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Psychiatric Cardiology 101: QTc

Wherein a psychiatrist tries to teach cardiology (and hopefully doesn't embarrass themselves)

#psychtwitter #medtwitter #MedEd #psychchat #somemed #somepsych

Warning: MATH
What is QT? (Yes yes, it can be your texting shorthand to get your groove on)

QT refers to the interval on the electrocardiocgram, in milliseconds, between the START of the QRS complex to the END of the T Wave
(as the graph shows, if you wanna be super fancy, we calculate the end of the T wave by intersecting the maximum slope with the isoelectric baseline)
Read 14 tweets
So hey #medtwitter, I know that Invega and Zyprexa and Saphris are new sexy drugs, but for bipolar disorder, have you considered lithium? Yeah, I know, that drug rep WAS pretty hot... but... this medication deserves a rep.


#somepsych #psychtwitter #MedEd
I'm nowhere near sexy enough to be hired by a Pharma company, but allow me to be that rep.

(This is particularly targeted at my American psychiatric colleagues, who for whatever reason seem quite enthralled with every new medication that comes down the pipeline)
The last decade has brought out SO MUCH EVIDENCE for Lithium (Li+) in bipolar disorder (BD). Many old ideas about Li+ have changed, and our knowledge has just gotten so much stronger.
Read 27 tweets
"What's wrong with this BS?"

If you are #depressed, you are living in the past
If you are #anxious, you are living in the future
If you are at peace, you are living in the present
- Lao Tzu

WRONG! But good for teaching.
#meded #psychtwitter #somepsych #medtwitter
(quick trigger warning)

This is intended to be educational re: depression & anxiety. It mentions concepts that can be difficult to read about suicide, trauma, and depression. If you're not in a place to read it now, come back later :)

My cat distracts:
A psych mini-tweetorial and a bit more #philosophy, but this is important in #medicine and #psychiatry.

Ultimately, I hope it'll be obvious that this quote is simplifying, stigmatizing, and harmful. It's classic pseudo-profound bullshit.

Read 27 tweets

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