lakecocytus.blogspot.com
Lake Cocytus: Insight
http://lakecocytus.blogspot.com/2011/08/insight.html
Thursday, 18 August 2011. We used to assess and document insight a lot, routinely for every patient. It's become more of a trivial afterthought now (and rightly so) with more appropriate and sophisticated consideration of decision/situation specific capacity replacing the concept of insight being present/absent. Having chewed the cud with an AMHP and stirred thoughts on the concept of insight at length, I moved on half an hour later and to my shame, I lacked insight. I lacked insight into the situation.
drphilyerboots.wordpress.com
About Dr Phil Yerboots | Dr Phil Yerboots Consulting Room
https://drphilyerboots.wordpress.com/about
Dr Phil Yerboots Consulting Room. Musings on medicine, culture and politics from a bootboy. About Dr Phil Yerboots. About Dr Phil Yerboots. In retrospect it was a rather limited pun on which to base my pseudonym, and perhaps I should have picked a less limiting one. For the present I will stick to it. I live in the nondescript Middle England County of Borsetshire and work at both Borchester General Hospital and my private practice in Little Harley Street. Its a good life, and at times a hard one. Thought...
lakecocytus.blogspot.com
Lake Cocytus: August 2011
http://lakecocytus.blogspot.com/2011_08_01_archive.html
Thursday, 18 August 2011. We used to assess and document insight a lot, routinely for every patient. It's become more of a trivial afterthought now (and rightly so) with more appropriate and sophisticated consideration of decision/situation specific capacity replacing the concept of insight being present/absent. Having chewed the cud with an AMHP and stirred thoughts on the concept of insight at length, I moved on half an hour later and to my shame, I lacked insight. I lacked insight into the situation.
lakecocytus.blogspot.com
Lake Cocytus: Stairway to Heaven
http://lakecocytus.blogspot.com/2011/12/stairway-to-heaven.html
Friday, 9 December 2011. I was due to see a patient who I've known for a long time, she was due in out-patient clinic but did not attend. My secretary checked on the patient administration system and found out she had unfortunately passed away. It was with sadness that I saw the message, in bold, that the patient was deceased. Next to this was also the comment, "Transport not required.". This comment has been removed by the author. March 12, 2012 7:26 am. Http:/ blogmedicine4you.blogspot.it. Takes us on ...
lakecocytus.blogspot.com
Lake Cocytus: March 2011
http://lakecocytus.blogspot.com/2011_03_01_archive.html
Saturday, 19 March 2011. The drugs weren't working any more. On mornings and after coming down off the drugs' peak effects, he was restless and irritable and more anxious. He'd started falling. Alcohol intake was modest (a couple glasses of wine a week) with normal liver function. Even if it's not my mess, not my work, not my problem, sometimes it's better for the GP to be the good guy and me to be the bad guy. Monday, 14 March 2011. The banker immediately takes 11 and whispers to the Daily Mail reader, ...
lakecocytus.blogspot.com
Lake Cocytus: Humour
http://lakecocytus.blogspot.com/2011/09/humour.html
Thursday, 15 September 2011. I saw a young patient who has had obsessional ideation for some time, but it's now well managed. They still have to arrange towels in order, folded just so, arranged by colour and shade in a certain order. They still have to have the groceries and tins in certain places, with the labels facing a certain way. September 16, 2011 6:03 am. Milk and Two Sugars. It sounds as though shes become comfortable with her peculiarities in the best of ways. Congratulations to her! Takes us ...
lakecocytus.blogspot.com
Lake Cocytus: November 2011
http://lakecocytus.blogspot.com/2011_11_01_archive.html
Thursday, 3 November 2011. Walking across the hospital grounds I overheard a couple talking as they returned to the ward. He was saying to her how grateful he was that his Consultant Psychiatrist, ". . . had sectioned me that night, getting me into hospital," because he felt, "I right needed to, if I didn't I'd have been pissed and in [a nearby large city] and right violent.". That was my moment of pondering today . . . hearing a patient's comment, thinking of the positive, thinking of his po...Takes us ...
lakecocytus.blogspot.com
Lake Cocytus: Lithium
http://lakecocytus.blogspot.com/2011/08/lithium.html
Tuesday, 16 August 2011. How many older adults present, after retirement, for the first time with schizophrenia? Almost none. How many older adults present, in later life, with mood swings which are so significant that they need long term management with interventions which include a mood stabiliser? I don't know. But there aren't that many folk presenting in later life with major mood swings for the first time. Why's this in my thoughts? Has there been a campaign about it? Enquiring minds need to know!
lakecocytus.blogspot.com
Lake Cocytus: Cured
http://lakecocytus.blogspot.com/2011/07/cured.html
Sunday, 31 July 2011. Picture an elderly gentleman, living on his own, in his own flat, for 10 years. He agrees to stay with family, crossing his doorway for the first time in so many years. In their home he's no better. Pictures talk to him. The pets are telepathic. The family are variously helping him, or poisoning him, so he lashes out with a walking stick. Milk and Two Sugars. Brilliant. Congratultions :). July 31, 2011 1:04 pm. Thank-you for sharing. :). August 01, 2011 1:09 am. Wow - well done!
witchdoctor.wordpress.com
Spells | The Witch Doctor
https://witchdoctor.wordpress.com/spells
A Witch Doctor’s daily evolving view of UK health care and its close relationship with Modernising Medical Careers (MMC). Black Cat’s CPD. Where it all happens. Just a cupboard really. Crammed full of ingredients and completed spells. Shown below are some of the spells The Witch Doctor is working on at the moment or has used recently. There are many more. THE WITCHES VERY OWN RED APPLE SPELL. WITCHING HOUR QUOTATIONS MADE INTO A SPELL. OLD HORRIBLE FERMENTING CONTAMINATED SPELLS. Some good old fashioned ...