This…

I’ve been a Leonard Tow Humanism in Medicine pin recipient since 2007 and, I recently received the new pin the Gold Humanism Honor Society (GHHS) is distributing as a part of the organization’s rebranding. You can click the link in my blog menu to check out the Gold Foundation’s new web site. The new pin includes a Mobius loop “…as a symbol of the continuous bond of trust, respect, and communication that connects healthcare professionals with their patients when humanism is at the core of practice.”

…Just in!

Monster chocolate chip cookie

What Do Chocolate Chips and Compeer of Johnson County Have In Common?

Yesterday morning I was standing around in the hall waiting to get into the Employee Health Clinic when Margalea Warner passed by, said hello and had just about moved on when she turned to me and asked if I ever listened to Iowa Public Radio. I said I did, and she told me she was […]

Luisella Magnani

International Childhood Cancer Day February 15, 2017: A Letter From Luisella

I got a message from Luisella Magnani yesterday about International Childhood Cancer Day, which happens to be today.  Luisella wants to share her message. Many thanks. Let’s reflect and act:

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Making A Decision On Health Care Reform: It’s Not Easy

Remember that post I wrote about health care reform, including my day long web research? None of that was easy. Well, I had a question about comparing the Federal Employees Health Benefits Program (FEHBP) to H.R 676. I asked the Physicians for a National Health Program (PNHP) about it. They debunked the FEHBP. At least […]

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CPCP: Antidepressants in Pregnancy by Dr. Laura Gibbons MD

This week’s Clinical Problems in Consultation Psychiatry (CPCP) is about antidepressants in pregnancy. It’s an excellent summary of the cutting edge in research on this often confusing issue. Are they safe or not? As we listened to Dr. Laura Gibbons’ presentation, the answer is not clearly “yes” or “no” but “it depends.” It depends on […]

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CPCP: Psychogenic Pruritis By Medical Student Leah Laageide

I’ve got a really talented group of trainees this past month and Leah Laageide gave a fantastic Clinical Problems in Consultation Psychiatry (CPCP) on Psychogenic Pruritus. She’s interested in Dermatology and is working on research project already with one of the Dermatology faculty. In fact, she had more than one presentation she volunteered to deliver. […]

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On The American Psychiatric Association Elections 2017…And Other Thoughts

Today is the last day American Psychiatric Association (APA) members can vote in the 2017 election. Even though I am not a member, I’ve gotten email messages from one candidate, Dr. Brian Crowley, MD, who is running for APA Secretary. One of his main campaign issues is abolishing Maintenance of Certification (MOC). When I asked […]

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Time to Scrub MOC

It’s time to scrub Maintenance of Certification (MOC). I see the American Psychiatric Association (APA) candidates for President (Dr. Rahn Kennedy Bailey, M.D.) and Secretary (Dr. Brian Crowley, M.D.) are running for office based partly on platforms that promise to “abolish MOC.” I’ve inquired about their specific plan for doing so. My question to both […]

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CPCP: Mental Health, Mental Capacity, And Abortion by Medical Student Colette Gnade

Coming at you with yet another outstanding Clinical Problems in Consultation Psychiatry (CPCP) by a medical student. This one is on a topic much in the news lately in Iowa–mental health and decisional capacity as they relate to abortions. Colette Gnade, a senior medical student heading for a residency in Ob-Gyn, dug into the literature […]

Jim Amos MD 7

Some News About Mental Health In The Nation And In Iowa You Could Take With A Grain Of Salt

I ran across an article on the Forbes site, “Trump’s Stealth Health Plan Could Be ‘Medicare For All’” by John Wasik, posted Jan. 20, 2017. It had 43,537 views when I read it this morning. I’m pretty skeptical of just about everything I read in the news these days. I’m sure you want to know […]

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CPCP: Predicting Alcohol Withdrawal Severity by Medical Student Noah Frydenlund

Well, it’s about time for another stellar Clinical Problems in Consultation Psychiatry (CPCP) by a medical student. This one is by Noah Frydenlund and he had a question about whether or not there is any way other than clinical assessment to predict which patients will undergo complicated alcohol withdrawal or even simple withdrawal. The issue […]

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“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 […]

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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 […]

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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 […]

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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 https://t.co/ZOabxL14t5 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 […]

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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). […]

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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 […]

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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: Agitation in the Hospitalized Older Patient

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 Hospitalized Patients, an educational video from the Department of Veterans Affairs, Geriatric Research […]

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 […]

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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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