May 28th, 2011 by RyanDuBosar in Research
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Heart-ache can be a literal thing, as well as a metaphor for all those weepy, jilted-lover torch songs.
Consensus thinking in the peer-review literature is that the parts of one’s brain responsible for physical pain, the dorsal anterior cingulate and anterior insula, also underlie emotional pain.
Researchers at Columbia University in New York recruited 40 people who’d recently ended a romantic relationship, put them in a functional magnetic resonance imaging machine, and recorded their reactions to physical and then emotional pain.
Physical pain was created by heating the person’s left forearm, compared to having the arm merely warmed. Emotional pain was created by looking at pictures of the former partner and remembering the breakup, compared to when looking at a photo of a friend.
The fMRI scans showed physical and emotional pain overlapped in the dorsal anterior cingulate and anterior insula, with overlapping increases in thalamus and right parietal opercular/insular cortex in the right side of the brain (opposite to the left arm).
The theory is that Read more »
*This blog post was originally published at ACP Internist*
May 23rd, 2011 by John Mandrola, M.D. in Opinion
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“Perfectionism is the voice of the oppressor, the enemy of the people. It will keep you cramped and insane your whole life…
…I think perfectionism is based on the obsessive belief that if you run carefully enough, hitting each stepping stone just right, you won’t have to die. The truth is that you will die anyway and that a lot of people who aren’t even looking at their feet are going to do a whole lot better than you, and have a lot more fun while they’re doing it.”
—Anne Lamott, Bird by Bird
Wow.
This paragraph hit me between the eyes. I’ve now read it about ten times in the past 24 hours. Ms Lamott was talking about the first draft of a manuscript. Just get it down on paper, willy-nilly, free lance, she said. Let loose and enjoy yourself she goes on to advise.
But these words spoke to me about so many other things in life. Read more »
*This blog post was originally published at Dr John M*
May 22nd, 2011 by Dinah Miller, M.D. in Announcements
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Aloha from the American Psychiatric Association’s Annual Meeting in Honolulu! The weather is gorgeous here and it’s been a great meeting. Yesterday, I heard Archbishop Desmond Tutu speak, and today, I listened to “Conversations” with Lorraine Bracco–also known as Dr. Melfi from The Sopranos. The beach is nice, too, and Clink has been scuba diving. Should I tell you she just learned to swim this past winter? She is amazing!
In a few hours, we will be giving our workshop, The Accessible Psychiatry Project: The Public Face of Psychiatry in New Media. We are telling the audience that the survey we did was not validated, was not statistically analyzed, and is not real science. Mostly, it was about how cool it is that we can even do this at all (ask questions, interact with readers, have an impact). I thought I’d share the survey results with everyone here. If you took the survey, thank you, again.
702 responses Summary See complete responses Read more »
*This blog post was originally published at Shrink Rap*
May 21st, 2011 by DrWes in Opinion
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I wonder if we’re in danger of stifling fun in medicine.
Certainly there are still fun things to do in medicine (ablating a pesky accessory pathway safely, for instance). But as I watch the newly-minted medical school graduates emerge from their long, sheltered educational cocoon, I wonder what their attrition rate will be from medicine once they see our new more-robotic form of health care community.
There is a social camaraderie in medicine when you train. Maybe it’s the “misery loves company” syndrome. In medical school you stick together through thick and thin because few others understand what you’re going through. You strive for the day when, collectively, you earn the designation of “doctor of medicine.” There’s a strength in numbers.
But as our work flows become regimented, our geographic coverage areas more dispersed, and our hours more fragmented, I’ve seen the loss of the collegiality of the doctor’s lounge being replaced with the coldness of e-mail blasts. I’ve seen the loss of summer picnics with my colleagues’ families replaced with “Doctor Appreciation Day.” After work get-togethers that included our spouses and kids are have long since gone – most of us just want to get back home to re-group for the next day ahead. Read more »
*This blog post was originally published at Dr. Wes*
May 20th, 2011 by RyanDuBosar in News
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Seven percent of U.S. physicians use online video conferencing to communicate with any of their patients, according to a study of physician digital adoption trends.
The study captures a snapshot of technology, including mobile platforms, electronic health records, electronic prescribing and interaction with patients, pharmaceutical and health care market research company Manhattan Research said in a press release.
Psychiatrists and oncologists are more likely to be using video conferencing with patients. But physicians added that reimbursement, liability and privacy are still major barriers to communicating online with patients.
Major findings include: Read more »
*This blog post was originally published at ACP Internist*
