tag:blogger.com,1999:blog-13124646.post113863888874560883..comments2013-02-14T17:39:13.926-05:00Comments on ResidentKnitter: Water BoyDrEtakhttp://www.blogger.com/profile/10439906840428622241noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-13124646.post-1138851925122131872006-02-01T22:45:00.000-05:002006-02-01T22:45:00.000-05:00so, hey, I was just watching an episode of quantum...so, hey, I was just watching an episode of <I>quantum leap</I> where sam gets ECT.<BR/><BR/>how about THAT?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-13124646.post-1138811324917972782006-02-01T11:28:00.000-05:002006-02-01T11:28:00.000-05:00Is your patient on Lithium? There could be a comp...Is your patient on Lithium? There could be a component of DI.<BR/><BR/>best,<BR/><BR/>FleaBig Lebowski Storehttps://www.blogger.com/profile/09131330425557709407noreply@blogger.comtag:blogger.com,1999:blog-13124646.post-1138791385354427772006-02-01T05:56:00.000-05:002006-02-01T05:56:00.000-05:00I spent a few years training as a psychiatrist bef...I spent a few years training as a psychiatrist before changing to a physician field.<BR/><BR/>I've done many ECT lists. I had seen it previously as a medical student, and found it frankly disturbing.<BR/><BR/>So before my first list, I did a lot of research and was able to feel comfortable with doing it in select scenarios. The main side effect is some memory loss, and one concern that I recall is this can be quite severe in some...which is an issue in higher-functioning patients.<BR/><BR/>Yet I saw many dramatic improvements where all else had failed.<BR/><BR/>But the stigma and fear of the general public is a major concern. Before ever recommending one of my own patients I would spend a long time discussing it with them, or their family, as the case may be.<BR/><BR/>Yuor blog seems very interesting, hope you have time to keep it up!<BR/><BR/>DDDr Dorkhttps://www.blogger.com/profile/00038767903911860667noreply@blogger.comtag:blogger.com,1999:blog-13124646.post-1138745722811028642006-01-31T17:15:00.000-05:002006-01-31T17:15:00.000-05:00I think that if he continues in this way, that's w...I think that if he continues in this way, that's what they might try. Honestly, since I haven't been on inpatient full time this month, I don't know how far maxed out he is on lithium.<BR/><BR/>ECT is interesting. I was more than a little afraid of it in medical school, but I have seen some really dramatic improvements with our geriatric/medically complicated folks. I've also seen it NOT help--a chronic schizophrenic who used to be a physician (!!!) is one case in which ECT did not help his catatonia, and he eventually died at the age of 63. Incredibly sad. But what I have NOT seen is any COMPLICATIONS from the ECT that we give. It seems to be safe, even if we don't quite know how it works.DrEtakhttps://www.blogger.com/profile/10439906840428622241noreply@blogger.comtag:blogger.com,1999:blog-13124646.post-1138727303220453292006-01-31T12:08:00.000-05:002006-01-31T12:08:00.000-05:00Is he an ECT candidate ?I'm...wary...of ECT. But c...Is he an ECT candidate ?<BR/><BR/>I'm...wary...of ECT. But compared to death from hyponatriemia...Dr Dorkhttps://www.blogger.com/profile/00038767903911860667noreply@blogger.comtag:blogger.com,1999:blog-13124646.post-1138719794261573812006-01-31T10:03:00.000-05:002006-01-31T10:03:00.000-05:00It's impressive, and it's scary. We just aren't m...It's impressive, and it's scary. We just aren't making and headway, and I'm really afraid about what will happen when he finally goes home.<BR/>It doesn't help that he's still manic and irritable, either, with very little movement on that front, even with meds.DrEtakhttps://www.blogger.com/profile/10439906840428622241noreply@blogger.comtag:blogger.com,1999:blog-13124646.post-1138712685956613852006-01-31T08:04:00.000-05:002006-01-31T08:04:00.000-05:00109.That's quite impressive.109.<BR/><BR/>That's quite impressive.Dr Dorkhttps://www.blogger.com/profile/00038767903911860667noreply@blogger.comtag:blogger.com,1999:blog-13124646.post-1138686717663079242006-01-31T00:51:00.000-05:002006-01-31T00:51:00.000-05:00this might sound retarded, but is there any way of...this might sound retarded, but is there any way of sneaking some sort of salt into what he drinks, as to resalinate him?Anonymousnoreply@blogger.com