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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 2.

Exorcism and Nonepileptic or Pseudosiezures
The discussion of the painting (1) The Miracles of St Ignatius Loyola might seem to disparage religion. My consultation experience and that of others (2) with ‘pseudoseizures’ or nonepileptic seizures and conversion disorders , the syndromes of the discussion, suggests that the syndromes may be variants of panic disorder and successfully biologically treated as such. Hypothetically the syndromes might be induced by the anxiogenic methods of sodium lactate infusion (3) or high dose caffeine ingestion (4). In reference to the painting and its discussion, if religious experience restructures the psychodynamic and psychoph...
Source: a psychiatrist who learned from veterans - October 26, 2014 Category: Psychiatry Source Type: blogs

Lesson learned: Not everyone is crazy
An excerpt from The Spattered White Coat: Intense experiences which formed a young doctor. I’ll never forget one of the first patients I interviewed. When I went to get him, I could see him sitting in the waiting room, looking around and scratching his arms repeatedly. He was a very large middle-aged black man from the neighborhood. He looked like he could have been a lineman for the Chicago Bears. He had been sent over by the dermatology clinic at County. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 23, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Pamela Wible: A eulogy to her father
I believe we choose our parents before we are born. I hit the jackpot. I picked an unlikely pair — a radical feminist and a guy named Ted Krouse. Mom wasn’t home much (she was finishing up her psychiatry residency) so I became head of the household. Dad always kowtowed to the strongest woman in the room. I was two at the time. I never had a bed time or a bath time and I sent Dad out on midnight runs to 7-11 to get us Slurpees and chocolate bars for dinner. Since I rarely bathed, I ended up with dreadlocks. Dad turned my poor hygiene into a neighborhood contest. The kids on the block lined up in our living room. Dad...
Source: Kevin, M.D. - Medical Weblog - October 22, 2014 Category: Journals (General) Authors: Tags: Physician Primary care Source Type: blogs

Comments on 'Validity of Sensory Systems as Distinct Constructs'
Chia-Ting Su and Diane Parham (2014) wrote an interesting article that appears in this month's American Journal of Occupational Therapy.  Their study involved use of confirmatory factor analysis to test constructs within sensory integration theory.  Results of their analysis have rather broad implications and raise many important questions.A highly popularized notion based on Dunn's (2001) Slagle lecture is that sensory processing can be identified as occurring within different systems where there might be over or under responsiveness to incoming stimuli.  Su and Parham applied data to this model and could n...
Source: ABC Therapeutics Occupational Therapy Weblog - October 21, 2014 Category: Occupational Health Tags: OT practice sensory integration Source Type: blogs

Ebola and Politics
Socialism or family life is like an MC Esher print. It has areas or blocks of equal properties which fit together and then there is an edge in which the properties of the spaces change. The unseen disharmony of the same spaces can be covered over in an unseen way by some of the spaces until an edge. The failure of the CDC or simply its lack of effectiveness represents Obama's inability to cover an unseen disharmony. The U.S. is at risk from West African travelers. To allow the CDC to acknowledge this risk suggests that steps which disproportionately affect black people might be appropriate. That contradicts the internal do...
Source: a psychiatrist who learned from veterans - October 21, 2014 Category: Psychiatry Source Type: blogs

Multidisciplinary Learning for Medical Students
<p><span style="line-height: 19.0400009155273px;">The clerkship years of medical school expose students to a range of specialties medical practitioners may select as an area of advanced study during residency. Pediatrics, surgery, general medicine, radiology, psychiatry, and more are part of the array of educational exposures students gain from during these rotations. As an educator facilitating discussion groups which provide the opportunity for reflection, questioning, and connecting expectations to the actual experiences, I have found that there are gaps in understanding the roles of other person...
Source: blog.bioethics.net - October 21, 2014 Category: Medical Ethics Authors: Hayley Dittus-Doria Tags: Health Care Healthcare Training medical education syndicated Source Type: blogs

Should we use antipsychotics to treat ADHD?
Polypharmacy, or use of multiple psychiatric drugs, for treatment of attention deficit hyperactivity disorder (ADHD) is on the rise. A recent study compared treatment with basic therapy (stimulants plus parent training) with augmented therapy (those two plus risperidone, an atypical antipsychotic). The study concluded that treatment with risperidone was superior. When children show dramatic improvements in behavior on risperidone, now being prescribed with increasing frequency for ADHD and a range of other disorders that represent difficulty with emotional regulation, we need to ask ourselves one question. Does this ch...
Source: Kevin, M.D. - Medical Weblog - October 19, 2014 Category: Journals (General) Authors: Tags: Conditions Pediatrics Psychiatry Source Type: blogs

Teaching Health Centers: An Attainable, Near-Term Pathway To Expand Graduate Medical Education
We describe a near-term and attainable pathway to expand GME that could gain consensus among these stakeholders. This approach would sustain and expand Teaching Health Centers (THCs), a recent initiative that directly funds community-based GME sponsoring institutions to train residents in primary care specialties, dentistry and psychiatry. We further propose selectively expanding GME to meet primary care and other demonstrable specialty needs within communities, and building in evaluations to measure effectiveness of innovative training models. Our proposal includes: Congressional reauthorization and funding of the THC GM...
Source: Health Affairs Blog - October 17, 2014 Category: Health Management Authors: Richard Rieselbach, Paul Rockey, Thomas Nasca, Kathleen Klink, Robert Phillips, Malcolm Cox, David Sundwall, John Frohna, and Katherine Neuhausen Tags: All Categories Disparities Health Care Costs Health Reform Hospitals Medicaid Medicare Physicians Policy Politics Primary Care Veterans Workforce Source Type: blogs

Top stories in health and medicine, October 16, 2014
From MedPage Today: Pfizer, FDA Square Off on Chantix Psych Risk. The maker of the popular stop-smoking drug varenicline (Chantix), Pfizer, says new data indicate the risk of suicidality and other serious psychiatric events is not as great as once thought, and has applied to the FDA to remove a boxed warning on those risks. Major Advance for Diabetes Stem Cell Therapy? Last month, two papers reported successful transformation of human stem cells into insulin-producing beta cells that worked when they were implanted into diabetic mice. Post-MI Prognosis Worse With IBD. Patients with active inflammatory bowel disease (IBD)...
Source: Kevin, M.D. - Medical Weblog - October 16, 2014 Category: Journals (General) Authors: Tags: News Cancer Diabetes Endocrinology Heart Psychiatry Source Type: blogs

Almost a convert: Donating one’s body to science
During most of my career as a psychiatrist, I haven’t often dealt directly with death. For the past five years, though, I have had the privilege of spending two days a week treating service men and women returning from deployments in Afghanistan and Iraq. Listening to their stories and talking with them about their war experiences, I’ve spent much more time thinking about death and dying. Despite this, I was shocked when my wife recently told me she was planning to donate her body to science — specifically, to the Georgetown University Medical Center’s anatomical donors program. Continue reading ... Yo...
Source: Kevin, M.D. - Medical Weblog - October 14, 2014 Category: Journals (General) Authors: Tags: Education Medical school Source Type: blogs

Finding My Purpose through My Wife’s Breast Cancer
In the spring of 2000 Susan, my wife then of 33 years (now of 48), was diagnosed with breast cancer.  It all started with her annual check-up and her internist saying she felt something “funny” in Susan’s right breast.  She suggested Susan see a breast surgeon. While I was surprised, I wasn’t alarmed.  It was going to be Susan’s fourth breast biopsy.  Unlike the three previous ones, this one was done as an out-patient procedure in one of the then relatively new surgical centers now found in shopping centers everywhere.  No frozen section this time, just wait to hear what the surgeon found. He literally skipp...
Source: Disruptive Women in Health Care - October 14, 2014 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Cancer Source Type: blogs

Don’t call me a “prescriber”
Please don’t call call me a “prescriber.” Yes, I know it’s easier to say “prescriber” than “psychiatric nurse practitioner or psychiatrist.” The word “prescriber,” however, puts severe limits on what I can do and how I can help. You may believe that, because I have a license to prescribe medications, that’s all I choose to do. In fact, you may believe that’s all I know how to do. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 12, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Young fathers can also get postpartem depression
A study published in the journal Pediatrics showed that young fathers, those who became dads at an average age of 25 years, have a 68% increase in depression symptoms within the first five years of becoming dads. This applied to young dads who lived with their children and their wives or girlfriends. Dads who lived away from their children and older fathers did not show that same increase in rates of depression. So why might “postpartum depression” happen to dads? Isn’t that a “hormonal thing” that happens to new moms? But now that we know that this is an issue, can we and should we do something about it? Con...
Source: Kevin, M.D. - Medical Weblog - October 2, 2014 Category: Journals (General) Authors: Tags: Conditions Psychiatry Source Type: blogs

Healthcare Update Satellite — 09-30-2014
This article mocks some of the entries in the government’s new ICD-10 coding scheme. For example, “Bizarre personal appearance” is actually a codeable diagnosis. Estimates are that the costs for a doctor’s practice to change to the new coding system will average from $56,000 to $226,000. And sure, being required to differentiate between Orca bites and piranha bites or between first and subsequent run-ins with a lamp post may seem idiotic to most people, but if the coding isn’t accurate, it gives the government the ability to allege that there was false billing and to levy huge fines or even im...
Source: WhiteCoat's Call Room - September 30, 2014 Category: Emergency Medicine Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs

How Engaging Patients Can Improve Care And Health Outcomes
Patients and caregivers are gaining momentum as powerful new resources in efforts to improve the health care system. They are increasingly becoming active partners in their own care, as well as seeking to make the health care delivery system more responsive to their needs and easier to navigate. And they are increasingly engaging as collaborators in planning and conducting research, and disseminating its results, with the goal of producing evidence that can help patients and those who care for them make better-informed decisions about the clinical choices they face. It is this last trend that led the Patient-Centered Outco...
Source: Health Affairs Blog - September 26, 2014 Category: Health Management Authors: Sue Sheridan Tags: All Categories Chronic Care Comparative Effectiveness Consumers Disparities Policy Public Health Quality Research Source Type: blogs

Pull Your Own Oxygen Down First
Disruptive Women UK will be launching Tuesday, September 30th in the House of Commons. This post is a part of a series running up to the launch welcoming Disruptive Women UK. Almost everyone reading this will have heard the instruction given before taking off on any air flight, “in case of emergency pull your own oxygen mask down first before helping others.” Over recent months I have repeated this phrase often – not, I hasten to add because I am now moonlighting as an Airline stewardess – no, because it is a phrase I give to doctors when talking to them about how to stay mentally and physically healthy in these tr...
Source: Disruptive Women in Health Care - September 24, 2014 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: DW UK Source Type: blogs

Global Health Update: High Bed Occupancy Rates And Increased Mortality In Denmark
High levels of bed occupancy are associated with increased inpatient and thirty-day hospital mortality in Denmark, according to research published in the July issue of Health Affairs. Authors Flemming Madsen, Steen Ladelund, and Allan Linneberg received considerable media attention in Denmark for their research findings. For one major Television channel, it topped Germany’s victory in the World Cup finals. In another story from the Danish newspaper, Information, Councillor Ulla Astman, Chairman of the North Denmark Regional Council and second highest ranking politician, who runs all of the Danish public hospitals, report...
Source: Health Affairs Blog - September 24, 2014 Category: Health Management Authors: Tracy Gnadinger Tags: All Categories Global Health Hospitals Research Source Type: blogs

Responding to a medical student in pain
This evening, I read a post written by a woman who finds herself feeling alone, depressed, desperate, and afraid of losing herself as she goes through medical school. This post is my response to that woman. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 23, 2014 Category: Journals (General) Authors: Tags: Education Medical school Psychiatry Source Type: blogs

Healthcare Update Satellite — 09-22-2014
More updated from around the web at my other blog at DrWhiteCoat.com Study in the journal Pediatrics shows that about 10,000 children are hospitalized each year for accidental medication ingestions. Three quarters of those hospitalizations involved 1 or 2 year olds. Twelve medications were responsible for 45% of all pediatric emergency hospitalizations for accidental drug ingestions. Opioids were not surprisingly the top classification prompting hospitalizations, but buprenorphine and clonidine were the top two medications – responsible for 15% of all hospitalizations. The rate of hospitalization for buprenorphine pr...
Source: WhiteCoat's Call Room - September 22, 2014 Category: Emergency Medicine Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs

Cut your grass . . . then eat the clippings
You mow your lawn, then save the clippings to consume on top of your salad, right? Well, why not? It’s green, it’s a plant, just like spinach, kale, chard, and broccoli. Why can’t we eat the green leafy clippings, dowsed with your favorite Ranch dressing or mixed into a casserole and proudly served to your family? You walk on it and the dog does its duty on it? Oh, and the neighborhood kids take a short cut traipsing through your back yard? Well, why not set aside an area, fenced off to keep it clean, and use those clippings? Well, let’s say you did and you tossed all those cups and cups of fresh ...
Source: Wheat Belly Blog - September 22, 2014 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle barley corn grains grass millet oats rice seeds of grasses sorghum Source Type: blogs

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Books noted: Eichmann Before Jerusalem: The Unexamined Life of a Mass Murderer. Also Dying Unneeded: The Cultural Context of the Russian Mortality Crisis Also Max Hastings on the Marne and WWI more generally and Fromkin on 'Europe's Last Summer' (before WWI), the Prussian plan for war, and Fromkin on the war outcome 'The Peace to End All Peace.' DeLong also highlighted the classic book on the Marne recently, that by Sewll Tyng. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - September 20, 2014 Category: Psychiatry Source Type: blogs

Making parity a reality: six asks for the next government to improve the nation's mental health
Royal College of Psychiatrists - This manifesto calls for a firm commitment from all parties to take action to ensure that the millions of people who do, and will experience mental health problems are given timely, appropriate care. It highlights the need for a waiting time target for mental health treatment; improved access to crisis and specialist services; and greater investment in evidence-based parenting programmes. Manifesto Press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - September 19, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: General Election 2015 Mental Health Source Type: blogs

Health anxiety: What hypochondriasis really should be called
“Am I a hypochondriac?” It’s a question I hear with quite some regularity, almost never from people who suffer from bona fide anxiety disorders related to their health. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 16, 2014 Category: Journals (General) Authors: Tags: Conditions Primary care Psychiatry Source Type: blogs

In the age of EHRs, don’t turn your backs to patients
One of the most important tricks of the trade that I learned in medical school was what some might have considered a little throwaway bit of advice. During my psychiatry clinical rotation the preceptor advised that, when applying the stethoscope to the patient’s back, one should rest the other hand gently on his or her shoulder. Human touch was important. It would relax the patient and convey subconsciously a sense of compassion, a feeling that we’re in this together. I decided to take that advice and throughout my career always touched my patient’s shoulder with my left hand while I was listening to his or her lungs...
Source: Kevin, M.D. - Medical Weblog - September 13, 2014 Category: Journals (General) Authors: Tags: Physician Health IT Primary care Source Type: blogs

Higher Authorities? - Pharmaceutical Companies, Addiction Experts, and Marijuana Policy
We have often discussed the web of conflicts of interest that is draped over medicine and health care, and seems responsible for much of our current health care dysfunction.  We have discussed examples of conflicts of interest affecting clinical research, clinical teaching, clinical care, and health care policy.  Each time I think we must have cataloged all the useful examples, a striking new one appears.So, let us get down into the weeds, so to speak, in the trendy new area of marijuana policy.I am not about to express an opinion on whether marijuana will prove to be useful in health care, but certainly some peo...
Source: Health Care Renewal - September 11, 2014 Category: Health Management Tags: conflicts of interest narcotics patient advocacy groups stealth health policy advocacy Source Type: blogs

Physician Wellness and Medical Marriages
Editor’s Note: Check out our Twitter conversation this week on #MedicalMarriage. Share your stories with @AcadMedJournal and hear from your peers. When I began my internship, I was the only one among my fellow interns who was not married. I was jealous of the boxed lunches that they carried, packed carefully and lovingly by partners at home. Several years later, after I joined the faculty at the University of New Mexico, I got married and realized that many in my intern cohort had been divorced by then. I received cautionary notes of congratulations from them. I wasn’t sure what had happened to their marriages ...
Source: Academic Medicine Blog - September 11, 2014 Category: Universities & Medical Training Authors: David P. Sklar, M.D. Tags: Featured From the Editor medical marriage mutual support physician well-being shared values University of Michigan Medical School Source Type: blogs

The Science of Depression - moving from neurotransmitters to neurogenesis and synaptogenesis
From ASAP Science: What's going on inside the brain of a depressed person?Recent thinking suggests that rather than a shortage of serotonin, a lack of synaptogenesis (the growth of new synapses, or nerve contacts) and neurogenesis (the generation and migration of new neurons) could cause depression.The main group of medications to treat depression, SSRIs, might promote synaptogenesis and neurogenesis by turning on genes that make ITGB3 as well as other proteins that are involved in these processes. ITGB3 stands for integrin beta-3.If the neurogenesis and synaptogenesis hypothesis holds, a drug that specifically targeted mi...
Source: Clinical Cases and Images - Blog - September 10, 2014 Category: Universities & Medical Training Tags: Depression Psychiatry Source Type: blogs

Physician Payments Sunshine Act: Organizations Respond to CMS
  September 2nd marked the last day for comments on CMS’ proposed rule to eliminate the accredited continuing medical education (CME) exemption from Sunshine Act reporting.  In an overwhelming display of support for the exemption, over 800 comments were submitted encouraging the agency to either maintain or expand the current exclusion. -Total comments supporting maintenance or expansion of the CME exemption:  820 -Total comments supporting elimination of the CME exemption:  approximately 20 -Percentage of comments supporting the CME exemption: 98% We have followed this issue closely, and recentl...
Source: Policy and Medicine - September 8, 2014 Category: American Health Authors: Thomas Sullivan Source Type: blogs

This Week: Russia and the Ukraine
Books noted: Eichmann Before Jerusalem: The Unexamined Life of a Mass Murderer Also: Dying Unneeded: The Cultural Context of the Russian Mortality Crisis, reviewed in NY Review of Books with an appropriate picture. And the London Review of Books gives a related emotional justification for the Ukrainian 'rebels' and, by extension, Putin. References originated from this source. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - September 6, 2014 Category: Psychiatry Source Type: blogs

Patients Killing Doctors
Discussion Blog)
Source: Bioethics Discussion Blog - September 4, 2014 Category: Medical Ethics Source Type: blogs

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Nice economic and cultural discussion of Alexander Hamilton. It's in a Hamilton v. Jefferson mode. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - September 4, 2014 Category: Psychiatry Source Type: blogs

Contrasting American EDs with the World’s Largest Hospital
By Zubair Chao, MD   Dr. Thomas Cook and I escaped the dry heat of South Carolina to land in Chengdu, China, home of West China Hospital, in July 2012. He was set to teach an emergency ultrasound class, and I was on a global mission as part of my emergency medicine residency.   Some say it is the largest hospital in the world, boasting 5,000 beds, nearly 100 operating suites, and a large outpatient center, which, on any given day, has about 10,000 patients.     West China Hospital   The ED at West China Hospital recently moved to its new home in a larger, more modern facility. It sees about 160,000 patients a year, wh...
Source: Going Global - September 3, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

I never understood the loss of empathy during medical training. Until now.
It was 4:30 a.m., and I was on the side of the road, drenched in sweat and tears. I had finally slowed my breathing to normal. I was going to be late for rounds. No time to obsess over possible questions. No time to memorize lab values, or practice regurgitating them. I thought of home. My family and friend, who I hadn’t seen in months. I cringed when I estimated how long it had been since I called them. And the place itself. The dry, clean heat of the desert. The pump jacks that dotted the landscape. The men with their muddy work boots and weathered skin. The brave, unconventional beauty, the humility of the region. And...
Source: Kevin, M.D. - Medical Weblog - September 2, 2014 Category: Journals (General) Authors: Tags: Education Medical school Psychiatry Source Type: blogs

Top stories in health and medicine, September 1, 2014
From MedPage Today: ZMapp Ebola Drug Effective in Macaques. A controversial cocktail of Ebola antibodies was safe and highly effective in saving the lives of rhesus macaques, even as the animals neared death from the virus. Depression in Cancer Common But Untreated. The vast majority of clinically depressed cancer patients receive no treatment for the depression, a retrospective study of 21,000 cancer patients showed. More Data to Be Kept from Doc Payments Database. A new problem has emerged with the federal government’s Open Payments system, which is supposed to go live Sept. 30 and disclose payments to physicians...
Source: Kevin, M.D. - Medical Weblog - September 1, 2014 Category: Journals (General) Authors: Tags: News Cancer Infectious disease Psychiatry Source Type: blogs

Boarding Psych Patients in the ER
It's no secret that over time, the number of available beds in psychiatric hospitals and on psych units of general hospitals have decreased.  When the states moved patients from long term beds in state hospitals back into the community (a mostly good thing if you ask me), the promise was for more services in the community, and oops, that never came to be.  With time, there are fewer and fewer services available, it's harder to get care with people often waiting weeks to be added to the overburdened caseloads of staff in outpatient mental health centers -- especially those who have no insurance or Medicaid/Medicar...
Source: Shrink Rap - September 1, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Was the death of Robin Williams preventable?
In his piece on Robin Williams, Andrew Solomon of the New Yorker states that every 40 seconds, someone commits suicide. Actually, it’s every second of every day, as people choose the action, or inaction, that will end their lives sooner. When the patient with metastatic melanoma, who is quite capable of getting to the refrigerator, refuses to take food or liquids, she is taking her life. Her body will get the job done for her by starvation and dehydration.  Battling mental illness but physically intact, depressives must come up with active methods to end their lives. Continue reading ... Your patients are rating ...
Source: Kevin, M.D. - Medical Weblog - August 31, 2014 Category: Journals (General) Authors: Tags: Conditions Psychiatry Source Type: blogs

Whitman Was Not a Neuroscientist
Do I contradict myself?Very well then I contradict myself,(I am large, I contain multitudes.)-Walt Whitman, "Song of Myself" (from Leaves of Grass)Science is the search for objective truth based on physical laws of the universe. Scientific theories try to explain the consistent and predictable behavior of natural systems. They are generally reductionist, meaning that complex systems are reduced to simpler and more fundamental elements. The principles of physics, for instance, are expressed in the form of beautiful equations that are the envy of the softer sciences.xkcd: PurityThe enterprise of explaining how human brains p...
Source: The Neurocritic - August 31, 2014 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

Reviewing "Depression and Your Child" by Deborah Serani
One of the best psychology books I’ve read in a long while is “Depression and Your Child – A Guide for Parents and Caregivers” by Dr. Deborah Serani. Her publisher approached me to review the book[1], and although I could not review it in the window of time that they dictated, I did eventually make my way through it. The book starts with an understanding of child development, then shows how Depression in children is a verifiable occurrence. Information is given on diagnosing, then treating, Pediatric Depression. Dr. Serani even takes time to cover holistic approaches before moving on to self-harm, suicide, and pare...
Source: The Splintered Mind by Douglas Cootey - August 29, 2014 Category: Mental Illness Tags: Depression Therapizing Source Type: blogs

Can Weather Affect Your Mood?
As most of the nation suffers through some of the hottest temperatures on record this summer, people are asking the question of how exactly does weather impact our mood. For instance, how does hot weather affect our mood? Does it make us more aggressive — or even more violent? Does rain make us sad? How about cold temperatures… do they make us feel more like wanting to hunker down, hibernate, and isolate ourselves from others? Let’s revisit how weather affects our mood and impacts our lives. I last covered this topic a few years ago, taking a broad look at the research to see all of the different ways we...
Source: World of Psychology - August 29, 2014 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: General Green and Environment Psychology Research Cold Weather Emotions heat High Temperatures Humidity Mood Rain Season Suicide weather affects our mood weather impacts our mood Source Type: blogs

Mindfulness Training Brightens Outlook for Caregivers and People with Dementia
“Although they know things will likely get worse, they can learn to focus on the present, deriving enjoyment in the moment with acceptance and without excessive worry about the future.”by Marla PaulKen PallerKen Paller, a fellow of the Cognitive Neurology and Alzheimer’s Disease Center, reported in a new study that mindfulness training for individuals with early-stage dementia and their caregivers was beneficial.Mindfulness training for individuals with early-stage dementia and their caregivers together in the same class was beneficial for both groups, easing depression and improving sleep and quality of life, report...
Source: Alzheimer's Reading Room, The - August 29, 2014 Category: Dementia Tags: alzheimer's activity Alzheimer's Dementia brain dementia news dementia treatment health memory mindfulness training Source Type: blogs

NB Adult Autism Residential Care Facility Needed: "It Is More Than Overdue" "When Will They Ever Learn?"
My 18 year old severely autistic son Conor waits for his slow poke Dad while we were out on a trail walk (Fredericton North Riverfront Trail). NB has known for 11 years (at least) that an adult autism residential care and treatment facility is badly needed.  We are still waiting. On June 18, 2014 I posted on Facing Autism in New Brunswick and on my Facebook page a letter I  sent to NB's political party leaders in which I commented on the long overdue need for an adult autism care facility in NB that could provide care for the most severely autistic and expertise to group homes around the province ...
Source: Facing Autism in New Brunswick - August 29, 2014 Category: Autism Authors: H L Doherty Source Type: blogs

Healthcare Update Satellite — 08-28-2014
Good news is that the number of medical malpractice cases in Pennsylvania is decreasing. Bad news is that if you practice medicine in the Philadelphia area, you’ve got a big target painted on your back. Philadelphia accounts for only 12 percent of the state’s population yet in 2013, 40 percent of medical malpractice trials resulting in verdicts took place in the city. Philadelphia medical malpractice plaintiffs won 45% of trials, more than any other jurisdiction and significantly higher rate than the national average. Looks like we’ve found another place to avoid when looking for your next place to practi...
Source: WhiteCoat's Call Room - August 28, 2014 Category: Emergency Medicine Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs

The RUC. "an Independent Group of Physicians?" - But It Includes Executives and Board Members of For-Profit Health Care Corporations and Large Hospital Systems
Introduction We just discussed how a major story in Politico has once again drawn attention to the opaque RUC (Resource Based Relative Value System Update Committee) and its important role in determining what physicians are paid for different kinds of services, and hence the incentives that have helped make the US health care system so procedurally oriented.  (See the end of our last post for a summary of the complex issues that swirl around the RUC.)The Politico article covered most of the bases, but notably omitted how the RUC may be tied to various large health care organizations, especially for-profit, and how the...
Source: Health Care Renewal - August 28, 2014 Category: Health Management Tags: AMA boards of directors conflicts of interest health care prices healthcare executive hospital systems perverse incentives regulatory capture RUC Source Type: blogs

How Stress is Slowly Killing You (And How to Avoid it)
Let me guess… You clicked on this article because your guilty conscience is telling you that you stress too much. And you’re worried that all this time, you've been causing damage to your body (without even realizing it!) Well, it’s no secret anymore. Chances are, it’s true. Stress is a killer and at its very least, it will lower your immune system and make you more prone to serious illnesses. But…there’s some great news! You can do something about it. You can live a healthy, balanced and happy life and you can avoid the nasty effects of stress. To help you do that, I’ll be sharing with you 13 highly ef...
Source: PickTheBrain | Motivation and Self Improvement - August 28, 2014 Category: Life Coaches Authors: chantalle gerber Tags: happiness health and fitness motivation self education self improvement find happiness pickthebrain self improvement tips stress stress relief Source Type: blogs

So Let the Mind Games Begin…
This morning was supposed to be my every two week injection of Risperdal. I take Risperdal to quell the symptoms I have from being afflicted and saddled with schizoaffective disorder.  Dad called me from the pharmacy about 8am when my injection was scheduled at 9am. I had been up since about 7am and was making some cheese toast in the oven. “We don’t have an injection,” my father told me solemnly as he apologized. “The girls forgot to order them.” I sighed deeply inwardly as I had already begun to feel strange last night.  I was getting the first twinges of an anxiety attack about to happen.  Thing...
Source: The 4th Avenue Blues - August 28, 2014 Category: Mental Illness Authors: Andrew Quixote Source Type: blogs

Broadcasting suicide in social media: A failure of responsibility
In every life we have some trouble When you worry you make it double Don’t worry. Be happy. It will soon pass, whatever it is. Don’t worry. Be happy. – Bobby McFerrin Much has already been written in reaction to Robin Williams’ untimely death, about his incandescent talent, his prolific career, his decency and kindness, his addiction and his mental illness. His death robbed his fans of many more years of his genius and, of course, inflicted permanent grief on his loved ones. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out ho...
Source: Kevin, M.D. - Medical Weblog - August 27, 2014 Category: Journals (General) Authors: Tags: Social media Psychiatry Twitter Source Type: blogs

The epidemic of physician burnout is heartbreaking
Daily, I am contacted by good doctors who are struggling with symptoms of burnout syndrome and who have become overwhelmed by the challenges of attempting to practice medicine in today’s health care environment. As a psychiatrist who runs a program to address and treat these distressed doctors, I am troubled by the ever-growing number of calls I receive. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 27, 2014 Category: Journals (General) Authors: Tags: Physician Primary care Source Type: blogs

Palliative Care and Mental Illness
Robin Williams’ death prompted a small flurry of tweets and articles looking for more awareness of and attention to mental health. Earl Quijada (@equijada) and I had a short exchange that really got me thinking about how we view mental illness in the medical world. Our palliative care team cares for a fair number of patients with serious medical illness (cancer, heart failure, etc) who also have serious mental illness (SMI) such as profound depression, bipolar disorder, schizophrenia, etc. In my experience, there are unique challenges to providing the best care to these patients for both their health-care providers and t...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 27, 2014 Category: Palliative Carer Workers Authors: Meredith MacMartin Source Type: blogs

The Shrink in the Shrink Rap Tie and Links to Interesting Articles.
So I'm at work today, seeing patients, and I get a text.  Between patients, I check the phone and there in the body of the text message is a photo of a man I've never seen and he's wearing a duck tie.  The text is from a beloved friend who is a doctor (not a psychiatrist) in another state.  The photo is of the psychiatrist in their medical facility, he's come to work in a duck tie.  As it would happen, it's pure coincidence; he's never heard of Shrink Rap and has no clue that it's our blog motto, but this dear psychiatrist allowed my friend to photograph him and text me his picture, and consented to hav...
Source: Shrink Rap - August 26, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Research and Reviews in the Fastlane 045
Welcome to the 45th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature. This edition contains 10 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check out the f...
Source: Life in the Fast Lane - August 25, 2014 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Clinical Research Emergency Medicine Intensive Care R&R in the FASTLANE critical care Education literature recommendations Research and Review Source Type: blogs