Pull & Pray - zDoggMD's Safe Sex Song

ZDoggMD's rapping video about safe sex is a beautiful example of how to grab the attention of your target audience using a medium and tone that they can get down with.

While you are on ZDogg's site, check out their first News Per Rectum podcast, Potty Mouth (punchline: "I gave a crap today"), about fecal transplants for pre-diabetes. Coincidentally, our first podcast also had the word "potty" in it (Podcasting Makes You Potty).

So, I gotta say... these guys are hilarious. Educational (sometimes marginally so) while being thoroughly entertaining and mildly offensive. Their production value is quite good, as well.

That being said, I don't expect us to follow in their vlogging footsteps.  But keep an eye on these guys.

My Three Shrinks Podcast 24: Dr Phil on Skype

[23] . . . [24] . . . [25] . . . [All]

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Okay, folks, this one's a bit on the long side, but well worth it. Around the 28-minute mark is an "interview" with talk-show psychologist Dr. Phil. See below for my notes about it, but let's just say that Dinah has vowed to get even with Clink and me. Or, click here to listen to just the prank and the mash-up song.

Also, listen in to us next week in Podcast #32 as Doctor Anonymous joins us as a guest blogger (this one's for real).

AND CHECK OUT ALL OUR OTHER POSTS FROM THIS WEEKEND. Click or scroll....

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June 10, 2007: #24 Dr. Phil on Skype

Topics include:

• Genetics of Cocaine-Induced Paranoia. Roy talks about a recent article in Biological Psychiatry by Kalayasiri which suggests that a particular mutation (C1021T) in the dopamine beta-hydroxylase (DBH) gene was associated with significantly increased paranoia in a small group of cocaine abusers. Genetics is playing an increasing role in understanding how we respond to drugs AND to our environment.
• Dinah wins an award for her writing.
• Expectation Vs. Evidence-based Medicine. We get into a detailed discussion about how patients' perceptions and expectations get in the way of evidence-based medicine (with examples from Flea's post on admitting children and direct-to-consumer advertising). "Doc, my friend got better with DrugX so I want to try it." "It goes back to 'who deserves care'."
• Dr. Phil visits My Three Shrinks. THIS IS A MUST-LISTEN SEGMENT! Clink and I play a trick on Dinah by "calling" Dr. Phil on Skype and he "interviews" us. This is a riot!! Dinah is such a good sport. [link to DrPhil Soundboard]
• Dark Tourism. After reading a NYT piece on touring prisons, Clink discusses the concept of dark tourism, where people seek out notorious sites to see (like cemeteries and prisons). She sent us a humongous scholarly piece on the subject (see Clink's Travelogue for more fun). Dinah talked about visiting catacombs in Paris where the walls are made of human bones, and here's a pic of those. (Note from Dinah, I wanted to put the picture and the link in, but I didn't listen to the podcast to hear if I was editted out. They do those things, you know).
  
  
  
  

• Special DrPhil/MTS mashup treat at the end. Credit KLF (aka The Timelords aka The JAMs) for the song, Doctorin' the Tardis, which you can find on emusic for 25 cents, or on iTunes for 99 cents.
  

Find show notes with links at: http://mythreeshrinks.com/. The address to send us your Q&A's is there, as well. This podcast is available on iTunes (feel free to post a review) or as an RSS feed. You can also listen to or download the .mp3 or the MPEG-4 file from mythreeshrinks.com. Thank you for listening.

Online Presidential Chat Room

Okay, I can't stop ROFLMAO after reading this nugget. (Warning: contains juvenile humor and offensive language.) Just had to let you know. This will be a classic.

Snippet:

** Hi11ary has joined chatroom **
** McCain has joined chatroom **
** BaRock! has joined chatroom **
** Da Mayor has joined chatroom **
** MiTT has joined chatroom **
** 4Honey has joined chatroom **
Hi11ary : Waz up Homies?
Da Mayor : Heh
4Honey : What up girlfriend?
MiTT : WTF? Who is 4Honey?
McCain : 4Honey, ASL???
4Honey : 53, Male, North Carolina
Hi11ary : Is that Edwards?!??
4Honey : :-)))))))
...
4Honey : u little biotchs! i m gunna kick ur asses
McCain : With what? ur giant hair?
Hi11ary : LOL!
4Honey : FU
** 4Honey has left chatroom **
BaRock! : LOL!!
MiTT : ROFL!!!!!!1!!
...
MiTT : doods, I raised some major bling
BaRock! : noob, I beat ya
Hi11ary : I p4wned both you
McCain : I sux
Da Mayor : Yup
BaRock! : LOL

Your Doctor Is Making Jokes About You

And Other Things You Don't Want to Know About Medicine

You deserve to know the truth. The truth is, your doctor may be telling jokes about you. Well OK, not necessarily about you, personally. But about medicine. About the experience of treating patients with common conditions in common circumstances. Stories about patients with unreasonable demands or unreasonable behaviors who come back repeatedly for repair after refusing to change the very things causing them problems. With regard to psychiatry, doctors who have been assaulted by a patient in seclusion may use humor to relieve the fear and anxiety associated with caring for a potentially violent person. In situations like this it's better to make a joke than to scream, throw up your hands and walk away.

Sometimes in psychiatry you work with patients who aren't very nice to you. They may be angry and they may say things that are hurtful. As professionals it is our responsibility to take this dispassionately and allow the patient to be honest about their feelings. We cannot snap back or be retributive or let this influence our judgement. Psychiatrists must be dispassionate, supportive, sensitive and empathic.

Frankly, that's hard work.

Humor is one way of dealing with this. People who read this blog know that we use humor a lot. We tell jokes about medications, about diseases, about the pitfalls of psychiatric practice and about each other. (Well OK, usually about Dinah but that's just because she leaves herself so gosh-darn open to it. And because she takes it so well. Believe me, she can give it as well as she takes it.) According to our readers' comments one of the things people like about this blog is that it gives them a behind-the-scenes glimpse of the human side of psychiatry. That may be disturbing to folks who don't want to think about their psychiatrists in that way.

Every physician at some point in time has used humor to mediate stress and vent frustration. Heck, even an entire television series was based on this premise. The legendary Hawkeye Pierce used humor and practical jokes to highlight the idiocy of military (and medical) bureacracy all the while giving terrific patient care. I imagine my opthalmologist, my dentist, my primary care doc and even my gynecologist have their own brand of behind-the-scenes humor that I as a patient have never heard. (I have to admit I've come up with a few thoughts on my own while straddling the stirrups. And here's an informal survey: how many of you have gynecologists who post cartoons on the ceiling above the exam table?)

Personally, if it keeps my dentist sane and available for me and helps him be more tolerant of me as a patient I'm all for it.

I'll bet he's laughing at how I walk.

**********

Warning: This blog features graphic scenes of psychiatric humor that may be disturbing to some readers. Reader discretion is advised.

Walk Like A Psychiatrist

Roy, oh Roy, too many 'roids, it's Roy unleashed....

So Roy wrote these lyrics on the comment section of ClinkShrink's Comet post, and I just can't resist clipping and pasting them. Please, sing loudly, very loudly, to the tune of Walk Like An Egyptian!

All the old inmates in their cells

They do the Haldol dance don't you know

If they move too quick (oh whey oh)

They're gettin' a dose of Inderal

All the bizarre men have a file

They got a gray mouse for a pet

Seroquel smiles (oh whey oh)

They trade their pills for a cigarette

Freudian types with the hookah pipes say

Ay oh whey oh, ay oh whey oh

Walk like a psychiatrist

The big COs like to take their keys

They spin around and they cross the floor

They've got your back (oh whey oh)

You're in the clink so they guard the door

All the prisoners like to see the doc

If they do not then they are pissed

When the buzzer rings (oh whey oh)

They're walking like a psychiatrist

All the guards in the dining room say

Ay oh whey oh, ay oh whey oh

Walk like a psychiatrist

Every day's the same front and back

Noises make you miss the sleep you lack

Life is hard you know (oh whey oh)

So block the lows with your Prozac

If you want to please all the cops

Then stop before work at the donut shop

They sing and dance (oh whey oh)

They're keepin' peace down in the cell block

All the inmates dealin' with their nerves

No overdosin', no cuttin' wrists

And the nurses know (oh whey oh)

They walk the line like psychiatrists

All the cops in the donut shop say

Ay oh whey oh, ay oh whey oh

Walk like a psychiatrist

Walk like a psychiatrist!

And the best part? Sanjaya will be performing it on American Idol next week.

[insert photoshopped pic of Egyptian-walking Freud here... anyone?]

Roy: Stopping the scourge of P.E.

You all remember Physical Education class (Phys Ed) back in school, right? I recall that it was always looked upon with great anxiety.

I see they now have a drug that helps with P.E. It's about time.

I think it was the performance anxiety... where you truly measured up next to the guy (or girl, I guess... wife tells me it was the same for her) next to you to compete on strength and endurance. Who can go farther, further? Who went the longest? Could I hold out 'til the end?

It wasn't easy. Your coach, with stopwatch in hand, would yell "Go!". You'd start the race, and before you knew it, it was all over. Those days in the gym were the worst hours of high school. It was so embarrassing. The apologies. The disappointment. And I know I wasn't alone. In fact, the article says that up to a third of men had this problem.

Globe&Mail: “We tend to think of this as, ‘Oh, it affects novices, the first time, and young people,' ” Dr. Pryor said Thursday from Minneapolis. “But no. There are some people who have this who are older, and oftentimes it affects them their entire lives.”

I hadn't thought that P.E. had such a prolonged effect on folks. I guess there's a kind of P.E. P.T.S.D. And this medicine helps. This drug, dapoxetine by ALZA, helped guys' stamina "last three, four times what they were before."

Just think of how that can relieve the anxiety of whether you can hold out long enough to go the distance. In football, you'd be able to finally score a touchdown. In baseball, you'd be able to steal third base and slide into home. Playing golf, you'd finally master your stroke and get a hole in one. In basketball, this drug would help you shoot the furthest. And surely, in cricket, you could manage the most sticky wicket.

Of course, we do have to temper our enthusiasm until further studies demonstrate the effectiveness of dapoxetine. Too often, the press goes off half-cocked about the latest fad drug. Let's not be too premature. However, I've already bought stock in ALZA, because when the FDA ...

...um... what's that?

It is?

Oh. Well, that's very different.

Never mind.

Roy: Psych Notes for Smilies

Inspired by Carrie's comments...
Carrie had wondered why her doc never put her on an antidepressant. She wrote: "God knows most days I wonder why not. LOL "
I replied: "It's because of the 'LOL'. If you couldn't LOL then maybe he would. Of course, if you were ROFLYAO, then he'd probably reach for the lithium."

This exchange got me thinking... hmm... how would a psychiatrist manage someone who could only communicate via emoticons? Below are the resulting progress notes...

:-)	stable. cont prozac 40mg. f/u 3 mos.
:-))	reduce prozac to 20mg. f/u 1mo.
:-))))	d/c prozac. add lithium 300 tid. check TSH, creat. f/u 1wk.
:-D	add depakote. check lithium level, LFTs, CBC. f/u 1wk.
:-|	stable. cont prozac 40 mg. f/u 1mo.
:-(	increase prozac to 60mg. f/u 2wk.
:'-(	add wellbutrin SR 150mg. f/u 1wk.
X-(	call 911. send to ER. check for OD.
:*}	check breathalyzer. refer to AA.
%-}	weekly tox screen. refer to AA/NA.
:-&@?	add haldol 2mg bid.
|-0	d/c ambien.
:-#	d/c elavil. use hard candies.
;-P	d/c haldol. add clozapine. AIMS exam. vitamin E 800 iu bid.
:-)~	reduce haldol. add cogentin to reduce sialorrhea.
8-~	reduce dose of seroquel.
(:-)	reduce depakote. add zinc, selenium.
;-)	establish boundaries. do not schedule at end of day.
;-x	see with chaperone only.
=^..^=	give Ativan 1mg IV to relieve catatonia. (thanks, ClinkShrink)
:-o	(on seeing the bill for 1st appt.)
>:-O	(on seeing the bill for missed appt.)

Roy @ Shrink Rap (http://psychiatrist-blog.blogspot.com) and mythreeshrinks.com

[thanks, SmiliesUnlimited, for the emoticons]