On labels and boundaries
What we call a disease matters. It matters to the person because a diagnosis is a marker: this problem is known, it’s recognised, it’s real (Mengshoel, Sim, Ahlsen &Madden, 2017). It matters to the clinician, particularly medical practitioners, but also those clinicians working within a largely “disease-oriented” framework (for example, physiotherapists, osteopaths) (Haskins, Osmotherly, Rivett, 2015; Kennedy, 2017). It matters also to insurance companies, or funding providers – who is in, and who is out. The diagnostic label itself hides a great many assumptions. The ways in which diagnostic labels are grouped reflects assumptions about underlying similarities (and distinctions) between groups of symptoms. Added to this complex situation is uncertainty in how the person presents: are they a “typical” presentation? Who decides what is ‘typical’? Think of the classic signs of chest pain signifying myocardial infarct – but this applies to males, and less so to females. Women are less likely to be resuscitated after chest pain, and also less likely to be transported to the Emergency Department using lights and sirens (Lewis, Zeger, Li, Mann, Newgard, Haynes et al, 2019). It is the physician’s quest for certainty and the patient’s illusion of certainty, however, that leads to many of the current decision-making techniques in the practice of medicine. Evidenced-based medicine seeks to provide informa...
South Korea has broken its daily record for coronavirus infections for a second straight day with more than 5,200 new cases, as pressure mounted on a health care system grappling with rising hospitalizations and deaths
Many public health experts were opposed to a boosters-for-all approach. The new variant is changing some minds.
Serious coronavirus infections may significantly damage long-term health and lead to major life-threatening issues later.WebMD Health News
Much remains unknown about the new variant of the coronavirus. Experts had said it was only a matter of time before the variant showed up in the United States.
Airlines are being required to gather information about some passengers that will help with contact tracing if they develop COVID-19
The fully vaccinated individual returned home from South Africa on Nov. 22 and subsequently tested positive for the Omicron variant of the coronavirus.
Post-traumatic stress disorder (PTSD) and childhood maltreatment (CMT: parental neglect; emotional, physical and sexual abuse) have been linked to bipolar disorder but they are also common in major depressive disorder (MDD). Our objective was to investigate their association with the bipolar spectrum and antidepressant treatment outcome in 482 outpatients with DSM-IV MDD treated in the Combining Medications to Enhance Depression Outcomes trial for 28 weeks Bipolar spectrum score included age of onset
We report the case of a 57-year-old woman diagnosed with treatment-resistant depression (TRD) and comorbid FMD treated with weekly intranasal administrations of esketamine over a six-month follow-up period. A comprehensive clinical and psychometric assessment was carried out at different time points. After 2 months of treatment, a complete remission of motor and axial functional disturbances (athetosis, trunk torsion and genuflections) was detectable, along with a progressive improvement in depressive symptoms during follow-up until full remission. According to novel lines of evidence, glutamatergic transmission might play...
Lithium, a mood stabilizer used in the treatment of bipolar disorder is known for its anti-inflammatory properties with the discussion of its potential use in COVID-19 infection. The SARS-CoV-2 virus causing COVID-19 infection is known to enter the target cells through angiotensin converting enzyme-2 receptors present in abundance in the lung and renal tissue. Recent research supports the evidence for direct renal injury by viral proteins. Here we report two patients with bipolar disorder presenting with lithium toxicity in the presence of COVID-19 infection. Two patients with bipolar disorder, maintaining remission on lit...
Greek lawmakers have approved legislation making vaccination for COVID-19 mandatory for all residents aged over 60, to deal with an infection surge and the emergence of the omicron variant
More News: Anesthesiology | Anxiety | Back Pain | Blogging | Borderline Personality Disorder | Chronic Pain | COVID-19 | Depression | Disability | Emergency Medicine | Fibromyalgia | Funding | Harvard | Hospitals | Insurance | Insurers | Low Back Pain | Men | Orthopaedics | Pain | Pain Management | Physical Therapy | Physiotherapy | Psychiatry | Rehabilitation | Sports Medicine | Training | Universities & Medical Training | Warnings | Women