I’m sitting here still getting used to phased retirement. It’s a bit awkward, especially now that the Martin Luther King Jr Day is coming up here at The University of Iowa on Monday, January 15, 2018. That’s because part of the theme, which comes from a MLK quote is “Where do we go from here?” … Continue reading Thoughts for Martin Luther King, Jr. Day
I'm particularly proud of today's Clinical Problems in Consultation Psychiatry (CPCP), "Neurology and Psychiatry: Divided Or United?" Partly that's because one of the trainees who worked on it is a Neurology resident, Dr. Abdel Wahed, and I always enjoy their participation on the Consultation-Liaison Psychiatry service. That said, the medical student, Nicoll, and the Family … Continue reading CPCP: Neurology and Psychiatry: Divided or United?
Today we had an outstanding Clinical Problems in Consultation Psychiatry (CPCP) presentation by several trainees, including residents and medical students. This is the first one about improving the two way street of communication between the psychiatry consultation service and consultees and I don't know why it took us so long to get to it. The … Continue reading CPCP: Improving Psychiatry Consultation Questions
The Clinical Problems in Consultation Psychiatry (CPCP) is an excellent educational exercise developed for the psychiatry consultation psychiatry service over 20 years ago by one of my former teachers, Dr. William R. Yates, MD. He and Dr. Terri Gerdes published a paper about it, the abstract for which is below: Yates, W. R. and T. … Continue reading CPCP: Catatonia by Medical Student Ashwin Subramani
Today's CPCP is really about clozapine side effects but this could easily have been about delirium as well. Clozapine is a very anticholinergic drug and has a lot of other side effects other than severe neutropenia. Medical students Melissa Bacci and Irtaza "Taz" Khalid did a great job on this one. In order to see … Continue reading CPCP: Clozapine and Boot Camp for Clinicians on Delirium?
We got an outstanding Clinical Problems in Consultation Psychiatry (CPCP) today, on drug-induced QT prolongation by medical student Lisa Wehr. Lisa is interested in pursuing a combined residency in internal medicine and psychiatry. Hmmm...Iowa has one of those. This got kicked off when I noticed a Letter to the Editor of Psychosomatics, co-authored by Dr. … Continue reading CPCP: Drug Induced QT Prolongation by Top-Flight Medical Student
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 … Continue reading CPCP: Clozapine Use for Aggression by Drs. Laura Gibbons and Samuel Shultz