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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 3.

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

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

Depressing thoughts
The US and Canada differ on many aspects of health care delivery, but one area in which they have a common approach is inadequate care for mental health.  I was reminded of this when I met with a colleague who works at the British Columbia Division of the Canadian Mental Health Association.  She related several stories about slow and inappropriate treatment of patients--both in crisis and in chronic states--in the provincial health system.Meanwhile, Modern Healthcare reported that south of the border a court ruled that, "hospitals in Washington state will be prohibited from boarding psychiatric patients in emerge...
Source: Running a hospital - August 25, 2014 Category: Health Managers Source Type: blogs

When medications devalue the opportunity to listen
When I hear debate over the association between SSRIs (selective serotonin re-uptake inhibitors, a class of antidepressant medication) and suicidal behavior in children and adolescents, I am immediately brought back to a night in the early 2000s.  As the covering pediatrician I was called to the emergency room to see a young man, a patient of a pediatrician in a neighboring town, who had attempted suicide by taking a nearly lethal overdose. 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 25, 2014 Category: Journals (General) Authors: Tags: Conditions Pediatrics Psychiatry Source Type: blogs

The Big Mistake called “agriculture”
From Guns, Germs, and Steel on public television   Humans and agriculture share a 10,000-year history of codependence. If it weren’t for the tools, technology, and food availability permitted by the development of agriculture, human civilization would surely look very different today. Agriculture brought an end to nomadic hunter-gatherer life, increased crop yields and freed up time previously spent on food procurement. This allowed humans to specialize as teachers, metal workers, builders, and soldiers. Once crops were cultivated, rather than just harvested wild, they too underwent changes at the hands of human...
Source: Wheat Belly Blog - August 24, 2014 Category: Cardiology Authors: Dr. Davis Tags: Evolutionary aspects of nutrition agriculture anthropology farming hunter gatherer Source Type: blogs

Today, I may have saved a life
Today, I saved a life. And I wish I could tell you a story about fancy heroics — about an exploratory laparatomy, a chest thoracostomy, or a patient that coded and I was the last person to perform the chest compressions that brought them back to life.  But I can’t.  But I can tell you that I saved a life. 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 23, 2014 Category: Journals (General) Authors: Tags: Education Medical school Psychiatry Source Type: blogs

Will Adult Autism Care Issues Be Considered During #nbvotes 2014?
New Brunswick election 2014 is underway with the NDP, Liberal, Green and PANB parties going all out to replace the PC party.  Party signs are proliferating around the city of Fredericton. The Liberal Party kicked off big time in Fredericton with special guest federal Liberal leader Justin Trudeau and provincial leader Brian Gallant. It was a lively, well organized event and the optimism was clear. I enjoyed my brief chat with the charming greeting ladies pictured outside the Fredericton Ex building. In a general sense I enjoy elections, I firmly believe, despite the many legitimate bases for criticism that they are th...
Source: Facing Autism in New Brunswick - August 23, 2014 Category: Autism Authors: H L Doherty Source Type: blogs

The Science of Depression
Good and short video about the possible explanations for the origin of depression. From serotonin, to neurogenesis and genetics.   Related posts: Science, gender and the emergence of depression in American psychiatry 1950-1980 Genes Predict Reponse to Lithium Addition for Treatment Resistant Depression Why Can’t We find a Gene for Depression? (Source: Dr Shock MD PhD)
Source: Dr Shock MD PhD - August 22, 2014 Category: Psychiatrists and Psychologists Authors: Dr Shock Tags: Depression Source Type: blogs

Hospital Matches Personality Disorders of Patients With Medical Staff.
Dallas, Texas - Saint James Medical Center began triaging patients last week using exact match personality disorder testing.  In preparation for this groundbreaking process, all doctors, nurses and other hospital employees completed mandatory personality disorder questionnaires several months prior."We had narcissistic doctors telling antisocial drug seekers 'Dilaudid is not the right drug for you.'  The borderline nurses were walking past paranoid schizo rooms whispering 'We're here to help you.'  It was ridiculous," said, Frank Duschbaugh, Director of Patient Satisfaction at Saint James Medical Center.A re...
Source: The Happy Hospitalist - August 21, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Assistant Professor in Cognitive Neuroscience, Brown University, Providence, R.I. 02912
The Department of Cognitive, Linguistic, and Psychological Sciences (CLPS) invites applications for atenure-track Assistant Professor position in cognitive neuroscience beginning July 1, 2015. Allcandidates utilizing methodological approaches such as neuroimaging to address basic questions in anyarea of cognitive neuroscience will be considered. Exceptional candidates whose research addressestopics relevant to psychiatric disorders are particularly encouraged to apply. This appointment will bemade in conjunction with the Department of Psychiatry and Human Behavior (DPHB) and theinterdepartmental Brown Institute for Brain S...
Source: Talking Brains - August 21, 2014 Category: Neurologists Authors: Greg Hickok Source Type: blogs

Study: Use of methylphenidate-based ADHD medication increases the risk of heart problems
ADHD medication enhances the risk of heart problems in children (Science Nordic): “The risk of developing heart problems is twice as big for children taking medicine for Attention Deficit-Hyperactivity Disorder (ADHD) when compared to children not receiving the medicine…The study builds on data from 714,000 children born in 1990–1999…The study covered nearly all types of ADHD medicine. Methylphenidate-based medications account for 98 per cent of treatments. This group of medication is sold under the brands Concerta, Methylin, Ritalin, Equasym XL, Motiron and Medikinet… To make sure that the measured difference wa...
Source: SharpBrains - August 20, 2014 Category: Neurologists Authors: SharpBrains Tags: Attention and ADD/ADHD Health & Wellness ADHD-diagnosis ADHD-medication cardiovascular Concerta Equasym XL heart problems Medikinet Methylin methylphenidate Motiron Ritalin Source Type: blogs

A physician reflects on Robin Williams
I was shocked and deeply saddened when my daughter announced at the dinner table that Robin Williams had died of an apparent suicide. My wife and I and the three of our children home at the time all pretty much gasped audibly in unison, and then for a moment after, you could have heard a pin drop. 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 20, 2014 Category: Journals (General) Authors: Tags: Physician Mainstream media Psychiatry Source Type: blogs

Society’s mismanagement of the mentally ill is a disgrace
We are civilized people in the United States. We don’t set up leper colonies or concentration camps or psychiatric snake pits to banish people with severe mental illness. Instead we send them to jail or prison — almost 400,000 of them, more than 10 times the number receiving care in hospitals. And we also blithely ignore the fact that additional hundreds of thousands live homeless on the streets or in squalid housing and have little or no access to treatment. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kev...
Source: Kevin, M.D. - Medical Weblog - August 20, 2014 Category: Journals (General) Authors: Tags: Conditions Psychiatry Source Type: blogs

Top stories in health and medicine, August 20, 2014
From MedPage Today: Moving Target for BP Guidelines. The current blood pressure target recommendations may need to be revisited in hypertensive patients with coronary artery disease who are 60 years and older. Transcatheter Mitral Valve Repair Rivals Surgery. Survival rates with catheter-based mitral valve repair are comparable to classic surgery and better than conservative management in high-surgical-risk patients with severe mitral valve regurgitation. ACS and Stroke Hospitalizations Decline. Hospitalizations, readmission rates, and mortality outcomes have declined for patients with acute coronary syndrome and stroke ...
Source: Kevin, M.D. - Medical Weblog - August 20, 2014 Category: Journals (General) Authors: Tags: News Heart Nephrology Psychiatry Source Type: blogs

How Hard Is It To Find a Psychiatrist? Tell me your stories!
One of the concerns I have about funneling our resources into programs for involuntary treatment is that I believe it's difficult for those who want help to get it.  Some assume that those who don't recognize their need for help are society's sickest patients, and that resources should go to them first.  So I want to hear your stories of looking for a psychiatrist. So let me ask you, how hard is to find a psychiatrist here in the United States?  If you found one easily --- say a morning's worth of phone calls and appointment within a reasonable time -- just say "Easy" and please tell me what part of the coun...
Source: Shrink Rap - August 20, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

The Chemistry of Modern Marijuana
Is low-grade pot better for you than sinsemilla?First published September 3, 2013.Australia has one of the highest rates of marijuana use in the world, but until recently, nobody could say for certain what, exactly, Australians were smoking. Researchers at the University of Sydney and the University of New South Wales  analyzed hundreds of cannabis samples seized by Australian police, and put together comprehensive data on street-level marijuana potency across the country. They sampled police seizures and plants from crop eradication operations. The mean THC content of the samples was 14.88%, while absolute levels var...
Source: Addiction Inbox - August 20, 2014 Category: Addiction Authors: Dirk Hanson Source Type: blogs

Good for Indiana in trying to do something about the over zealous penalties for arrests. Maybe it will become a comparative advantage for the state. Elsewhere in the WSJ yesterday, the benefits of 'broken-windows policing' were emphasized by Bret Stephens. Part of the benefit of that is for the police to teach people how to behave. On the other hand to make people repeatedly humiliate themselves over past possible offenses may actually alienate people and contribute to disorder as seen in Ferguson. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - August 19, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Looking for People to Talk to Me about Involuntary Electroconvulsive Therapy (ECT or "shock" treatments)
As our regular readers may know, we are working on a book called Committed: The Battle Over Forced Psychiatric Care.  In Maryland, there is no provision for people to have ECT against their will, it's a voluntary procedure and someone else can't sign you up.  Before I learned about it from Shrink Rap readers, I didn't realize that there are other states where ECT can be court-ordered and done against a patient's will.  I'm interested in talking to people about their experiences with involuntary ECT.  Anyone with a personal story is invited -- patients who've had it (court-ordered, not cases where people...
Source: Shrink Rap - August 19, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

What Happens When Patients Won't Take Meds?
You're here reading Shrink Rap, so you may think this is a post about patients who refuse to take psychiatric medications, and non-compliance with psychiatric medications gets to be it's own issue.  So it caught my attention when Dr. Albert Fuchs tweeted that he was interviewed by NPR about "What happens when patients won't take medicines."  Dr. Fuchs is a primary care doc with a concierge practice in Beverly Hills, so I wanted to hear what he had to say, and I invested 6 minutes of my life in listening to his NPR talk -- you may want to go to the website and listen as well.  He makes a good point about bein...
Source: Shrink Rap - August 18, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Illinois Suspends Michael Reinstein's Medical License
Michael Reinstein (Gerald Rich/ProPublica)Illinois medical regulators have indefinitely suspended the medical license of psychiatrist Michael Reinstein, who prescribed more of the most powerful and riskiest antipsychotic drug clozapine than any other doctor in the country.The decision by Illinois' Department of Financial and Professional Regulation, signed Friday, suspends Reinstein's license for a minimum of three years, at which time he can apply to have it reinstated.The state's medical disciplinary board recommended the sanction in May after determining that Reinstein, 71, received "illegal direct and indirec...
Source: PharmaGossip - August 16, 2014 Category: Pharma Commentators Authors: insider Source Type: blogs

Trazadone Side Effect and I HATE PRIME THERAPEUTICS
  When I was rationing my klonipin because I used it faster than I could reorder, I took double trazadone thinking it would help my anxiety.  It seems like it has an anti-anxiety effect on me.  But I felt so very nauseous and when I finally got my klonipin and stopped doubling trazadone, the nausea went away.  I attributed it to withdrawal from my daily dose of klonipin.Last night, I took Trazadone (my daily dosage is 100mg for sleep) right before I went to bed.  I take it to sleep through the night and it usually works but not 100%.  I woke up in the middle of the night so I took an...
Source: - August 15, 2014 Category: Mental Illness Source Type: blogs

Dr Oz Eat Curry to Prevent Alzheimer's Disease
Dr.Oz's suggests eating curry once or twice a week to help prevent Alzheimer's disease.By Bob DeMarcoAlzheimer's Reading RoomDr. OzFrom time to time, Dr Oz covers Alzheimer's disease on his television show. He usually devotes about one third of his show to Alzheimer's disease when he covers the topic. He always does a great job of framing the impending epidemic that is Alzheimer's. Dr Oz mentioned that every 68 seconds someone is diagnosed with Alzheimer's disease. By the time you finish reading this article several more people will be suffering from Alzheimer's. Another group of Alzheimer's caregivers will come into being...
Source: Alzheimer's Reading Room, The - August 14, 2014 Category: Dementia Tags: alzheimer alzheimer curry alzheimer's Alzheimers Dementia Alzheimers Prevention brain test Doraiswamy Alzheimer's Dr Oz Dr Oz alzheimer's memory memory test news Source Type: blogs