Category: Psychiatry

  • The Connection Between The University of Iowa and Factitious Disorder

    The Connection Between The University of Iowa and Factitious Disorder

    I found another old blog post, Thoughts on Munchausen’s Syndrome, which reminded me of a psychiatric disorder I saw probably more frequently than most psychiatrists unless they are consultation-liaison specialists. I wrote it in June of 2011. I still don’t understand the disorder and I doubt anyone else does either. The interesting connection to Iowa…

  • Quiz Show on Delirium

    Quiz Show on Delirium

    Here’s an old post from February 15, 2011 from my previous blog The Practical Psychosomaticist called Quiz Show Versus Grand Rounds for Delirium Education: “So you want to put on a game show contest to educate clinicians about delirium? Contact David Meagher, a psychiatrist in (where else?) Limerick, Ireland. He reported on this innovative educational…

  • Don’t Look in the Dictionary for Mental Health and Mental Illness

    Don’t Look in the Dictionary for Mental Health and Mental Illness

    I read an interesting article in Clinical Psychiatry News the other day, written by Dinah Miller, MD in the Shrink Rap News column, “Psychiatry and semantics.” Dr. Miller’s point was that it’s sometimes hard to define terms when discussing mental illness and stress. Can stress be defined as a mental illness? What the heck is…

  • Our Impressions of University of Iowa Free Webinar Yesterday: The Stories That Define Us”

    Our Impressions of University of Iowa Free Webinar Yesterday: The Stories That Define Us”

    We were overall delighted with yesterday’s presentation, University of Iowa Free Webinar: “Breaking Barriers: Arts, Athletics, and Medicine (1898-1947).” It’s one in a series of 4 virtual seminars with two more scheduled this month, which you can register for at this link. February 15: Endless Innovation: An R1 Research Institution (1948–1997) February 22: The Next…

  • My Definitive Journey Revisited

    My Definitive Journey Revisited

    A couple of days ago, I got my retirement gift from The University of Iowa. It’s a about a year and a half late because of the Covid-19 pandemic, but it’s welcome nonetheless. Normally there is an Annual Faculty Retirement Dinner, but it had to be cancelled. It’s a stunningly beautiful engraved crystal bowl with…

  • Random Thoughts on the Iowa vs Wisconsin Football Game Today

    Random Thoughts on the Iowa vs Wisconsin Football Game Today

    OK, I know it’s in the books. Wisconsin won the football game with Iowa today, 27 to 7. Anybody can have a bad day. Iowa quarterback, Spencer Petras scored the only touchdown for Iowa. We hope the best for Wisconsin player Clay Cundiff, who had to be taken off the field in an ambulance after…

  • Catatonia and Delirium in COVID-19

    Catatonia and Delirium in COVID-19

    This is just a short post on delirium and catatonia in patients sick with COVID-19, which is important to look out for. There are two references below that are pertinent. One is a case report of a patient diagnosed with both catatonia and delirium in a woman with COVID-19 (Amouri et al). One of the…

  • Thoughts on Transplant Psychiatry

    Thoughts on Transplant Psychiatry

    I see in the news that organ transplant centers have removed a few patients from wait lists because they refuse COVID-19 vaccines. It may seem odd, but this reminds me of an even more difficult situation in organ transplantation. What do you do about those who just refuse organ transplant altogether? I used to be…

  • Get This Book: Every Deep-Drawn Breath

    Get This Book: Every Deep-Drawn Breath

    I just got Wes Ely’s new book, Every Deep-Drawn Breath. You do need to buy this book to learn about delirium, Post-Intensive Care Syndrome (PICS) and what Dr. Ely and colleagues are doing to prevent it. PICS is a syndrome patients suffer after being hospitalized with severe medical illness in critical care units. It includes…

  • Love Each Other More Now

    Love Each Other More Now

    When I think about all the mandates and bans against mandates for the COVID-19 vaccines and masks, I wonder about my own motive for getting the vaccine and wearing a mask. In one sense, I’m doing it for myself. I’m a retired consultation-liaison psychiatrist and I got called to the intensive care units a lot.…