Time for Tarrazu

The other day we got some coffee that reminded me of Wisconsin–Costa Rica Tarrazu. Unexpectedly, it was available at a little store in town. In fact, it’s called Royal Tarrazu. I’m not sure why it’s called “royal”; it’s sold out of a company in Staten Island. Why does it remind me of Wisconsin? We moved […]

Open Letter to Iowa Lawmakers Supporting Legislation Opposing MOC

The Iowa Medical Society (IMS) will soon be voting on a new resolution to oppose Maintenance of Certification (MOC) and preserve the principle of lifelong learning. It will entail pursuing the help of Iowa lawmakers in the pursuit of legislation toward clarifying what MOC should not be used for. I support it and acknowledge my […]

Hit The Road

Sorry about the long silence; part of the reason is vacation, some of which we spent making concrete plans for my retirement, which is definitely coming, although not tomorrow. That reminds me of a Robert Mankoff cartoon published in the New Yorker. Believe it or not, even physicians have to sign up for things like […]

CPCP: Clozapine Use for Aggression by Drs. Laura Gibbons and Samuel Shultz

Well, today it was time for a Clinical Problems in Consultation Psychiatry (CPCP), this one on something I occasionally run into, Clozapine used off-label for aggression and personality disorder complicated by self-harm behavior, which sometimes includes deliberate ingestion of foreign bodies. Sometimes, psychiatric consultants see patients in the general hospital who are taking clozapine for […]

MOC Wars: May The Force Be With You

Today I have a little spare time for a post about (what else?) Maintenance of Certification (MOC). Yesterday was a little busy, judging from the pedometer. Remember that Psychiatric Times article on MOC I posted about on March 11? The PT editorial staff are calling it “MOC Wars,” even though there are only a couple […]