I am often struck that those I work with who have enormous reasons to be depressed -- they may be poor, physically ill, uneducated, and very crazy -- are not depressed, not at least as I describe depression, a state of melancholy and dejection.  In my view, there is a terrible, terrible hopelessness in these situations and in these lives.  And then, there is William Jenkins. With William, I find I ...

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Practicing the art of medicine is my passion.  Whether I am translating poignant patient cases into prose for public education, providing informative commentary on current mental health news to the media, or speaking to students in a lecture hall, the art of medicine takes many forms. Recently, I was invited to present a TEDx Talk.  TEDx is an independently run event celebrating Technology, Entertainment and Design.  I chose to use ...

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shutterstock_166395998 Kaitlyn Elkins was a medical student at the Wake Forest School of Medicine in North Carolina and a member of the class of 2015. She excelled academically, named the valedictorian of her high school class and graduating summa cum laude from Campbell University. She wrote poetry in her free time. She had a cat, lovingly named Gatito. On April 11, 2013, just ...

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After four years working as a child and adolescent psychiatrist in Brooklyn treating the underserved, I decided it was time to dedicate myself fully to my growing private practice. Functioning solely as an out of network provider in private practice, as expected, my clientele grossly changed. Unlike my hospital patients, a majority of my patients are upper class to wealthy. Finances are not concerns or stressors. Wealth does not predict a decrease ...

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medpagetodayFrom MedPage Today:

  1. Remote Monitoring, a New Paradigm for Cardiac Implanted Devices? Patients who used the remote monitoring (RM) function of their cardiovascular implantable electronic devices (CIEDs) had less healthcare utilization and better survival than those without RM according to a pair of studies.
  2. Migraine, Carpal Tunnel Syndrome Linked in Association Study. ...

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shutterstock_82606081 A disclaimer before I even get started on this post. Some of you who know me or work with me will think that by writing this post I am talking about you or even attacking you. I am not. If you’re especially sensitive, don’t read any further. I am simply writing something that has been kicking around in my head for a long ...

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Dan Roman gives a powerful account on what it's like to live with depression, performing at the 2015 College Unions Poetry Slam Invitational.  Sometimes, words can't explain it.  In this case, poetry can.

I recently completed the buprenorphine waiver training. Buprenorphine, itself a partial opiate, is a medication that can be prescribed to patients who have opiate use disorders (e.g., taking Oxycontins or injecting heroin to get high). A physician must complete an eight-hour training and take an exam to become eligible to prescribe this medication. The physician must then apply for a specific “X license” through the DEA ...

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Recently there has been a great deal of controversy surrounding the American Board of Internal Medicine (ABIM), and its board certification requirements. Currently, the board require physicians to take an exam and recertify every ten years in a process termed MOC, or maintenance of certification. The process is time-consuming and costly, and many physicians claim it does not improve their day-to-day practice. Doctors have become more vocal in their grievances ...

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shutterstock_110822132 Every year roughly 400 physicians take their lives: a group of physicians greater than the size of two graduating classes at my medical school. Let's be clear, physician suicide and medical professional mental health awareness is a neglected issue in medicine. We are twice as likely to commit suicide than our non-physician counterparts. Women physicians are up to three times ...

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