Hey, coming at you with a truly outstanding Clinical Problems in Consultation Psychiatry (CPCP) presentation on antidepressants in the setting of short bowel syndrome. The medical students really worked hard on this one; Katie Gavinski, M3, who is interested in internal medicine and/or pediatrics and Christopher Kuebler, M4 who is targeting a career in anesthesia. Honestly this is the best CPCP I’ve seen in a good long while…my pride and joy.
They had a great tie-in to Nigella, our psychiatry consultation service mascot who reminds us not take ourselves too seriously. It turns out that “The average length of the small intestines in humans is 6 meters, which is about the height of an adult male giraffe.” Believe it or not!
Yes, I remember that Nigella is a lady giraffe.
We occasionally get questions about how to dose antidepressants and other psychotropic drugs in those who have either surgically altered bowel or a functionally changed bowel in which the absorption of drugs may be suboptimal or nonexistent.
The last slide was part of the assignment for Katie and Chris, which was to find a way to improve the way we provide consultation service to our colleagues regarding this issue. Part of it was to comb the medical literature for guidelines, reviews, and studies to support a general recommendation which we could individualize for patients given their particular circumstances.
They got a great start. This is lifelong learning at its best and it’s relevant to our practice. I’ll have more to say about that tomorrow. Don’t I always?
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