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More Thoughts on Physicians Going on Strike
I noticed Dr. H. Steven Moffic, MD had written another article in Psychiatric Times asking whether it’s time for psychiatrists to consider going on strike. Often the issue triggering discussions about this is the rising prevalence of physician burnout. I’ve already given my personal opinion about physicians going on strike and the short answer is…
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MLK Week Redux for the New University of Iowa Psychiatry Fellows
I discovered the University of Iowa Dept of Psychiatry had a very successful match, filling key residency slots in Child Psychiatry, Addiction Medicine, and Consultation-Liaison fellowships. Congratulations! That’s a big reason to celebrate. This reminds me of my role as a teacher. I retired from the department two and a half years ago. But I’ll…
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An Old Post on Breaking Bad News
I’m reposting a piece about a sense of humor and breaking bad news to patients I first wrote for my old blog, The Practical Psychosomaticist about a dozen years ago. I still believe it’s relevant today. The excerpt from Mark Twain is priceless. Because it was published before 1923 (See Mark Twain’s Sketches, published in…
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Giving Credit Where Credit is Due
Here’s another vintage post from around a decade ago after my former Psychiatry Dept chairperson, Dr. Robert G. Robinson and I published our book, Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry” in 2010. Blog: Who Gets The Credit? When I think about peak moments, I remember this guy back in junior high school who decided…
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Factitious Disorder and Civil Commitment
Similar to my previous post on the role of civil commitment and catatonia, I’d like to share my thoughts on what little is known about Factitious Disorder and civil commitment. There is not much to say, in brief. In fact, many writers can find a lot to say about the other interesting clinical features of…
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Congratulations to Paul Thisayakorn, MD!
I got a wonderful holiday greeting from one of my favorite past residents, Paul Thisayakorn, MD. He’s running a top-notch Consultation-Liaison Psychiatry (CL-P) Service and a brand-new C-L Fellowship in Thailand. I could not be more excited for him and his family. His wife, Bow, runs the Palliative Care Service. He and Bow answered our…
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University of Iowa Psychiatry Residents Get Shout Outs
Recently, University of Iowa psychiatry residents worked hard enough to get shout outs. One of them was exemplary performance on the consultation and emergency room service. The service was following over two dozen inpatients and received 15 consultation requests in a day. This is a staggering number and the resident on the service did the…


