Delirium outcomes: is this a time-limited disorder?

Obsessive-compulsive disorder (OCD): is this disorder under-recognized?

Obsessive-Compulsive disorder is much more common than it was initially assumed. It can be a part of a major mental illness or can occur on its own. It was found that 1-year prevalence is in the range of 0.8-2.2 % in a study. 1 There are some interesting figures on this mental disorder: 2 1 in 200 young people at any time are suffering from OCD, boys are more likely to have an onset before pube...

Gender identity disorder. Is this a potentially fatal condition?

A person with a Gender Identity Disorder (GID) is a person who strongly identifies with the other sex. The individual may identify with the opposite sex to the point of believing that he/she is, in fact, a member of the other sex who is trapped in the wrong body. The treatment option is sex reassignment surgery. In Pakistan There is no specialized facility sex reassignment surgery. This case re...

Teaching when time is limited.

Prolonged delirium misdiagnosed as a mood disorder

Delirium can be conceptualized as an acute decline in cognitive function that typically lasts from hours to a few days. Prolonged delirium can also affect patients with multiple predisposing and/or precipitating factors. In clinical practice, prolonged delirium is often unrecognized, and can be misdiagnosed as other psychiatric disorders. We describe a case of a 59-year-old male presenting with...

Time is myocardium and time is outcomes.

As an interventional cardiologist and a clinical trialist, I am often asked, “what do we need to do to improve mortality by another 1% in the setting of acute myocardial infarction?” Indeed, nearly a decade and a half of effort and many hundreds of millions of dollars have been spent in pursuit of this elusive “1% reduction” in mortality by both the pharmaceutical and the device industry. As th...