Steven Lippmann, M.D. Assuring good hydration is a goal for physicians. Proper fluid and electrolyte balance is vital. Yet, dehydration in selected clinical circumstances is beneficial and medically indicated, especially in near death terminal circumstances. Providing for comfort is important to all healthcare. And comfort care is the primary treatment plan for sick people near […]
Steven Lippmann, M.D. Aluminum and psychiatry? Aluminum is the third most common element in the earth. Dementia specialists and others have debated whether aluminum ingestion through the gastrointestinal track or skin is bad for brain health. Does it cause or facilitate cognitive decline or development of other neurologic disorders? The research is not conclusive. Some […]
Leo Sher, M.D. My commentary, “Post-COVID syndrome and suicide risk” was published in the QJM: An International Journal of Medicine online ahead of print on January 24, 2021 and included in the February 2021 print issue of the Journal (1). A summary of my article is below: A significant number of coronavirus disease SARS-CoV-2 (COVID-19) […]
Steven Lippmann, M.D. What about young people’s sports-related brain-health? What advice do we offer? Boxing has long been known to induce brain injury from frequent, powerful blows to the head. Serious neuropsychiatric and cognitive sequela occur over time and are recognized. Recurrent damage can result in chronic traumatic encephalopathies (CTE). Neuronal pathology is documented. Chronic […]
Leo Sher, M.D. Posttraumatic stress disorder (PTSD) is a difficult, frequently chronic and often incapacitating psychiatric disorder (1). PTSD arises in some individuals subsequent to exposure to a traumatic episode involving real or threatened harm to themselves or other people. PTSD is characterized by intrusive thoughts, nightmares and flashbacks of traumatic events, dysphoric mood and […]
Jacob M. Appel, M.D., J.D. Sometimes it takes one injustice to shed light upon another. That is the case with recent attention being paid to the exclusion of pregnant and breastfeeding individuals from vaccine trials for COVID-19. In the United States, where the FDA has included these individuals in the emergency use authorizations, the immediate […]
Leo Sher, M.D. My review article, “The impact of the COVID-19 pandemic on suicide rates” was published in the QJM: An International Journal of Medicine online ahead of print on June 15, 2020 and included in the October 2020 print issue of the Journal (1). A summary of my article is below: Multiple lines of […]
Sahil Naik, M.D., Nivedita Jha, M.D., Shivani Naik, M.D., Steven Lippmann, M.D. The coronavirus disease COVID-19 can be infectious to everyone, from newborns to elderly people. The impact of COVID-19 during pregnancy is not known, but is a matter of concern regarding perinatal and maternal outcomes (1). Physiological cardiovascular changes with increased metabolism, higher oxygen […]
Robert Frierson, M.D., Steven Lippmann, M.D. The emergence of coronavirus infections has had a profound impact on most physicians, including psychiatrists. The stress on doctors prompted a survey of Louisville, KY physicians, to inquire about discomfort experienced when caring for patients during this current pandemic. The ways that these clinicians achieved some relief was recorded. […]
Hema Mekala, M.D., Sayeda Basith, M.D., Lalasa Doppalapudi, M.D., Kaushal Shah, M.D. Food refusal is commonly seen in hospitalized patients with mental illness resulting in cachexia and death if left untreated. In acute conditions, it may lead to a medical emergency. If it is a chronic issue, it can become an ingrained behavior that is […]
