CPCP: Clozapine-Induced Myocarditis by A Medical Student

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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”

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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

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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

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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 […]

CPCP: An Update: Buprenorphine vs Methadone in Pregnancy by A Medical Student

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One of our senior medical students rotating on the psychiatry consultation service delivered an outstanding Clinical Problems in Consultation Psychiatry (CPCP) presentation updating a previous medical student CPCP review on buprenorphine vs methadone in managing opiate addiction in pregnancy. The literature supports using buprenorphine overall; however, concerns remain about the risk for relapse to opiate […]