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Blog: “I am one of the people featured in Bedlam, a four part documentary series on Channel 4″ #MentalHealth #ukmh
  NHS Mental Hell       I am one of the people featured in Bedlam, a four part documentary series which starts tonight on Channel 4. It’s about the Betham Royal Hospital’s work with the mentally ill. I’m sure it’s a good documentary, & people should watch it, but this article is about important things which it won’t be reporting. Recent BBC & Channel 4 programs about mental health have presented far too rosy a picture. I will be one of the people featured anonymously in a 4 part Channel 4 documentary series called Bedlam. I’m in the Anxiety program which will be broadcast at 21:...
Source: Dawn Willis sharing the News and Views of the Mentally Wealthy - November 1, 2013 Category: Mental Illness Authors: Quinonostante Tags: Mental Health, The News & Policies. bedlam channel 4 discrimination stigma Source Type: blogs

His reputation precedes him: Meet the bad news doctor
Kasey sits alone in the examining room, staring at the drug company calendar of a perfect Caribbean beach hanging above the doctor’s desk, but not seeing it at all. She is very frightened.  After three years of treatment for cancer, she is in trouble.   Kasey feels fine: no shortness of breath, no cough, no pain.  Still, she is there to get the report on her CT scan, and she knows that something terrible is going to happen.  Kasey is about to visit the bad news doctor. 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 - July 15, 2014 Category: Journals (General) Authors: Tags: Physician Cancer Source Type: blogs

Informed consent and the ethics of the Facebook news feed study
I’m simultaneously a behavioral researcher, an ethicist, and a hopeless Facebook addict, so I’ve been thinking a lot about a recent controversial study in which researchers manipulated the emotional content of 689,003 Facebook users’ news feeds. In summary, users who saw fewer of their friends’ posts expressing negative emotions went on to express more positive and fewer negative emotions in their own posts, while users who saw fewer posts expressing positive emotions went on to express more negative and fewer positive emotions in their posts. Continue reading ... Your patients are rating you online: How to resp...
Source: Kevin, M.D. - Medical Weblog - July 26, 2014 Category: Journals (General) Authors: Tags: Social media Facebook Source Type: blogs

Giving terrible news to those we love
I knew immediately it was a problem.  It was not just that Faith’s cancer had spread with innumerable masses in her liver, golf ball-like tumors in her lungs, punched out holes in her bones.  It was not that the chemo, third round and toxic, had failed.  Those were awful things.  Rather it was her response as I began to tell her.  As soon as I said, “I looked at the CT scan and I do not have good news,” she silenced me with an upheld palm.  Faith then told her husband to leave the room. 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 - August 5, 2014 Category: Journals (General) Authors: Tags: Physician Cancer Source Type: blogs

I broke my own rule when giving bad news
For 25 years, I have taught medical students how to give bad news.  Step one: Be prepared.  Step two: Find a safe, personal, quiet environment.  Step three, and this is most important: Before you speak, ask.  What do the patient and family understand? Fail to follow this vital rule and reap the whirlwind.   So, therefore, you might ask, if I have such wisdom and experience in this critical area of communication, how did I screw up so badly? 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 - March 11, 2015 Category: Journals (General) Authors: Tags: Physician Cancer Source Type: blogs

Delivering bad news shouldn’t be easy
Delivering bad news is part of my job, an important part. It is fashionable nowadays to speak of the doctor-patient relationship as a partnership. In the sense that both doctor and patient have important roles to play for the patient to get good care, that’s very true. But even in the best of times, it’s a very asymmetric partnership. Even in a run-of-the-mill visit for a sinus infection the patient and the doctor bring very different skills, experiences, and expectations to the encounter. 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 - April 16, 2015 Category: Journals (General) Authors: Tags: Physician Primary care Source Type: blogs

Join the NIHR’s expert reviewer community
The NIHR relies on expert reviewers. The contributions and perspectives of a wide range of experts are vital in ensuring the quality and scientific relevance of research topics, funding applications and published outputs across NIHR programmes. Reviewers make a significant contribution to the NHS and public health by shaping research and improving practice.  External link for more information:  http://www.nets.nihr.ac.uk/become-a-reviewer Contributor's Information Contributor's name:  CEAD Email address:  ...
Source: The Cochrane Collaboration - Current news at The Cochrane Collaboration - April 1, 2015 Category: Databases & Libraries Authors: Muriah Umoquit Tags: Authors Current news Cochrane contributors Funding & Partnerships Events Source Type: news

How often should doctors blog?
A continuing series on physician online reputation.   For more KevinMD minutes, please visit my YouTube channel. Here is one question I get a lot: “How often should doctors blog?” Well, it could be once a week, once a month, once every two weeks; there is no set number. But it should be a number that you have to stick with for at least six months. Too often, I hear doctors who are really excited at first about composing blogs or creating videos on YouTube, and they will do a post every day for a week. It takes a lot of time and energy to compose a great blog post. When they post a blog and no one reads it, ...
Source: Kevin, M.D. - Medical Weblog - June 1, 2015 Category: Journals (General) Authors: Tags: Kevin's Take KevinMD minute Online reputation Source Type: blogs

What is the right way to deliver bad news?
Recently, someone close to me was diagnosed with cancer. Due to a series of missed phone calls on both sides, he had not heard the results of his biopsy prior to his follow up appointment. When his young doctor walked in, he started with, “So you know you have cancer, right?” I just wanted to scream, “What the f*ck!”  It is never easy to give someone bad news, but this obviously was not the way to do it. This experience took me back to a patient of mine early in my practice. She was a young, fit woman with short brown hair that framed her face. Because she was healthy, I had only seen her twice in the couple years...
Source: Kevin, M.D. - Medical Weblog - May 2, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/andrea-eisenberg" rel="tag" > Andrea Eisenberg, MD < /a > Tags: Physician Cancer Source Type: blogs

Doctors should fight fake health news at the checkout aisle
I see them every time I wait in the inescapably long lines at the grocery store. They’re offering me so much. Fat-melting foods that “work like gastric bypass.” Sleep masks that prevent breast cancer. One day diets. And, of course, the perennial “medical miracles.” All these revelations can be mine with a simple magazine purchase. It’s easy to dismiss the medical advice being propagated through the supermarket checkout aisle. Who would take health advice from a magazine sitting next to a box of Snickers and the National Enquirer? This visceral elitism, however, is causing doctors and scientists to miss out on a...
Source: Kevin, M.D. - Medical Weblog - June 24, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/benjamin-mazer" rel="tag" > Benjamin Mazer, MD, MBA < /a > Tags: Physician Primary care Source Type: blogs

12 tips for giving patients bad news
My partner Judith had pain in her sinus cavity caused by a tumor called a plasmacytoma. After her biopsy, her surgeon called Friday afternoon with the results. She asked him to wait fifteen minutes until I could be home with her to get the news. He had no flexibility and said he could speak either then or Monday. She chose to speak with him then on the phone still alone. He confirmed that the tumor was cancer of an unknown type. She hurried to the hospital to get more tests to learn what kind of cancer it was. That was a really bad day. Judith and I both work in the health care system. I am a palliative and acute care chap...
Source: Kevin, M.D. - Medical Weblog - August 13, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/chaya-gusfield" rel="tag" > Chaya Gusfield, BCC < /a > Tags: Conditions Hospital Palliative care Source Type: blogs

Antidepressant Drugs and the Risk of Suicide in Children and Adolescents.
Abstract Government agencies have issued warnings about the use of antidepressant medications in children, adolescents, and young adults since 2003. The statements warn that such medications may cause de novo 'suicidality' in some people. This review explores the data on the treatment of depression that led to these warnings and subsequent data that are relevant to the warnings. It also addresses the effectiveness of antidepressant treatment in general and the relationship of suicide rates to antidepressant treatment. It concludes that the decisions for the 'black box' warnings were based on biased data and invali...
Source: Paediatric Drugs - January 23, 2014 Category: Pediatrics Authors: Isacsson G, Rich CL Tags: Paediatr Drugs Source Type: research

Ethics of Studies of Drugs in Pregnancy.
Abstract Pregnant women with illness require efficacious and safe drug therapy during pregnancy; however, their treatment is often hindered by a lack of information regarding the use of medications during pregnancy. Ethical challenges are encountered in conducting drug trials in pregnant women, who are often excluded from participation due to fear of harm to the fetus. However, as the health of the fetus is ultimately affected by that of the pregnant woman, inclusion of pregnant women in studies of medications that they may require for their own benefit may also benefit the unborn child. The principle of autonomy ...
Source: Paediatric Drugs - November 21, 2014 Category: Pediatrics Authors: Matsui D Tags: Paediatr Drugs Source Type: research

Effects of Antiepileptic Drugs on Bone Health and Growth Potential in Children with Epilepsy.
CONCLUSIONS: Reduced bone density, impaired bone growth, and vitamin D deficiency may be seen in children treated with drugs against epilepsy. IMPLICATIONS: Measures to correct vitamin D deficiency, calcium intake should be taken. PMID: 25567416 [PubMed - as supplied by publisher]
Source: Paediatric Drugs - January 8, 2015 Category: Pediatrics Authors: Vestergaard P Tags: Paediatr Drugs Source Type: research

Comparison of Drug Utilization Patterns in Observational Data: Antiepileptic Drugs in Pediatric Patients.
CONCLUSION: Comparing drug utilization patterns in a pediatric population using observational data, we found similar rates of retention and therapeutic changes. These findings are consistent with the available comparative data and demonstrate an approach that could be extended to other drug classes and conditions in pediatric populations to examine drug effectiveness. PMID: 26070280 [PubMed - as supplied by publisher]
Source: Paediatric Drugs - June 13, 2015 Category: Pediatrics Authors: Bourgeois FT, Olson KL, Poduri A, Mandl KD Tags: Paediatr Drugs Source Type: research