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You don’t need labs to medically clear a psych patient

PEMBlog

When should the emergency physician obtain lab tests to medically clear such patients? There is abundant evidence showing that routine lab tests in such patients have a very low yield and are not indicated, in adults as well as in children. Decades ago, psychiatric complaints in the pediatric ED were infrequent.

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Deprescribing Super Special Part II: Podcast with Elizabeth Bayliss, Ariel Green, and Kevin McConeghy

GeriPal

My take home from this is that while the most preferred explanation for deprescribing statins and sedative-hypnotics is one focused on the risk of side effects, we also need to individualize it to the patient and the medication that they are taking. Maybe that’s where the individualizing it, the person that’s front of me.

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Not “burnout,” not moral injury—human rights violations

Pamela Wible MD

Psychiatrists define burnout as a job-related dysphoria in an individual without major psychopathy—meaning you’re normal; your job is killing you. Individuals with moral injury may see themselves and the world as immoral and irreparable. In medicine, combating illness requires primary, secondary, and tertiary prevention.

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How to Make an Alzheimer’s Diagnosis in Primary Care: A Podcast with Nathaniel Chin

GeriPal

I just had lab tests done. I didn’t know which lab test got my lab tests looked on there. All of a sudden, as a 49 year old, I see I have a PSA on my lab test. Of these interventions in those individuals. Well, not recently, like six months, a year ago. It just happened.

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What can we learn from simulations? Amber Barnato

GeriPal

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. They look at the signs and symptoms, they do a physical exam, maybe some lab tests or some imaging. Try to really understand what’s happening.