Spoiler alert: Plot points of the movie "Joker" are revealed. "Joker" opened to a mix of rave reviews and criticism on October 2, 2019, amid fears of mass-shootings at theaters in the U.S. This left law enforcement agencies scrambling to beef up security at movie theaters to prevent any untoward incidents. Quite ironically, October  2, is also the 150th birthday of Mahatma Gandhi — the crusader and champion of non-violence. Warner Brothers even ...

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“When you start seeing your worth, you will find it harder to stay around people who don’t.” - Unknown After graduating from my residency a few years ago, I accepted a job within my organization as a staff psychiatrist and a medical director. The idea of familiarity was a big driver in my ambivalence towards pursuing alternate opportunities, even when they came knocking on my door. As the job started and progressed through ...

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In previous posts, we have reviewed the use of selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), as well as the off-label prescribing of gabapentinoids, for treating anxiety disorders. Anxiety is such a ubiquitous problem that it is not surprising that many other compounds have been used off-label as well.  In this posting, we will review some of the common ones: propranolol, mirtazapine, and quetiapine.  ...

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Fashion Is Moving Too Fast, and It’s Killing Creativity," by Veronique Hyland, talks about burnout in the fashion industry. As a former Fashion Designer turn physician, my curiosity was piqued. If you substituted the word "medicine" for "fashion," the title would be just as relevant to the medical industry, as it is to the fashion industry. Yes, medicine is moving too fast, and it’s killing creativity and our doctors. Burnout in the fashion industry stems from the need to ...

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An excerpt from The Transformation: Discovering Wholeness and Healing After Trauma. Reprinted with permission of HarperOne, an imprint of HarperCollins Publishers. Copyright 2019 Reader’s Digest used to tell us each month that “laughter is the best medicine.” Drawing ...

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When children are diagnosed with attention deficit hyperactivity disorder, stimulant medications like Ritalin or Adderall are usually the first line of treatment. The American Academy of Pediatrics issued new guidelines Monday upholding that central role of medications accompanied by behavioral therapy in ADHD treatment. Some experts say, however, they are disappointed the new guidelines don’t recommend behavioral treatment first for more children, as that might lead to better outcomes, recent research suggests. When ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 54-year-old woman is evaluated for flushing of the face of 1 year's duration. These episodes occur two or three times per week and last about 30 minutes. She went through menopause at age 50 and is on estrogen and progesterone hormone therapy. She also experiences episodes of anxiety, ...

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I sat in the back seat of a police patrol car handcuffed with a mind imprisoned by addiction. My day had finally arrived after months of a manhunt by state detectives for operating a fraudulent prescription enterprise to support my obsession and compulsion with cocaine. No more unmarked police cars staked outside the crack houses that I frequented or my mother’s home or in pharmacy parking lots waiting to capture ...

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I walked into the room and said: "Hi, Jason." "Do you think it's deep enough to need stitches? I am really scared of needles," was his reply to me. I said, "Why don't you let me take a look, and we can both come up with a plan of how to make it look better?" "So do you think it needs stitches or not? I'm really scared." After taking a good look at his ...

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Despair has been trying to find me again. That fickle nightmare is breathing down my neck once more. I know her all too well — she has nipped at my heels most of my career and has kept me running for the past 20 years. Running from friendships, running from family, running from loss, running from debt, running from jobs, running from guilt — running as hard as I can, ...

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