Feb 15-19 2016

This…

Jim Amos, MD. Click me to read Faculty Focus.

…Just in!

Hal, feeling better and after "getting small"

Pharmacologic Management of Delirium: Remember Humility

My wife alerted me to an interesting article about a man arrested for driving while intoxicated who reported that he had auto-brewery syndrome. The most recent article I could find in PubMed which had any credibility cast doubt on the authenticity of the condition and I have to admit I don’t have any confidence in the […]

Around 7 AM Feb 8 2016

Prescription Drugs Causing Delirium…And A Sockdolager Day for Darn Tough Socks!

One of the residents stopped me in the hallway and suggested I add a link on my blog to a list of drugs which are associated with causing delirium. Check the menu below the header. Thanks, Sophia! It’s a great idea and I wish I’d thought of it a long time ago. The caveat is […]

Darn Tough Socks 3

These Socks Are Your Socks…

This is a follow up to my sock post from yesterday, for which I’m sure you’re all clamoring. A blogger named Jnana Hodson suggested I check out Darn Tough Socks. Visit his blog. At first I wondered if Bernie Sanders buys his socks there, since the outfit that produces them is in Vermont. But then I discovered […]

Dr. Amos on smartphone

Socks On The Party Line

  Remember all those gorgeous new socks I got for Christmas? I wear them one day and I have to throw them out because they get holes in the toes. One day! At first I thought it was because I run around all over the hospital including up and down an average of 18 stairs. […]

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CPCP: Preventing PTSD by Dr. Emily Morse

The Clinical Problems in Consultation Psychiatry (CPCP) presentation was given by  resident psychiatrist Dr. Emily Morse, DO and was about prevention of Posttraumatic stressor disorder (PTSD) by using specific medications. One of the reasons I was curious about this turned out to be based on a wrong assumption. Our burn surgeons are very interested in […]

Surveyor reel steel tape

What I Did In Another Life

One of the residents told me that our residency program director had asked him to ask me what I did before residency. I guess they’re both curious. Here’s a link to Dr. Amos in a previous life. OK, so it’s an old blog post but it’s really the best answer to their question. I actually was […]

Retirement book

Work Together to Reduce Physician Burnout

I’m pretty sure many of you are getting ominous mail from AARP, Inc. (or the artist formerly known as Prince…oops, I mean, formerly known as the American Association of Retired Persons): “Our records show that you haven’t yet registered for the valuable benefits of AARP membership, even though you are fully eligible because you are a […]

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CPCP: Detecting Delirium Using EEG; Presentation by Medical Students

Today we had an excellent Clinical Problems in Consultation Psychiatry (CPCP) presentation on delirium detection using the EEG by our medical students. It was pretty thought-provoking. My contribution was to bring Turtles in keeping with our new Mascot, Hal. He’s a turtle. As a psychiatric consultant in the general hospital, I’ve come to think of […]

Olbrich fish

The Truth Behind Stories

We watched the Tim Burton-directed movie “Big Fish” (based on the book by Daniel Wallace about a man trying to get to know the truth about his tall tale telling father) and we got to talking about the difference between history and fiction and whether we can say the main difference between them is the […]

Hal, the new mascot. "Allow yourself to be tamed by the gentle and the small"--Kim Gould

Psychiatry Consult Service Has New Mascot, Dude!

Just when I thought the residents forgot all about mascots for the psychiatry consult service–we get a new mascot! It’s becoming a tradition of sorts. I’m not sure why a turtle was chosen although age could have something to do with it–my age I mean. I’m only half kidding. I read the recent JAMA article […]

MLK in D.C. 2015

Reflections on Martin Luther King Jr Week 2016

As the Martin Luther King Jr. 2016 Celebration Week draws near, I remember our visit to Washington D. C. last August. It was hot. I got caught somehow in a revolving door, bumped into the glass wall and got a goose egg on my forehead. We got lost briefly. We saw so much on the […]

UNIV IA HOT MITTS

Meatball Psychiatrists Finding Ways to Improve

Every 4 weeks or so the psychiatry consultation service gets a new crop of learners including residents (psychiatry and family medicine, sometimes neurology, occasionally pharmacy), and medical students, which is always exciting for me when I’m on service (most of the time). Often I tell them that consultation psychiatry reminds me of something I always […]

Dr. Amos and golden bag3

The 2nd Meeting of the Psychosomatic Medicine Interest Group: How Can We Be Sure of Our Diagnoses?

The 2nd meeting of the Psychosomatic Medicine Interest Group (PMIG) got off to a rocky start. The resident who put together the presentation couldn’t make it because she had to cover someone else’s patients. I didn’t get to look at the slides until the morning of the meeting and didn’t really have time to edit […]

fck feelings book

Potty Mouth Psychiatry

I thought you’d like to know I started reading the New York Times Bestseller (no joke, it’s right on the front cover) F-Bomb Feelings by Boston psychiatrist Michael I. Bennett, MD and his comedy-writer daughter, Sarah Bennett. It’s a self-help book, the subtitle being “One shrink’s practical advice for managing all life’s impossible problems.” OK, the title […]

phone Obama_2_flickr_nasa-hq-phot

New Year’s Eve Call to President Obama

So I saw Seinfeld’s coffee with President Obama today and gave him a call…Obama, not Seinfeld. Me: Yo, Barack, what’s up; you can give 20 minutes to Jerry Seinfield but you can’t answer my letter about the Maintenance of Certification (MOC)?         President Obama: Sorry Jim, didn’t I answer that? I thought I […]

Dr. Jim Amos xmas tie

The New Year: Time for “Pragmatic Pluralism”

I was happy to see an essay from Dr. Ronald Pies, MD, Editor in Chief Emeritus of Psychiatric Times today, entitled “Psychiatry’s Solid Center,” published in the December 2015 issue of Psychiatric Times. I know it hurts to even think about generating another username and password, even if registration is free, but I’m recommending it. […]

Dr. Jim Amos Happy New Year

Happy New Year from the Geezer!

Heading into 2016, just the usual end-of-year note about The Practical Psychosomaticist Blog in 2015. Thanks for reading!

Impossipuzzle solved

The Impossipuzzle Solved..Unlike Other Puzzles I Know

As the New Year approaches, I realize I’ve been adding pictures to the top ten post I wrote a few days ago. It’s like a puzzle in a way. I just keep remembering people who have been important to me, knowing I have so many to thank for helping me get where I am today. They […]

The Kidde model PI2010. Make eye contact and don't back down!

Changing Smoke Detector Batteries: Avoid This Day-After-Christmas Chore!

Here’s a day-after-Christmas-chore to avoid at all costs. Do it before Christmas. I swore I changed my smoke detector batteries last year. Or maybe it was the year before. There are like, 40 or so. OK, so maybe not that many, but it sure felt like it this time. And it was a lot more […]

Merry Christmas, baby!

Merry Christmas, Baby!

Merry Christmas, baby!

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What Psychiatrists Need to Know About Cardiac Devices: see slide 20 for quick tips on EKG measurements

GRECC Videos

Geriatric Research Education and Clinical Centers

A Spectacular Video from the GRECC: Agitation in the Older Nursing Home Resident

This is another one of those high-quality videos I posted about earlier, Spectacular Educational Videos by Department of Veterans Affairs « The Practical Psychosomaticist: James Amos, M.D. and which Dr. Nina Tumosa, PhD gave permission to post. This is Agitated Behaviors in Older Nursing Home Residents, an educational video from the Department of Veterans Affairs, Geriatric […]

Dr. Joseph Flaherty, MD

“TADA!” Tolerate, Anticipate, Don’t Agitate

“T-A-DA”stands for Tolerate behaviors that are challenging, but not dangerous; Anticipate needs of patients who are unable to communicate their needs; and Don’t Agitate patients who are cognitively incapable of processing the reasons why caregivers want to provide care for them which might be misunderstood. It’s taken from a paper written by Dr. Joseph Flaherty […]

Geriatric Research Education and Clinical Centers

Spectacular Video from the GRECC: Delirium, Quiet and Excited

Coming at you with another one of those pristine videos from the VA GRECC, and this one is about hypoactive and hyperactive delirium. This is an incredibly well-crafted educational resource and I thank Dr. Nina Tumosa, PhD for giving permission to post it. This is Delirium: Quiet and Excited, an educational video from the Department […]

Geriatric Research Education and Clinical Centers

Spectacular Video from the GRECC: Dementia with Agitation

This is one of those high-quality videos I posted about earlier, Spectacular Educational Videos by Department of Veterans Affairs « The Practical Psychosomaticist: James Amos, M.D. and which Dr. Nina Tumosa, PhD gave permission to post. This is Dementia with Agitation, an educational video from the Department of Veterans Affairs, Geriatric Research Education and Clinical Centers […]

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James Amos, MD

Jim Amos

Jim Amos

Dr. James J. Amos is Clinical Professor of Psychiatry in the UI Carver College of Medicine at The University of Iowa in Iowa City, Iowa. Dr. Amos received a B. S. degree in Distributed Studies (Zoology, Chemistry, and Microbiology) in 1985 from Iowa State University and an M.D. from The University of Iowa in Iowa City, Iowa in 1992. He completed his psychiatry residency, including a year as Chief Resident, in 1996 at the Department of Psychiatry at The University of Iowa. He has co-edited a practical book about consultation psychiatry with Dr. Robert G. Robinson entitled Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry. As a clinician educator, among Dr. Amos’s most treasured achievements is the Leonard Tow Humanism in Medicine Award.

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