December 18th, 2011 by Dinah Miller, M.D. in Opinion, Research
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For a while now we’ve been talking about issues related to psychiatry and electronic medical records. Roy is very interested in the evolution of EHR’s.
I don’t like them. I think they have too many problems still, both in terms of issues of efficiency and time, and how they divert the physician’s attention away from the patient, and they focus medical appointments on the collection of data– data that is used in a checkbox form: patient is not suicidal and I asked, whether it was clinically relevant or not– and will therefore serve as protection in a lawsuit, or demographic information used by insurers, the government, who knows.
From a privacy standpoint, I think they are appalling. If you are a patient in the hospital where I work, you get Read more »
*This blog post was originally published at Shrink Rap*
September 26th, 2011 by Dinah Miller, M.D. in Opinion
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My hat goes off to kiddy shrinks. It’s a tough field, full of issues we don’t see in adult psychiatry.
Our comment section often buzzes with talk about the over-diagnosis of bipolar disorder in children and the ethics of giving psychotropic medications to children. The Shrink Rappers never comment on these things. Why? Because we don’t treat children. I have no idea if the children being treated are mis-diagnosed, over-diagnosed, wrongly-diagnosed, or if the increase in treatment represents a good thing—- perhaps children who would have suffered terribly now are feeling better due to the option of medications. I’ve certainly had adult patients tell me their children were treated with medications, the children have often eventually stopped the medications and emerged as productive adults. Would they have outgrown their issues anyway. Or did the treatment they received switch them from a bad place to a good place and enable them to carry on in a more adaptive way? Ugh, my crystal ball is on back-order at Amazon!
Why I’m Happy I’m Not A Child Psychiatrist: Read more »
*This blog post was originally published at Shrink Rap*
For a while now we’ve been talking about issues related to psychiatry and electronic medical records. Roy is very interested in the evolution of EHR’s.
