The New York Times Magazine recently featured an article on preschooler depression. Pamela Paul wrote:
Diagnosis of any mental disorder at this young age is subject to debate. No one wants to pathologize a typical preschooler’s tantrums, mood swings and torrent of developmental stages. Grandparents are highly suspicious; parents often don’t want to know. “How many times have you heard, ‘They’ll grow out of it’ or ‘That’s just how he is’?” says Melissa Nishawala, a child psychiatrist at the New York University Child Study Center.
And some in the field have reservations, too. Classifying preschool depression as a medical disorder carries a risk of disease-mongering. “Given the influence of Big Pharma, we have to be sure that every time a child’s ice cream falls off the cone and he cries, we don’t label him depressed,” cautions Rahil Briggs, an infant-toddler psychologist at Children’s Hospital at Montefiore in New York. Though research does not support the use of antidepressants in children this young, medication of preschoolers, often off label, is on the rise. One child psychologist told me about a conference he attended where he met frustrated drug-industry representatives. “They want to give these kids medicines, but we can’t figure out the diagnoses.” As Daniel Klein warns, “Right now the problem may be underdiagnosis, but these things can flip completely.”
Doctors may want their patients to stick with a smoking cessation regimen even if it’s not initially working, report researchers who found that “delayed quitters” accounted for a third of former smokers who went a year without cigarettes.
Quit rates may be significantly increased by just continuing in motivated but initially unsuccessful patients during the first eight weeks of treatment, according to research published online in the journal Addiction. There’s actually two types of successful quitters: Those who quit immediately and those who are “delayed” but eventually successful. Read more »
*This blog post was originally published at ACP Internist*
A new patient recently said he was referred to me after his last doctor had left medicine. His old doctor always looked unhappy and burned out, he noted.
Burnout affects more than half of doctors, according to researchers at the University of Rochester School of Medicine. Beyond mere job dissatisfaction, these doctors are emotionally exhausted to the point where they lose focus. They tend to be more depressed — perhaps one reason why doctors have a higher suicide rate than the general population.
While burnout can happen in any profession, the performance of stressed-out doctors can hurt someone else: Patients. Read more »
*This blog post was originally published at KevinMD.com*
Researchers at the University of Saskatchewan have developed a solar-powered toothbrush that doesn’t require toothpaste.
At the base of the brush is a solar panel, which transmits electrons to the top of the toothbrush through a lead wire. These electrons react with acid in the mouth, breaking down plaque without the help of toothpaste. It’s an advancement of a model described 15 years ago using a titanium dioxide rod which released electrons when illuminated.
The researchers are currently recruiting 120 teens to test the brush. The model is named Soladey-J3X and is manufactured by the Shiken company of Japan.
I don’t know about you, but my allergies have really been acting up lately. Well, maybe not this week since it’s been cooler. But last week my eyes were watering, my nose was running, and my lungs were wheezing (kind of). But for the first two weeks of August, a lot of my patients were complaining about their allergy symptoms getting worse. And for some people, their asthma was getting worse as well.
The local TV station called me last week during the beginning of ragweed pollen season and asked me to talk about it:
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The New York Times Magazine recently featured an article on preschooler depression. Pamela Paul wrote:
Doctors may want their patients to stick with a smoking cessation regimen even if it’s not initially working, report researchers who found that “delayed quitters” accounted for a third of former smokers who went a year without cigarettes.
Researchers at the University of Saskatchewan have developed a solar-powered toothbrush that doesn’t require toothpaste.
