Psychiatry This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.
This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 2.
A Quiet Turn of the Revolving Door - Director of NIMH to Go Directly to Google Life Sciences
Amidst a lot of health care news, the job plans of Dr Thomas Insel, currently the director of the National Institute of Mental Health (part of the US National Institute of Health) made a very small splash. The most comprehensive account was in the New York Times.Dr. Thomas R. Insel, the director of the National Institute of Mental Health, announced on Tuesday that he planned to step down in November, ending his 13-year tenure at the helm of the world’s leading funder of behavioral-health research to join Google Life Sciences, which seeks to develop technologies for early detection and treatment of health problems.A...
Source: Health Care Renewal - September 18, 2015 Category: Health Management Tags: NIH NIMH revolving doors Thomas Insel Source Type: blogs
You can’t tell whether a psychotherapist is impaired
Two of the most commented posts on my blog are about charging patients for missed sessions and how psychotherapies end. As there is no single correct approach to either of these, there’s plenty of room for practices legitimately to vary, and plenty of room for patients, i.e., most of my commenters, to express their likes and dislikes. By my reading, many commenters assume that cancelation and termination policies mainly feed their therapists’ wallets; they tend to dismiss clinical rationales that are not obvious common sense. I’m often drawn to defend the field and their therapists, and to point out th...
Source: Kevin, M.D. - Medical Weblog - September 15, 2015 Category: Journals (General) Authors: Steven Reidbord, MD Tags: Physician Psychiatry Source Type: blogs
When In Doubt, Ask A Family Member
Photo Cred: Max S. Gerber I learned a valuable lesson recently about how difficult it can be to make the correct diagnosis when you see a patient for a very short period of time. In the acute rehab setting I admit patients who are recovering from severe, life-altering brain events such as strokes, head injuries, and complex medical illnesses. It is challenging to know what these patients’ usual mental function was prior to their injuries, and so I rely on my knowledge of neuroanatomy, infectious disease, and pharmacology to guide my work up. However, I have learned that asking the patient’s family members about...
Source: Better Health - September 9, 2015 Category: American Health Authors: Dr. Val Jones Tags: Health Tips True Stories ARU Autism Brain Injury Family Input Inpatient Rehabilitation IRF Mental Status Changes Stroke Source Type: blogs
Do physician health programs increase physician suicides?
How do we care for the people who care for us? As doctors, we’re immersed in pain and suffering — as a career. We cry when our patients die. We feel grief anxiety, depression — even suicidal — all occupational hazards of our profession. A recent Medscape article on physician health programs suggests the people who are here to help us may actually be doing more harm than good. And they may even be increasing physician suicides. Both doctors I dated during medical school died by suicide. Eight physicians killed themselves in my town alone. I’ve become a specialist in physician suicide. My cell phone ha...
Source: Kevin, M.D. - Medical Weblog - September 7, 2015 Category: Journals (General) Authors: Pamela Wible, MD Tags: Physician Psychiatry Source Type: blogs
How can we measure the doctor-patient relationship?
Sixty years ago, before he became a controversial figure in the field of psychiatry, Dr. Thomas S. Szasz co-authored an article for the Archives of Internal Medicine (now JAMA Internal Medicine) on “The Basic Models of the Doctor-Patient Relationship,” which is well worth reading today, particularly for those who believe that patient empowerment/engagement is a novel and disruptive innovation of our digital times. The paper is describing three distinct relationship models (i.e., active-passive, guidance-cooperation, mutual participation) and how they flow and morph into each other based on patient ability/preferences, ...
Source: Kevin, M.D. - Medical Weblog - September 6, 2015 Category: Journals (General) Authors: Margalit Gur-Arie Tags: Policy Primary care Source Type: blogs
Physician burnout starts in medical school. But it doesn’t have to.
I collapsed onto the rickety cot in the hospital on-call room. It was 3 a.m. Over the last twenty hours, fueled only by coffee and occasional bites to eat, I had done morning rounds on my patients, assisted with appendix and gall bladder surgeries, inserted and pulled tubes into and out of bodies, cut open a large intestine filled with feces, took patient histories in clinic, attended afternoon teaching, and finished four urgent consults in the emergency room. Just another day in the life of a clinical trainee. But when I look back on that night during medical school, I don’t remember feeling as excited as I normally fee...
Source: Kevin, M.D. - Medical Weblog - September 5, 2015 Category: Journals (General) Authors: Yan Yu, MD Tags: Education Medical school Psychiatry Source Type: blogs
Is patient-centered care part of the problem?
What is the difference between a health care system and a Burger King? In a health care system, you can’t always have it your way. At some point in our training, most physicians are introduced to the Institute of Medicine’s landmark report on Crossing the Quality Chasm. The report outlines 6 key elements that are necessary for providing high-quality care: safety, timeliness, effectiveness, efficiency, equitability and patient centeredness. Although I recognize that outlining the 6 goals is a noble attempt at helping mend a broken health care system, I have to admit that, as a practicing psychiatrist, nothing is more cr...
Source: Kevin, M.D. - Medical Weblog - September 4, 2015 Category: Journals (General) Authors: Reba Peoples, MD Tags: Physician Primary care Source Type: blogs
The Measure of a Physician: Albert Schweitzer
By RICHARD GUNDERMAN, MD There are different ways to take the measure of a life. John Rockefeller, the richest person in the history of mankind, once asked a neighbor, “Do you know the only thing that gives me pleasure? It’s to see my dividends come in.” Television magnate Ted Turner once said, “I don’t want my tombstone to read, ‘He never owned a network.’” And musical artist Lady Gaga has described her quest as “mastering the art of fame.” But wealth, power, and fame are not life’s only metrics, and September 4 marks the 50th anniversary of the death of one of the 20th century’s brightes...
Source: The Health Care Blog - September 3, 2015 Category: Consumer Health News Authors: Simon Nath Tags: Physicians THCB Albert Schweitzer Care of Distress Richard Gunderman University of Strasbourg Source Type: blogs
How PAs Factor Into Improved CMS Patient Satisfaction Scores
When I started work as a certified physician assistant (PA-C) 30 years ago, I provided health care for the homeless as the medical officer for an outreach mobile health team in Brooklyn, N.Y. I literally treated patients on the street, and patient satisfaction was measured by having them simply tell me they felt better. Today patient satisfaction is being dissected and analyzed many different ways by physician offices, hospitals, and Accountable Care Organizations (ACOs), driven largely by the Centers for Medicare and Medicaid Services (CMS) and a policy to tie reimbursement to patient perceptions and compliance with clini...
Source: Health Affairs Blog - September 2, 2015 Category: Health Management Authors: Dawn Morton-Rias Tags: Equity and Disparities Featured Health Professionals Hospitals Organization and Delivery Quality ACOs CAHPS HCAHPS patient satisfaction physician assistants Source Type: blogs
Why these medical interns did not die in vain
About a year ago, I wrote a piece on my blog called “How to Welcome Incoming Residents.” It was about my struggle with getting the right messaging, messaging about the reality of stress during residency and the necessity of incorporating self-care and outreach to others. This year at orientation, in addition to adding the great suggestions posted by readers of the article, I took a different tack. It was imperative. There was a huge elephant in the room. As most residents and fellows — and their educators — know, the medical community of New York City was rocked by the suicide deaths of two interns in the s...
Source: Kevin, M.D. - Medical Weblog - August 30, 2015 Category: Journals (General) Authors: Michael Myers, MD Tags: Physician Psychiatry Source Type: blogs
The constant fear of losing a patient to suicide
This article was originally written on August 11, 2015. My psychotherapy supervisor taught me a tip during residency: to pay close attention to the very first thing a patient says, and more importantly, the last topic they bring up towards the end of session. (Because it’s likely that the subject weighing most heavily on their mind is too uncomfortable to discuss at the very beginning.) I struggled to come up with a topic to discuss on my blog today. At first, I uploaded chipper, smiley pictures taken from a recent spontaneous trip to the coast, but there was something about my grin and carefree expressions that ...
Source: Kevin, M.D. - Medical Weblog - August 28, 2015 Category: Journals (General) Authors: Vania Manipod, DO Tags: Physician Psychiatry Source Type: blogs
How a physician recovered from the vicious cycle of addiction
I was an overachieving, well-rounded and sagacious undergraduate student. I majored in psychology, minored in biology and was an active member of the Psi Chi honor society. I was drawn to the study of psychology, and fascinated by the complexities of mental illness. I became certified as a research assistant and spent many hours with severely depressed individuals, who had become crippled by their illness. I was intensely intrigued by their unique histories, their trials, and tribulations. I felt an intense desire to help and to become a positive part of their struggle back to mental health. Thus, with a solid focus and po...
Source: Kevin, M.D. - Medical Weblog - August 27, 2015 Category: Journals (General) Authors: Anonymous Tags: Physician Primary care Source Type: blogs
Narrative Matters ‘The Next Chapter': The Winding Road Of Mental Health Recovery
There’s a lot under the surface of life, everyone knows that. A lot of malice and dread and guilt, and so much loneliness, where you wouldn’t really expect to find it, either. — Marilynne Robinson, Gilead More than two years ago I published, “How ‘Person-Centered’ Care Helped Guide Me Toward Recovery From Mental Illness,” an account of my three psychiatric hospitalizations as an adolescent. The impetus for this essay, which appeared in the March 2013 issue of Health Affairs, stemmed from two separate, distinct, but unified places: my work as a researcher in the mental health field and my own fir...
Source: Health Affairs Blog - August 24, 2015 Category: Health Management Authors: Ashley Clayton Tags: Equity and Disparities Featured Health Professionals Hospitals Insurance and Coverage Narrative Matters Organization and Delivery Payment Policy Population Health Quality abuse Ashley Clayton depression healthcare providers Mar Source Type: blogs
What causes toxic stress in medical school and how to fix it
For two years, I served as a representative to my medical school’s student affairs committee. My job was to convey medical student concerns and problems. As part of that role, I had a lot of time to think about how and why many medical students experience depression and stress. Two recent articles have led me to write about the issue now: “10 simple solutions to stop medical student suicide,” and, “University of Kentucky trustees asked to revoke medical privileges of controversial surgeon.” Many see medical student mental health as a simple problem: bad doctors and bad residents are mean ...
Source: Kevin, M.D. - Medical Weblog - August 20, 2015 Category: Journals (General) Authors: Vamsi Aribindi Tags: Education Medical school Psychiatry Source Type: blogs
Research and Reviews in the Fastlane 096
This study assessed the speed and accuracy of medication administration in simulated pediatric resuscitations. 10 teams consisting of physicians and nurses participated in a cross over study, so that they did one simulation with the new syringes and one without. Time to delivery of medications was quicker with the new syringes (47 versus 19 seconds, a difference of 27 seconds; 95%CI 21-33 seconds). Teams were also more accurate using the new color-coded syringes, with dosing errors occurring 17% of the time with the conventional approach and 0% of the time with the new syringes (absolute difference 17%; 95% CI 4-30%). Obvi...
Source: Life in the Fast Lane - August 19, 2015 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Airway Anaesthetics Cardiology Education Emergency Medicine Pediatrics Resuscitation Trauma EBM Intensive Care literature R&R in the FASTLANE recommendations research and reviews Respiratory urology Wilderness Medicine Tagg Source Type: blogs
Open Payments Data 2014 Suggest Downward Trend in Clinical Research Spending
Could the Sunshine Act be creating an unintentional downward trend in clinical research? An analysis of the U.S. government’s Open Payments database shows that industry spending on U.S-based clinical research has dropped 32 percent in the first year-over-year comparison since Open Payments data started to be collected. The results are published in the August issue of Life Science Compliance Update, a monthly newsletter published by Policy & Medicine. The analysis shows that drug and device manufacturers reported about $1.5 billion in research payments from August through December 2013, the first reporting period unde...
Source: Policy and Medicine - August 18, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs
The Moral Imperative for Bioethics: Get Out of the Way
As a companion piece to last week's post on the miserable, parasitic institution of modern bioethics, here are a few apropos comments from Steven Pinker: Have you had a friend or relative who died prematurely or endured years of suffering from a physical or psychiatric disease, such as cancer, heart disease, Alzheimer's, Huntington's, Parkinson's, or schizophrenia? Of course you have: the cost of disease is felt by every living human. The Global Burden of Disease Project has tried to quantify it by estimating the number of years lost to premature death or compromised by disability. In 2010 it was 2.5 billion, which means ...
Source: Fight Aging! - August 17, 2015 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
Is the crusade against pill mills turning into a witch hunt?
I care for a 65-year-old woman suffering from sarcoidosis affecting her lungs, her skin, her bones, her nerves, her blood chemistries, her kidneys, her colon and her mind. She has gone from an active spouse, mother, grandmother, tearing up the dance floors with her husband, to a home recluse calling friends to drive her to medical and care appointments while ambulating with assistance of another strong individual supported by a 4 wheel walker with a seat. She describes her foot pain as feet burning on fire. An evaluation with the Cleveland Clinic and ultimate biopsies of her skin and nerves led to a diagnosis of severe sma...
Source: Kevin, M.D. - Medical Weblog - August 16, 2015 Category: Journals (General) Authors: Steven Reznick, MD Tags: Meds Pain management Source Type: blogs
Breaking The Graduate Medical Education Policy Logjam
This report proposed major reforms which would create a GME system with greater transparency, accountability and strategic direction that aligns with national needs. Stakeholder response to the IOM Report currently is being evaluated by Congress in the Health subcommittee of the House Energy and Commerce (E&C) committee. Their input from various stakeholders has been complex and lacking in consensus, thereby perpetuating the GME policy logjam, creating a daunting challenge and thereby decreasing prospects of any comprehensive legislative GME reform in this session of Congress. Since the introduction of the “resident ...
Source: Health Affairs Blog - August 12, 2015 Category: Health Management Authors: Richard Rieselbach, David Sundwall, Kenneth Shine, Ted Epperly and Byron Crouse Tags: Costs and Spending Featured Health Policy Lab Health Professionals Medicaid and CHIP Medicare Organization and Delivery Population Health Quality COGME HHS House Energy and Commerce committee IOM report MACRA Primary Care Rur Source Type: blogs
Advancing Integrated Behavioral Health Care In Texas And Maine: Lessons From The Field
Conclusion Texas and Maine are among the many states in which foundations have supported the establishment and spread of integrated care through grants, augmented with learning communities, policy advocacy, and evaluation. The evaluations related to initiatives that promote integrated care already reveal critical elements that facilitate successful integrated care and will develop more refined lessons as integrated care becomes the standard of care across America. Sharing lessons learned across states can accelerate the spread of integrated care until it becomes the standard of care. Related Resources Cohen, Deborah. Addre...
Source: Health Affairs Blog - August 11, 2015 Category: Health Management Authors: Becky Hayes Boober and Rick Ybarra Tags: GrantWatch Health Professionals Organization and Delivery Behavioral Health Health Care Delivery Health Philanthropy integrated care Maine Mental Health Primary Care Texas Workforce Source Type: blogs
Mental health on, or in, film
A conversation at home about F.D.C. Willard reminded me of Ian McEwan's novel "Enduring Love", for reasons which will become apparent in a later post. There is brief mention of this novel in an earlier post about autobiography and biography as health literature, as it is a novel that deals with mental health issues.Looking for material on the web about the novel, I found the Minds on Film blog from the Royal College of Psychiatrists, which has an entry about the film of the novel. This blog has been going for five years (there is an index, by health condition, of the first five years) and features structured re...
Source: Browsing - August 11, 2015 Category: Databases & Libraries Tags: dementia mental health psychiatry Source Type: blogs
10 simple solutions to stop medical student suicide
Medical school graduation: Time to celebrate our brand new doctors! Except for the families who can’t celebrate their child’s graduation. Or their child’s marriage. Or their child’s birthday — ever again. Like Michele and John Dietl. They lost their son, Kevin (pictured above), just weeks before graduation. Now they cling to online condolences and family photos. And to the never-ending question: Why? I’ve become a sideline specialist in medical student and physician suicide. Why? Mostly because I can’t stop asking why. Why both classmates I dated in medical school died by suicide. Why we lost three docto...
Source: Kevin, M.D. - Medical Weblog - August 8, 2015 Category: Journals (General) Authors: Pamela Wible, MD Tags: Conditions Medical school Psychiatry Source Type: blogs
A Chronology of Legionellosis Outbreaks in the United States
The following chronology of significant legionellosis outbreaks in the United States is abstracted from Gideon www.GideonOnline.com and the Gideon e-book series. [1,2] (Primary references available on request) 1949 – An outbreak of presumed Pontiac fever among steam-condenser cleaners was confirmed retrospectively. 1957 – An outbreak (78 cases, 2 fatal) of legionellosis at a packing plant in Austin, Minnesota was confirmed retrospectively. 1965 – An outbreak (81 cases) at a psychiatric hospital in Washington, D.C. was confirmed retrospectively. 1968 – An outbreak of relatively mild legionellosis ...
Source: GIDEON blog - August 8, 2015 Category: Databases & Libraries Authors: Dr. Stephen Berger Tags: Ebooks Epidemiology ProMED Legionellosis united states Source Type: blogs
The Stanford Prison Experiment film: An Essential Teaching Tool
By Craig Klugman, Ph.D. In teaching research ethics, there are a few “classic cases” that we offer students as examples of where human subject research went wrong: Tuskegee Study of Untreated Syphilis, the Nazi medical experiments, Willowbrook Hepatitis Experiments, human radiation experiments, and (now) the Guatemala syphilis study, among others. When discussing social science examples, the two studies that are usually taught at Milgram’s obedience studies and Zimbardo’s Stanford Prison Experiment. As an undergraduate at Stanford, my Psychology 101 teacher was Philip Zimbardo.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - August 4, 2015 Category: Medical Ethics Authors: Craig Klugman Tags: Featured Posts Human Subjects Research & IRBs Informed Consent Psychiatric Ethics Research Ethics Stanford Prison Experiment Source Type: blogs
On The Internet
Of course there are patient archetypes. We all use them. I mean, there is the old lady that is super sensitive to even the smallest dose of just about every medicine. The psychiatric patient whose allergy list runs a mile long. The drug seeking guy that swears his pills were stolen from his suitcase yet again.My favorite is the widowed war hero. His unrequited love for his deceased spouse pervades most visits. He writes poetry and can carry a note to operatic proportions. He is kind and humble. He lives lost in a world of dreams and sweat memories. He is both jovial and...
Source: In My Humble Opinion - August 3, 2015 Category: Primary Care Authors: Jordan Grumet Source Type: blogs
What young children can learn from Inside Out
This summer’s Disney-Pixar movie Inside Out makes us think about our thinking. But, I wonder, first of all, “Can we even think about our thoughts?” In fact, over the summer with campers at Lausanne Collegiate School, beginning with junior kindergarten to grade 7, I was teaching them how to observe their thoughts: a course in mindfulness and meditation for children. We begin by sitting up tall, like a tree. Then we become still, like a mountain. Then we “go inside” like a turtle in a shell. By this time the children are sitting upright cross-legged on the floor or feet hanging on a chair, motio...
Source: Kevin, M.D. - Medical Weblog - August 2, 2015 Category: Journals (General) Authors: Manoj Jain, MD, MPH Tags: Conditions Psychiatry Source Type: blogs
Over-Reliance on Tests: Why Physicians Must Learn to Trust Themselves & Their Patients
The post below ran yesterday on Better Health. I met my newly admitted patient in the quiet of his private room. He was frail, elderly, and coughing up gobs of green phlegm. His nasal cannula had stepped its way across his cheek during his paroxsysms and was pointed at his right eye. Although the room was uncomfortably warm, he was shivering and asking for more blankets. I could hear his chest rattling across the room. The young hospitalist dutifully ordered a chest X-Ray (which showed nothing of particular interest) and reported to me that the patient was fine as he was afebrile and his radiology studies were unremarkable...
Source: Disruptive Women in Health Care - July 28, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Consumer Health Care Health Professions Patients Policy Source Type: blogs
Over-Reliance On Tests: Why Physicians Must Learn To Trust Themselves And Their Patients
I met my newly admitted patient in the quiet of his private room. He was frail, elderly, and coughing up gobs of green phlegm. His nasal cannula had stepped its way across his cheek during his paroxsysms and was pointed at his right eye. Although the room was uncomfortably warm, he was shivering and asking for more blankets. I could hear his chest rattling across the room. The young hospitalist dutifully ordered a chest X-Ray (which showed nothing of particular interest) and reported to me that the patient was fine as he was afebrile and his radiology studies were unremarkable. He would stop by and check in on him in the m...
Source: Better Health - July 27, 2015 Category: American Health Authors: Dr. Val Jones Tags: Health Tips True Stories Blood Tests Correct Diagnosis False Negatives False Positives Lab Tests Physical Exam Radiology Trust Source Type: blogs
I tried not to let a drug rep influence me. But he probably already did.
I attend pharmaceutical dinners every once in awhile because: 1) I like to stay up to date with all the new drugs (or just a slightly modified version of the generic, but with a much fancier name and packaging); 2) Though I’m several years out of medical school/residency, one thing I have maintained from those formative years is the mentality where I’d never pass up a free meal. I know that pharmaceutical sales representatives (also known as drug reps) have been banned and limited in several institutions, and I completely understand the reasoning (it has been shown that drug reps’ marketing tactics inf...
Source: Kevin, M.D. - Medical Weblog - July 24, 2015 Category: Journals (General) Authors: Vania Manipod, DO Tags: Physician Psychiatry Source Type: blogs
John McCain vs. Trump
The Senator is a war hero because as a Navy pilot of his rank he was exempted from flying above a certain parallel in attacking North Vietnam. Obviously defenses near Haiphong were better and flying further North was more dangerous. He declined the privilege of flying in more relatively safe areas only and was shot down. Yes, his behavior in captivity plays some role in his being considered a hero, but it starts with his willingness to take risks in the attack. Trump on the other hand plays on feelings of anger and humiliation while seeming to lead people into more dangerous areas. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - July 24, 2015 Category: Psychiatry Source Type: blogs
Project ECHO: Force Multiplier For Community Health Centers
Even with the Affordable Care Act, millions of Americans struggle to access health care when they need it. A huge part of the problem is a lack of both primary care and specialty providers in rural and other underserved communities. Without local providers who can meet patients’ needs, health care coverage does not necessarily translate to access to care. Developing Health U.S., the GE Foundation’s signature health program, strives to help as many people as possible gain access to health care by partnering with community health centers around the country. Community health centers are the backbone of the health care saf...
Source: Health Affairs Blog - July 20, 2015 Category: Health Management Authors: David Barash Tags: Drugs and Medical Technology Equity and Disparities GrantWatch Health IT Health Professionals Quality Access Community Health Centers Health Philanthropy Innovation Physicians Primary Care Safety Net Source Type: blogs
In Alzheimer’s Disease, Caregiving May Be Just As Trying As the Disease Itself
The post below originally appeared on HuffPost’s Living Healthy blog on July 15. When most of us think of Alzheimer’s disease, our first thought isn’t usually of the quiet caregiver alongside the patient, devoting their time to helping someone living with the disease. But caring for someone with Alzheimer’s disease is often a full-time job, taking its toll on the caregiver. According to AARP and the National Alliance for Caregiving, the “typical” family caregiver is a 49-year-old woman who takes care of a relative. Nearly 25 percent of America’s caregivers are millennials (adults a...
Source: Disruptive Women in Health Care - July 20, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Aging Caregiving Chronic Conditions Alzheimer's disease Source Type: blogs
Improving acute inpatient psychiatric care for adults in England: interim report
The Commission on Acute Adult Psychiatric Care -The Commission on Acute Adult Psychiatric Care was set up by the Royal College of Psychiatrists in response to widespread concerns about the provision of acute inpatient psychiatric beds and alternatives to admission available for patients. This interim report is based on the Commission’s initial observations about acute inpatient psychiatric services for adults in England and its discussions with patients, carers, advocates, health and social care professionals and policy makers. It finds that the so-called bed or admission crisis in adult mental health is very significant...
Source: Health Management Specialist Library - July 15, 2015 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Mental Health Patient involvement, experience and feedback Quality of care and clinical outcomes Source Type: blogs
Poor Quality Sleep: A Silent Source of Disability in Breast Cancer
The post below ran on Huffington Post Healthy Living on May 13. It is authored by Hrayr Attarian, MD, FACCP, FAASM, Member of the Society for Women’s Health Rearch Network on Sleep and Associate Professor of Neurology, Northwestern University, Circadian Rhythms and Sleep Research Lab for the Society for Women’s Health Interdisciplinary Network on Sleep. Poor quality sleep is a major contributor to reduced quality of life and can have a negative impact on mood and energy, cognition, metabolic and immunological function, as well as lead to weight gain . Sleep-related complaints are quite common in women with b...
Source: Disruptive Women in Health Care - July 14, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Cancer Source Type: blogs
Surgery in a patient with schizophrenia. Did it affect decision making?
Well, decision time was here and it looked as if Bill would choose surgery, and why not, with the doctors liberally throwing around the word “cure.'” The various tests Bill endured, breathing tests, echocardiogram and MRI of the brain, were all within tolerable ranges, we were told. The oncologist noted some marks in the brain that suggested mini-strokes, but Bill didn’t hear this or it didn’t register with him, or both. There were, however, no lesions in the brain, which would have indicated a spread of the disease. Bill was hearing, as was I, that he could be up and around in a week. How w...
Source: Kevin, M.D. - Medical Weblog - July 14, 2015 Category: Journals (General) Authors: Raymond Abbott Tags: Patient Psychiatry Surgery Source Type: blogs
Mission statements of medical schools: Here’s why they matter
Over the years, applicants whom I’ve interviewed for positions in the first-year medical student class at Georgetown have often asked how our school’s mission statement influences the educational experiences and clinical services we provide: Guided by the Jesuit tradition of Cura Personalis, care of the whole person, Georgetown University School of Medicine will educate a diverse student body, in an integrated way, to become knowledgeable, ethical, skillful, and compassionate physicians and biomedical scientists who are dedicated to the care of others and health needs of our society. I never quite know how to a...
Source: Kevin, M.D. - Medical Weblog - July 10, 2015 Category: Journals (General) Authors: Kenneth Lin, MD Tags: Education Medical school Source Type: blogs
Hotel Worker Union Protests Industry-Funded CME Soon After Event At A Blacklisted Hotel
Source: Unite Here! A number of articles have been written about Unite Here, a union representing hotel workers, calling for pharmaceutical companies to stop funding continuing medical education (see Pharmalot; Meeting-Conventions; BioPharmaDIVE). Most have noted that a hospitality workers' union is an unusual critic of CME funding, but have not touched on Unite Here’s ten year history of calling for businesses and tourists to boyc...
Source: Policy and Medicine - July 8, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs
Hotel Worker Union Protests Industry-Funded CME Soon After Blacklisted Events
Source: Unite Here! After calling for boycotts of multiple medical meetings in several cities the Unite Here trade union launches a campaign to end commercial support of CME. A number of articles have been written about Unite Here, a union representing hotel workers, calling for pharmaceutical companies to stop funding continuing medical education (see Pharmalot; Meeting-Conventions; BioPharmaDIVE). Most have no...
Source: Policy and Medicine - July 8, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs
A survey of staffing levels of medical clinical academics in UK medical schools as at 31 July 2014
Medical Schools Councils - This is the thirteenth in a series of annual surveys of staffing levels in medical schools in the UK and it finds that the number of clinical academics has remained relatively stable with an increase in clinical academics within public health. It highlights a drop of academics within psychiatry, paediatrics and child health and also pathology and raises recruitment concerns for the latter. Report Press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - July 7, 2015 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Workforce and employment Source Type: blogs
The New York Times makes a big, bad mistake
The New York Times ran a silly piece entitled The Myth of Big, Bad Gluten by journalist Moises Velasquez-Manoff, yet another defense of the “eat more healthy whole grain” status quo. I enjoy reading most pieces from the New York Times, but they blundered in published this piece of simple-minded tripe. I keep on hoping that some of the critics of Wheat Belly finally get their facts straight so that we can actually have a meaningful debate on the issues. Mr. Velasquez-Manoff–as so many other journalists and paid authors before him–fails to deliver, instead providing a misguided, anemic discussi...
Source: Wheat Belly Blog - July 6, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle gluten grains grass New York Times Source Type: blogs
About that Flag or Why We Put the E in Robert Lee's Name
The Declaration of Independence has something in it about justifying war with England. An ideal had not been recognized. Thus wars happen. General Lee's men fought, killed and died for their view of an appropriate cultural order. After he surrendered though there was peace. He was a gracious loser in the conflict. So the battle flag of the Confederacy can express an attitude of being willing to stand up for what you believe in. The legacy of Robert E. Lee doesn't authorize however a private war against black people. The flag symbolizes being able to lose a conflict, possibly even graciously. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - July 3, 2015 Category: Psychiatry Source Type: blogs
I went to Hillsborough Public Library, and found these two books:Graham, N. and Warner, J. (2009). Understanding Alzheimer's Disease and other dementias. Poole, Family Doctor Publications.The authors are UK based psychiatrists, and the book series is published in association with the BMA. I liked the warning in the back cover blurb about the perils of information from the web, and there is a bit before the list of useful resources at the end about web searching, which could perhaps do with repeating that advice. The list of resources looks dated now (after only 6 years), at least one organisation has chan...
Source: Browsing - July 2, 2015 Category: Databases & Libraries Tags: dementia patient information Source Type: blogs
Cartoon: Exposure Therapy For Dogs With Anxiety Disorders
(Source: Better Health)
Source: Better Health - July 2, 2015 Category: American Health Authors: Dr. Val Jones Tags: Humor Anxiety Disorders behavioral therapy cartoon Dogs exposure therapy Flooding Phobias Psychiatry Psychology Source Type: blogs
A Patient's Lie Masks the Cause of Chest Pain
A man in his 30s comes to your emergency department at 3 a.m. profoundly diaphoretic and reporting severe 10/10 chest pain. He has been at a party all night, and the chest pain started about 30 minutes earlier. He had a previous heart attack, but cannot remember many of the details. He reports no medication or drug use. No doubt this is a concerning presentation, and you immediately order an ECG, blood work, and an aspirin. While this is in process, you review the electronic medical information, which reveals that the previous “heart attack” was actually observation for chest pain rule-out. The ECG showed nonspecifi...
Source: Spontaneous Circulation - July 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
A psychiatrist is burnt out and depressed. Here’s what she did about it.
I noticed that my writing and conversations with others convey far less emotion than usual. My reserve for tolerating stress had reached maximum capacity, which I realized upon my first day back at work from vacation three weeks ago as exhaustion immediately erased any sense of relaxation from my trip. Perhaps I should have requested two weeks off instead of one? Either way, I’ve felt numb in the past, but my current state of numbness also included fatigue and the need for multiple naps throughout the day. At first, I blamed my tiredness on multiple potential causes (overexerting myself during workouts, not eatin...
Source: Kevin, M.D. - Medical Weblog - June 30, 2015 Category: Journals (General) Authors: Vania Manipod, DO Tags: Physician Psychiatry Source Type: blogs
The Digital Doctor: Is Natural Language Processing the Breakthrough We’ve Been Waiting For?
By BOB WACHTER, MD Natural language processing might seem a bit arcane andtechnical – the type of thing that software engineers talk about deep into the night, but of limited usefulness for practicing docs and their patients. Yet software that can “read” physicians’ and nurses’ notes may prove to be one of the seminal breakthroughs in digital medicine. Exhibit A, from the world of medical research: a recent studylinked the use of proton pump inhibitors to subsequent heart attacks. It did this by plowing through 16 million notes in electronic health records. While legitimate epidemiologic questions can be raised a...
Source: The Health Care Blog - June 23, 2015 Category: Consumer Health News Authors: John Irvine Tags: THCB Source Type: blogs
Editorial Board Q&A: Laura Roberts
Laura Roberts, MD, chair of the department of psychiatry and behavioral sciences and Katharine Dexter and Stanley McCormick Memorial Professor at Stanford University School of Medicine 1. Describe your current activities. My “day job” is service as the Chair of the Department of Psychiatry and Behavioral Sciences and as the Katharine Dexter and Stanley McCormick Memorial Professor at Stanford University School of Medicine. As the chair of a major department at a prominent institution, I have the opportunity to work with wonderful colleagues and to oversee and grow many extraordinary academic and clinical programs. It i...
Source: Academic Medicine Blog - June 23, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Editorial Board Q & A behavioral sciences Laura Roberts psychiatry Stanford Source Type: blogs
A doctor shares his story about overcoming mental illness
Being related to a famous person is somewhere between a cruel joke and a minor distraction. My father was immensely talented and worked very hard at his writing, but the degree of his success was a fantastically unlikely bit of luck. There are lots of talented, hard-working artists who don’t make it. The important thing in overcoming mental illness, whether or not you have a famous last name, is to want things to be better — and being willing to get help to make that happen. 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 - June 19, 2015 Category: Journals (General) Authors: Mark Vonnegut, MD Tags: Physician Primary care Psychiatry Source Type: blogs
Funtabulously Frivolous Friday Five 108
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia…introducing Funtabulously Frivolous Friday Five 108 – this week has a literal twist! Question 1 What is Peter Pan syndrome? + Reveal the Funtabulous Answer expand(document.getElementById('ddet227464559'));expand(document.getElementById('ddetlink227464559')) Not an official diagnosis as per the WHO but a “pop-psychological” concept whereby male adults (typically) are socially immature and are unable to take on adult responsibilities. The most famous pe...
Source: Life in the Fast Lane - June 19, 2015 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five alice in wonderland Charles Dickens Dr Seuss FFFF peter pan Pickwickian Third man factor Source Type: blogs
These stunning photos take you on a physician’s cancer journey
On December 17th, 2013, while in her last year of psychiatry residency at UCLA, Dr. Elana Miller was diagnosed with stage IV acute lymphoblastic lymphoma. Below is a photo essay of her journey. December 18, 2013: December 22, 2013: January 5, 2014: February 24, 2014: May 15, 2014: June 17, 2014: July 23, 2014: August 6, 2014: August 11, 2014: October 14, 2014: January 9, 2015: March 12, 2015: March 15, 2015: March 19, 2015: April 24, 2015: May 28, 2015: Elana Miller is a psychiatrist who blogs at Zen Psychiatry. Your patients are rating you online: How to respond. Manage your online reputation: A social ...
Source: Kevin, M.D. - Medical Weblog - June 15, 2015 Category: Journals (General) Authors: Elana Miller, MD Tags: Physician Cancer Source Type: blogs