yugoslav ion woman <br /> in her mid [u late twenties had been complaining of narcotic withdrawal during Ibugaine treatment. <br /> but [he DASH obsen er did nut believe this to be the case as there were nu observable Siena ul <br /> withdraw a I.. <br /> When I ,u-rrv ed. the pauem waa sitting on a couch. I checked her pupils and obsen ed they were not <br /> dilated and asked her if she were m vv ithdrawal. fhe patiau acid, she vv as. <br /> "How arc vuu in withdrawal' W'hu[ are its manifes[anum I asked. <br /> "I'm ,rck." she said. <br /> I asked her if her rv es were Leanne. <br /> "Yes." she said. but her eves were not Leanne. <br /> "Is vuur nose runnine^" <br /> "Yas." .he said, but her nose win dn- <br /> "Du v uu hove goose bumpy"" I asked. <br /> "Yes." she said. but I pointed ow w her [ha[ she did nut hav e goose bumps. and finally I <br /> said. "Do you have diarrhea"~. <br /> "Yea." ,hc ,aid but I had nu wav at derennine [he vuhdm of her statement <br /> fhe patient reyuesred that I provide her with tunds [u retain home. and I told her I did nut think n <br /> wise for her [o leave at this time. but would give her carfare in the morning. the billowing day the <br /> DASH obsen er informed me the patient left about four hours atter I did. infomting the obsen er as <br /> <br /> she left that she had not been sick. but had onh said she waa. Phis example should htrther <br /> <br />