Category: consultation-liaison psychiatry

  • Verbal De-escalation: University of Colorado School of Medicine Video Series cont. Chapter 2

    Verbal De-escalation: University of Colorado School of Medicine Video Series cont. Chapter 2

    This is Chapter 2 of the free verbal de-escalation video series. This one is “Basic elements of verbal de-escalation.” Simpson, Scott & Sakai, Joseph & Rylander, Melanie. (2019). A Free Online Video Series Teaching Verbal De-escalation for Agitated Patients. Academic Psychiatry. 44. 10.1007/s40596-019-01155-2.

  • Verbal De-escalation Education Videos

    Verbal De-escalation Education Videos

    I was looking at the Academy of Consultation-Liaison Psychiatry (ACLP) and discovered a free online video educational series on verbal de-escalation of agitated patients. It reminded me of my own early attempts to educate trainees about this very important topic (see my post “A Little Too Exuberant”). The Simpson et al presentation includes 5 free…

  • Thoughts on Down Time Activities for Land Survey Technicians

    Thoughts on Down Time Activities for Land Survey Technicians

    I was just thinking about the old-time land survey crews. When I was getting on the job training as a survey technician, the typical land survey crews were at least 2-3 persons. One rodman, one instrument man, and a crew chief who organized the job, which could be property or construction jobs. Nowadays, you get…

  • Consultation-Liaison Psychiatry as a Supraspecialty

    Consultation-Liaison Psychiatry as a Supraspecialty

    I just rediscovered this old blog post below from 2010 in my files. The literature citations are dated, of course. I just wanted to reminisce about how I used to think through issues in consultation-liaison psychiatry. The post is old enough to contain the former term for the field-Psychosomatic Medicine. “At the annual Academy of…

  • Old Blog Post on Decisional Capacity Assessment

    Old Blog Post on Decisional Capacity Assessment

    I just found a blog post I wrote about assessing decisional capacity. It’s over 13 years old and you can tell I was a little frustrated when I wrote it. It was back in the days when consulting psychiatrists were called psychosomatic medicine specialists. Here’s to another blast from the past. Blog from 2011: Thoughts…

  • Another Look at the C-L Psychiatry Pecha Kucha

    Another Look at the C-L Psychiatry Pecha Kucha

    Back in 2018, one of my emergency room staff physicians asked me to do a Pecha Kucha on what a consultation-liaison psychiatrist does. If you know what a pecha kucha is, you can understand why it was challenging for me to put it together and present it. Although you may have seen the video I…

  • Submitted My Two Cents on Centers for Medicare and Medicaid Services Proposal to Minimize the Importance of the Delirium Diagnosis Code

    Submitted My Two Cents on Centers for Medicare and Medicaid Services Proposal to Minimize the Importance of the Delirium Diagnosis Code

    I found out that the Centers for Medicare and Medicaid Services (CMS) is planning to reclassify the diagnosis code for delirium, making it less serious than encephalopathy. Many clinicians are challenging it and organizations of consultation-liaison psychiatrists and the like, including me, don’t understand or agree with the plan. Even though I’m a retired C-L…

  • Thoughts on Copyright Issues Related to Consultation Psychiatry and Dad Jokes

    Thoughts on Copyright Issues Related to Consultation Psychiatry and Dad Jokes

    I want to gas; I mean talk about copyright as it relates to consultation psychiatry or telling dad jokes. By the way, those aren’t the same.  I used to teach medical students and residents how to do certain quick bedside cognitive tests for delirium and dementia. Over the years the instructions about how to administer…

  • The Dirty Dozen on Delirium in WordPress: A Shortcode Presentation

    The Dirty Dozen on Delirium in WordPress: A Shortcode Presentation

    When I was a consultation-liaison psychiatrist I taught trainees in different ways. One of them was what I called the Dirty Dozen slide sets. They were on various basic topics that are important for psychistrists to know. I tried to put the most important points on only a dozen powerpoint slides. After I started blogging…

  • The Changing Role of the Psychiatrist in Managing Depression with Medical Illness

    The Changing Role of the Psychiatrist in Managing Depression with Medical Illness

    This post is mainly a reminiscence about my days as a consultation-liaison psychiatrist. I often evaluated patients who had chronic hepatitis C. The liver disease itself and the treatment (interferon alfa) often led to patients struggling with depression. The impetus for this came from noticing a couple of items. One is the recent l blog…