Lattice Infusion Therapy

About

About Us

Lattice Infusion Therapy PC is anesthesiologist-founded and directed. This distinction is crucial because anesthesiologists specialize in the close monitoring and care of patients under the influence of medications that alter consciousness. Ketamine, an anesthetic with over 60 years of clinical use in anesthesiology, has emerged over the past two decades as a rapid and enduring solution for treatment-resistant depression and other mood disorders. This has led to a surge in providers offering Ketamine infusions. Despite Ketamine’s reassuring safety profile, it carries with it inherent side effects and rare but serious risks. Anesthesiologists are adept at managing these risks, making them the most qualified professionals for administering Ketamine infusions. At Lattice Infusion Therapy, our lead physician, Dr. Kynan A. Ricks, will always collaborate with your primary mental health provider as a consultant physician to individually tailor and monitor your treatment. Each infusion is conducted with the utmost care for IV insertion, infusion safety, and assurance of a full recovery before discharge. Your safety is our top priority. Discover the difference at Lattice Infusion Therapy, PC, and allow us to help you rediscover brighter days.

Where to find us

Lattice Infusion Therapy is located on the Garden Level of the Center for Health and Wellbeing, a hub of integrative and interdisciplinary medical services in the Banker’s Hill district of San Diego. This center is dedicated to bridging the gap between conventional medicine and alternative therapies, ensuring comprehensive care for all aspects of health and wellbeing.

At Lattice Infusion Therapy, we are proud to contribute to this collaborative environment by offering specialized ketamine infusion therapies for mental health treatments. Our clinic enhances the array of services provided at the Center by integrating advanced psychedelic medicine with the holistic health focus of the facility.

Meet the Doctor

Dr. Kynan A. Ricks

A prominent anesthesiologist, Dr. Ricks has affiliations with Anesthesia Service Medical Group (ASMG), providing attentive care to patients at Sharp Grossmont Hospital in La Mesa, California and Sharp San Diego Surgery Center in the Kearny Mesa area of San Diego. Additionally, Dr. Ricks practices at John Muir Hospital in Walnut Creek Hospital as a locum anesthesiologist. He has over 11 years experience of impeccable independent practice.

Dr. Kynan Ricks graduated from UC San Diego with a undergraduate B.S. in Biochemistry & Cell Biology. Thereafter he attended UC San Francisco Medical School obtaining his medical doctorate in 2008. He then attended UC San Diego for internship in General Surgery followed by residency in Anesthesiology, which he completed in 2012, before entering private practice to put his skills to work.

Following his training, he attained board certification in anesthesiology, becoming a Diplomate of the American Board of Anesthesiology (ABA). As the certifying body for anesthesiologists since 1938, the ABA is committed to partnering with physicians to advance lifelong learning and exceptional patient care. Its mission is to advance the highest standards of the practice of anesthesiology.

Anesthesiology is the medical specialty concerned with the conscientious and vigilant care of patients before, during, and after surgery. Anesthesiologists have a vast amount of skills that encompass critical care management of patients during surgery, treatment of acute pain via regional anesthetic techniques, maintaining operating room safety, and most importantly, acting as the patient’s advocate while they are under the effects of powerful anesthetics.

Dr. Ricks has developed a deep personal motivation to help patients with various mental health and chronic pain syndromes find relief through the power of Ketamine infusion and founded Lattice Infusion Therapy, PC in 2023 for that express purpose. He remains abreast of the latest advances and research in the field of psychedelic medicine, and hopes to continue to be a proponent and conduit of cutting edge therapies for his patients all while maintaining the utmost standards of monitoring and safety for every patient during each of their treatments.

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Frequently Asked questions

Ketamine infusion therapy is generally not recommended for individuals previously diagnosed with psychosis due to the potential for exacerbating symptoms. Similarly, those with active illicit drug dependence, including ketamine, are not recommended to embark with ketamine infusion therapies. Additionally, those with pre-existing conditions such as high blood pressure, glaucoma, cerebrovascular abnormalities, or cardiac and pulmonary issues, should seek medical clearance from their primary care physician before beginning ketamine infusions. This precaution ensures that ketamine therapy is conducted safely, considering your overall health profile.

Your journey begins with an initial consultation with our physician anesthesiologist. This meeting is crucial for gathering a comprehensive understanding of your medical and psychological history, with a focus on identifying any conditions that could be affected by ketamine infusion therapy. We pay close attention to cardiovascular health, including any history of coronary artery disease (such as chest pain, heart attacks, stents, or bypass surgery), cerebrovascular disease (including aneurysms, carotid stenosis, or strokes), and any history of seizures.

We’ll also review your psychological history, noting any diagnoses and previous treatments you’ve undergone, such as medications, ketamine infusions, transcranial magnetic stimulation, or electroconvulsive therapy. It’s essential to provide contact information for your primary mental health professional during this consultation. This allows us to begin a collaborative consultation process, ensuring we establish a qualifying diagnosis and that your mental health professional remains an integral part of your care team, closely coordinating and monitoring your treatment plan.

No, you will not be asleep. The dosage of ketamine used for infusion therapy is carefully titrated to avoid inducing a loss of consciousness. However, it’s common to experience light sedation or a sensation known as dissociation, where you may feel detached from your body and surroundings. This experience, while perhaps unfamiliar, is not harmful and will subside once the infusion is complete. Interestingly, some evidence suggests that experiencing dissociation during the treatment may signal the infusion’s effectiveness for you.

To ensure your ketamine infusion is as safe and effective as possible, please adhere to the following guidelines:

Food and Drink: Avoid eating any solid foods or consuming milk for at least 6 hours prior to your scheduled appointment. You may have clear liquids—those which can be looked through in a clear glass such as water, fruit juices without pulp, carbonated beverages, clear tea, and black coffee—up to 2 hours before your infusion.

Alcohol and Illicit Drugs: It’s crucial to abstain from alcohol or using any illicit drugs before your infusion. These substances can interact dangerously with ketamine, increasing the risk of adverse effects. We ask that this be taken seriously, and will not offer infusions if signs of intoxication are witnessed.

When you arrive for your infusion, you’ll be met with a warm welcome from our staff. After check in, a member of our medical team will record your baseline vital signs—including O2 saturation, EKG, and blood pressure. Next, a small-bore IV will be gently and expertly inserted into a vein in either arm, ensuring minimal discomfort.

You’ll then be escorted to the treatment room where you’ll settle into a comfortable recliner adorned with cushions for added comfort. We provide earplugs and/or earphones and a personal eye mask to enhance your experience. A curated playlist will be assembled over successive infusions to help promote a sense of calm.

The ketamine is administered intravenously according to your body weight over 40 minutes. As the infusion progresses, you may experience a sense of disconnection from your body and surroundings. This sensation of dissociation is common and typically mild, with most patients tolerating the symptoms without disturbance. Throughout the infusion, you will be closely monitored, and our team is prepared to address any potential side effects quickly.

Soon after completing the infusion, you’ll begin to regain your senses, and your thoughts will return to normal. Our staff will ensure you’re fully recovered to your preinfusion baseline and provide any necessary post-treatment care before you leave.
The immediate effects of a single ketamine infusion typically last between 3 and 7 days, providing rapid relief from symptoms. Following an induction phase, which includes a series of six infusions, patients may experience extended relief with the benefits lasting up to 28 days.

To sustain these improvements over the long term, we offer maintenance infusions. These can be scheduled monthly or a few times per year, depending on your unique needs and how you respond to the treatment. Maintenance infusions are tailored to ensure ongoing symptom relief and can also provide a crucial window for traditional medications to take full effect.

Our approach is always personalized, focusing on maintaining your well-being with a treatment plan that adapts to your evolving needs.

Certain medications can significantly impair the effectiveness of ketamine treatment or heighten the risk of side effects. On the day of your infusion, it is essential to avoid:

Benzodiazepines and Sedating Medications: Including certain antipsychotic and anti-epileptic medications, these can interfere with the therapeutic effects of ketamine and may lead to excessive sedation.

Prescribed Opioids: These can not only diminish ketamine’s effectiveness but also increase the risk of oversedation and respiratory depression.

Stimulant Medications for ADHD: These may reduce the therapeutic effects of ketamine and elevate the risk of adverse reactions, such as an increased heart rate and blood pressure.

Mixed Opioid Agonist-Antagonist Medications: Medications like nalbuphine, pentazocine, or buprenorphine may inhibit ketamine’s effect through opioid receptor antagonism within the brain.

The concurrent use of these medications with ketamine may necessitate a delay between their administration and your infusion, as well as more intensive monitoring during the infusion to ensure your safety. If you are currently taking any of these medications, or others, it’s important to discuss them with our supervising physician during your initial consultation. We will provide personalized advice and adjust your treatment plan as needed to optimize the safety and efficacy of your ketamine therapy.

No, there is typically no need to discontinue any of your current psychiatric medications prior to ketamine infusion therapy. This includes:

Selective Serotonin Reuptake Inhibitors (SSRIs), such as Sertraline (Zoloft) and Citalopram (Celexa).
Serotonin/Norepinephrine Reuptake Inhibitors (SNRIs), such as Venlafaxine (Effexor) and Duloxetine (Cymbalta).
Atypical Antidepressants, such as Bupropion (Wellbutrin XL) and Mirtazapine (Remeron)
Serotonin Modulators, such as Trazodone.
Tricyclic Antidepressants (TCAs), such as Amitriptyline (Elavil) and Clomipramine (Anafrinil).
Monoamine Oxidase Inhibitors (MAOIs), such as Phenelzine (Nardil) and Isocarboxazid (Marplan).

These medications do not typically interfere with ketamine’s mechanism of action and are considered safe to continue during your treatment. However, it’s crucial to discuss all medications you’re taking during your initial consultation. This ensures that your treatment plan is tailored to your specific needs and that all aspects of your care are coordinated for the best possible outcomes.

Yes, ketamine abused recreationally by some and can be found on the street. However, it was originally employed as a an anesthetic and used safely for decades in hospital and veterinary settings. When used for treating mental health conditions or chronic pain, ketamine is given at much lower concentrations than seen during anesthesia or recreational use, and always under strict medical supervision with continuous monitoring of patient vital signs. This controlled environment ensures the safety and efficacy of ketamine therapy, distinguishing its medical application from its misuse as a street drug.
The standard approach includes what’s known as the induction phase, consisting of six infusions spread across three weeks, designed to optimize ketamine’s impact. This regimen aids in cellular changes within the brain, paving the way for sustained relief from symptoms. Many individuals report feeling better after their initial infusion, with a significant number experiencing noticeable improvements upon completing the induction phase. However, it’s important to understand that results vary from person to person, and the specific timeline for symptom relief can differ based on individual circumstances.

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TREATMENT CYCLE

STEP ONE

Initial Consultation

Your journey begins with a one-on-one consultation, in person or via zoom, with our anesthesiologist. During this meeting, we’ll discuss your medical and psychological history in detail, focusing on any conditions that might affect your treatment. This is a crucial step to ensure ketamine therapy is safe and effective for you.

STEP Two

Induction Phase

After your consultation, you’ll start the induction phase, which includes six ketamine infusions over three weeks. This phase is designed to maximize the effects of ketamine, helping your brain to initiate the healing process. Many patients will start to feel better after their first few treatments.

STEP THREE

Maintenance and Follow-Up

Ongoing Treatment Should the induction treatments prove effective, you may elect to proceed to the maintenance phase, designed to prolong the benefits of Ketamine infusion therapy. The frequency of maintenance infusions is tailored based upon your response to the initial phase and continual consultations between Lattice Infusion Therapy and your primary mental health professional. Continued Monitoring and Adjustment Each patient is provided access to app-based follow-up tools through our OsmindTM electronic health record system, including the PQ8 questionnaire. Alongside regular evaluations from your mental health provider, these tools help us finely tune the infusion parameters to align with your treatment goals, ensuring sustained effectiveness and adaptability to your changing needs.
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