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Lake Cocytus: July 2011
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Sunday, 31 July 2011. Picture an elderly gentleman, living on his own, in his own flat, for 10 years. He agrees to stay with family, crossing his doorway for the first time in so many years. In their home he's no better. Pictures talk to him. The pets are telepathic. The family are variously helping him, or poisoning him, so he lashes out with a walking stick. Saturday, 23 July 2011. Realistically, how would you spot someone like Shipman? It's as good as governance systems would seem to be . . . Takes us...
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Lake Cocytus: April 2011
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Tuesday, 19 April 2011. I can't recall who linked this YouTube video, it wasn't found by me. I chanced upon it on a blog which, to my shame, I can't recall. My wife thinks I read too many blogs. Meh. Anyway, watch this :. I'm like a rabbit suddenly trapped in the blinding headlights of vacuous crap.". Monday, 18 April 2011. My wife persuaded me to see some art she was interested in. An effort for the poor lass, since my interest in culture seldom exceeds the remits of what's grown within a petri dish.
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Lake Cocytus: Insight
http://lakecocytus.blogspot.com/2011/08/insight.html
Thursday, 18 August 2011. We used to assess and document insight a lot, routinely for every patient. It's become more of a trivial afterthought now (and rightly so) with more appropriate and sophisticated consideration of decision/situation specific capacity replacing the concept of insight being present/absent. Having chewed the cud with an AMHP and stirred thoughts on the concept of insight at length, I moved on half an hour later and to my shame, I lacked insight. I lacked insight into the situation.
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Lake Cocytus: August 2011
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Thursday, 18 August 2011. We used to assess and document insight a lot, routinely for every patient. It's become more of a trivial afterthought now (and rightly so) with more appropriate and sophisticated consideration of decision/situation specific capacity replacing the concept of insight being present/absent. Having chewed the cud with an AMHP and stirred thoughts on the concept of insight at length, I moved on half an hour later and to my shame, I lacked insight. I lacked insight into the situation.
lakecocytus.blogspot.com
Lake Cocytus: May 2011
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Wednesday, 25 May 2011. There're some reasons p'raps to support a ride in the great outdoors. Leave the urban sprawl and, where I work, we're blessed by verdent landscapes pretty much on our doorstep. Getting out and about can be therapeutic. Kaplan's work in 1995. The restorative benefits of nature: Toward an integrative framework. Journal of Environmental Psychology, 15, 169-182) was progressed in 2005. With consideration of such restorative environments. This has been advanced in 2008. I've a gentlema...
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Lake Cocytus: Stairway to Heaven
http://lakecocytus.blogspot.com/2011/12/stairway-to-heaven.html
Friday, 9 December 2011. I was due to see a patient who I've known for a long time, she was due in out-patient clinic but did not attend. My secretary checked on the patient administration system and found out she had unfortunately passed away. It was with sadness that I saw the message, in bold, that the patient was deceased. Next to this was also the comment, "Transport not required.". This comment has been removed by the author. March 12, 2012 7:26 am. Http:/ blogmedicine4you.blogspot.it. Takes us on ...
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Lake Cocytus: Medicine
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Monday, 1 August 2011. We go in to a vocational career, such as medicine, for many reasons. Here are 10 reasons. Why we fair well in a job. Sometimes I read articles that are unwelcome, I sigh, but I let it go and move on. This pernicious utterance. Is one such lamentable article. Would you give medication to/stick needles in a woman who's just walked off the street? For her to then generalise this and contend in her headline, "The caring professions? And they say it's my patients who are mad . . . Then ...
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Lake Cocytus: March 2011
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Saturday, 19 March 2011. The drugs weren't working any more. On mornings and after coming down off the drugs' peak effects, he was restless and irritable and more anxious. He'd started falling. Alcohol intake was modest (a couple glasses of wine a week) with normal liver function. Even if it's not my mess, not my work, not my problem, sometimes it's better for the GP to be the good guy and me to be the bad guy. Monday, 14 March 2011. The banker immediately takes 11 and whispers to the Daily Mail reader, ...
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Lake Cocytus: Humour
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Thursday, 15 September 2011. I saw a young patient who has had obsessional ideation for some time, but it's now well managed. They still have to arrange towels in order, folded just so, arranged by colour and shade in a certain order. They still have to have the groceries and tins in certain places, with the labels facing a certain way. September 16, 2011 6:03 am. Milk and Two Sugars. It sounds as though shes become comfortable with her peculiarities in the best of ways. Congratulations to her! Takes us ...
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Lake Cocytus: November 2011
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Thursday, 3 November 2011. Walking across the hospital grounds I overheard a couple talking as they returned to the ward. He was saying to her how grateful he was that his Consultant Psychiatrist, ". . . had sectioned me that night, getting me into hospital," because he felt, "I right needed to, if I didn't I'd have been pissed and in [a nearby large city] and right violent.". That was my moment of pondering today . . . hearing a patient's comment, thinking of the positive, thinking of his po...Takes us ...
