Martin Luther King, Jr Day at Iowa


“Psychosomatic medicine and C-L psychiatry have traveled pari passu in a kind of symbiosis through the decades in more-or-less uncomfortable relationship to one another. But since the first identifiable C-L paper of George Henry preceded in 1929 the foundation of American psychosomatic medicine (1939), it seems proper to say that C-L psychiatry did not spring from psychosomatic medicine but may only have been enhanced by it in later years. Whatever their relative sequential developmental histories, there is little doubt that they are related.”—Don R. Lipsitt in Foundations of Consultation-Liaison Psychiatry: The Bumpy Road to Specialization.

…Just in!


“Legions of Half Truths, Prejudices, and Propaganda”: My Online Healthcare Reform Studies for MLK Week

The Martin Luther King, Jr (MLK) Human Rights Week is upon us and starts tomorrow. The University of Iowa theme customarily uses an MLK quote and this year’s is “Intelligence plus character–that is the goal of true education.” This is taken from “The Purpose of Education,” an essay he wrote in 1947 for The Maroon […]

Jim Amos MD 7

The Geezer’s New Year’s Resolution

I’ve started what might be called my New Year’s resolution, which is to read two important books I’ve been meaning to tackle for a while. One of them I’ve just started and that’s Eric Kandel’s Psychiatry, Psychoanalysis, and the New Biology of Mind, published in 2005. You might recall from a recent post that Dr. Ron Pies […]


Mindfulness In 2017

It’s a little after 4:00 PM and I’m just catching my breath. I’ve been running all over the hospital trying to put out the usual psychiatric consultation fires. And I remember the message from Bev, the Director of our Mindfulness-Based Programs way last week. It was not the usual message we get about the mindfulness […]


The Geezer’s 2016 Year In Review: Just You Wait!

We’re getting closer to the new year and it looks like we have to be patient and wait to see how a lot of things are going to turn out in 2017. Have you had a look at the Clozapine REMS Program website? Remember that promise or threat that patients would not get clozapine if […]


Physicians, Stay Alert for Payloads!

  I’m off service for a few days and I’ve had more time than usual to catch up on some of the news, like the American Medical Association (AMA) endorsement of President Elect Donald Trump’s pick for secretary of the U.S. Department of Health and Human Services, Dr. Tom Price, Rep. from Georgia. I think […]

Jim Amos MD 7

Neuropsychiatry, Encephiatrics, and Ergasiology, Oh My!

First of all, a shout-out regarding the NICE Guidelines for Delirium update. Remember my broken links post about this in November? Well, as promised, the NICE Guidelines have been updated and we now have access to a much better organized and responsive web site which allows downloads of valuable guidance about monitoring for and managing […]

Still running against the wind...

Snow Removal 2016 According to George and Jim

I just read Dr. George Dawson’s blog post about shoveling snow and getting older. I can relate.  Unlike George, I was never exactly what you’d call a “snow shoveling machine” in my younger days. But I’m steady if not fast. Real Psychiatry: Thinking and Shoveling the Snow Great post, George! — James Amos (@jamostheelder) […]

Jim Amos MD 7

My New “About” Page

I thought it was about time to update my About page on this blog since it has been five years and things have changed, including me. And sometimes people read the About page. I’ve been a Consult-Liaison Psychiatrist at The University of Iowa Hospitals & Clinics (UIHC) for about the last 20 years except for […]


Reversible Cerebral Vasoconstriction Syndrome (RCVS) From SSRIs?

Our Psychosomatic Medicine Interest Group (PMIG) meeting was fascinating this week. It was about a phenomenon I don’t remember learning about when I was a medical student. Reversible Cerebral Vasoconstriction Syndrome (RCVS) is a complicated phenomenon which occurs rarely, can lead to the thunderclap headache, which can be associated with selective serotonin reuptake inhibitors (SSRIs). […]


CPCP: Changing The Way We Manage Alcohol Withdrawal: Dr. Puja Toprani

Now here’s something you haven’t seen in a while; a Clinical Problems in Consultation Psychiatry (CPCP) presentation! This is an outstanding example of a reflective improvement exercise embodying the principle of lifelong learning and implementing a just-in-time clinical improvement plan. It’s by Dr. Puja Toprani, MD, a Family Medicine resident who wants to build a […]


Default Mode Network: Wandering

I’ve been mulling over the Default Mode Network (DMN) lately. What got me interested in the DMN was Dr. George Dawson’s Real Psychiatry blog post “Coffee Shop Neuroscience” published on October 22, 2016. Real Psychiatry: Coffee Shop Neuroscience Great post on the Default Mode Network — James Amos (@jamostheelder) November 29, 2016 The other […]

Happy Thanksgiving!

Insurance Anyone?

I just heard Iowa Insurance Commissioner Nick Gerhart’s interview with NPR on the potential effects of the proposed repeal of Obamacare. Because he was summarizing a LinkedIn blog post he wrote about a week ago, I read that as well. His post is very well-thought out, as you would expect. I have a lot to […]


Name Change News!

I didn’t get a chance to make it to the Academy of Psychosomatic Medicine (APM) meeting in Austin earlier this month but I’m excited about the news I just received about the name change poll. Great news! We’re changing the name of our specialty from Psychosomatic Medicine to…Ergasiology! No, I’m just kidding. Most specialists in […]


Once Branded And Now Rebranded

Well, because of internet shenanigans, my blog site and nearly all of my links had been branded and in less than 24 hours rebranded as safe now by Webroot BrightCloud Threat Intelligence Support. I say nearly all because for some unaccountable reason, the Scottish Delirium Association is still branded as a threat that “…there is some […]


What Do You Do When You’re Branded?

Here’s an announcement; my blog has just recently been branded by this warning: “WEBROOT- Reputation: MODERATE RISK When visiting this website there is some probability that you will be exposed to malicious links or payloads.” Traffic has always been light on my blog and this is not going to help. I’ve been thinking about what […]

New GHHS pin

Let’s Talk About Continuous Loops and Broken Links

Like many of you I heard about the Surgeon General’s report on addiction, “Facing Addiction in America,” this week. My post today is going to contain as few links as possible, in view of the many broken links out there on the internet. I’ll get to Dr. Vivek Murthy’s report later. First, I’d like to […]

Jim Amos MD 7

What’s Wrong With MOC? Let Dr. Teirstein Answer.

What’s wrong with Maintenance of Certification (MOC)? Well, Dr. Paul Teirstein will tell you. Here’s a video of the October debate between Dr. Paul Teirstein, one of the leaders of the newly formed National Board of Physicians and Surgeons (NBPAS), the alternative to the American Board of Medical Specialties (ABMS), and the President and CEO […]


Do We Need A Gnome Of Broken Internet Links?

OK, this is too good to pass up. We need a Gnome of Broken Internet Links to fix the problems I’ve been having lately. I’ve found broken links about delirium management on my posts about the National Institute for Health and Care Excellence (NICE). I sent NICE an email message about it and got  a […]

Luisella Magnani

Announcement: 3rd Congress On Paediatric Palliative Care

Professor Luisella Magnani notified me that the 3rd Congress On Paediatric Palliative Care is being hosted in Rome from November 13-16, 2016. Luisella contributed her poster the-best-of-the-best. Luisella is also “…a valued and active member of the Advocacy Woring Group of the International Children’s Palliative Care Network (ICPCN) and of PALCHE (Palliative Care in Humanitarian Emergencies) […]

Jim Amos MD 7

Some NICE Delirium Guidelines Gone Away?

I’ve noticed that my top post list contains several which have dead links in them. They are the posts about the NICE guidelines for delirium. The posts are: “Delirium Awareness Workshop Tools from NICE Guidelines”–12/30/2011 “Delirium Podcast from the NICE Guidelines (also nice)”–12/29/2011 “Delirium Resources on the FLY: NICE Guidelines (and they are nice)”–12/28/2011 The […]

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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

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 […]

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 […]

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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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