@somedoc.bsky.social
Psychiatrist specializing in the medically complex | neurointerventional psych | MPH | dad
I happened to try the Pathway app today. It uses AI to answer medical questions - and it is NOT okay. It prompted me to its article on mgmt of borderline personality, where it recommended an abilify dose range of 10-50mg. #skychiatry #psychsky
February 23, 2025 at 1:48 AM
I happened to try the Pathway app today. It uses AI to answer medical questions - and it is NOT okay. It prompted me to its article on mgmt of borderline personality, where it recommended an abilify dose range of 10-50mg. #skychiatry #psychsky
Controversial opinion: if your only ideas for antagonists are knock-offs of the title character (discount supermen, multicolor lanterns, evil
Speedsters) you are squandering the story’s potential, and your own. You are more creative than that.
#DcComics
Speedsters) you are squandering the story’s potential, and your own. You are more creative than that.
#DcComics
January 2, 2025 at 2:43 PM
Controversial opinion: if your only ideas for antagonists are knock-offs of the title character (discount supermen, multicolor lanterns, evil
Speedsters) you are squandering the story’s potential, and your own. You are more creative than that.
#DcComics
Speedsters) you are squandering the story’s potential, and your own. You are more creative than that.
#DcComics
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#neuroinflammation #covid 🧵
Compelling study: Covid spike protein persists in the skull-meninges-brain axis in COVID patients. In mice, spike protein induces brain pathology, brain vulnerability and exacerbates neurological damage. mRNA vaccines reduce spike burden
#neuroskyence, #neuroimmunology
Compelling study: Covid spike protein persists in the skull-meninges-brain axis in COVID patients. In mice, spike protein induces brain pathology, brain vulnerability and exacerbates neurological damage. mRNA vaccines reduce spike burden
#neuroskyence, #neuroimmunology
Our new study shows that SARS-CoV-2 spike protein accumulates & persists in the body for years after infection, especially in the skull-meninges-brain axis, potentially driving long COVID. mRNA vaccines help but cannot stop it🔬🧠🦠🧵Your weekend read👇
@cellpress.bsky.social
cell.com/cell-host-mi...
@cellpress.bsky.social
cell.com/cell-host-mi...
November 29, 2024 at 5:31 PM
#neuroinflammation #covid 🧵
Compelling study: Covid spike protein persists in the skull-meninges-brain axis in COVID patients. In mice, spike protein induces brain pathology, brain vulnerability and exacerbates neurological damage. mRNA vaccines reduce spike burden
#neuroskyence, #neuroimmunology
Compelling study: Covid spike protein persists in the skull-meninges-brain axis in COVID patients. In mice, spike protein induces brain pathology, brain vulnerability and exacerbates neurological damage. mRNA vaccines reduce spike burden
#neuroskyence, #neuroimmunology
Reposted
Hey, #NeuroSky - a question. Is there any open source software capable of rendering 3D images from MRI DICOM? Looking for something relatively simple to use. I do have an old version of 'Julius MV1' but that project seems defunct now & the version I have is not great for MRI - works better with CT.
November 29, 2024 at 8:45 PM
Hey, #NeuroSky - a question. Is there any open source software capable of rendering 3D images from MRI DICOM? Looking for something relatively simple to use. I do have an old version of 'Julius MV1' but that project seems defunct now & the version I have is not great for MRI - works better with CT.
I just finished this new paper on hyperbaric oxygen for PTSD and I can’t in good conscience criticize it: it’s an absolutely well done study providing compelling evidence for a huge treatment response (Cohen’s d > 2). I wish I had hyperbaric tx available in my hospital now.
#skychiatry
#skymed
#skychiatry
#skymed
Hyperbaric Oxygen Therapy for Veterans With Combat-Associated Posttraumatic Stress Disorder: A Randomized, Sham-Controlled Clinical Trial - PubMed
<span><b>Objective:</b> Cumulative data indicate that new protocols of hyperbaric oxygen therapy (HBOT) may induce neuroplasticity and improve clinical symptoms of patients suffering from posttraumati...
pubmed.ncbi.nlm.nih.gov
November 27, 2024 at 2:37 AM
I just finished this new paper on hyperbaric oxygen for PTSD and I can’t in good conscience criticize it: it’s an absolutely well done study providing compelling evidence for a huge treatment response (Cohen’s d > 2). I wish I had hyperbaric tx available in my hospital now.
#skychiatry
#skymed
#skychiatry
#skymed
I really love how many great articles people are sharing on #skychiatry. This is better than I get at work!
November 26, 2024 at 3:06 PM
I really love how many great articles people are sharing on #skychiatry. This is better than I get at work!
Reposted
#psychsky Any recommendations for primers on the history of diagnostic classification systems in psychiatry?
I am working on creating a short lecture series on the history and philosophy of psychiatry for psych residents and fellows. Will be asking for advice as things develop!
I am working on creating a short lecture series on the history and philosophy of psychiatry for psych residents and fellows. Will be asking for advice as things develop!
November 25, 2024 at 5:03 PM
#psychsky Any recommendations for primers on the history of diagnostic classification systems in psychiatry?
I am working on creating a short lecture series on the history and philosophy of psychiatry for psych residents and fellows. Will be asking for advice as things develop!
I am working on creating a short lecture series on the history and philosophy of psychiatry for psych residents and fellows. Will be asking for advice as things develop!
Reposted
Слава Украинцам и Украини
Sound off if you’re still adamantly and unapologetically PRO Ukraine and PRO NATO 🇺🇦
November 25, 2024 at 3:26 PM
Слава Украинцам и Украини
Reposted
Reposted
Deep TMS + EXRP done in tandem and following the course of TMS can work wonders. That combo helped a patient of ours get over their fear of “pizza that touched air that touched other pizza” as well as saliva and bodily fluids. There are promising trials underway with psilocybin for severe OCD also.
November 22, 2024 at 2:15 AM
Deep TMS + EXRP done in tandem and following the course of TMS can work wonders. That combo helped a patient of ours get over their fear of “pizza that touched air that touched other pizza” as well as saliva and bodily fluids. There are promising trials underway with psilocybin for severe OCD also.
The conclusions of the OPAL trial are poorly supported - a wonderful example of a study with solid internal validity utterly failing on external validity. It’s a rare time occasion where I think the plainly-worded rebuttal is more worth your time than the actual study, but here we are. #skymed
Opioids for back and neck pain: the OPAL trial
We read the study by Caitlin Jones and colleagues,1 which prompted us to raise several
concerns about it. The main issue we are concerned about is that the authors’ conclusion
does not match nor refle...
www.thelancet.com
November 22, 2024 at 2:03 AM
The conclusions of the OPAL trial are poorly supported - a wonderful example of a study with solid internal validity utterly failing on external validity. It’s a rare time occasion where I think the plainly-worded rebuttal is more worth your time than the actual study, but here we are. #skymed
Reposted
Reposted
Slash, shoot, cast, and plot your way across a city cursed to expand forever to the horizon.
Embrace true asymmetry in your fantasy TTRPG.
Play Slayers.
gilarpgs.itch.io/slayers
Embrace true asymmetry in your fantasy TTRPG.
Play Slayers.
gilarpgs.itch.io/slayers
November 20, 2024 at 2:37 AM
Slash, shoot, cast, and plot your way across a city cursed to expand forever to the horizon.
Embrace true asymmetry in your fantasy TTRPG.
Play Slayers.
gilarpgs.itch.io/slayers
Embrace true asymmetry in your fantasy TTRPG.
Play Slayers.
gilarpgs.itch.io/slayers
Reposted
We found compelling evidence that neurogenesis is greatly boosted by ECT. Studies of the effects of antidepressants were mixed.
Surprisingly, evidence was almost absent for Lithium - even though I have long heard that it is thought to stimulate neurogenesis or plasticity.
Surprisingly, evidence was almost absent for Lithium - even though I have long heard that it is thought to stimulate neurogenesis or plasticity.
November 19, 2024 at 8:06 AM
We found compelling evidence that neurogenesis is greatly boosted by ECT. Studies of the effects of antidepressants were mixed.
Surprisingly, evidence was almost absent for Lithium - even though I have long heard that it is thought to stimulate neurogenesis or plasticity.
Surprisingly, evidence was almost absent for Lithium - even though I have long heard that it is thought to stimulate neurogenesis or plasticity.
Reposted
Good luck making anesthesia without Big Pharma
Although maybe this will encourage us to support more local farm-to-table artisanal anesthetic producers
Although maybe this will encourage us to support more local farm-to-table artisanal anesthetic producers
November 18, 2024 at 2:33 PM
Good luck making anesthesia without Big Pharma
Although maybe this will encourage us to support more local farm-to-table artisanal anesthetic producers
Although maybe this will encourage us to support more local farm-to-table artisanal anesthetic producers
Reposted
Psychotropic medication during pregnancy: new umbrella review finds no convincing evidence of adverse health outcomes for the baby www.nationalelfservice.net?p=206720
Some interesting associations though between antidepressant use and harm, based on suggestive or weak evidence.
Some interesting associations though between antidepressant use and harm, based on suggestive or weak evidence.
Psychotropic medication during pregnancy: new umbrella review
Psychotropic medication during pregnancy - Flo Martin finds that we still have limited knowledge about the safety of psychotropic drug use in pregnancy.
www.nationalelfservice.net
November 18, 2024 at 2:26 PM
Psychotropic medication during pregnancy: new umbrella review finds no convincing evidence of adverse health outcomes for the baby www.nationalelfservice.net?p=206720
Some interesting associations though between antidepressant use and harm, based on suggestive or weak evidence.
Some interesting associations though between antidepressant use and harm, based on suggestive or weak evidence.
Reposted
5 different reasons why it’s important to include pre-treatment variables when designing and analyzing a randomized experiment (or doing any causal study)
statmodeling.stat.columbia.edu/2024/11/18/5...
statmodeling.stat.columbia.edu/2024/11/18/5...
5 different reasons why it’s important to include pre-treatment variables when designing and analyzing a randomized experiment (or doing any causal study) | Statistical Modeling, Causal Inference, an...
statmodeling.stat.columbia.edu
November 18, 2024 at 2:39 PM
5 different reasons why it’s important to include pre-treatment variables when designing and analyzing a randomized experiment (or doing any causal study)
statmodeling.stat.columbia.edu/2024/11/18/5...
statmodeling.stat.columbia.edu/2024/11/18/5...
Reposted
youtu.be/iSZnzNLhxCc?.... Tim Ferris Explains how potent TMS can be in OCD and anxiety.
My 2 Sessions of Transcranial Magnetic Stimulation for OCD and Anxiety
YouTube video by Tim Ferriss
youtu.be
November 18, 2024 at 12:37 AM
youtu.be/iSZnzNLhxCc?.... Tim Ferris Explains how potent TMS can be in OCD and anxiety.
Reposted
Had a wonderful time presenting my work as part of the Innovations to Evidence-Based Practice symposium and connecting with everyone at #ABCT2024!
Looking forward to next year’s ABCT in New Orleans 😎
@abctnow.bsky.social
#abct2024
#abct
Looking forward to next year’s ABCT in New Orleans 😎
@abctnow.bsky.social
#abct2024
#abct
November 17, 2024 at 7:19 PM
Had a wonderful time presenting my work as part of the Innovations to Evidence-Based Practice symposium and connecting with everyone at #ABCT2024!
Looking forward to next year’s ABCT in New Orleans 😎
@abctnow.bsky.social
#abct2024
#abct
Looking forward to next year’s ABCT in New Orleans 😎
@abctnow.bsky.social
#abct2024
#abct
I was speaking with PGY3s about SRI effect sizes recently. I made them actually open the HAM-D and imagine going from the highest severity of a symptom to the lowest: QoL-altering change in daily life and miniscule as an ES. Pts don’t care how far sad number goes down, they want to -feel better-.
November 17, 2024 at 4:13 PM
I was speaking with PGY3s about SRI effect sizes recently. I made them actually open the HAM-D and imagine going from the highest severity of a symptom to the lowest: QoL-altering change in daily life and miniscule as an ES. Pts don’t care how far sad number goes down, they want to -feel better-.
Reposted
November 17, 2024 at 3:39 PM
Reposted
This is from a really interesting article from the American Academy of Ophthalmology. Did you realise:
The back of almost everyone’s irises is brown, and…
That thing you learned at school about two blue-eyed parents always producing blue-eyed children? Complete nonsense.
The back of almost everyone’s irises is brown, and…
That thing you learned at school about two blue-eyed parents always producing blue-eyed children? Complete nonsense.
November 17, 2024 at 4:22 AM
This is from a really interesting article from the American Academy of Ophthalmology. Did you realise:
The back of almost everyone’s irises is brown, and…
That thing you learned at school about two blue-eyed parents always producing blue-eyed children? Complete nonsense.
The back of almost everyone’s irises is brown, and…
That thing you learned at school about two blue-eyed parents always producing blue-eyed children? Complete nonsense.
Reposted
This is not a mandate.
November 16, 2024 at 3:08 AM
This is not a mandate.