traumatic brain injury

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The ketogenic diet is a high-fat content diet in which carbohydrates are nearly eliminated so that the body has minimal dietary sources of glucose. After depleting carbs consumed in food, the body metabolizes body fat, converting it to glucose — which is the true fuel of the body and especially the brain. However the metabolized fat also produces ketones, which are the most efficient fuel for the body and brain. The ketogenic diet has been in clinical use for over 80 years, primarily for the symptomatic treatment of epilepsy.

Read more on Neuroprotective and Disease-Modifying Effects of the Ketogenic Diet…

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Many years ago, Paul J. Fink, M.D. was head of the American Psychiatric association, and made a remark in a speech which I have never forgotten, although I can’t find the text of the original speech.

He said something to the effect that prostitution and psychiatry had the same problem — the amateurs think they are as good as the professionals.

I can’t give any kind of a reasonable assessment of how this would apply to professional prostitutes.  It seems to me as if there is a tremendous amount of information available to anyone who seeks it with assiduity.  Besides, I am unaware of structured training, university degrees, or licensure or any kind of proof of skill for professional prostitutes.

As for psychiatrists, I am constantly amazed by how many people are unaware of what we really do.  Misinformation abounds in the media, films especially. Read more on Leave Medical Comments Out Of Politics…

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I am a veteran.

Military. American. U.S. Army.  Medical Corps.

This is truth.

WWI poster Gen Pershing and Uncle Sam

Uncle Sam Urges Gen Pershing On From France To Germany

Along with being a fairly knowledgeable physician with over 30 years experience, it still seems incredible and unbelievable to at least some of my patients.  It is not in their experience to know women who appear on the surface to be feminine and attractive who have been in the military.  Admittedly, these things were never brought up until I lost a massive amount of weight (half my body weight) but there they are.

Every time I get a chance, I thank a veteran with a handshake for defending – in these very words — “this great nation.”  This seems to be a custom that has crested, for I have not met anyone else who does this lately.

Even though I tell people I am a veteran, too, almost nobody thanks me back.

Read more on This Memorial Day, Thank The Live Veterans And Honor The Dead…

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My husband introduced me to the original “Star Trek” series and movies and of course the character I most identify with is Mr. Spock.

His famous catch phrase is “Humans are illogical.”

Children playing soccer taking a headerThat’s an understatement – and as a psychiatrist I often see those who are far, far past illogical.

One of the topics I have frequently commented about is perhaps the most illogical of all – SPORTS.

It seems there is always a story in the news about sports injuries and deaths, and it is well established that professional sports ruins the lives of the athletes who perform and the cities that finance these bread-and-circus entertainments for their fans.

Yet, sports fans are like religious zealots – they just don’t care about the wreckage and carnage as long as they get to drink heavily and act irresponsibly.

It’s even more of a tragedy when the athletes are not professionals – they are children.

Read more on Minors Should Be Protected By More Than Helmets…

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I was commissioned a captain in the United States Army in a northern Midwest city.  The physician who examined me before I took the oath was senior and experienced and as avuncular as they come.

He said the most interesting people (and far and away the smartest) he got to meet in his life were commissioned women.  The one he had seen before me was a woman who had been a professional musician, a clarinetist I think, and was going straight to Wahington, D.C. to play in a dance band at the White House.  He told me about women rocket scientists and others. Me, I figured I was only a doctor, a half-trained neurosurgeon.  As a generalist he felt somehow he needed to show me enough respect. He really didn’t want to do a physical, so he did a cursory and discrete one, and I asked him about being a civilian physician attached to the military.  In particular, I asked him about neurological and psychiatric screening. Although he told me he knew how to do a pretty detailed neurological examination, he said he never had to do one.  Anyone with that kind of illness would, he thought, be likely to be screened out long before. After all, these were generally healthy young men.  Basically, the most important part of the examination was checking them for hernias. Read more on Military Mental Health — A Contradiction?…

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