tag:blogger.com,1999:blog-7772182113499451603.post5012468800959559958..comments2024-03-27T10:50:53.692-05:00Comments on Real Psychiatry: Delirium ReinventedGeorge Dawson, MD, DFAPAhttp://www.blogger.com/profile/03474899831557543486noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-7772182113499451603.post-32583995149394376682015-06-15T14:57:00.692-05:002015-06-15T14:57:00.692-05:00I'm increasingly convinced this whole collabo-...I'm increasingly convinced this whole collabo-care think if flat out malpractice. If you prescribe medicine to a patient you do not examine, you can get hauled in front of the state boards and get sued to high heaven if anything goes wrong. I've heard arguments that there is no increased risk because no doctor patient relationship and you aren't directly prescribing, but really no one knows what will happen until there is a high profile test case.James O'Brien, M.D.https://www.blogger.com/profile/14994350319492582321noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-42682624588798489642015-06-11T09:51:54.872-05:002015-06-11T09:51:54.872-05:00Good point.
Very brief list of DSM symptoms - see...Good point.<br /><br />Very brief list of DSM symptoms - seems ideal for a checklist.<br /><br />Also a great example of the limitations of verbal descriptions and checklists. Until you have seen a number of cases in training and experienced those patterns, the symptoms list is essentially useless.<br /><br />I can remember driving in to the hospital and thinking about the diagnosis based on hearing the patient scream over the phone when the nurses called me. When I heard that scream, I was back on the transplant unit diagnosing encephalitis in the immunocompromised.<br /><br />There is a reason that a book like the DSM ≠ real live training.George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-10215118488811893352015-06-10T23:22:12.878-05:002015-06-10T23:22:12.878-05:00Delirium is exhibit A as to why the collabo-Care m...Delirium is exhibit A as to why the collabo-Care model is clinically unsound. Try diagnosing it and formulating a tx plan from a distance. I can only imagine what my old C and L profs would have said had I told them I hadn't actually seen the patient.James O'Brien, M.D.https://www.blogger.com/profile/14994350319492582321noreply@blogger.com