Tag: psychiatrist
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Diagnosis: Neurosyphilis. Treatment: Malaria, iatrogenic
Howard FischerUppsala, Sweden “The syphilitic man was thinking hard…about how to get his legs to step off the curb and carry him across Washington Street. Here was his problem: His brains, where the instructions to his legs originated, were being eaten alive by corkscrews.”– Kurt Vonnegut, The Breakfast of Champions Julius Wagner-Jauregg, M.D. (1857–1940) graduated…
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The emergency room doctor
Rob OttesenVero Beach, Florida, United States If you were to ask me, I like to have a glazed doughnut before I go to sleep because the sugar in the doughnut inhibits my body’s production of orexin, a neuropeptide, thereby ensuring a peaceful slumber. I also like the taste of the doughnut and the warm and fuzzy…
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The medicine in our stars
Nishitha BujalaHyderabad, Telangana, India I have been fascinated by the night sky for as long as I can remember. I would see the tiny, indiscernible stars and wonder if there was a bigger meaning to the world than what I had perceived. As I grew up, I began to realize it was not the stars…
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The patient who provided his own placebo and fully recovered
Lawrence ClimoLincoln, Massachusetts, United States My elderly patient began his treatment by complaining about how his mother had behaved towards him in his boyhood. She had hurt him with her name-calling and humiliating insults, and these had apparently resulted in a lifetime of a negativism towards her. He wanted my help to end that negativity.…
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Rage against the machine
Kaitlin KanVillanova, Pennsylvania, United States It was almost as if the neuromodulation clinic was the machine itself. The entire ward was U-shaped, with each arm housing preparation and recovery and the treatment suite nestled in the middle. Each patient was scheduled to the moment; nurses were on a constant cycle of ushering in and wheeling…
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Intersection of mental illness, the supernatural, and gender in Pakistan
Sualeha Siddiq ShekhaniKarachi, Pakistan Maria sits across from me in a pristine clinic room in a private hospital in Pakistan. At first reluctant to speak about her husband’s illness, her words suddenly flow as if a dam has burst. She wants me to know everything: her suffering and her worry at taking care of her…
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Sergei Rachmaninoff: The dichotomy of life and music
Michael YafiChaden YafiHouston, Texas, United States Sergei Rachmaninoff (1873-1943), a Russian composer, was known for having very large hands. With a span that covered twelve white keys on the keyboard (the interval of a thirteenth), he could play a left-hand chord of C, E flat, G, C, and G.1 This has led some medical experts…
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Prisoners on leave: Vietnam veterans and the Golden Age Western
Edward Harvey Missoula, Montana, United States “I think we all died a little in that damn war.”—The Outlaw Josey Wales “So…what have you been up to?” When screening combat Vietnam veterans for post-traumatic stress disorder, I will often ask them about their hobbies or interests, since PTSD often manifests as an inability to find pleasure in…
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Women changing medicine
Lesley CampbellDarlinghurst, New South Wales, Australia This is my account of three generations of women doctors in my family who in different times and different places were subjected to persecution or at least discrimination because of their race, religion, and gender. The account is written in the hope that society in general and medicine in…
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Which weighs upon the heart
Murad KhanKarachi, Pakistan I seldom see patients without an appointment, which for an initial patient can take up to an hour, often longer. Fortunately for this couple, the booked patient rang in to say he could not come because of some transport problem, so I was able to see them. “Doctor saheb- we have come…