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A Country Doctor Reads: THOUGHTS OF A TEENAGER (and a Blast From the Past)

A couple of months ago I had a request to connect on social media from a woman named Charlotte something. The name didn’t sound familiar and I didn’t recognize her face. I ignored it, but she tried again a few weeks later. She told me what her maiden name was.

She was my first girlfriend when I was 17. We were explorer scouts and we drank tea together on weekends when I took the bus to see her in the next town over. We once visited her friend, who had an indoor swimming pool. That’s when I decided to have my own some day, which I did. Life happened but we stayed in touch until I was in medical school in Uppsala. Then we lost track of each other.

It turns out she became a social worker, another healing profession. She married and had a son a few years before I adopted my first child. Her son suffered a severe birth injury. When I told her about my books, she told me her son wrote a book with a little help from her.

She sent me two copies, one in Swedish and one in English. I was very touched, by what she told me about her son, how she and her husband have supported him and by the content of the book.

Here are the first two pages of the English version. Note that this boy’s dreams are more about connections with people than his own physical abilities.

Swedish Telemedicine Psychiatric Prescribing

My Swedish morning paper has an interesting story about psychiatric prescribing by “net doctors”. 20-39 year olds in Stockholm are heavy users of telemedicine and in this population, 25% of all prescriptions for the antidepressant sertraline (Zoloft) and an even greater proportion of those for escitalopram (Lexapro) are from telemedicine doctors. There is a lot of concern in the psychiatric community about where this might lead, particularly the risk for inappropriate prescribing and inadequate followup.

https://www.dn.se/vetenskap/natlakarnas-forskrivning-av-lakemedel-oroar-psykiatriker/


Osler said “Listen to your patient, he is telling you the diagnosis”. Duvefelt says “Listen to your patient, he is telling you what kind of doctor he needs you to be”.

BOOKS BY HANS DUVEFELT, MD

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