Thursday 9 May 2013

Second thoughts on neurology

Where to go?

I think I will do a synopsis of some of the articles I have read recently.

2013 - Lange - 5-year cross-sectional outcome study
http://www.dvbic.org/sites/default/files/Lange,%205-year%20cross-sectional%20outcome%20study_0.pdf

The key things I got from this article was firstly that the length of loss of consciousness during the initial injury is a factor in the long term severity, and would affect recovery in terms of PTSD. Also that it was very difficult to identify patterns of symptom reporting.

The second of those findings was very important to me. In 2011 I finished a dissertation on the depression in the first half of the 20th century. I had found that doctors of the time, whether GPs or those that would classify themselves as specialists on mental illness would try and find neat ways of labelling people. One quick example is by Bedford Pierce. Hailed by many as an enlightened man, he ran a retreat for people with mental illness. He seems to show diligent care for those under his care, and an article on him can be found here. However, in an article for the BMJ he offers four very unsatisfactory ways to classify them. None of them really work, and cite that arriving hot and flustered for an examination was a symptom of depression (not the only one, but still). The article can be found here.

The loss of consciousness factor does not seem to be a new thing and I found an earlier article from 2008 which mentions something similar.

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