Psychiatry This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.
This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 12.
Mental health is a basic human right to fight for
Disruptive Women is embarking on an exciting week…Tuesday we head to NYC where we will be emceeing XX in Health as their retreat takes over the boy’s club (The Harvard Club). Then on Thursday we will be talking to women in tech at MassMEDIC. So as we interact with new disruptive women this week we wanted to reflect back and run some powerful posts from the past. Be sure to check the blog all this week for some of our favorites. The following post by Dr. Agnes Binagwaho, Permanent Secretary of the Ministry of Health of Rwanda, is part of Disruptive Women’s “The Value of Health: Creating Economic Security in ...
Source: Disruptive Women in Health Care - March 31, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Mental Health Source Type: blogs
Neglecting Our Own: Well-Being Disparities in Sexual Minority Medical Students
By: Andrés F. Sciolla, MD Dr. Sciolla is an associate professor at the Department of Psychiatry and Behavioral Sciences, University of California, Davis, co-director of the Doctoring 2 course at the University of California, Davis, School of Medicine, and medical director of a community mental health clinic, the Northgate Point Regional Support Team, in Sacramento, California. He graduated from the University of Chile School of Medicine and is a board-certified psychiatrist. When it comes to psychological distress, individuals who aspire to a career in medicine are a queer lot. At matriculation, the average medical studen...
Source: Academic Medicine Blog - March 30, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective medical student wellness psychological well-being self-rated health sexual and gender minorities Source Type: blogs
Did Andreas Lubitz Have Lyme Disease?
Although the editors of InsideSurgery.com did not participate in the care of Andreas Lubitz, we are following news reports closely. Multiple sources today are reporting that he was under continuing care of a physician who recommended that he stop flying as a commercial airline pilot for Lufthansa controlled Germanwings air service. Lubitz seems to be a well-liked, non-controversial young man from a stable upbringing who by all accounts loved being a pilot. What could have caused him to fly his airliner with another 149 people aboard to their certain annihilation into a French mountainside? One wonders what medical conditi...
Source: Inside Surgery - March 27, 2015 Category: Surgery Authors: Editor Tags: Infectious Disease andreas lubitz crash germanwings Lyme disease pilot Source Type: blogs
A Plan for Changing Times
When I first determined back in 2013 that it was time for NIMH to update its Strategic Plan, I envisioned a simple “tune-up” and quick turnaround. It quickly became apparent that the mental health research landscape had seen vast changes since we published our plan in 2008. Instead of a tune-up we embarked on a complete re-examination of our priorities and the scientific opportunities that challenged us to look forward into the future. (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - March 27, 2015 Category: Psychiatry Authors: Thomas Insel Source Type: blogs
Two New Independent Reports on the Death of Dan Markingson, But Now What Will Happen?
This report is the first step toward accountability.'The Minnesota Post added the response of Professor Elliott and a colleague,'It’s nice to have an independent confirmation of what we’ve been telling the university for five years, but which they have refused to listen to,' he told MinnPost on Thursday.Elliott said he is not convinced, however, that Kaler and other university leaders are going to take responsibility for what happened in the Markingson case — or take the necessary steps to fix the problem going forward.'One of the most worrying findings in the report was the widespread belief on campus that the unive...
Source: Health Care Renewal - March 25, 2015 Category: Health Management Tags: anechoic effect AstraZeneca atypical anti-psychotics clinical trials conflicts of interest manipulating clinical research research subjects suppression of medical research University of Minnesota Source Type: blogs
Heal the ill but don’t hound the well
An iconoclast must not only have abundant common sense but the gift of the gab to state the obvious. Simply stating won’t do. You must rub it in. My favorite iconoclasts are Peter Skrabanek and Thomas Szasz. Skrabanek was a general practitioner who authored Death of Humane Medicine and Rise of Coercive Healthism. Szasz, a psychiatrist, who volunteered that he entered psychiatry to unveil its pseudoscience, is the Voldermort of psychiatry — he who must not be named (maybe Voldermort is the Szasz of muggles). He wrote several books including Myth of Mental Illness. Neither believed in nominative subtlety. The title o...
Source: Kevin, M.D. - Medical Weblog - March 25, 2015 Category: Journals (General) Authors: Dr. Saurabh Jha Tags: Physician Primary care Source Type: blogs
The Atlantic Slams Alcoholics Anonymous--The Carlat Take
(Source: The Carlat Psychiatry Blog)
Source: The Carlat Psychiatry Blog - March 24, 2015 Category: Psychiatry Tags: 12-step programs AA Alcoholics Anonymous Atlantic Magazine CATR The Carlat Addiction Treatment Report Source Type: blogs
One of the greatest rewards in health care
When he and I first met, he told me that he had a doctoral degree in psychology, was the CEO of the jail, and could speak 13 languages. To demonstrate, he said, “Hong tong ching chong lai tai!” He then punched the door to his cell and shouted, “GET THE F-CK OUT OF HERE, B-TCH!” I did. The next week, he answered my questions about the pencil drawings on his walls. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 24, 2015 Category: Journals (General) Authors: Maria Yang, MD Tags: Physician Psychiatry Source Type: blogs
A therapy program for medical students
I am wearing my favorite scrubs, the teal ones a friend gave to me while I was volunteering in the aftermath of the Haitian earthquake. My first-year classmates and I are in front of the anatomy lab, waiting to see our cadaver for the first time. Our group enters, and we stand around the blue-plastic-cloaked body for a few minutes, preparing ourselves and discussing the task at hand. My anatomy partner pulls back the sheet, and I gasp. I am back in the stifling morgue staring at Susannah again.* Bloated, cold, lifeless. Part of me knows she isn’t Susannah — but the skin is the same color; the evidence of poverty wr...
Source: Kevin, M.D. - Medical Weblog - March 23, 2015 Category: Journals (General) Authors: Chelsea McGuire Tags: Education Medical school Psychiatry Source Type: blogs
What does it mean to live in the age of Abilify?
I learned recently that the antipsychotic Abilify is the biggest selling prescription drug in the U.S. To be a top seller, a drug has to be expensive and also widely used. Abilify is both. It’s the 14th most prescribed brand-name medication, and it retails for about $30 a pill. Annual sales are over $7 billion, nearly a billion more than the next runner-up. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 23, 2015 Category: Journals (General) Authors: Steven Reidbord, MD Tags: Meds Medications Psychiatry Source Type: blogs
The Oklahoma University Conteoversy
Having graduated from Jesuit High School and seen my children graduate from Highland Park High School, even my limited experience assures me that there is no more a right wing group wanting to lynch black people than there is a left wing conspiracy to outlaw the NFL in favor of a national scrabble tournament. What we have is youths saying ‘bad words’ in response to the chanting of evidently ‘bad facts’ by others. The limited experience of the white youths did not let them see that the chanting of ‘bad facts’ was related to experiences which may have been true enough. But the privileged graduates also were not t...
Source: a psychiatrist who learned from veterans - March 23, 2015 Category: Psychiatry Source Type: blogs
On Combining Antipsychotics, Top-Performing Therapists, and Procrastination
(Source: The Carlat Psychiatry Blog)
Source: The Carlat Psychiatry Blog - March 21, 2015 Category: Psychiatry Source Type: blogs
Thoughts on Leaving Private Practice
The most surprising outrageous thing involved a Brother printer. We had trouble with a network connection; so someone called the helpline. They in turn were referred to someone else who did solve the problem but 'noticed some intrusions in our computer' and scared this HIPAA sensitive staff person who asked for authorizations of $600 and $300 to clear the matter up and 'have something placed on the computer to monitor.' A complete fraud from some outfit in India as it turned out. In printers I have appreciated the speed of the HP Officejet Pro 8600 which has some good HP support tools. RxNT is an excellent eprescribing sol...
Source: a psychiatrist who learned from veterans - March 20, 2015 Category: Psychiatry Source Type: blogs
Thoughts on Leaving Private Practice (Equipment and Business Methods)
The most surprising outrageous thing involved a Brother printer. We had trouble with a network connection; so someone called the helpline. They in turn were referred to someone else who did solve the problem but 'noticed some intrusions in our computer' and scared this HIPAA sensitive staff person who asked for authorizations of $600 and $300 to clear the matter up and 'have something placed on the computer to monitor.' A complete fraud from some outfit in India as it turned out. In printers I have appreciated the speed of the HP Officejet Pro 8600 which has some good HP support tools. The Samsung basic small rectangular b...
Source: a psychiatrist who learned from veterans - March 20, 2015 Category: Psychiatry Source Type: blogs
After what seems like an endless winter along the East Coast, we have reached what Emily Dickinson famously called the “month of expectation.” And, of course, March is also the time each year we celebrate Brain Awareness Week, the annual celebration of neuroscience with school visits, community lectures, and lab tours to talk about the brain. A list of Brain Awareness events can be found at http://www.dana.org/brainweek/ (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - March 19, 2015 Category: Psychiatry Authors: Thomas Insel Source Type: blogs
Research and Reviews in the Fastlane 075
This study further defends the pathway of early discharge from the ED without evocative testing in subsets of patients with low risk chest pain.Recommended by Anand SwaminathanNeurology Edwards C, et al. Residency Training: A failed lumbar puncture is more about obesity than lack of ability. Neurology 2015; 84(10):e69-72. PMID: 25754807This is an interesting article exploring the reasons for LP failure. The authors reviewed all elective LPs done by Neurology residents in a LP clinic. They recorded all the demographic of the patient and the characteristics of the proceduralist. The overall LP failure rate was 19% and it w...
Source: Life in the Fast Lane - March 19, 2015 Category: Emergency Medicine Authors: Jeremy Fried Tags: Cardiology Emergency Medicine Infectious Disease Neurology R&R in the FASTLANE Respiratory Toxicology and Toxinology literature recommendations research and reviews Source Type: blogs
Johnson and Johnson Continues to Pay For Risperdal
In August of 2012, Johnson & Johnson paid a $181 million multi-state consumer protection settlement to resolve charges that the company marketed its antipsychotic drug Risperdal for off-label uses. In November of 2013, J&J paid $2.2 billion to resolve False Claims Act allegations related to misbranding of a number of drugs, including Risperdal. In the past month, the company faced two further blows related to Risperdal. A Philadelphia jury awarded $2.5 million to the plaintiff over J&J’s “failure to warn” about Risperdal side effects. This was the first such case to be heard by a jury, though hundreds of cases ar...
Source: Policy and Medicine - March 18, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs
Eulogy for the doctor
No physician, however conscientious or careful, can tell what day or hour he may not be the object of some undeserved attack, malicious accusation, blackmail or suit for damages … “ – Assaults Upon Medical Men. Journal of the American Medical Association, 1892 It’s happened again: A well-liked doctor is killed by his patient. Last year’s horrific death of a physician in our community, a valued colleague shot in his office by a disgruntled if not deranged patient, was a shock. The recent physician slaying at Boston’s Brigham and Women’s Hospital echoed the senselessness of such an event. Th...
Source: Kevin, M.D. - Medical Weblog - March 17, 2015 Category: Journals (General) Authors: Michael Brant-Zawadzki, MD Tags: Physician Hospital Psychiatry Source Type: blogs
The Safety Nets Have Gaping Holes – Our Sewing Kit!
Anne Klee & Laurie Harkness In our country, two words that should never be spoken or written in the same sentence are Veteran and homelessness. Yet all too frequently we hear this is the case. Ten years ago there were estimated to be 250,000 homeless Veterans on the streets of America each night. Today through the multi-pronged efforts of the U.S. Department of Veterans Affairs (VA), the Department of Housing and Urban Development (HUD), many state Governor’s, state agencies, and community agencies and partners, there are now less than 50,000 homeless Veterans each night. Veterans are about 50 percent more ...
Source: Disruptive Women in Health Care - March 17, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Women Veterans Source Type: blogs
Increasing Bad Press for Today's Healthcare Information Technology - Deserved and Overdue
Here are three candid, quite revealing articles about the distaste for today's health IT that appeared recently. I will address each,The first seems like pure deja vu (see my June 4, 2009 post "If The Military Can't Get Electronic Health Records Right, Why Would We Think Conflicted EHR Companies And IT-Backwater Hospitals Can?" at http://hcrenewal.blogspot.com/2009/06/if-military-cant-get-electronic-health.html):1. Forbes: Pentagon's $11 Billion Healthcare Record System Will Be Obsolete Before It's Even Built - March 3, 2015http://www.forbes.com/sites/lorenthompson/2015/03/03/military-healthcare-11-...
Source: Health Care Renewal - March 16, 2015 Category: Health Management Tags: forbes health affairs healthcare IT difficulties healthcare IT risks HealthcareDive.com Source Type: blogs
Should Medical Staff ‘Google’ Patients?
Note: The Bioethics Program blog will be moving to its new home on April 1, 2015. Be sure to change your bookmarks to http://bioethics.uniongraduatecollege.edu/blog/ by Brandon Hamm, Bioethics Program Alum (MSBioethics 2012) On several occasions, a new admission or psychiatric consultation has been accompanied by patient information that was “googled” by nursing or consulting practitioners. On some […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 16, 2015 Category: Medical Ethics Authors: The Bioethics Program Tags: Health Care Privacy Clinical Care paternalism syndicated Source Type: blogs
Last week we had our annual House appropriations subcommittee hearing to discuss next year’s budget for NIH. The bipartisan enthusiasm for NIH and its mission was striking, so striking that ranking member Rosa DeLauro (D-CT) ended the hearing by suggesting a “group hug.” Amidst the rare bipartisan romance, there were a few challenging questions, including one about how NIH sets priorities. Dr. Andy Harris (R-MD), the only member of Congress who has been an NIH grantee, put it this way: “Eighty-four million Americans have heart disease, and yet the amount we spend per death is a hundred times less on heart disease t...
Source: NIMH Directors Blog - March 14, 2015 Category: Psychiatry Authors: Thomas Insel Source Type: blogs
Walmart Rounds Helping Train Nation's Young Doctors.
Little Rock, AK - Doctors at the University of Arkansas Medical Center celebrated the three year anniversary of Walmart Rounds on Friday, a one-of-a-kind initiative exposing student doctors to a wide variety of conditions rarely seen anywhere else in the world.Attending physicians, residents, interns and medical students from most specialities have donned their white coats and headed to their favorite local Walmart isle for the last three years to observe the stunning pathology of Walmartians in their natural environment."During Walmart rounds, we try and tell our students to be as discrete as possible when...
Source: The Happy Hospitalist - March 14, 2015 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs
Destruction of Lives with the Stroke of a Pen
Protect Our Defenders is a non-profit human rights organization that honors, supports and gives voice to the brave women and men in uniform who have been raped or sexually assaulted by fellow service members. Nancy Parrish Paula Coughlin Men and women serving in our military who are raped or sexually assaulted face overwhelming obstacles in order to receive adequate health care. Instead of assuring victims that their distress about their attacks is a normal response, the Department of Defense (DoD) has a record of mistreating victims by labeling them with errant diagnoses of personality or adjustment disorders. Based on ...
Source: Disruptive Women in Health Care - March 10, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Women Veterans Source Type: blogs
Depression: Why not START with a nutritional solution?
If you experience depression, you will typically be prescribed an antidepressant, an SSRI or other agent. If you consult a psychologist or counselor, the underlying psychological underpinnings (if any) are explored, strategies devised to cope. But there will almost never be talk about your diet, nutritional deficiencies that amplify dark moods, the life habits that allow demons to emerge. Yet there are some very powerful strategies available that have potential to substantially lift mood. Such solutions won’t, of course, erase the effects of childhood trauma or grieving from personal loss, but they can help smooth th...
Source: Wheat Belly Blog - March 9, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle anxiety Depression gluten grains Weight Loss Source Type: blogs
Assisted physician suicide: Are doctors killing doctors?
Standing on the edge of his hotel balcony, a doctor describes the rolling hills. He tells me, “It’s a beautiful place to die.” Ten minutes later, he agrees not to injure himself — for now. I’m not running a physician suicide hotline. But doctors keep calling me. It’s midnight, and I’m speaking to a psychiatry intern. Bullied by residents and her attending, she cries, “I’ve lost my self-confidence. I’m depressed. On psych meds now. But I don’t feel better.” Then a fourth-year medical student shares a similar story. “I was normal before med school. Now I’m so afraid. I can’t go on,” she so...
Source: Kevin, M.D. - Medical Weblog - March 9, 2015 Category: Journals (General) Authors: Pamela Wible, MD Tags: Physician Psychiatry Source Type: blogs
Facebook Launches Suicide Prevention Initiative - WSJ video
Facebook is partnering with suicide prevention organizations on a new tool to identify people in distress. Forefront research scientist Ursula Whiteside discusses the project with Sara Murray. Posted at Clinical Cases and Images. Stay updated and subscribe, follow us on Twitter and connect on Facebook. (Source: Clinical Cases and Images - Blog)
Source: Clinical Cases and Images - Blog - March 8, 2015 Category: Universities & Medical Training Tags: Depression Facebook Psychiatry Source Type: blogs
Delirium and Physostigmine: ECG helps in Management
This patient took an unknown overdose and was delirious. The axillae were dry. Due to delirium and dry skin, there was suspicion of anticholinergic toxicity.Here is his ECG:There is sinus tachycardia. There is also some QRS widening and a large R-wave in aVR, and an rSR' (RV conduction delay) in lead V1. The QRS duration is 107 ms. There is QT prolongation as well, with a computerized (Bazett) QTc of 480 ms (prolonged).The prolonged QRS and RV conduction delay make this very suspicious for Na channel blockade, and, most worrisome, for tricyclic antidepressant overdose (TCA).Do we treat the del...
Source: Dr. Smith's ECG Blog - March 7, 2015 Category: Cardiology Authors: Steve Smith Source Type: blogs
An alcoholic patient, and his effect on a medical student
This article originally appeared in uvm medicine. Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 6, 2015 Category: Journals (General) Authors: Cordelia Ross Tags: Education Emergency Hospital Medical school Source Type: blogs
Does medical student debt lead to suicide?
Every year 300 to 400 physicians commit suicide. More than 10 percent of doctors are thought to have depression, a frequent precursor to suicide. Rates of depression and suicide among physicians are higher than in the general population. Many reasons including stress, heavy workload, sleep deprivation, lack of autonomy, and lack of outlets for personal care may contribute to higher vulnerability in doctors. High-profile suicides this past year by medical residents have led to a slew of articles on depression and suicide in physician. Curiously missing from the conversation is financial strain, particularly debt. Co...
Source: Kevin, M.D. - Medical Weblog - March 6, 2015 Category: Journals (General) Authors: Kunmi Sobowale Tags: Education Medical school Psychiatry Source Type: blogs
Top stories in health and medicine, March 6, 2015
From MedPage Today: Trends in Teen, Young Adult Suicide Differ by Gender. Patterns of suicides among adolescents and young adults changed dramatically from 1994 to 2012, with major gender differences in these 19-year trends. Early Hot Flashes May Predict Heart Disease. Early-onset and frequent hot flashes and night sweats in women were associated with poorer endothelial function. Hepatitis E Vaccine Has Lasting Effect. A vaccine against hepatitis E (HEV) provided protection against the virus for more than 4 years. Getting Inspired About the Lean, Mean PCMH. As we continue planning our first patient-centered medical home ...
Source: Kevin, M.D. - Medical Weblog - March 6, 2015 Category: Journals (General) Authors: MedPage Today Tags: News GI OB/GYN Psychiatry Source Type: blogs
When asked about how NIMH research can change mental health care, I have a short list of “best hits” that I offer as examples. High up on that short list is collaborative care. Developed initially for treating depression, collaborative care integrates mental health and primary care to provide patient-centered, comprehensive, accountable care. To ensure that patients receive comprehensive and evidence-based care, each patient has a team, including primary care providers and mental health specialists, monitoring progress, with clinical and community support for reaching treatment goals. Not only does each patient’s tre...
Source: NIMH Directors Blog - March 5, 2015 Category: Psychiatry Authors: Thomas Insel Source Type: blogs
Increase the minimum wage for better mental health
There are many good reasons for Congress to enact President Obama’s proposal to raise the Federal minimum wage to $9 per hour. Many of these reasons, from economic stimulus to possible reductions in gaping income inequality to much-needed financial relief for working families, have been extensively discussed in the public sphere. However, one important benefit of increasing wages has not received enough attention: improving mental health. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 4, 2015 Category: Journals (General) Authors: Marc W. Manseau, MD, MPH Tags: Policy Psychiatry Source Type: blogs
The ACA’s Hospital Tax-Exemption Rules And The Practice Of Medicine
The Affordable Care Act (ACA) and related regulations include obligations for nonprofit (and some government) hospitals to provide benefits, such as free care, to their communities. On their face, these new obligations seem a valuable response to longstanding concerns of some legislators, litigators, and scholars that some nonprofit hospitals are really ‘for-profits in disguise’ and to the related calls to eliminate tax-deductions for gifts to nonprofit hospitals. Moreover, the requirements have been lauded for their potential to improve public health, particularly in leading to better consultation and collaboration wi...
Source: Health Affairs Blog - March 3, 2015 Category: Health Management Authors: Jill Horwitz and David Cutler Tags: All Categories Business of Health Care Health Law Health Reform Hospitals Policy Source Type: blogs
Is Internal Medicine MOC necessary?
Maintenance of certification is, in my opinion, a good idea. While I had significant concerns about the structure that the ABIM was using, the idea that we have an obligation to maintain our knowledge. I believe that the only legitimate argument is in the definition of how one documents maintenance. The ABIM had two major problems to address. The first issue that they are working vigorously to improve is the criteria for MOC. I have written often about how I would document maintenance. I hope the performance improvement concept is taken out of MOC because we are subject to too many performance report cards already. While ...
Source: DB's Medical Rants - March 2, 2015 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Just in the Nic o’ tine
A 21-year-old man presented with palpitations, tremulousness, nausea, and vomiting. He reported ingesting one 14 mg nicotine patch in a suicide attempt. Initial vital signs include heart rate 132 bpm, blood pressure 140/80 mm Hg, temperature 37°C, respiratory rate 26 bpm, and pulse oximetry 100% on room air. Physical examination is remarkable for agitation, fine resting tremor, tachycardia, and pressured speech. The lethal dose of nicotine is estimated to range from 1 mg/kg to 10 mg/kg. Reports of nicotine toxicity have occurred with the ingestion of as little as one whole cigarette or three cigarette butts in children...
Source: The Tox Cave - March 2, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Things we might have done differently: High School
#1 is finishing High School. Some good things have happened in High School, but if we could rerun the tape we’d have tried something different — perhaps a local charter school that specializes in autism disorders.The Junior and Senior years have been remarkably weak. I think this is partly due to local conditions; we’ve seen problems with leadership, policies, and funding — particularly funding and support for class aides.I don’t think that’s the whole story though — I suspect very few schools or school districts have figured out how to manage special education for ages 16-19, particularly in integrated setti...
Source: Be the Best You can Be - March 2, 2015 Category: Disability Tags: adolescence adult education school Source Type: blogs
Crowd Sourced Suckers
“What do you think of this?” writes a friend: …[A]n untraditional approach to medical diagnosis that is helping solve the country’s most difficult medical mysteries and creating real miracles. This is the description of something called CrowdMed, the latest version of getting doctors to provide services for free. Thus my short answer about what I think of it: not much. To be fair, and because I had a few minutes of free time, I went and checked it out. Patients submit questions about their medical condition(s), accompanied by varying levels of supporting detail, and “medical detectives”...
Source: Musings of a Dinosaur - February 27, 2015 Category: Primary Care Authors: notdeaddinosaur Tags: Medical Source Type: blogs
Promoting Amphetamines for Over-Eating - What Could Possibly Go Wrong?
In this study, about 5% of patients given any dosage of Vyvanse had to discontinue its use because of adverse effects. 3/196 patients initially randomized to Vyvanse had serious adverse effects, and one patient died, apparently of an amphetamine overdose. Oddly, the article declared that the one death, due to methamphetamine overdose, was thought by a study investigator not to be related to treatment with another amphetamine, lisdexamfetamine. That makes little sense, given that in a randomized controlled trial, the presumption is that differences in groups given different treatments were caused by these ...
Source: Health Care Renewal - February 26, 2015 Category: Health Management Tags: clinical trials conflicts of interest deception evidence-based medicine FDA marketing Shire stealth marketing Source Type: blogs
Mortality and Mental Disorders
It’s easy to overlook the most important health statistic of the past century. Life expectancy has increased dramatically in the U.S., from 51 years in 1910 to nearly 79 years (81 years in women, 76 years in men) in 2010.1 (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - February 26, 2015 Category: Psychiatry Authors: Thomas Insel Source Type: blogs
Preventing deaths in detention of adults with mental health conditions
Equality and Human Rights Commission (EHRC) - This publication is the final report of an inquiry into non-natural deaths of adults with mental health conditions who have been detained in England and Wales. It focuses on prisons, police custody and psychiatric hospitals, as every year hundreds of deaths occur in these settings and these deaths are later deemed to have been preventable. Report Supplementary documents EHRC inquiry (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - February 23, 2015 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Mental Health Patient safety Source Type: blogs
When patients’ anger leads to murder
When we perceive any object of a familiar kind, much of what appears subjectively to be immediately given is really derived from past experience. – Bertrand Russell, The Analysis of Mind I’ve learned a few more things about Stephen Pasceri, the man who murdered a cardiovascular surgeon in Boston recently. He had money troubles involving credit card debt. He declared bankruptcy at one point. He tried to get John Kerry, the senator, to fix an $8,000 hospital bill. He also has family troubles. He sued his own aunt and uncle over a property dispute. He seems to have been an angry and impulsive man. Conti...
Source: Kevin, M.D. - Medical Weblog - February 17, 2015 Category: Journals (General) Authors: Shirie Leng, MD Tags: Physician Psychiatry Source Type: blogs
Many years ago I read a lot about Dietrich Bonhoeffer, the minister and theologian. His ideas about the church and Christianity I found interesting, and I was also interested in his involvement in plots to kill Hitler. He was executed in 1945 for that involvement. And so I discovered that his father, Karl (1868-1948) was a psychiatrist. And because at the time I worked at the Royal Society of Medicine Library in London, which was (and is) a research library of historical record which kept all sorts of things, and we had Index Medicus in print and Medline on CD Rom, I could find material about h...
Source: Browsing - February 15, 2015 Category: Databases & Libraries Tags: medical history Nazi Germany psychiatry Source Type: blogs
The $5.3 Million a Year Government Bureaucrat - The Top Administrator, or CEO of a "Government Entity," Charlotte-Mecklenburg Hospital Authority, "Doing Business as" Carolinas Healthcare Gets a Raise
The pay given to top managers of health care organizations continues its seemingly inexorable rise, and the justifications for it seem to be increasingly perfunctory. However, a closer look at individual cases can generate even more questions about how we got to this pass. Our latest example arises from a recent news article about the compensation of top managers at Carolinas Healthcare. CEO Pay Levitating Since 2009 In 2011, we started following executive compensation at the hospital system now known as Carolinas Healthcare. Our posts in 2011, 2012, and 2013 all fit the same pattern.The total compensati...
Source: Health Care Renewal - February 12, 2015 Category: Health Management Tags: Carolinas HealthCare Charlotte-Mecklenburg Hospital Authority executive compensation government managers ' coup d etat public hospitals Source Type: blogs
Can use of an occupational justice model in an American context result in accusations of professional misconduct?
Conceptual practice models are interrelated bodies of theory, research, and practice resources that are used by OTs to guide practice (Kielhofner, 2009). One such conceptual practice model is the Occupational Justice Model (Townsend, 1993; Townsend and Nillson, 2010). According to these sources, the Occupational Justice Model is framed around the concept that injustice occurs due to inherent governance and social structures that allegedly restrict the occupational performance of some populations and individuals.Concepts associated with occupational justice models have filtered into some official documents of the Amer...
Source: ABC Therapeutics Occupational Therapy Weblog - February 12, 2015 Category: Occupational Health Tags: OT Education OT practice philosophy Source Type: blogs
Medtronic Settles $2.8 Million Off-Label Suit Over Neurostimulator Promotion
Minnesota-based medtech company, Medtronic Inc., has agreed to pay $2.8 million to resolve allegations that the company promoted its neurostimulator device for unapproved chronic pain treatment. According to the complaint, originally filed by former Medtronic sales rep Jason Nickell, Medtronic sales staff were directed to sell the device at discounted prices to pain management doctors. Nickell also alleged that sales reps promised physicians could “make upward of $10,000 profit on each patient, while adding only minutes to the procedure" by using a billing code meant for an FDA-approved use. Neurostimulation provides pai...
Source: Policy and Medicine - February 11, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs
In times of stress, remember who is behind the mask
As clinicians, we often forget or become desensitized to the image that society has of medicine and doctors. Alongside teachers and scientists, we are seen to be among the most trustworthy of professionals, yet our morale is low, with almost 50 percent describing it as “low” or “very low.” You can imagine, then, why I often describe medicine as a forest: beautiful, scenic and picturesque from afar but potentially hostile, and even lethal, inside. From a distance, the forest is amazing to behold, but inside, from time to time, its inhabitants — and we all know this feeling far too well — grow tired of be...
Source: Kevin, M.D. - Medical Weblog - February 10, 2015 Category: Journals (General) Authors: Dr. Artaza Gilani Tags: Physician Hospital Psychiatry Residency Source Type: blogs
Immune to Stress?
Some of us seem to cope better with life’s hard knocks than others. One might assume that the secrets to understanding these individual differences in resilience must be sought in the brain. Maybe not. (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - February 10, 2015 Category: Psychiatry Authors: Thomas Insel Source Type: blogs
Tesla Motors Receives 5-Star Suicide Safety Rating From American Psychiatric Association.
Arlington, VA - Premium car company Tesla Motors, maker of the all electric and emission free Model S luxury vehicle, proudly accepted the coveted 5-Star Suicide Safety rating on Friday from the American Psychiatric Association's Suicide Prevention Board (APASPB). During over 40 years of independent suicide testing, the APASPB has never given out a 5-Star rating to a car company because of the exceptionally high risk of carbon monoxide poisoning and general risk of death experienced during closed garage suicide field testing."We are thrilled to be recognized by the APA as a leading manufacturer of safe suicide techno...
Source: The Happy Hospitalist - February 9, 2015 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs
Prescribing off-label: It’s gotten out of control
Doctors prescribe way too many medicines for patients who don’t really need them. A lot of the pressure comes from intense drug company marketing. Some comes from patients who aren’t happy leaving the office without a pill. And doctors have too little time with each patient to explain non-pill solutions to problems. Wild prescribing is not new. For thousands of years, doctors have given patients useless (and often quite harmful) drugs and patients have taken them. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source...
Source: Kevin, M.D. - Medical Weblog - February 6, 2015 Category: Journals (General) Authors: Allen Frances, MD Tags: Meds Medications Psychiatry Source Type: blogs