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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…
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Brief News Item
I received exciting news from Dr. Kolin Good, M.D., a colleague in Reading, Pennsylvania. There is a thriving Medical-Psychiatry Unit (MPU) at Reading Hospital. Dr. Good consulted with The University of Iowa several years ago on how to get it started, since we have a 15 bed MPU. They call it the Medical Complexity Unit…
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Organ Transplant Overview
Occasionally, despite my being in phased retirement, I get a reminder that my colleagues may need some advice about an issue for which I might be a useful source of institutional memory. One of them is the psychiatric consultation for assessment of candidates for organ transplant. I have a slide set and a YouTube video…
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Opinions on Cannabis for Neuropathic Pain
I just saw the Clinical Psychiatry News article “Evidence poor on medical marijuana for neuropathic pain,” by Andrew D. Bowen. It was published May 2019, Vol. 47, No. 5 and I couldn’t find it on line yet. I should also hasten to add that there are a couple of other important articles on management of…
Go Retire Psychiatrist 