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Consult Monk?

I saw this interesting article about college students giving up their digital devices for a month to live like ascetic monks  in a course called Living Deliberately: Monks, Saints, and the Contemplative Life.”. They give up access to their smartphones, refrain from speaking (except in emergencies) and engage in kindness projects. It reminds me of […]

CPCP: Neurology and Psychiatry: Divided or United?

I’m particularly proud of today’s Clinical Problems in Consultation Psychiatry (CPCP), “Neurology and Psychiatry: Divided Or United?” Partly that’s because one of the trainees who worked on it is a Neurology resident, Dr. Abdel Wahed, and I always enjoy their participation on the Consultation-Liaison Psychiatry service. That said, the medical student, Nicoll, and the Family […]

Happy Halloween From A C-L Psychiatrist

Halloween is upon us and if I don’t get this post out now, it won’t get done. As usual, it has been pretty busy on the Consultation-Liaison (C-L) Psychiatry service. I don’t think it has anything to do with the Halloween season–but it is a bit scary. It’s also time for the annual C-L Psychiatry […]

Meditation Not A Fix, Maybe Because You’re Not Broken: A Letter From Bev and Kerri

As I was struggling to finish my work in my office, one of my residents stopped by and noticed. I felt harried and I’m pretty sure I looked it. She mentioned she’d heard that I practice mindfulness meditation. I remarked that it comes in handy on days like I was having. Anyway, that’s just to […]

Hats On For Children’s Palliative Care And More: Guest Post by Luisella Magnani

This is a guest post from Luisella Magnani. It’s been a while since I’ve heard from Luisella. I offer my condolences on her most recent loss and affirm her message supporting the palliative care organizations such as those celebrating Word Hospice and Palliative Care Day on October 14, 2017, urging “Don’t leave those suffering behind.” […]

Firemen, Foot Soldiers, And Fixers

The blog has been pretty quiet lately. One reason is that the psychiatry consult service has been pretty busy. I also am in phased retirement and away from the hospital more often. However, I do have a new office, which I plan to keep as neat as possible for the next occupant, whoever that might […]

News Flash: Retiree Fooling Around With Painted Ladies

As many of you know, I’m adjusting to phased retirement. It’s reminding me of Stephen Covey’s The 7 Habits of Highly Effective People Signature Program I took about nine years ago. It was a time when I was negotiating a major change in life. It was focused on work.  I now have a new perspective […]

CPCP: Improving Psychiatry Consultation Questions

Today we had an outstanding Clinical Problems in Consultation Psychiatry (CPCP) presentation by several trainees, including residents and medical students. This is the first one about improving the two way street of communication between the psychiatry consultation service and consultees and I don’t know why it took us so long to get to it. The […]

Changing The Three Legged Stool

Last week I got great news from the Chair of the Department of Psychiatry, Dr. Kolin Good, MD at Reading Hospital in Reading, Pennsylvania. They just opened their own medical-psychiatry unit after 5 years of hard work and consultations with The University of Iowa Hospitals and Clinics. My role was to acquaint the Reading leadership […]

The C-L Psychiatry Service: Don’t Let It Burn Up

I just read an article about volunteer firefighters with which I identify. Being a one-man hit-and-run psychiatric consultant in the general hospital is similar to being an aging volunteer firefighter. The analogy is not perfect. That means the title of the article doesn’t fit exactly, “Fighting Fires For Free, Aging Volunteers Struggle To Recruit The […]

New Model of Consultation Psychiatry

Being on the road to retirement sometimes makes me wonder about ways to improve how our psychiatry consult service works before I go. But then I just think, “Heck, it’s already perfect,” and have another doughnut. Seriously, I think the one-man, reactive, hit-and-run consult routine probably ought to make room for a newer model. That […]

Short Ramble About The New Psychiatry Consult Office

We have a new psychiatry consult office. You can compare it to the old one, which was much smaller. Our printer isn’t working yet. And there’s no place to put the mascots, at least that I can see so far. I’m also supposed to be moving to a new office again, which will be right […]

Thoughts On “Busyness” On The Psychiatry Consultation Service:

It’s been a while since my last post. That’s because the psychiatry consult service has been extra busy, partly because of the July Effect, a well-known phenomenon in academic medical centers. Busyness is a way of life in this environment. In fact, I’ve been doing a little reading about Consultation-Liaison Psychiatry during the few free […]

Meatball Psychiatry

My wife and I watched a fascinating movie the other night, “Interstellar.” It appeared in 2014 and I managed to stay awake for the entire 4 hour long film. It’s set in a dystopian future in which the Earth is a place of blight and dust storms. What gave it a sense of reality are […]

New York State of Mind from Jim and Sena

Well, my wife, Sena, and I just got back from the Big Apple and I must say I learned a lot about Manhattan, one item being that it’s only one of the five boroughs in New York City. We felt barely a drop of rain the whole time we were there. There are a lot […]

CPCP: Catatonia by Medical Student Ashwin Subramani

The Clinical Problems in Consultation Psychiatry (CPCP) is an excellent educational exercise developed for the psychiatry consultation psychiatry service over 20 years ago by one of my former teachers, Dr. William R. Yates, MD. He and Dr. Terri Gerdes published a paper about it, the abstract for which is below: Yates, W. R. and T. […]

Thoughts On The Psychiatric Shortage And Congratulations To Graduating Residents

As our Psychiatry Department prepares to graduate another crop of outstanding residents this week, I’ve noticed a fundamental disagreement about the psychiatrist shortage in America. I’m going to mention only one aspect of it because it’s very complicated. Some psychiatrists believe that one of the biggest single problems contributing to the shortage are those who […]

Upload To The Psychiatric Consultant Supercomputer?

I often wonder if Artificial Intelligence (AI) mavens could come up with a better psychiatric consultant for the general hospital. I have renewed interest in the idea now that the National Geographic Channel is halfway through the 6 episodes series, “Year Million.” It’s a fun, speculative, futurist view of how computers are becoming more integrated […]

A Geezer’s Thoughts About How to Defuse and Diffuse

I was browsing the news on line, a habit I probably ought to try to break, when a story’s title caught my eye: “This Is The One Word You Should Use To Diffuse Any Argument With Your Partner.” I’m not a grammarian but I thought something was wrong with the choice of the word “diffuse” […]

Public Option for Health Insurance or Change to Single Payer?

My wife showed me an article about something called a “Public Option” for health insurance. I recalled reading something about that on the Physicians for a National Health Program (PNHP) QnA web page. This just makes me even more interested in seeing a serious mainstream debate about single payer systems across all major TV news […]

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

GRECC Videos

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 […]

“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 […]

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 […]

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 […]

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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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