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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by lukeds on November 10, 2006, at 21:57:05
Read in the paper El Mundo from Spain. (The second in sells in Spain).
The young case of the suicidal one. - A work published in the British Journal of Psychiatry, in 1987, made remember to many psychiatrists the paper that could to have psychosurgery. One was the case of a Canadian young person of 19 years
with a obsessive-compulsive upheaval that did not allow him to live with normality.
Its terror to the contamination was of such caliber that needed to wash itself hands every five minutes. A morning decided to commit suicide and a bullet went off of caliber 22 in the head. The projectile crossed the brain through, but it did not kill to him.
On the contrary, when the suicidal one left the hospital realized which he had cured. He started an University career, he has finished it, and works in its native city. In
any case, psychosurgery has still very bad press. Experts of
Institute of Technology of Massachusetts thinks that the paper of psychosurgery it is very little defined.
Psychiatrists and psychologists think that still is soon for burying the role that
can have the psycotherapy in the long term. Other neurocientíficos think, that the advances on the knowledge of the brain that will be in
next years will cause that psychiatry modifies in almost 180 degrees his
therapies.The article in spanish:
http://www.elmundo.es/salud/1994/131/00533.htmlTranslated with google:
http://translate.google.com/translate?sourceid=navclient&hl=en&u=http%3a%2f%2fwww%2eelmundo%2ees%2fsalud%2f1994%2f131%2f00533%2ehtmlGreetins. lukeds.
Posted by madeline on November 11, 2006, at 1:58:56
In reply to Is this true or is it only an urban legend?, posted by lukeds on November 10, 2006, at 21:57:05
I wouldn't necessarily call a bullet to the head psychosurgery.
Posted by yxibow on November 11, 2006, at 5:46:42
In reply to Is this true or is it only an urban legend?, posted by lukeds on November 10, 2006, at 21:57:05
Well, unless someone played a highly peer reviewed practical joke on a highly peer reviewed journal, this was true, from the Abstracts of the BJP. The abstract follows.
A leucotomy is also known as a lobotomy, and is drastic form of psychosurgery, which itself performed rarely in certain special circumstances of uncurable OCD and other related things.
For the not squeamish, one can read on the downright bizarre history of one form (and other links) of psychosurgery.
http://www.npr.org/templates/story/story.php?storyId=5014080
---------------------------------
The British Journal of Psychiatry 151: 855-857 (1987)© 1987 The Royal College of Psychiatrists
A case of self-inflicted leucotomyL Solyom, IM Turnbull and M Wilensky
University of British Columbia, Vancouver, Canada.A suicide attempt with a gun resulted in left frontal lobe damage in a 19-year-old obsessive man. While intelligence did not suffer and no frontal lobe syndrome emerged, the patient's obsessive rituals were significantly reduced.
Posted by Phillipa on November 11, 2006, at 10:45:59
In reply to Re: Is this true or is it only an urban legend? » lukeds, posted by yxibow on November 11, 2006, at 5:46:42
Shot himself and did his own lobotomy? Love Phlllipa
Posted by lukeds on November 11, 2006, at 17:52:08
In reply to Re: Is this true or is it only an urban legend? » lukeds, posted by yxibow on November 11, 2006, at 5:46:42
But if the psychosurgery (the lobotomy is just one of many) is so bad, why the Masschusetts General Hospital, that is one of the best in the world, if not the best, still do psychosurgeries?
http://neurosurgery.mgh.harvard.edu/Functional/psysurg.htm
Anterior Cingulotomy:
In over 800 cingulotomies performed at the MGH since 1962, there have been no deaths and no infections. Two acute subdural hematomas occurred early on in the series secondary to laceration of a cortical artery at the time of introduction of ventricular needles but only one patient suffered permanent neurologic impairment. An independent analysis of 34 patients who underwent cingulotomy demonstrated no significant behavioral or intellectual deficits as a result of the cingulate lesions themselves. [Teuber and Corkin] They subsequently evaluated 57 patients before and after cingulotomy and found no evidence of lasting neurological or behavioral deficits after surgery. A comparison of preoperative and post-operative Weschler IQ scores demonstrated significant gains postoperatively. This improvement was greatest in patients with chronic pain and depression but negligible in those with the diagnosis of schizophrenia.Greetings. lukeds.
Posted by lukeds on November 11, 2006, at 17:58:35
In reply to Re: Is this true or is it only an urban legend? » yxibow, posted by lukeds on November 11, 2006, at 17:52:08
What's your opinion about the use of psychosurgery in the severe mental illness, like severe anxiety with agoraphobia, social phobia, depression, OCD, panic attacks? (Like me)
And what's your opinion about this document?
http://neurosurgery.mgh.harvard.edu/Functional/psysurg.htm
Thank you. lukeds.
Posted by notfred on November 12, 2006, at 2:09:50
In reply to Dr.Bob please read this I need an opinion from you, posted by lukeds on November 11, 2006, at 17:58:35
From the FAQ:
What you say may conceivably be used against you. Professionals, especially, should be careful not to establish unintentional therapist-patient relationships.
http://www.ama-assn.org/amednews/2001/08/06/prca0806.htm
Based on the test we all took in order to post here I think Dr Bob has indicated he does not answer these kind of questions.
You are also asking a university professor to state a medical opinion about another major
university's research. Boy that is a loaded and quite political question !
Posted by yxibow on November 12, 2006, at 3:35:02
In reply to Ethical issues, posted by notfred on November 12, 2006, at 2:09:50
> From the FAQ:
>
> What you say may conceivably be used against you. Professionals, especially, should be careful not to establish unintentional therapist-patient relationships.
>
> http://www.ama-assn.org/amednews/2001/08/06/prca0806.htm
>
> Based on the test we all took in order to post here I think Dr Bob has indicated he does not answer these kind of questions.
>
> You are also asking a university professor to state a medical opinion about another major
> university's research. Boy that is a loaded and quite political question !
>
>Its more than political but thats a way of stating it, its a question of a doctor's license, doctor-patient confidentiality, malpractice insurance, state medical boards, and I've probably forgotten more legalese. Doctors generally do not want to get into situations that place their medical license, which is their livelihood, in jeopardy. Nor would you really want a doctor-patient relation which is confidential in almost all regards, online, for all to see.
-- tidings
Jay
Posted by yxibow on November 12, 2006, at 3:49:21
In reply to Re: Is this true or is it only an urban legend? » yxibow, posted by lukeds on November 11, 2006, at 17:52:08
> But if the psychosurgery (the lobotomy is just one of many) is so bad, why the Masschusetts General Hospital, that is one of the best in the world, if not the best, still do psychosurgeries?
>I didn't say it was bad in very limited situations, such as the study you described. It is reserved for the very best surgeons today -- brain surgery is a very delicate field, even if we are not talking about psychosurgery.
Removal of tumors and cancerous lesions, if possible, are delicate operations that even the best situation can cause some unfortunate brain damage -- but it is a question of whether you want to survive for some period of time from a partially to completely successful surgery that might affect your speech or something else, or whether you elect to have palliative pain care and have a DNR in a hospice which means a quiet death.
Similarly, caudatomy and other very rare surgeries for untreatable OCD, experimental treatment of Parkinsonism and other brain disorders, do occur, but on a rare amount. What you were describing is about 20 surgeries a year.
That's pretty rare considering in a very major hospital you're probably having an elective heart surgery, a partially elective appendectomy (the oldest surgery ever performed commonly and 99.99% successful), an emergency gunshot wound surgery, a wisdom tooth extraction, all on the same day, and perhaps more, in multiple clinics, not all in the same building.
Now the rate of trauma on ER is for ratings -- but the actual medications, procedures, are real, and in fact are regarded by doctors as fairly realistic. Its just you don't have 6 potentially fatal things going on at the same time in the same ER (remember an ER is only one part of a major hospital) on the same day.
> http://neurosurgery.mgh.harvard.edu/Functional/psysurg.htm
>
> Anterior Cingulotomy:
> In over 800 cingulotomies performed at the MGH since 1962, there have been no deaths and no infections. Two acute subdural hematomas occurred early on in the series secondary to laceration of a cortical artery at the time of introduction of ventricular needles but only one patient suffered permanent neurologic impairment. An independent analysis of 34 patients who underwent cingulotomy demonstrated no significant behavioral or intellectual deficits as a result of the cingulate lesions themselves. [Teuber and Corkin] They subsequently evaluated 57 patients before and after cingulotomy and found no evidence of lasting neurological or behavioral deficits after surgery. A comparison of preoperative and post-operative Weschler IQ scores demonstrated significant gains postoperatively. This improvement was greatest in patients with chronic pain and depression but negligible in those with the diagnosis of schizophrenia.
>
> Greetings. lukeds.
>
>
Posted by lukeds on November 12, 2006, at 4:26:51
In reply to Ethical issues, posted by notfred on November 12, 2006, at 2:09:50
It is true, I can't ask him such kind of questions.
Only my psychiatrist can do it.
I am sorry.
Greetings. lukeds.
This is the end of the thread.
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