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Monthly Archive for March, 2007

Neuroscience & Neurology

Migraines? Ask Your Doctor About TPM

March 30, 2007 | By Larry Leonard | 4 Comments

Are you among the nearly twelve percent of the adult population who suffer from migraines? If so, read on.The migraine is a highly prevalent, disabling, undiagnosed, and undertreated disease, with considerable economic and social impact. Treatment strategies are both preventive and acute, using a plan that usually includes educating patients about their illness and its management (for instance, mechanisms, recognizing and avoiding triggers, and lifestyle changes), acute treatment, and preventive treatment. During a migraine attack, nerves in the brain dilate blood vessels that, in turn, cause pain, further nerve activation, and inflammation.

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Opinion

Difficulties Teaching Mental Health in Med School: We Need More Answers!

March 28, 2007 | By Shaheen E Lakhan, MD, PhD, MEd, MS | 5 Comments

From our previous discussion, Scott (a commentator) proposed a very interesting basis for the disparity of mental health management in contemporary health care: lack of medical training on the subject. Typically, mental health disorders are covered in a short course in the classroom training of medical students. Then, in the hospital, medical students learn clinical aspects of mental health in psychiatry and other rotations (e.g., emergency medicine). Also, general pharmacology for medical students covers anti-psychotics, antidepressants, and anxiolytics (drugs to relieve anxiety) generally across a few lessons. Given the high prevalence of mental illness, certainly many topics in medicine are disproportionately lectured.

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Neuroscience & Neurology

Can the Brain Multitask Effectively?

March 26, 2007 | By JC, MD | 2 Comments

An interesting article from The New York Times raises the question of the brain's ability to multitask. Given the pervasiveness of technology and the increasing need to juggle phone calls, emails, instant messages, and computer work, the article suggests that while we feel like we are being more efficient by multitasking, the reality is that our brain cannot effectively adapt to these interruptions.

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Opinion

When Did the Brain Become Disconnected From the Body?

March 23, 2007 | By Shaheen E Lakhan, MD, PhD, MEd, MS | 5 Comments

Mental health is often a taboo subject. It is a hushed topic for behind closed-door discussions and definitely not something for public consumption. Take look at any health insurance policy and you will see the unspeakable nature of these types of illnesses first hand. Most policies set limits on the amount of care a patient can receive in a calendar year. A good policy could contain 20 to 30 visits, however many do not cover this type of care at all. While many other medical conditions also have limited coverage, most requiring intensive care are covered. Surely, a heart condition would not have a yearly limit in care and an ear nose and throat doctor's services would most likely be covered, but for some reason, mental illness is not seen as a medical condition worthy of normal policy coverage.

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