Function
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I think, no. Anyone with active suicidal thoughts is believed to not be of "sound" mind. Suicide often leads from mental illnesses, such as depression, which most of the time can be treated; denying adequate treatment would be wrong. If refractory, or untreatable, leading to unbearable suffering, in some countries, like here in Belgium, one can ask (and run through some procedures) for euthanasia.
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Accepted for a residency in anaesthesiology!
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Finally graduated magna cum laude as an MD.
Although I have received the wonderful opportunity to specialise in neurosurgery, being a neurosurgery resident is just a dog's life I could not lead for the lengthy duration it has. Because of lots of reasons, I've decided to carry on as an aspiring future anaesthesiologist.
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Hi Function, how goes it with you and Belgium?
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Hi there studiot! Good to hear from you again! I'm doing quite well, at the end of my basic education; I'll be an MD in about 2 weeks, whereafter I'm going to specialize; it'll be either neurosurgery of anesthesiology (I'll know this after 22 June) :) Belgium itself is finally regaining some social life ... How about you?
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I look forward to toasting your success.
'Us country bumpkins' have largely avoided the worst of it. Took the family for a long walk in Okehampton woods (which are not in Okehamton but near me in Somerset) to the quarries today and helped a grocery delivery driver find some house. The lady there told me that she has been waiting 3 weeks for the food delivery. Of course GPS is very poor and patchy in our area.
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Hi guys For a case presentation in neurosurgery, I'm talking about the Jannetta procedure, in which, in patients with a neurovascular conflict between a cranial nerve and an offending vessel (mostly an artery compressing the nerve and pulsating against it), a sponge-like matter (Teflon, Merocel ...) is surgically inserted between the nerve and the vessel. I'd like to briefly talk about how the sponge absorbs most of the pulsatile energy/impact of the vessel, preventing energetic transmission to the nerve. I can't seem to find, however, a physics model explaining this. Does someone have a good explanation on how sponge-like matters absorb kinetic energy and prevent transmission of most of that energy past itself? Thanks! Function
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Brain damaga due to psychosis
Function replied to Hans de Vries's topic in Psychiatry and Psychology
During my psychiatry internship, most psychotic delusions (and also delusions in, for instance, major unipolar depressive disorder with psychotic features) were such delusions. The tricky part is identifying whether this delusion or idea can be contradicted to the patient, or not. For instance, we had one female patient in her 40s, with the undeniable idea (ergo, delusion) that she was having Alzheimer's dementia. This made her "normal" major unipolar depressive disorder one with psychotic features, making her immediately eligible for electroconvulsive therapy. The delusion became more of a deniable idea as time progressed. I think this is still a psychotic feature. Not knowing it's not real, that is, acknowledgeing the hallucination as something real, to me, is a delusion. But I'm not sure as to what guidelines and such state about this. -
Brain damaga due to psychosis
Function replied to Hans de Vries's topic in Psychiatry and Psychology
Actually, schizophrenia is one of the "psychosis spectrum disorders", and "psychosis" as such is more of a syndrome, rather than a symptom in itself. A psychosis is an event or episode characterised by either hallucinations, delusions, very chaotic or catatone behaviour, inconsistent speach, or negative symptoms. For schizophrenia, at least two of these "psychotic" characteristics should be present (the "A criterium" for schizophrenia) for a duration of at least 6 months. Comparably, schizophreniform disorder is basically the same, but lasts between 1 month and 6 months. -
Brain damaga due to psychosis
Function replied to Hans de Vries's topic in Psychiatry and Psychology
In the tertiary care centre where I had my internship, yes, they did, as should be done quite routinely to exclude large organic causes (such as acquired brain injuries) for their pathology. Here, it's important to not that it's a tertiary care centre we're talking about. As a GP, you shouldn't have MRI scans done of anyone seeing you for depression ... -
Brain damaga due to psychosis
Function replied to Hans de Vries's topic in Psychiatry and Psychology
I do not feel like citing the correct references, but as a matter of fact, yes. Nearly all psychiatric illnesses have organic impact on the brain. And not a good impact, for that matter. During my internship in psychiatry, I observed a lot of MRI scans of people admitted with depression, psychosis, bipolar disorder ... 1 thing they had in common: white matter lesions. -
The importance of publishing as a masters student - or not?
Function replied to limit's topic in Science Education
If you're doing an MD, publishing opens doors to further specialisation. -
The news about that black hole thing made me think. Now forgive me, physicists and others, for being such a noob when it comes to astronomy, but I had this idea, which didn't sound too stupid to me, but again, I'm a real layman in astronomy.
I was thinking that the big bang may have been a black hole, being overloaded with everything else the universe held, such that it became unstable, and exploded? Additionally, if I'm right, black holes grow while eating stuff, and may eat each other. What if our whole universe will come to a point in time where there are only two black holes, which have eaten anything else, remaining only for one to eat the other one, leaving only one giant black hole, once again being overloaded, and exploding, like a new big bang?
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In the hospital environment, a lot of letters must be written. I'm looking for a way to standardize all letters I'm making. To do so, I would like to make a MS Office Word wizard, which just asks me all relevant things (e.g., salutation, patient name and birth date), lets me select all things in clinical examination that are deviant from a list ..., and then merges everything into a standardized document, which would be a bit easier than making a template.
Does anyone know how I can do this?
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There is a whole vertical IT industry dealing with adressing what you wrote plus much more. There are specialized genre of software dealing with medical needs alone, those include everything from ticketing, registering a patient, printing stuff, keeping dynamic databases accesable for different pieces of software and a lot more - everything that needs to be done to fulfill any medical environment. Its a competive market where everything that needs to be provided has been provided, I would suggest you look into talking to your hospital IT guy...I know he presumably might not be too hot as IT guys tend to be not too interesting but hey, you gotta deal with it
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For once, I passed all my exams with great distinction, and my thesis specifically with greatest distinction
Let's hope my internships (starting March until July 2020) can help me finish my Master with great distinction ...
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Defended my thesis in front of the examination board. They were very pleased, found both the thesis and the presentation excellent, appreciated my direct and to-the-point answers to their questions ... Couldn't ask for more! 8 February is verdict day ...
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Feel free to watch this:
