In 1987 I started my psychiatry residency. Since then, they have changed the Diagnostic and Statistic Manual three times and it still does not seem to be keeping up with how fast the world is changing around me.
I one saw lots of “lethargic” depressions. Slow and sleepy “ain’t got no energy” depressions. “I feel like a human blob” kind of depressions.
Now most of them turn out to be Type II (“adult onset”) sugar diabetes or the thyroid just stopped working for some creative reason. Read more on Then and Now…
Filed under depression, Diagnosis, Disease, Doctors, Education, life, medicine, Mental Illness, News, Psychiatrists, Psychology by on Jun 11th, 2020. Comment. 
She was, and is, a close and cherished friend. Someone decided she had Alzheimer’s. At least somebody said she did. She had wonderful plans for retirement. Now the retirement community she had been dreaming of did not seem to want her and her husband around. She has just made the decision (I don’t know with who’s help) that it is a better idea she does not drive. She would surely not remember the details of how the diagnosis was made. I wonder if it had been made properly. Probably not.
Filed under Aging, Alternative Medicine, Alzheimer's Disease, Diagnosis, Disease by on Jan 9th, 2017. Comment.
Doctors at a hospital chain in Los Angeles have complained about pressure to make unnecessary hospital admissions. It takes a lot to make doctors complain. These sorts of actions are rare enough that my gut reaction is to believe that where there is smoke, there is probably fire.
A long time ago, a preceptor, or teaching doctor, in psychopharmacology told me to read business newspapers like the Wall Street Journal if I really wanted to know what was going on in drug development. I never seemed to have the time, but he certainly did. He had a nice family and a fairly large home. A little more recently, my husband told me if I was ever approached by Mike Wallace, then the star reporter of “60 Minutes” on CBS, with a microphone and a camera, I should probably run like hell.
I am delighted this group of doctors complained. The health care company has denied the allegations. They say the data, collected by a third party, does not support the allegations. They don’t provide a link to the data, and I can’t locate it anywhere, so I guess I’ll just have to take their word for it. Cute, huh? One thing I have learned about all allegedly scientific data, whether it is a result of pouring things in test-tubes or a lot of people counting numbers, is not to judge the results until I know who paid for them. This hospital apparently paid someone to check if their admissions were appropriate. Can anybody possibly trust this data, especially knowing it is unavailable and its collection was paid for — if not supervised — by the hospital in question? Read more on Did Anyone Actually Believe That Medical Care Companies Were Honest or Ethical?…
Filed under Healthcare reform by on Dec 14th, 2012. Comment.
When I was little, my Grandfather-of-Blessed-Memory (maternal) came to visit us at 6 am every Sunday morning, arising very early to drive about two hours from Springfield to our Boston suburb of Chelsea.
Springfield would be considered “way out west” as compared to civilized and urbanized Boston, so it is like the country mouse coming to the big city.
He said the road was not busy and drive was relaxing and pleasant for him. But his visits were anything but relaxing and pleasant for us, who would much rather have tried to sleep in on Sunday.
The exception was my paternal Grandmother-of-Blessed-Memory – who was also an early riser. Older folks often seem to get up early.
(That’s how I know I’m not old yet – I still love to sleep late). These two senior members of our family seemed to get along well. Grandfather called her “Mother Goldstein,” and even brought her a nice bottle of (coincidentally named) “Mother Goldstein” brand kosher wine. There was one incident that I recall that upset a peaceful Sunday morning when I was about five. I came downstairs in my best baby blue lace dress to hear Grandfather yelling at Grandmother never to serve him that “horrible drink” again. Read more on Chicory, Belgian Endives And Me…
Filed under medicine, News, weight by on Feb 8th, 2012. Comment.
California is known as “The Golden State” and some have called it “The Land of Milk and Honey.”
The Beverly Hillbillies noted that it was the home of “Swimming pools – Movie stars.”
That should be encouraging for people like my 27 year old, freckled, red-headed patient. After all, he had a pool cleaning business. But he was nervous — really nervous.
He did not have full-blown panic attacks, though he certainly fit the criteria for generalized anxiety attacks. Sometimes he did get a “heart in the throat” kind of feeling; something which some people would have called a “truncated anxiety attack.” But he had a lot of them and they really didn’t cramp his style very much.
He did not sleep very well, confessed that concentration was poor, and had great difficulty trying to find any interest in collegiate academics. As a result, his grades suffered considerably. And while I could potentially chalk this up to him falling into a category of males who may be better equipped for trade school than an actual 4-year college (based on patience; not necessarily intelligence), I didn’t believe this to be his case at all.
This guy was anxious. Read more on Stuck On The Treatment Treadmill…
Filed under Public Health System by on Jan 3rd, 2012. Comment.