Anosognosia and Schizophrenia. A figment of the imagination?

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Originally Posted by kugel

A mentor of mine told me that the only time he saw an appropriate use of one particular old diagnosis was on a consult for, "Should we start an antidepressant?" for a patient still intubated and comatose.
Dx: Inadequate Personality Disorder

I TOTALLY remember you telling this before, because I had never heard of that diagnosis! (ah, my early SDN education...).

Originally Posted by billypilgrim37

Very awesome.

On a rainy Sunday night on consult call, I was called by a very incompetent PCP with an urgent consult to one of the hospitals we cover that I affectionately call "the bull**** factory". The reason for the consult? The patient was anxious that he might get constipated in the hospital because he has before (we have no authority to refuse consults). My assessment/plan: "Anal retentive. Miralax BID." Attending was pissed the next day, but I felt that was a good time to cash in some karma points.

Not to derail the thread...

Originally Posted by kugel

Can't remember if I've told this story here before (so I probably have).

A mentor of mine told me that the only time he saw an appropriate use of one particular old diagnosis was on a consult for, "Should we start an antidepressant?" for a patient still intubated and comatose.
Dx: Inadequate Personality Disorder

Sorry to go off topic for a moment, but these just reminded me of something

I once tried to explain the experience of having Attention Deficit Disorder as feeling like my brain was a filing cabinet, where files had just been dumped in at random, and whenever I tried to access information it was like it was all muddled up, and I couldn't find what I was looking for.

My Psychiatrist at the time noted - "Patient has delusions of filing cabinet in head"

Perhaps I didn't make it clear enough that I was speaking metaphorically

Originally Posted by Ceke2002

Sorry to go off topic for a moment, but these just reminded me of something

I once tried to explain the experience of having Attention Deficit Disorder as feeling like my brain was a filing cabinet, where files had just been dumped in at random, and whenever I tried to access information it was like it was all muddled up, and I couldn't find what I was looking for.

My Psychiatrist at the time noted - "Patient has delusions of filing cabinet in head"

Perhaps I didn't make it clear enough that I was speaking metaphorically

I had a patient tell me that his ADHD was like having 20 TVs on at once and not being able to find the remote.

(I didn't accuse him of getting "special messages", thank god...)

Originally Posted by OldPsychDoc

I had a patient tell me that his ADHD was like having 20 TVs on at once and not being able to find the remote.

(I didn't accuse him of getting "special messages", thank god...)

On that note, the other day while helping screen a patient for a research project I was thinking it would be fun to do a correlation between GAF and patient smile size/duration when screened for special messages / thought insertion. Doesn't one of the big journals have a "funny/amusing issue" every year where they publish random stuff like that, could be my best shot to ever be in a big journal

Originally Posted by surftheiop

On that note, the other day while helping screen a patient for a research project I was thinking it would be fun to do a correlation between GAF and patient smile size/duration when screened for special messages / thought insertion. Doesn't one of the big journals have a "funny/amusing issue" every year where they publish random stuff like that, could be my best shot to ever be in a big journal

The BMJ is a good target here....they specialise in this sort of stuff around Christmas time....

Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials



BMJ 2003; 327 doi: 10.1136/bmj.327.7429.1459 (Published 18 December 2003) Cite this as: BMJ 2003;327:1459

or

The case of the disappearing teaspoons: longitudinal cohort study of the displacement of teaspoons in an Australian research institute

BMJ 2005; 331 doi: 10.1136/bmj.331.7531.1498 (Published 22 December 2005) Cite this as: BMJ 2005;331:1498


Santa Claus: a public health pariah?

BMJ 2009; 339 doi: 10.1136/bmj.b5261 (Published 16 December 2009) Cite this as: BMJ 2009;339:b5261

]Nathan Grills from Monash University published a "study" that blamed belief in Santa Claus for childhood obesity. The paper also cited Santa's drink-driving, speeding, roof hopping and lack of seat-belt wearing as contributing factors to poor health outcomes in children and adults. The paper concludes that, "given Santa's universal appeal, and reasoning from a public health perspective, Santa needs to affect health by only 0.1 per cent to damage millions of lives".

Research

Sword swallowing and its side effects
BMJ 2006; 333 doi: 10.1136/bmj.39027.676690.55 (Published 21 December 2006) Cite this as: BMJ 2006;333:1285

Pain (neurology)Ear, nose and throat/otolaryngologyGI bleeding

Article

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• Read responses (7)
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1. Brian Witcombe, consultant radiologist1,
2. Dan Meyer, executive director2

Author Affiliations

• 1Department of Radiology, Gloucestershire Royal NHS Foundation Trust, Gloucester GL1 3NN
• 2Sword Swallowers' Association International, 3729 Belle Oaks Drive, Antioch, Tennessee 37013, USA

1. Correspondence to: B Witcombe brian.witcombe@glos.nhs.uk

• Accepted 28 October 2006

Abstract

Objective To evaluate information on the practice and associated ill effects of sword swallowing.
Design Letters sent to sword swallowers requesting information on technique and complications.
Setting Membership lists of the Sword Swallowers' Association International.
Participants 110 sword swallowers from 16 countries.
Results We had information from 46 sword swallowers. Major complications are more likely when the swallower is distracted or swallows multiple or unusual swords or when previous injury is present. Perforations mainly involve the oesophagus and usually have a good prognosis. Sore throats are common, particularly while the skill is being learnt or when performances are too frequent. Major gastrointestinal bleeding sometimes occurs, and occasional chest pains tend to be treated without medical advice. Sword swallowers without healthcare coverage expose themselves to financial as well as physical risk.
Conclusions Sword swallowers run a higher risk of injury when they are distracted or adding embellishments to their performance, but injured performers have a better prognosis than patients who suffer iatrogenic perforation.

Footnotes

• We thank Steven Kay of Manchester Business School for statistical help and members of the SSAI.
• Contributors: BW is guarantor and designed the study. DM (Dan@swordswallow.com) has attended four international conventions arranged by the SSAI, maintains its archive, and has had contact with most known sword swallowers over several years.
  Funding: None.
• Competing interests: None declared.
• Ethical approval: Not required.

• Accepted 28 October 2006

Originally Posted by F0nzie

I just looked up the word anosognosia. I plan on reading the article once I get off work.

just looked it up? and you're a pgy4?

Originally Posted by vistaril

just looked it up? and you're a pgy4?

Darn you know, you caught me red-handed. I forgot what it meant again. This thread isn't even that old... Keep looking it up and forgetting. I may as well give up.