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‘ay, this here be international talk like a gentleman o’ fortune day
The title of this post is a translation of “Hey, This is International Talk Like a Pirate Day.” I used a Pirate Speak translator to generate it. Sena reminded me about this holiday, which got started back in 1995 by a couple of guys from Albany, Oregon. She says she heard about it on the…
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Thoughts on Suicide Risk Assessment
I know the term “suicide risk assessment” sounds very clinical. That’s because I did it for many years as a consultation-liaison psychiatrist in the general hospital. The human part of it was using the suicide safety plan, which I got from the Centre for Applied Research in Mental Health & Addiction (CARMHA). You can download…
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A Retired Consultation-Liaison Psychiatrist’s Perspective on Eating Disorders
This is just my presentation on eating disorders vs disordered eating for a Gastrointestinal Disease Department grand rounds several years ago. What’s also helpful is an eating disorder section on the National Neuroscience Curriculum Initiative (NNCI) web site. I left comments and questions there, which the presenter answered. In addition, the Academy of Consultation-Liaison Psychiatry…
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What Would Make Psychiatry More Fun?
I just read Dr. George Dawson’s post “Happy Labor Day” published August 31, 2022. As usual, he’s right on the mark about what makes it very difficult to enjoy psychiatric practice. And then, I looked on the web for anything on Roger Kathol, MD, FACLP. There’s a YouTube video of my old teacher on the…
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Psychiatric Polypharmacy: An Opportunity to Teach with CPCP
Dr. H. Steven Moffic discussed the issue with psychiatric polypharmacy in his August 29, 2022 entry on Psychiatric Views on the Daily News. The patient who had been getting 10 psychotropic drugs was found to have a medical problem ultimately, which led to simplification of the complex regimen. This is a great opportunity to again…
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Hepatitis C Testing and Treatment Update from a Retired Psychiatrist
There is a very informative CDC media briefing transcript about why so few Americans are getting tested and treated for Hepatitis C. I’m a retired consultation-liaison psychiatrist and I used to be the go-to consultant to the hepatology clinic back when the only treatment was interferon-alpha. Because interferon-alpha was associated with neuropsychiatric side effects, notably…
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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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