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	<link>http://www.kevinmd.com/blog/2005/08/physician-talks-about-domestic.html</link>
	<description>medical blog</description>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2005/08/physician-talks-about-domestic.html/comment-page-1#comment-54334</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sun, 07 Aug 2005 02:21:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2005/08/18710.html#comment-54334</guid>
		<description>Following up on my previous comment/question...I found a great website: &lt;br/&gt;www.ncptsd.va.gov/facts/disasters/&lt;br/&gt;&lt;br/&gt;Some of the documents actually contain sample statements/questions in &quot; &quot;.  I must say, I feel like several of the attendings I have observed seem very uncomfortable dealing with certain mental issues.  And I have first hand knowledge that mental health can play a very large part in physical health--and physical health may be the presenting problem...which will not resolve until the underlying mental issue is addressed.  Only 5 weeks into my first rotation as a medical student, I am amazed by the depression and anxiety and insomnia and anger and domestic violence and food abuse (leading to obesity) and  subsequent drug abuse that is brought up &lt;i&gt;just by taking a couple minutes to ask.&lt;/i&gt;</description>
		<content:encoded><![CDATA[<p>Following up on my previous comment/question&#8230;I found a great website: <br /><a href="http://www.ncptsd.va.gov/facts/disasters/" rel="nofollow">http://www.ncptsd.va.gov/facts/disasters/</a></p>
<p>Some of the documents actually contain sample statements/questions in &#8221; &#8220;.  I must say, I feel like several of the attendings I have observed seem very uncomfortable dealing with certain mental issues.  And I have first hand knowledge that mental health can play a very large part in physical health&#8211;and physical health may be the presenting problem&#8230;which will not resolve until the underlying mental issue is addressed.  Only 5 weeks into my first rotation as a medical student, I am amazed by the depression and anxiety and insomnia and anger and domestic violence and food abuse (leading to obesity) and  subsequent drug abuse that is brought up <i>just by taking a couple minutes to ask.</i></p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2005/08/physician-talks-about-domestic.html/comment-page-1#comment-54328</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 06 Aug 2005 17:42:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2005/08/18710.html#comment-54328</guid>
		<description>In my experience, all you can do is be quiet and listen.&lt;br/&gt;&lt;br/&gt;CJD</description>
		<content:encoded><![CDATA[<p>In my experience, all you can do is be quiet and listen.</p>
<p>CJD</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2005/08/physician-talks-about-domestic.html/comment-page-1#comment-54315</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 06 Aug 2005 01:51:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2005/08/18710.html#comment-54315</guid>
		<description>Kevin!  Ironic you mention this...I&#039;m a 3rd year medical student in my first rotation and just this week had a patient who told me in the middle of her appointment (cc: stomach ache...but quickly I realized depression might be the more serious concern...) that she had been brutely raped as a child.  I didn&#039;t know if my reponse was appropriate and went looking all over the web trying to find info on appropriate responses/initial counseling techniques.  I came up empty.  Where does a physician learn such things?!?  I definitely didn&#039;t get it my first two years of med school...  Any sites/books you can recommend?</description>
		<content:encoded><![CDATA[<p>Kevin!  Ironic you mention this&#8230;I&#8217;m a 3rd year medical student in my first rotation and just this week had a patient who told me in the middle of her appointment (cc: stomach ache&#8230;but quickly I realized depression might be the more serious concern&#8230;) that she had been brutely raped as a child.  I didn&#8217;t know if my reponse was appropriate and went looking all over the web trying to find info on appropriate responses/initial counseling techniques.  I came up empty.  Where does a physician learn such things?!?  I definitely didn&#8217;t get it my first two years of med school&#8230;  Any sites/books you can recommend?</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2005/08/physician-talks-about-domestic.html/comment-page-1#comment-54309</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 05 Aug 2005 23:51:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2005/08/18710.html#comment-54309</guid>
		<description>Three cheers for Dr. Hutchinson!  It&#039;s been almost three years since I left my husband of 23 years, and life just gets better.  Safe solitude is a beautiful experience.  My own physician provided essential support during those hard transitional months - she offered me samples of necessary medications to keep in my &quot;in case I need to flee&quot; bag, and she saw me for same-day visits for the following year when I was sick repeatedly.  Her support when I fled, and her support of my subsequent medical education has meant the world to me...and yes, I&#039;ve told her!</description>
		<content:encoded><![CDATA[<p>Three cheers for Dr. Hutchinson!  It&#8217;s been almost three years since I left my husband of 23 years, and life just gets better.  Safe solitude is a beautiful experience.  My own physician provided essential support during those hard transitional months &#8211; she offered me samples of necessary medications to keep in my &#8220;in case I need to flee&#8221; bag, and she saw me for same-day visits for the following year when I was sick repeatedly.  Her support when I fled, and her support of my subsequent medical education has meant the world to me&#8230;and yes, I&#8217;ve told her!</p>
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