January 16th, 2011 by Dinah Miller, M.D. in Better Health Network, Opinion
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I’ve followed in bits and pieces — sometimes for Shrink Rap, sometimes because the issues fill my email inbox, sometimes because there’s no escape. Oh, and lots of the players have familiar names.
In the December 27th issue of Wired magazine, Gary Greenberg writes a comprehensive article on the debates around the revision of the American Psychiatric Association’s (APA) upcoming revision of the Diagnostic and Statistical Manual (DSM) entitled “Inside the Battle to Define Mental Illness.” Do read it. Here’s an excerpt:
I recently asked a former president of the APA how he used the DSM in his daily work. He told me his secretary had just asked him for a diagnosis on a patient he’d been seeing for a couple of months so that she could bill the insurance company. “I hadn’t really formulated it,” he told me. He consulted the DSM-IV and concluded that the patient had obsessive-compulsive disorder.
“Did it change the way you treated her?” I asked, noting that he’d worked with her for quite a while without naming what she had.
“No.”
“So what would you say was the value of the diagnosis?”
“I got paid.” Read more »
*This blog post was originally published at Shrink Rap*
January 5th, 2011 by AnneHansonMD in Better Health Network, Humor, News, Research
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I was surfing around the Net one day and I found this article about scientists who are creating a machine that will detect acetone in someone’s breath. Acetone can be a sign that someone suffers from diabetes, so in theory this machine could use scent to diagnose this disease.
That story brought to mind other stories I’ve heard about people using dogs to sniff out cancer in people. According to this article:
“The results of the study showed that dogs can detect breast and lung cancer with sensitivity and specificity between 88% and 97%. The high accuracy persisted even after results were adjusted to take into account whether the lung cancer patients were currently smokers. Moreover, the study also confirmed that the trained dogs could even detect the early stages of lung cancer, as well as early breast cancer.”
People have even tried “smelling” schizophrenia. Read more »
*This blog post was originally published at Shrink Rap*
December 26th, 2010 by Glenn Laffel, M.D., Ph.D. in Better Health Network, Health Tips, News, Research
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Flashbacks are vivid, recurring, intrusive, and unwanted mental images of a past traumatic experience. They are a sine qua non of post-traumatic stress disorder (PTSD). Although drugs and cognitive behavioral interventions are available to treat PTSD, clinicians would prefer to utilize some sort of early intervention to prevent flashbacks from developing in the first place.
Well, researchers at Oxford University appear to have found one. Remarkably, all it takes is playing Tetris. Yes, Tetris!
The team responsible for the discovery was led by Emily Holmes. The writeup appears in the November issue of PLoS ONE. Holmes and colleagues had reasoned that the human brain has a limited capacity to process memories, and that memory consolidation following a traumatic experience is typically complete within six hours after the event. Holmes’ team also knew that playing Tetris involved the same kind of mental processing as that involved with flashback formation. So they figured if they had people play Tetris during that six-hour window after the traumatic event, it might interfere with memory consolidation of the traumatic experience. That, in turn, would reduce or eliminate the flashbacks. The idea worked like a charm. Read more »
*This blog post was originally published at Pizaazz*
December 22nd, 2010 by Lucy Hornstein, M.D. in Better Health Network, Health Tips, Opinion, True Stories
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The most moving speaker at the American Academy of Family Physicians (AAFP) convention I went to in Denver a few months ago was a doctor with Stage 4 cancer who had survived well past all expectations for his disease. While talking about achieving happiness through balance in life, he pulled out of his wallet a card made for him by his daughter, a preschool teacher.
“This is the C card,” he told us. “It says: ‘I have cancer. I can do whatever I want.’”
What a great idea, I thought. As much as it resonated with me, though, I couldn’t help but feel there was more to it than that.
Recently I was comforting a dear friend who had lost her mother. Remembering this handout from the AAFP, I held her close and said: “You’re a mourner now. You can do whatever you want.” I might as well said: “You have the M card.”
There’s this crotchety old guy in his eighties whom I’ve known for years. He does whatever he wants. I don’t think he actually carries a card in his wallet that says: “This is the O card. I am old. I can do whatever I want,” but he might as well. He is indeed old, and so he is entitled. Read more »
*This blog post was originally published at Musings of a Dinosaur*
December 22nd, 2010 by DrRob in Better Health Network, Opinion, True Stories
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“I need you to do me a favor,” my nurse asked me at the end of our day on Friday.
“Sure,” I answered. “What do you want?”
“Please have a better week next week,” she said with a pained expression. “I don’t think I can handle another one like this week.”
It was a bad week. There was cancer, there was anxiety, there were family fights, there were very sick children. It’s not that it’s unusual to see tough things (I am a doctor), but the grouping of them had all of us trudging home drained of energy. Spent.
I think this is one of the toughest thing about being a doctor (and nurse, by my nurse’s question): The spending of emotional reserves. I’m not physically active at work, yet I come home tired. I don’t have to be busy to feel drained. It’s not the patients’ fault that I feel tired. They are coming to me to get the service I offer to them, and I think I do that job well. The real problem is in me. The real problem is that I care. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
