Category: Psychiatry

  • 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…

  • The FDA Announcement on Kratom

    The FDA Announcement on Kratom

    Just in case you missed it, the FDA posted an announcement about Kratom in February this year. According to the FDA: “Kratom is a tropical tree (Mitragyna speciosa) that is native to Southeast Asia. Products prepared from kratom leaves are available in the U.S. through sales on the Internet and at brick-and-mortar stores. Kratom is…

  • Remember The Calling

    Remember The Calling

    I recommend Dr. George Dawson’s recent posts on seeing the practice of medicine as a calling and his passing a big milestone with 2 million reads on his blog. I wrote a post entitled “Remembering Our Calling: MLK Day 2015.” It was republished in a local newspaper, the Iowa City Press-Citizen on January 19, 2015.…

  • The Good and the Not So Good About Mental Health Treatment

    The Good and the Not So Good About Mental Health Treatment

    Sometimes I write “depressing” blog posts. On the other hand, I have both good and bad news today. I found out that, according to the Treatment Advocacy Center, Iowa’s state psychiatric hospital bed availability is dismal according to 2023 figures. That’s actually not new. Although we rate last in the nation for this, we still…

  • “Our Hidden Conversations” is a Very Tough Book to Read

    “Our Hidden Conversations” is a Very Tough Book to Read

    As I approach the end of the book “Our Hidden Conversations” by Michele Norris, I find myself doing what I often do when I feel uncomfortable emotionally. I start to deploy my sense of humor. As a psychiatrist (now retired since 2020), I learned early in my residency training that humor can be thought of…

  • Bootless II: Dr. Russell Ledet’s Story

    Bootless II: Dr. Russell Ledet’s Story

    Recall that I had been checking to see if the Distinguished Education Lecture given by Dr. Russell Ledet, MD, PhD on January 17, 2024 during the MLK Celebration of Human Rights would be available for the general public. While somebody may be working on that, I managed to find Dr. Ledet’s YouTube, entitled “Bootless II.” I…

  • Thoughts on the Distinguished Education Lecture by Dr. Russell Ledet MD PhD

    Thoughts on the Distinguished Education Lecture by Dr. Russell Ledet MD PhD

    We enjoyed the Dr. Martin Luther King, Jr. Distinguished Education (originally given on January 17, 2023) by Dr. Russell Ledet. He’s definitely a mover and a shaker and this is another recorded presentation that I wish was available for the general public. His bio is knockdown impressive. And even more interesting to me is that…

  • Black History Month 2024 Theme is African Americans and the Arts

    Black History Month 2024 Theme is African Americans and the Arts

    February is Black History Month and in 2024 the theme is African Americans and the Arts. This reminds me of a blues artist I heard on KCCK on the Big Mo Blues Show last Friday. His name is Toronzo Cannon and his career as a blues guitarist and songwriter is skyrocketing. I heard his song…

  • Old Doctors vs Young Doctors

    Old Doctors vs Young Doctors

    I ran across a recently published web article that originated from the Wall Street Journal (WSJ), to which I don’t have access because I’m not a subscriber. The title is “Do Younger or Older Doctors Get Better Results?” and it’s in the form of an essay by Pete Ryan. It’s been picked up by over…

  • Complexity Intervention Units Past And Present

    Complexity Intervention Units Past And Present

    Here’s another blast from the past about Complexity Intervention Units (CIUs) or what used to be called Medical-Psychiatry Units. I co-staffed one for 17 years at Iowa Health Care, the organization formerly known as Prince. No wait, that used to be called the University of Iowa Hospitals & Clinics. They’re rebranding. I was looking up CIU…