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Glitch in the Matrix or Something Else?
I saw one of the paranormal shows the other night and there were a few videos supposedly demonstrating possible proof that our reality is actually a computer simulation that sometimes gets glitchy. One of the images was a bird stopped and motionless in mid-flight. It looked like a still photo which bounced around a little.…
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Overdiagnosis of Psychiatric Disorders Still Happens
I read an excellent article in Clinical Psychiatry News recently in the Hard Talk section. The title is “A prescription for de-diagnosing” by psychiatrists Nicholas Badre, MD and David Lehman, MD in the July 2022 issue (Vol 50, No. 7). The bottom line is that too many psychiatric patients have too many psychiatric diagnoses. A…
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Thoughts on the GuideLink Center Incident
The attack a few days ago by what was most likely a mentally ill person on staff at the recently opened GuideLink Center in Iowa City reminded me of what may appear to be disparate views by mental health professionals on the link between mental illness and mass violence perpetrators. The GuideLink incident involved a…
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Short History of C-L Psychiatry Fellowship at Iowa
I read a short article, “The case for pursuing a consultation-liaison psychiatry fellowship” by Samuel P. Greenstein, MD in Current Psychiatry (Vol. 1, No. 5, May 2022). After 3 years as an attending, he found his calling as a C-L psychiatrist, especially after getting teaching awards from trainees. But when he applied to academic institutions…
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Looking Back on Gunslingers and Chess Masters
I was looking at an early version of the handbook of consultation-liaison psychiatry that eventually evolved into what was actually published by Cambridge University Press. I wrote virtually all of the early version and it was mainly for trainees rotating through the consult service. The published book had many talented contributors. I and my department…
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They Did Learn How to Check for Delirium!
Here’s another oldie but goodie blog post, “It’s Survey Time.” It’s a blast from the past (May of 2011) but it needs a short introduction on why I’m reposting it. So, I’m about a week out from my surgery for a detached retina. I’m doing pretty well. I keep thinking about a question a nurse…
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The Chicken Finally Lays An Egg
Below is an old post from a previous blog that I published on June 6, 2010. Although the title in my record is simply PM Handbook Blog, there must have been another title. Maybe it should have been more like The Chicken Has Finally Laid an Egg (you’ll get the joke later). There are two…
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The Connection Between The University of Iowa and Factitious Disorder
I found another old blog post, Thoughts on Munchausen’s Syndrome, which reminded me of a psychiatric disorder I saw probably more frequently than most psychiatrists unless they are consultation-liaison specialists. I wrote it in June of 2011. I still don’t understand the disorder and I doubt anyone else does either. The interesting connection to Iowa…
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Quiz Show on Delirium
Here’s an old post from February 15, 2011 from my previous blog The Practical Psychosomaticist called Quiz Show Versus Grand Rounds for Delirium Education: “So you want to put on a game show contest to educate clinicians about delirium? Contact David Meagher, a psychiatrist in (where else?) Limerick, Ireland. He reported on this innovative educational…
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Going Down Blogging Memory Lane
I’ve been going down the blogging memory lane lately and thought I’d repost what was probably the very first post I published on my first blog, The Practical Psychosomaticist. The title was “Letter from a Pragmatic Idealist.” While a lot of water has gone under the bridge since mid-December of 2010, some principles remain the…
Go Retire Psychiatrist 