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Setup of Consumer Wearable Devices for Exposure and Health Monitoring in Population Studies
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A Troubling Notification.

Amir A Razmjou1

  • 1Department of Medicine, UCLA-David Geffen School of Medicine, UCLA Medical Center, 757 Westwood Plaza, Suite 7501, Los Angeles, CA, 90095, USA. arazmjou@mednet.ucla.edu.

Culture, Medicine and Psychiatry
|March 25, 2020
PubMed
Summary

This article reflects on a physician's experience processing a patient's suicide, exploring mental health's role in care and veteran healthcare challenges.

Area of Science:

  • Internal medicine
  • Psychiatry
  • Veteran healthcare

Background:

  • A patient died by suicide after receiving care in a primary clinic.
  • The patient's symptoms were previously labeled as functional.
  • Veterans face unique challenges within the healthcare system.

Purpose of the Study:

  • To process the death of a patient by suicide.
  • To explore the potential role of mental health in the patient's care.
  • To examine if functional symptoms masked underlying psychiatric conditions.
  • To discuss challenges faced by veterans in healthcare.

Main Methods:

  • Case reflection by an internal medicine trainee.
  • Analysis of patient's clinical presentation and care.
Keywords:
General internal medicineMedical humanitiesPsychiatrySuicide

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  • Review of potential psychiatric manifestations.
  • Consideration of veteran-specific healthcare issues.

    • Main Results:

    • The trainee reflected on the impact of the patient's suicide.
    • Potential underdiagnosis of psychiatric illness was considered.
    • The complexity of veteran healthcare needs was highlighted.

    Conclusions:

    • Physicians must consider mental health in patient care, even when symptoms appear functional.
    • The healthcare system needs to better address the unique needs of veterans.
    • Grief and processing patient death are critical aspects of medical training.