Psychiatric Collaboration

Based on these and other indicators, the possibility of factitious disorder should be evaluated as early as possible. Psychiatric collaboration should be engaged at the earliest point possible; euphemisms are less helpful in overcoming resistance than firm insistence along with equally firm reassurance that you are and will remain the patient's doctor. A two-track workup is crucial: the patient should be aware that the systematic evaluation of alternative medical diagnoses progresses along with the search for a psychological appreciation of the patient's experience. It is extremely helpful to find the "smoking gun" of contradictory or unlikely medical findings or evidence that is consistent only with factitious illness (eg, enteric organisms in the blood, contaminated syringes or phlebotomy equipment among that patient's possessions in the hospital).

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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