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Daryl Bambic

A Senior Moment: Wisdom of the Aged? - Wisdom Research | The University of Chicago - 0 views

  • they agree that our brains have two complementary operating systems.
  • Automatic or Instinctual Brain
  • decision making
  • ...14 more annotations...
  • handles most of our emotions and “no brainer” decisions.
  • eflective or Analytical Brain, is a more aware thought process that requires effort. It is the purposeful, attentive check to the impulses of System
  • e automatic pilot brain does a good job of steering the ship of self.
  • First, it was designed to protect us from danger and it frequently overreacts without thinking with unnecessary fear or anxiety.
  • reates stories to explain informatio
  • umps to conclusions
  • ery egocentric view
  • strong attachments to money, material objects, and people that it is reluctant to let go of.
  • It takes the interaction of both System 1 and System 2 to achieve wisdom. It is necessary for people to train themselves to recognize when System 1 is overreacting, jumping to conclusions, or giving in to selfish impulses, and to call upon System 2
  • “Why?”
    • Daryl Bambic
       
      The 'why' question is the philosophical one.
  • owered dopamine levels might give us time to stop and think.
  • ast experience of similar patterns
  • willing to educate ourselves as new information becomes available
Zach Fenlon

PTSD Symptoms Common Among ICU Survivors - 02/26/2013 - 1 views

  • Condition long linked to war veterans found in one in three ventilated patients
    • Zach Fenlon
       
      Shocking statistic
  • PTSD Symptoms Common Among ICU Survivors
    • Zach Fenlon
       
      Credible source because it comes from a very well known medical facility. 
  • a critical care specialist at the Johns Hopkins University School of Medicine and senior author of the study published online in Psychological Medicine
    • Zach Fenlon
       
      makes the research credible 
  • ...15 more annotations...
  • it may be as common, or more common, in ICU patients as in soldiers
    • Zach Fenlon
       
      I didn't realize not only that this was a possible cause of PTSD but also that it was so highly frequent. 
  • "We need to pay more attention to preventing and treating PTSD in these patients."
  • they often experience flashbacks about delusions or hallucinations they had in the hospital
    • Zach Fenlon
       
      i find this very strange and interesting that their reocurring memories/ nightmares are of figurative events. 
  • being given sedatives and narcotics -- may lead to "memories" of horrible things that didn’t happen
  • "One woman thought her husband and the nurse were plotting to kill her,"
  • For the study, the Johns Hopkins team observed 520 mechanically ventilated patients with ALI,
    • Zach Fenlon
       
      Very thorough research
  • The researchers found that 66 of the 186 patients (35 percent) had clinically significant symptoms of PTSD,
  • Sixty-two percent of the survivors who developed PTSD still had symptoms at their two-year visit.
  • Half of this same group was taking psychiatric medications, and 40 percent had seen a psychiatrist in the two years since being hospitalized with ALI.
    • Zach Fenlon
       
      Even with both types of treatments, many patients were still suffering from PTSD
  • The researchers also found that patients with depression before hospitalization were twice as likely to develop PTSD,
    • Zach Fenlon
       
      Similar statement to my research from Harvard Medical Center. 
  • This inflammation may lead to a breakdown in the blood-brain barrier, which alters the impact on the brain of narcotics, sedatives and other drugs prescribed in the ICU.
  • Bienvenu says patients who have these risk factors need special attention. Simply educating them and their primary care doctors about the increased risk for PTSD would be a step in the right direction, he adds.
    • Zach Fenlon
       
      This is one of the most simple tactics i have read on preventing PTSD
  • he symptoms fall into three categories: reliving the traumatic experience (flashbacks, nightmares), avoidance (feeling numb, detached, staying away from people and places that serve as reminders of the experience), and hyperarousal (being easily startled, having difficulty sleeping, irritability).
    • Zach Fenlon
       
      These are the exact same symptoms that The Harvard Medical Institution describes. 
  • "psychological rehab" now deserves attention.
  • The intervention reduced PTSD symptoms by helping patients make sense of their ICU memories,
    • Zach Fenlon
       
      A proven way to reduce PTSD. Very interesting. 
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