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Informal Bedside Tests for Delirium
Most of this post is an updated redux from years ago about an informal bedside test for delirium called the oral trails test. I learned about it from my senior resident when I was a junior psychiatry resident in training at the VA Medical Center. There was an elderly patient admitted to the psychiatry unit…
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My Top Ten YouTube Videos
OK, my top ten YouTube videos are going to get pretty low ratings anyplace else. But where else are you going to see the list but on my blog? In a world where popular videos are viral at a million plus views, I’m way in the back yard. I wasn’t very picky, of course, because…
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Quiz Show versus Grand Rounds for Delirium Education Redux
Here’s a redux of one of my blog posts from years ago. There’s not been much change in the data or clinical practice regarding delirium, except we’re even less enthusiastic about using any kind of psychotropic medication to treat delirium, even hypoactive delirium. Try the puzzle. “So, you want to put on a game show…
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SQiD vs CAM Redux
This was a blog post I wrote back in 2011 on another blog, The Practical C-L Psychiatrist. SQiD is short for Single Question in Delirium and it’s a very short and effective screen for delirium, if you have a reliable informant. I also mention the Edinburgh Delirium Test Box (EDTB). It has been further developed…
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Coach’s Corner: Somatoform Illness
This is a short Coach’s Corner video on somatoform and related abnormal illness behaviors which prompt physicians to request psychiatric consultation. Medically unexplained physical symptoms are not rare in the hospital and in medical clinics. The general idea is to remember Stephen Covey’s caution about effectiveness and efficiency, which is that you have a lot…
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Just an Introduction
Well, it has been about 3 months since I opened this blog. My YouTube channel needed an updated channel trailer, so I’m posting it here as well. Why not? I was surprised at how long a minute and a half channel trailer took to make, even with the aid of video editing software (maybe because…
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Coach’s Corner On Delirium
I’m anticipating a busy time next month on the psychiatry consultation service. I suspect delirium will be the main event, as it is most of the time. So I made a very short YouTube video on delirium. It’s cast in the style of a coach’s corner because I was one of the many clinicians who…
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Time for July Psychiatry Consults
It’s getting close to the busiest time of the academic year in a teaching hospital–July. The residents have a steep learning curve during that month. Some hospitals have a sort of boot camp to get the upcoming first year internal medicine residents prepared for July. I’m looking at my retirement countdown timer and it’s showing…
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Transplantation Psychiatry
Transplantation psychiatry is a special setting for consultation-liaison psychiatrists. Mainly, they work in organ transplant centers. The democratization of health care over many years, along with the relative scarcity of transplantation psychiatrists, has led to many other professionals conducting the psychosocial assessments for evaluating organ transplant candidates. It’s a complicated field with many stakeholders. The…
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The Medical-Psychiatry Unit
I guess I’m incorrigible; there are now 4 eggs in the robins’ nest. Progress there reminded me of another kind of progress–in integrated health care. On that note, this is just a brief update on the Medical-Psychiatry Unit (MPU). I thought it would be a good time to do this since a hard-working Pennsylvania psychiatrist…
Go Retire Psychiatrist 