Theodore A. Stern, MD
Department of Psychiatry, Harvard Medical School, Boston, Massachusetts; White River Junction VA Medical Center, White River Junction, Vermont; Burlington Lakeside Community Based Outpatient Clinic, Burlington, Vermont
Rounds in the General Hospital
Wishing That Your Patient Would Die: Reasons and Reactions
February 25, 2025
The authors explore the complexity, intensity, and critical decision-making faced by health care staff while caring for chronically and critically ill patients, especially in the context of medical futility.
Rounds in the General Hospital
Management of Insomnia in the General Hospital
January 21, 2025
Although the etiology of insomnia is often multi-factorial, both nonpharmacologic and various pharmacologic approaches can provide rapid relief; unfortunately, each is associated with drug-drug interactions and potentially problematic side...
Rounds in the General Hospital
Focal Impaired Awareness Seizures: Evaluation and Management
January 3, 2025
Focal impaired awareness seizures can look like other psychiatric, neurological, and medical presentations, and due to the changes in affect, behavior, and cognition, are often misdiagnosed as a primary...
Rounds in the General Hospital
Treatment of Pain in the Context of Alcohol and Substance Use Disorders
October 17, 2024
When prescribing opioids for pain, prescription monitoring programs should be checked, regular urine toxicology screening should be conducted, and patients with an opioid use disorder should receive FDA-approved medication...
Rounds in the General Hospital
Evaluation and Management of Treatment-Resistant Schizophrenia
July 2, 2024
If you have ever been uncertain about how to evaluate patients with a chronic psychotic illness or struggled over how best to manage treatment-resistant schizophrenia, then this case vignette...
