This conversation with the wise, empathic and astute Dr David Dansky dives into the applications of Ketamine, it is a must listen for practitioners or patients who are interested in this modality. David has been practicing emergency medicine for the past 40 years and in the last five has added Ketamine to his armament of tools. He lectures and empowers colleugues on the subject of Ketamine and shares wonderful stories in this interview about how the unexpected reach of this drug has revealed itself to him through his practice. We explore the history of anti depressants, the mechanisms through which Ketamine opens the reward pathways of the brain and allows us to change them and the different ways in which this medicine can be administered and used. We touch of the pharmacokinetics of other psychedelics and how these are similar and different to Ketamine. We talk about risks and possible adverse outcomes too. David is one of those rare jewels of a doctor, who knows that we are only instruments in the healing process and that our ego's often get in the way of the work that is required of us. This episode comes with deep gratitude for wonderful humans.