When I Believe That Life Can Never Hold….

Every once in a great while, I hear a former student say he or she is trying to “channel” a favorite teacher, usually when the days are a chore to get through or a major challenge to professional identity or some other sorrow is afoot. I do the same. I had a favorite teacher too. […]

Which Medical Specialist Should Discuss Death with Patients? Is That the Right Question?

I recently saw the Boston Globe report saying that physicians have received “remarkably little instruction on how to discuss death” with their patients (at link http://www.boston.com/lifestyle/health/articles/2011/07/24/at_mass_general_palliative_care_changes_patients_lives/?page=full) [1]. It’s led to the rise of palliative care as a subspecialty in the development of teams to “live with serious illness–and cope with its toughest decisions.” Palliative care […]

Melatonin to Prevent Delirium?

I laughed when somebody in our administrative office sent me an email link to a case report on how melatonin might treat delirium. But then I ran across the randomized placebo-controlled trial published recently in the International Journal of Geriatric Psychiatry [1]. Out of 145 patients aged 65 year or over, 72 were randomly assigned […]

Delirium Management in Community-Based Palliative Care (or Delirium Masquerading as Pain), an Annotated Video

This very interesting and rather long (about and hour) video details management of delirium in the cancer patient. The physician, Dr. Ted Braun with the Calgary Health Region and University of Calgary Division of Palliative Medicine,  giving the presentation discusses common problems in recognizing delirium, one of them being the fluctuating nature of the syndrome. […]

British Book Review of Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry Edited by Yours Truly and Dr. Robert G. Robinson, M.D. at the University of Iowa

I just thought I ‘d share the first book review I’ve seen about Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry edited by me and my colleague, Dr. Robert G. Robinson, MD. The book was a labor of love and the credit for this favorable review goes to the contributors. Heaven knows what we can change. […]