Comments on: FDL Book Salon Welcomes Shannon Brownlee

By: Kirk James Murphy, M.D.

Kirk James Murphy, M.D. — Sun, 13 Jan 2008 06:42:01 +0000

Epidemiologic

jeebus

By: Kirk James Murphy, M.D.

Kirk James Murphy, M.D. — Sun, 13 Jan 2008 06:40:26 +0000

Thanks oregondave (and bobschacht).

The massive Epidemiogic Catchment Area Survey’s validated instrument is the DIS.

No disrespect to the ECA and their friend the DIS, but the SCID series may offer even better specificity/sensitivity/inter-rater reliability in non-academic use.

And just when you thought it was safe to get back in the testing booth….

DIS fans take heart - further field work with the DIS has begotten the CIDI.

And you thought the psych diagnoses were proliferating?

(anxiety nerd note - for academic use with anxiety/affective disorder patients, the ADIS-R may be most useful. Please see pp 165-167 of Panic Disorder: A Critical Analysis by Richard J McNally for more detail than a body should want to know…)

Hope this helps!

By: oregondave

oregondave — Sun, 13 Jan 2008 04:53:07 +0000

BTW, I just clicked through the link to Amazon.com, and ordered a new copy of the book. My order confirmation said they are out of stock (??!!?) and will ship when available. That doesn’t seem right. Is there someone who can rattle their cage on this?

By: oregondave

oregondave — Sun, 13 Jan 2008 04:33:15 +0000

Kirk, This seems to have gotten passed over:

Hey Kirk, you wrote
“Now - for all the psych diagnoses - a specific validated instrument allows one to make accurate diagnoses by asking specific questions from a flowchart. The instrument has a very high inter-rater reliability, and is easy to use.”

Which instrument are you talking about? I have a semi-professional interest. Does it control for drug use/abuse?

Bob in HI

I’d like to know, also . . .

By: cjfb

cjfb — Sun, 13 Jan 2008 00:38:59 +0000

I stay away from doctors too. You should hear conversations from my co-workers. Their lives are a pharmacopoeia of drugs and tests. They can name all their medications, dosages, uses, tests results (more opportunity to prescribe more drugs). Not only that but they share their prescriptions! Do they eat right? No. Do they exercise? No.

Do they call in sick regularly? Yes. Do they catch everything going around? Yes.

I haven’t missed a day of work in more years that I can remember.

By: Organic George

Organic George — Sun, 13 Jan 2008 00:36:30 +0000

Kirk,

Glad you could do a post on a subject for which you have real expertise.

Maybe you should stick to medicine.

By: musicsleuth

musicsleuth — Sun, 13 Jan 2008 00:25:54 +0000

Thanks Shannon and Kirk — looks like I have another book to add to my growing list :-)

By: PhysioProf

PhysioProf — Sun, 13 Jan 2008 00:24:28 +0000

Thanks, Shannon and Kirk! Lots to think about in how I teach my medical students.

By: Kirk James Murphy, M.D.

Kirk James Murphy, M.D. — Sun, 13 Jan 2008 00:21:10 +0000

Thanks for pointing out the link to Shannon’s book. If pups only buy one book on health care this year (or this decade), I hope it will be Overtreated. It’s that good.

By: Nanz

Nanz — Sun, 13 Jan 2008 00:17:59 +0000

great post, Shannon and Kirk. well worth it! thank you!