FNP, graduate student in nursing, interested in primary care mental health, nephrology, palliative care, animals. he/him
Joined February 2018
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Jonathan Yoder retweeted
While I was on leave, I spent some time reflecting and writing about my experience with depression during pregnancy.
A huge huge huge thank you to @awaisaftab for giving this piece a home! 1/x
I Am Trained to Diagnose Depression, Yet I Overlooked My Own Amidst a Rock Bottom Pregnancy
Guest post by Colette Delawalla (@CDelawalla )
psychiatrymargins.com/p/i-am…
Jonathan Yoder retweeted
It was a real privilege to listen and learn from Dr Jesus Jesús Ramírez-Bermúdez
@JRBneuropsiq
Thank you for your expertise, generosity and humility. 🙏🏻
We will be bringing more and sharing snippets over time.
All on the 🎓 academy.psychscene.com
Prof Jesus Book 👉 psiquiatrasapm.org.mx/produc…
Jonathan Yoder retweeted
🚨 I’m helping to lead more than 100 colleagues in a bipartisan effort for SNAP to allow hot food purchases.
Hundreds of thousands of Virginians rely on SNAP — and working parents should be able to use their benefits to buy a hot sandwich or rotisserie chicken at the store.
Jonathan Yoder retweeted
Most common thing I say when deprescribing is "that was right for you x years ago, but you're not the same now as you were then so let's review this" #bgsconf
unavailable
Jonathan Yoder retweeted
🚨 Elevated Prolactin with Antipsychotics CANNOT be Overlooked
Here are some findings that should motivate psychiatrists to proactively treat ⬆️ Prolactin
1️⃣Females have a much higher risks of hyperprolactinemia related adverse effects
2️⃣Prolactin related effects are strongly associated with ⬆️ risk of suicide [Brugnoli R, et al 2012]
👉Amenorrhea ⬆️suicide risk by 64%
👉Galactorrhea ⬆️suicide risk by 163%
👉Gynecomastia ⬆️suicide risk by 200%.
3️⃣🚨Breast Cancer in women "Two recent epidemiological studies found an association between use of prolactin ⬆️ APs and breast cancer in women with schizophrenia and other psychotic disorders. In the two studies, estimated increased risks of breast cancer were disconcertingly high (up to 62%)." A 3rd study showed weak dose reponse association. [Hope et al, 2023]
4️⃣ Recent pharmacovigilance studies in humans (via FDA reporting system)👉a significantly greater proportion of pituitary tumours were reported with risperidone than with other available antipsychotics. 🚨
5️⃣Risperidone, Paliperidone and Amisulpride (higher doses) are most notorious.
6️⃣ Treating elevated prolactin is not complicated. Consider prolactin sparing agents - Aripiprazole (reverses it), Brexpiprazole, Cariprazine. [Quetiapine, OLZ , CLZ are PRL sparing but have metabolic effects]
7️⃣Metformin is also evidence based and shows good evidence of PRL reduction.
"If they don't have any clincial symptoms there is no need to treat it" Should NOT be the norm.
Below is an image of microdenoma of pituritary in a male in whom we identified a breast lump at prolactin at approx 1100mIU/L. 🚨🧠
Treat the patient not the level. #Psychtwitter #medtwitter
Jonathan Yoder retweeted
After a college student finally found a treatment that worked, the insurance giant decided it wouldn’t pay for the costly drugs. His fight to get coverage exposed the insurer’s hidden procedures for rejecting claims. propublica.org/article/unite…
Jonathan Yoder retweeted
The next Goldbag Research Seminar will be held on Monday, Oct. 23 at noon feat. Virginia LeBaron from the University of Virginia School of Nursing, speaking on “Designing and Deploying Technology to Enhance Equity and Improve Outcomes in Cancer Care." brnw.ch/21wDFHy
Jonathan Yoder retweeted
Check out our @lowninstitute blog post on the role of nurses in low-value care.
Fun collaboration with @0lga_Yakusheva (economist), @betty_rambur (nurse leader on MedPac) and myself (NP workforce research).
lowninstitute.org/an-ethical…
Jonathan Yoder retweeted
Publicly shaming an Ivy league school for claiming credit for the success of a women scientist whose work it disrespected and rejected is one of the best uses of community notes I’ve ever seen.
Jonathan Yoder retweeted
Severe/moderately severe depression was associated with incidence of 29 nonoverlapping conditions requiring hospital treatment during a 5-year follow-up.
Which ones? 👇1/
#Psychiatry
pubmed.ncbi.nlm.nih.gov/3713… – at Melbourne, Victoria
Jonathan Yoder retweeted
New analysis updates ideal dose of omega-3 in #depression to 1,500mg/d. Also best results w/ EPA >= 2x DHA amount
pubmed.ncbi.nlm.nih.gov/3772…
Study finds omega-3s treat active depression, but do not prevent depression in the general population
Good products:
moodtreatmentcenter.com/prod…
Jonathan Yoder retweeted
I’m out here in Spotsylvania County knocking doors and putting in the work, but I need your help defeating extremism in District 27. Tonight at midnight is our fundraising deadline. Will you pitch in today to help me win? secure.actblue.com/donate/jo…
Jonathan Yoder retweeted
Table 6 in this consensus guidance paper gives various treatment options for POTS and other autonomic disorders. Though the paper is on post-Covid autonomic dysfunction, treatment applies to autonomic disorders regardless of the etiology.
onlinelibrary.wiley.com/doi/…
Jonathan Yoder retweeted
This is a good teaching case: pheochromocytoma is rare, POTS is common so think #POTS if you have a patient with this presentation. Importantly, don't think "anxiety" and send the patient to a psychiatrist or put them on an SSRI. Other things to think about besides POTS and pheo: mast cell reaction to a trigger (#MCAS), cardiac arrhythmia, pulmonary embolism, severe anemia, hypovolemia and carcinoid.
#MedTwitter #MedEd
Jonathan Yoder retweeted
Fantastic thread.
🧵(1/n) An unfortunate example of confusion around the value of RCTs common to practitioners with limited research training. RCTs are a useful scientific method, but they are only a small part of the biomedical researcher's deep toolbox.
xitter.cf/apsmunro/status/165554…
Jonathan Yoder retweeted
A Disability Activist Is Asked to Change Her Speech By Boston University.
@SFdirewolf's Response: In Future Speaking Contracts, No Changes will be Allowed pen.org/a-disability-activis…
Jonathan Yoder retweeted
Look what just arrived?? SO excited to read this.
Congratulations @AdamRodmanMD on writing/editing your first book (with help from @HannahRAbrams @tony_breu)!
Jonathan Yoder retweeted
For years, I raised concern treating AFib detected by watches may not avert stroke/save lives.
RCT out now shows anticoag after detection by implanted devices (more accurate & higher risk pop) leads to more bleeding without significant benefit.
1/
nejm.org/doi/full/10.1056/NE…
Jonathan Yoder retweeted
Our recent study found that nearly 40% (!) of 12-21 yo females are iron deficient.
tinyurl.com/FeJAMA
But did you know that in addition to many physical symptoms, iron deficiency is associated with multiple mental health issues?
A #tweetorial 🧵1/