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.
Category: science
Verbal De-escalation: University of Colorado School of Medicine Video Series cont. Chapter 3
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: 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.
CDC Covid Information
Often, I see news agency headlines claiming to have insider information about what’s going on with the Centers for Disease Control (CDC), FDA, etc. I respect the opinions of others about government agencies. On the other hand, I like to get information straight from the horse’s mouth.
With that in mind, here’s what the CDC says is important to know about the Covid-19 situation.
Are These Compass Flowers?
I have misidentified plenty of plants and the compass flower is one of them. We were walking the Clear Creek trail the other day and saw what I thought was a patch of compass flowers. See what you think, judging from the featured image.
Anyway, I thought the flower itself pointed in a particular direction, but it’s actually the leaves as I rediscovered after looking it up.
As a real expert points out, it’s the edges of the leaves that point North/South.
Rounding at Iowa: New Treatments for Alzheimer’s Disease
This is one of the latest Rounding@Iowa podcasts and it’s about new treatments for Azheimer’s Disease, with one specific agent called Lecanemab.
I’m an old psychiatrist, and I remember my clinical impresson of the previous medications for Alzheimer’s Disease, one of which was Donepezil. The scientific literature seemed to suggest that patients and families were more impressed with Donepezil than clinicians were.
According to Dr. Shim, one of the participants in the podcast, it’s been 20 years since there has been a new treatment for Alzheimer’s Disease-and the long term effectiveness of Lecanemab is uncertain.
In addition, there are significant risks associated with the agent as well. As you can guess, it’s very expensive, and while Medicare pays for some of the cost, the podcast participants mentioned that it was difficult to get some treatment monitoring imaging studies covered.
Patients and their physicians need to have a full discussion of the risks and benefits of treatments for Alzheimer’s Disease. It’s just as important to avoid the use of certain drugs that are known to worsen cognitive function, such as benzodiazepines and anticholinergics.
87: New Treatment Options for Menopause – Rounding@IOWA
Join Dr. Clancy and his guests, Drs. Evelyn Ross-Shapiro, Sarah Shaffer, and Emily Walsh, as they discuss the complex set of symptoms and treatment options for those with significant symptoms from menopause. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=81895 Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Evelyn RossShapiro, MD, MPH Clinical Assistant Professor of Internal Medicine Clinic Director, LGBTQ Clinic University of Iowa Carver College of Medicine Sarah Shaffer, DO Clinical Associate Professor of Obstetrics and Gynecology Vice Chair for Education, Department of Obstetrics and Gynecology University of Iowa Carver College of Medicine Emily Walsh, PharmD, BCACP Clinical Pharmacy Specialist Iowa Health Care Financial Disclosures: Dr. Gerard Clancy, his guests, and Rounding@IOWA planning committee members have disclosed no relevant financial relationships. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.00 ANCC contact hour. Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) References/Resources:
What’s the Skinny on Indoor Saline Pools and Vitamin D?
We saw a sign in the hotel elevator that made us curious. Part of it said:
“There are also lots of ways to get out and soak up some good ‘ol vitamin D from our saline pool to our grill and patio area.”
Not to quibble or get too sciency (“sciency” turns out to be a real adjective by the way, at least in the Oxford English Dictionary), but the bit about soaking up vitamin D from a saline pool is a little confusing. I suspect that sentence was about an outdoor pool. But at our hotel, the pool is indoors.
Here’s the thing. You can’t soak up Vitamin D through a window. And salt water doesn’t have anything to do with vitamin D absorption. In fact, the way we learned in medical school which vitamins are soluble in water was to memorize the acronym “ADEK.” Vitamins A, D, E, and K are fat soluble, not water soluble. You can’t get Vitamin D from swimming in a saline pool. Saline is still water.
According to the National Institute of Health (NIH) web page for the public about Vitamin D, your skin can’t make it from sunlight through a window.
That doesn’t mean there aren’t health benefits from swimming in a salt water pool. For example, an article on the Healthline web site says it may be better for people with allergies or asthma, or if you can’t stand the smell of chlorine.
On the other hand, you certainly can soak up the sun and Vitamin D from the grill and patio area. Be sure to use sunscreen!
The Svengoolie Movie the Leech Woman and What About the Pineal Gland?
OK, so I watched the Svengoolie movie, “The Leech Woman” a couple of weeks ago and I think I missed the part where the June Talbot was told that the potion containing the pineal gland secretion and powdered flower parts entailed the requirement that the pineal gland secretion should come from a man. You can read the Wikipedia plot summary for background and watch the movie for free on the internet archive.
Leave aside for the moment that the film tries to make you think you can have easy access to the pineal gland through the back of the neck using a sharp point on a ring. Of course it’s deep inside the brain.
What I don’t remember is whether or not June was ever told that the pineal gland secretion has to come from a man in order to reverse aging. It won’t work if it comes from a woman. Aside from devaluing women in general, it was never clear to me that June was ever told that by Malla, the African woman who is over 150 years old but looks like she’s 20 when she gets her shot of pineal and petal.
I’ve looked on the internet for reviews which mention the mistake June makes when she murders her lawyer’s fiancée who is unhappy that June managed to easily seduce him. She’s so unhappy she threatens June with a pistol in a confrontation that gets rather comically violent, resulting a in struggle leading to June stabbing the fiancée in the back of the neck, obviously in an effort to get the priceless pineal juice.
What’s weird about this (other than the obviously ridiculous premise that pineal glands have anything to do with aging or rejuvenation) is that June apparently either forgets or never realized that the pineal stuff has to come from a male to be effective.
What’s even more puzzling is that, before assaulting a woman for the pineal fluid, June had adopted a predatory strategy to pop the pineals of several men, leading you to believe she knew the source had to be a man.
So, is this an example of dementia or stupidity?
The United States Postal Service is in Code 101 Lockdown!
No matter what I do, the USPS Change of Address (COA) snafu team makes the situation worse. It reminds me of this scene in Men in Black 2 in which the MIB headquarters goes into something called Code 101 Lockdown. Agents J & K return to headquarters and Agent J fires a sort of space cannon into the front door.
This leads to just about everything outside (including a hot dog stand) getting sucked into the building. The verbal exchange between agents goes something like this:
Agent K: “Code 101 Lockdown!”
Agent J: “I know, I know! The building gets pressurized. Nothin’ in, nothin’ out. I knew that.”
OK, so the movie gets it wrong. The scientists would say that if a closed system is “pressurized” that means from the inside. Technically what actually happens is a negative pressurization or partial vacuum, because everything gets sucked inside the building.
The situation at the USPS is in Code 101 lockdown because it has sucked in both my online and paper requests for Change of Address (COA) and also has not refunded me the $1.10 they charged my credit card before the system failed to give me a confirmation code for the COA. By the way, that’s backward. The right way for the USPS to do that would be confirm that my input is correct—and only then charge me.
No matter what I try to enter into the dysfunctional USPS system in order to right the wrong, it just gets vacuumed into the system and no definitive solution gets out.
I don’t remember how the lockdown in MIB 2 got solved. And I don’t know how to resolve the USPS lockdown. Maybe get the worm guys to shut down their power?
UPDATE: As of July 2, 3024, the USPS snag may be on its way to being resolved.
CDC ACIP Recommendations for Covid 19 Vaccine for 2024
The CDC ACIP recommended implementation of the 2024 Covid-19 vaccine and the timeline is in the implementation slide set. CDC plans to use CDC Everything messages. Insurance plans, including Medicare, will cover the cost.
Go Retire Psychiatrist 