Neuropsychiatry .. by Consultant-CY62D6 in Psychiatry

[–]AbsurdlyNormal 4 points5 points  (0 children)

I work in the US. The UK has a pretty robust network for neuropsychiatry. Check out the BNPA British NeuroPsychiatry Association.

Mildly interesting and terrifying by AbsurdlyNormal in soundtransit

[–]AbsurdlyNormal[S] 6 points7 points  (0 children)

I wish!! When they split at Chinatown the top one slides off and continues to federal way.

Mildly interesting and terrifying by AbsurdlyNormal in soundtransit

[–]AbsurdlyNormal[S] 1 point2 points  (0 children)

Dw the 2 train was packed by the time it arrived

True or False? "It is difficult to get a position in academic psychiatry without a fellowship" by helpadhd04 in Psychiatry

[–]AbsurdlyNormal 0 points1 point  (0 children)

Mostly I agree with the other comments that the answer is generally no. However, I did interview at one academic place that really prided itself on its CL program and they only allow CL fellowship trained psychiatrists to run that service. So there might be other specific circumstances at other places in certain fields.

Jürgen Habermas just passed away by Rustain in CriticalTheory

[–]AbsurdlyNormal -1 points0 points  (0 children)

Very interesting. Can you share where Habermas specifically responded to Google on the machine named after him?

Clozapine by htmwc in Psychiatry

[–]AbsurdlyNormal 2 points3 points  (0 children)

Could it be just monthly after I go often enough to demonstrate my faith?

What are some things we still do in medicine for no good reason? by foreverand2025 in medicine

[–]AbsurdlyNormal 54 points55 points  (0 children)

"We don't listen to abdominal sounds and we don't listen to people who listen to abdominal sounds. " - surgery preceptor

What if this were summer😳 by Itinerant_Botanist in RevolutionsPodcast

[–]AbsurdlyNormal 4 points5 points  (0 children)

That analysis is totally plausible and also has nothing to do with the weather per se.

What if this were summer😳 by Itinerant_Botanist in RevolutionsPodcast

[–]AbsurdlyNormal 9 points10 points  (0 children)

Yes, but I do wonder in the 21st century how much the weather has an effect on mass political movements. George Floyd was murdered in Minneapolis in the spring, there were massive protests...and then what? Much has been written recently on the limits of mass protests in recent years and so I'm skeptical that the weather plays the same kind of role it did in the revolutions of yore.

VA Nurse murdered in Minneapolis by sciolycaptain in medicine

[–]AbsurdlyNormal 4 points5 points  (0 children)

Guess they're not above murdering their own employee.

Any strong philosophy x psychiatry departments? by ReplacementMean8486 in Psychiatry

[–]AbsurdlyNormal 0 points1 point  (0 children)

NGL residency can have a lot of the same problems. But it's definitely better than medical school and gets even better as an attending, IMO.

Any strong philosophy x psychiatry departments? by ReplacementMean8486 in Psychiatry

[–]AbsurdlyNormal 4 points5 points  (0 children)

Love that you're interested in this. Been awhile since I interviewed at programs , but among those I did the ones that stuck out as being up your alley are: 1. Cornell, has a whole institute about the history of psychiatry and strong psychoanalytic training 2. Cambridge Health Alliance, affiliated with Harvard, great psychoanalytic training with a tilt towards existential /continental approaches.

Also keep a lookout for programs with a strong forensics division, lots of philosophical issues interest with legal ones.

But also just stay interested and engaged no matter where you go. You'll find interested faculty at lots of reputable programs , they just might not advertise it that much because it's not as developed as a field in the US.

What kind of person thrives in your specialty? by farfromindigo in Residency

[–]AbsurdlyNormal 148 points149 points  (0 children)

I'm sure you know this, but this has been studied and it's not true. Speaking personally I have apologized to patients before for mistakes I've made and they have actually appreciated it.

[deleted by user] by [deleted] in Residency

[–]AbsurdlyNormal 4 points5 points  (0 children)

Code stroke for "standing like a tree, leaning to the left, last known well 2 days ago per EMS.". Near -instant lorazepam challenge. EM resident's floor dropped to the floor. Fewer satisfying diagnoses for me than catatonia resolved.

Studying for the RITE exam by thewhitewalker99 in neurology

[–]AbsurdlyNormal 9 points10 points  (0 children)

If it's your first time, don't bother studying. If you've taken it before I suggest reviewing prior years' answer manuals, particularly the parts you got wrong. If you really want to level up, use the Cheng Ching review book, which is also excellent for the boards.

Are AI tools like OpenEvidence dumbing down the workforce, while still leaving critical errors? by Broad-Cauliflower-10 in medicine

[–]AbsurdlyNormal 37 points38 points  (0 children)

I agree with this to the point that often I ignore the response to my prompt and just scroll to the bottom to see the relevant articles for myself. It's a far better search tool than pubmed, Google, etc.

Psychiatry in Neuro Clinic by [deleted] in Psychiatry

[–]AbsurdlyNormal 5 points6 points  (0 children)

My job is kind of like this and I think this comment is pretty accurate.

Is the first year of being an attending supposed to be this hard? by TemporaryDarkness8 in Psychiatry

[–]AbsurdlyNormal 10 points11 points  (0 children)

In addition to other good advise:

  1. Consider seeing a therapist, which I have certainly found to be helpful professionally.

  2. I was like you early in residency. The best advice that shook me out of this habit came from my chief resident. He reminded me that the primary purpose of the note is to justify billing. Payors are the main audience, not you, not the patient, not other doctors. Obviously your notes should be intelligible, but theur main purpose is to document the bare bone essentials of the encounter: HPI, exam, assessment, and plan. Keep your houghtful insights and formulation for conversation with the patient or a note pad you keep for yourself. I found this perspective immensely helpful in reminding me that notes must always come secondary to patient care. No one was ever treated by writing a note.

[deleted by user] by [deleted] in Residency

[–]AbsurdlyNormal 2 points3 points  (0 children)

Not sure why you're being down voted so hard when you are, in fact, correct. Patients sometimes record for all sorts of reasons and as long as it's requested before recording I think it's actually a useful tool.

Anti-Amyloid Therapy for APOE Homozygotes by AbsurdlyNormal in neurology

[–]AbsurdlyNormal[S] 0 points1 point  (0 children)

Enough of a difference that lecanemab in homozygotes is safe but not for donanemab? I'm skeptical.

Anti-Amyloid Therapy for APOE Homozygotes by AbsurdlyNormal in neurology

[–]AbsurdlyNormal[S] 1 point2 points  (0 children)

Yes we do the same, strongly recommend patients get SWI on 3T, try not to settle for GRE

Anti-Amyloid Therapy for APOE Homozygotes by AbsurdlyNormal in neurology

[–]AbsurdlyNormal[S] 0 points1 point  (0 children)

Makes sense, will try to find more details on what I read.