Publications by authors named "B M WECHSLER"
Article Synopsis
- A 50s Native American male with a history of alcohol use disorder and seizures presented with weakness and falls, and was admitted for pneumonia, sepsis, and altered mental status.
- On day 23 of hospitalization, he experienced a sudden feeling of food stuck in his chest, leading to an MRI that confirmed osmotic demyelination syndrome (ODS) in the central pons.
- His condition was attributed to malnutrition, alcohol issues, low protein levels, and vitamin B6 deficiency, despite maintaining normal sodium levels; he ultimately passed away after 68 days due to complications from myelinolysis.
A Caucasian male in his 60s presented with acute onset of dizziness, dysarthria, and gait ataxia. Upon extensive workup, positive findings were cerebrospinal fluid (CSF) showing lymphocytic pleocytosis with oligoclonal bands, positive celiac disease autoantibodies in blood, a duodenal biopsy indicating lymphocytic infiltration, and positive anti-mGluR1 antibody titers in CSF. The patient was started on a strict gluten-free diet and intravenous immunoglobulin therapy for 5 days and showed mild consecutive improvements each day of treatment.
View Article and Find Full Text PDFWe report a challenging case of persistent relapsing babesiosis in an immunocompromised host that was successfully managed with atovaquone-proguanil (Malarone). Malignant B-cell transformation and immunosuppressants, such as rituximab, deplete normal B-cells which normally produce antibodies to combat Babesia infection. Treatment can be prolonged and challenging in immunocompromised hosts.
View Article and Find Full Text PDFDirect-to-Consumer Advertising Survey of Psychiatrists in Massachusetts and Michigan.
J Clin Psychopharmacol
December 2023
Article Synopsis
- The study aimed to explore how advertising influences psychiatrists' prescriptions for psychotropic medications by surveying members from the Massachusetts and Michigan Psychiatric Societies.
- An online survey was sent out, gathering insights on psychiatrists' challenges in managing patient requests for specific medications and their sources of information about new drugs.
- Results showed a low response rate (8%) and indicated that younger psychiatrists struggle more with patient persuasion regarding medication appropriateness, with frequently requested drugs being those heavily marketed, like Rexulti and Vraylar.