Getting Small: Remember Humility

Group Pic CL Psych Service Aug 25 2016 framed

Another rotation of residents and medical students has come and gone and it’s on to the next one. But occasionally I like to reflect on what the trainees have done and publicly thank them for their hard work. I was once where they are. We chase around the hospital like a movable feast. We ran […]

CPCP: Clozapine-Induced Myocarditis by A Medical Student


This is an outstanding Clinical Problems in Consultation Psychiatry (CPCP) presentation on clozapine-induced myocarditis by medical student Ben Kopp, who is planning a residency in orthopedic surgery. There is a push to utilize clozapine for treatment-resistant schizophrenia, with which I have no argument. According Newman et all in the August 2016 issue of Current Psychiatry […]

The Mystery of Change: “Harlem Is Everywhere We Are”


My wife, Sena, brought to my attention the recent effort to save the Harlem home of poet Langston Hughes, which looks like it may be successful. Sena said it reminded her of what is happening to Dr. Jenny Lind Porter’s house. There are parallels. In some of the articles, Hughe’s home is described as “dilapidated” […]

CPCP: Valproate Hyperammonemic Encephalopathy by A Medical Student


Today we got an excellent Clinical Problems in Consultation Psychiatry (CPCP) presentation from medical student Jessica Woelfel, who is planning a residency in emergency medicine. It’s about valproate-induced hyperammonemic encephalopathy (VHE). This is a rare adverse event of Depakote, which is an anticonvulsant used in treating epilepsy and bipolar disorder. While it should be needless […]

C-L Psychiatry: History Repeating Itself

CL Psych Books

As you know, I’ve been reading Don R. Lipsitt’s book, “Foundations of Consultation-Liaison Psychiatry: The Bumpy Road to Specialization.” It’s a fascinating and illuminating history of the specialty. Not everyone was pleased with the idea of making C-L Psychiatry a subspecialty, as Don points out in Section III: The Process of Specialty Recognition: Prelude to […]