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May 16 8 tweets 4 min read
Saretta Lee & Katerina Theocharous up next to present a literature review about clozapine and chemotherapy #RANZCP2022 Image
Research questions to determine how continuation or cessation of clozapine during chemotherapy impact patients risk of haematological adverse and psychiatric adverse outcomes #RANZCP2022
It is feasible & often desirable to continue clozapine through chemotherapy, due to high risk of mental state deterioration from cessation. But, continuation requires a multi-disciplinary approach - Saretta Lee #RANZCP2022
If neutropenia occurs, it is unclear whether clozapine should be temporarily ceased, but it appears that rechallenge is usually tolerated - Saretta Lee #RANZCP2022
Last presentation in this session is Prof Kay Whilhelm @StVHealthAust talking about the 4Ds: mental health in heart and lung transplant recipients #RANZCP2022 Image
4Ds = depression, delirium, decline in cognitive function & disordered attachment behaviour - Prof Wilhelm #RANZCP2022 Image
Many patients now being accepted for transplant with mental health conditions that would not have been accepted in earlier years of transplant - Prof Wilhelm #RANZCP2022
Common predictors of delirium = intraoperative hypotension, previous smoking history, previous alcohol abuse & ICU benzodiazepine use - Prof Wilhelm #RANZCP2022

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More from @CroakeyNews

May 18
I'm catching up on some of the recorded sessions & will start a thread on the 'Impact of the UN Committee’s statement in 2019 in relation to the minimum age of criminal responsibility', one of #RANZCP2022's recorded sessions, presented by Invited speaker Dr Enys Delmage
Dr Delmage is a consultant in adolescent forensic psychiatry and has worked in an adolescent forensic inpatient unit in Porirua, New Zealand, since November 2017. He has an interest in the law as it relates to children.ranzcp2022.com.au/dr-enys-delmage #RANZCP2022
Minimum age of criminal responsibility is defined as the age below which is deemed incapable of having committed a criminal offence. Below this age, children are 'doli incapax' - incapable of knowing that what they were doing was wrong- Dr Delmage #RANZCP2022 Image
Read 20 tweets
May 18
I'm going to join the session about codes of ethics in psychiatry. Three presentations by Paul Appelbaum, a "godsend" for psychiatry with an international perspective, Izaak Lim & @sidney_bloch #RANZCP2022

Follow @coopesdetat for tweets on 'psychosis and schizophrenia' Image
Prof Paul Appelbaum is, among other things, a Professor of Psychiatry @ColumbiaPsych, joining us live from New York- @appelbap #RANZCP2022
History of the World Psychiatric Association's involvement with history - @appelbap #RANZCP2022
wpanet.org Image
Read 31 tweets
May 17
Starting a new thread for the next keynote by
Assoc Prof Loyola McLean, talking about 'changing bodymind: on attachment, trauma and regulation' #RANZCP2022
sydney.edu.au/medicine-healt…
How do we bring two or more very different points of view together, how do we bring the past and present together? How do we move forward as individuals, as dyads, as a college? - A/Prof McLean #RANZCP2022 Image
To First Nation's people around the world, how do we move forward, how do we open up a future? - A/Prof McLean #RANZCP2022
Read 10 tweets
May 17
First keynote is by Prof Belinda Lennox @BLennox4, from University of Oxford, speaking about 'autoimmune psychosis-current state of play' #RANZCP2022
Schizophrenia/psychosis is a brain disorder, with neurological as well as psychiatric symptoms. The question being discussed is what evidence is there that some psychosis is autoimmune - @BLennox4 #RANZCP2022
Have diagnostic criteria and therapies - but not as much as known about the cause of psychosis - @BLennox4 #RANZCP2022
Read 28 tweets
May 17
Beautiful views in Sydney for the third day of #RANZCP2022! The third day sessions will start soon.
Below is a thread of 5 key takeaways from sessions I saw on Day Two, a day which focused on priority populations and the impacts of climate change.
1/ Important to embed cultural safety into mental health service provision that is based on authentic co-design, allowing culturally appropriate and flexible methods of sharing knowledge - Dr Kashyap #RANZCP2022
2/ Healthcare workers, including psychiatry clinicians, need to be open, honest and acknowledge own vulnerabilities - A/Prof Coleman #RANZCP2022
Read 7 tweets
May 17
While @coopesdetat is following Tim Flannery's keynote, I am going to jump in and catch up on the Indigenous mental health session from yesterday -@AlisonSBarrett. #RANZCP2022
Session chair, Dr Emma Adams, provides a heartwarming acknowledgement of country and lovely introduction to the presenters - Prof Helen Milroy, A/Prof Mathew Coleman, Dr Shraddha Kashyap & Dr Jemma Collova #RANZCP2022 Image
Broad overview of Transforming Indigenous Mental Health & Wellbeing Project, aiming to improve Aboriginal & Torres Strait Islander mental health through Aboriginal leadership and authentic partnerships. #RANZCP2022
timhwb.org.au
Read 54 tweets

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