Sound Medicine -- February 9, 2002
- Barbara Lewis and Dr. Chris Callahan talk to physicians and
researchers about:
 A
study of retired physicians- Analyzing
the criminal mind
Listen to the show:
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A study of retired physicians
It's the American Dream. You work hard, become a success, and then
in the golden years you retire and relax. Physicians Hugh Hendrie and
Mary Austrom work with older adults, and they decided to study a particular
group of retirees to see what really happens — emotionally,
mentally and socially. They could relate to their subjects, because
the study group was made up of retired doctors.
Drs. Austrom and Hendrie join hosts Barbara Lewis and Dr. Chris Callahan
today. They discuss questions they asked retired physicians and their
spouses and the answers they got, including how retired physicians deal
with a perceived loss of status, advice retirees offer, and the importance
of planning. We hear some interesting anecdotes, including the one about
the retired doctor who wanted his wife to wear a beeper so he could
reach her any time.
Dr. Hugh Hendrie is professor of psychiatry and a research scientist
whose interests include studying Alzheimer's and depression. Dr. Mary
Austrom is associate professor of psychiatry and director of the education
core of the Indiana Alzheimer Disease Center. Both work at the Indiana
University School of Medicine.
- Resources
 Read
Austrom's article, "Questionnaires Reveal Psychosocial Aspects
of Retirement for Physicians and Their Spouses" in the IU
Geriatrics newsletter, summer 2001 issue. (PDF format)
- "Retirement
from Orthopaedic Surgery," is an article by Austrom and Hendrie
et al that appears in the Journal
of Bone and Joint Surgery, March 1, 1999, Volume 81, Issue
3.
- Some
retired physicians enjoy working as locum tenens, part-time
substitute doctors. Read about it in this article reprinted from Physician's
Practice Digest.
Analyzing the criminal mind
If topics covered in books, movies and television are a good indication
of popular ideas, then as a society we are fascinated by the workings
of the criminal mind.
We discuss the criminal mind with Dr. George Parker, director of forensic
psychiatry and associate professor of clinical psychiatry at the IUSM.
To assess defendant competency and sanity at the time of the criminal
event, he analyzes interviews with the patients as well reports from
police, jailor, and hospitals. Dr. Parker explains ways forensic psychiatrists
determine if individuals know right from wrong.
He'll be giving a lecture during spring semester Mini Medical School
on how one determines whether a defendent is insane or competent to
stand trial.
- Resources
- The
American Academy of Psychiatry
and the Law (AAPL) is all about the practice, teaching, and research
of forensic psychiatry.
- The
Botha Harvey group, a private forensic mental health firm, provides
answers many
common questions posed to forensic psychiatrists, including competency
to stand trial and assessment of risk for violence.
- Dr.
George Parker address this topic at the February 12 Mini Medical School.
For more information, consult
the schedule for spring 2002 Mini Medical School at IUSM.
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This week's Medical Mystery
— a curable killer
It's a disease that's easily detected. It's a disease that can be
fatal, yet if it's found early it's almost always curable. Nevertheless,
this disease that will kill 120 patients -- all of them women -- in Indiana
this year, according to the state department of health.
What is this
disease?
Health Quiz — Preterm delivery monitors
Doctors who are worried that a pregnant patient will deliver her baby
too soon sometimes will prescribe a portable monitor for her to take home.
Researchers tested the monitors to see whether they work, and found that:
A. The monitors regularly helped predict premature labor,
B. The monitors didn't work because the patients didn't like using them,
or
C. The monitors provided no help to doctors and patients hoping to prevent
per-term births.
What's the truth?
Weekly Notebook: A difficult situation for stroke victims
Only about 5 percent of stroke patients now receive the "clot-busting"
drug (tPA). This is the only early treatment for acute stroke, and it
must be given within three hours of the onset of stroke symptoms. Why
only 5 percent?
• Most patients wait, on average, 22 hours to get help.
• Nationally, only 26 percent of the general public can name one
or more warning
sign of stroke.
• Emergency transport systems have been slow to change how they
take stroke patients to acute care facilities.
• Medical professionals are reluctant to use the acute care treatment
because of its risk and because it hasn't been used extensively.
Source: American Stroke Association
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