Episode Chapters
- Gut Biome13:21Psychiatry Files - Bipolar19:23Paper Chase 1 - PPI Predicts Heart Failure in Patients with CAD6:03Things I Do but Should I - Ingrown Toenails14:31Paper Chase 2 - BNP and NT-proBNP Discharge Thresholds for Acute DHF6:16Non-Celiac Gluten Sensitivity: It’s a Thing?Free Chapter15:16Paper Chase 3 - What Happens After Health Coaching?3:57Physician Burnout19:56Tympanostomy Tubes18:14Paper Chase 4 - Joint Replacement and Patient Age5:29Non-Sports Concussion20:53Steroids and Pneumonia11:14Paper Chase 5 - Bariatric Surgery versus Intensive Medical Therapy for Diabetes4:08The Summary16:16
Bipolar disorders are broadly broken into three groups: bipolar 1, bipolar 2, and cyclothymia. Each is characterized by varying degrees of vascilation between the poles of mania and depression. Bipolar 1 is characterized by episodes of mania, Bipolar 2 by hypomania, cyclothymia by greater than average variation in energy levels and mood. Lithium is the medication of choice for bipolar 1 and, in Dr. Hersevoort’s opinion, can be initiated and managed by primary care physicians.
My Gut Biome Told Me So Full episode audio for MD edition 174:19 min - 82 MB - M4AHippo Primary Care RAP May 2017 Summary 301 KB - PDF
Mohan T., mr - May 1, 2017 8:07 PM
Grandiosity (the G in DIGFAST) is missing from the list of symptoms for Bipolar disorders.
Heidi J., MD - May 6, 2017 3:55 AM
And so it is! Thank-you for letting us know - it's been corrected on the written summary.
Ian L., Dr - May 5, 2017 9:11 PM
My experience in Bipolar1 in a primary care is to use an atypical antipsychotic with Lithium for a short time -Olanzapine is recommended by guidelines .
It's faster with calming manic energy and agitation .
Psychotherapy both for calming and support ought be often in the first weeks .
Heidi J., MD - May 6, 2017 3:55 AM
Good points - Thanks Ian!
John K., MD - May 16, 2017 5:44 AM
Three robust Huzzahs for Dr Hersevort! I have been concerned about the over-diagnosis of Bipolar 1. Many that come to me with the dx but seem to fit more in the Borderline Personality Disorder category. I love the clarifying questions. This will help me to engage in my favorite procedure, the medication-ectomy
Huzzah
Huzzah
Huzzah
Heidi J., MD - May 16, 2017 9:02 AM
Fantastic! Glad it's helpful, John :) Dr. Hersevoort is fantastic indeed!