Viewing blog posts tagged with "Anorexia"

Congressional Presentation, November 29, 2012

posted by Julie O'Toole on December 8, 2012 at 2:01am

On Thursday November 29th I went with Laura Collins and the FEAST team to give "testimony" to congressional staffers about the plight of children with anorexia nervosa.  It was an impressive experience to enter the Dirksen building where  many of the senators (including our own Ron Wyden) have their offices.  Senator Schumer (NY) walked past us; the walls and floors were stone and marble and dark wood, the ceilings twenty feet high, the plaster frieze was carved with symbols of the…

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An early warning system for eating disorders

posted by Julie O'Toole on November 2, 2012 at 2:00pm

What would we do without our modern early warning systems?  The terrible weather ravaging New York, New Jersey and all along the East Coast this week has made me reflect a lot on this.  Not only do we at Kartini have treasured colleagues in those places but we also have many patients and former patients there, including one beloved patient currently in a New Jersey hospital.  Our thoughts have been continually with them these past few days.

As terrible as this storm has been, however,…

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Bart Walsh to speak at 20th Annual International Eating Disorder Conference

posted by Julie O'Toole on October 10, 2012 at 1:44am

I am delighted to announce that Bart Walsh, LCSW, Kartini Clinic’s individual and hypnotherapist of many years, will be presenting three workshops at the 20th Annual International Eating Disorder Conference, one of Europe’s leading eating disorders conferences, October 18-20. The conference takes place in the picture perfect alpine village of Alpbach, Austria. Bart's presentations are listed below; hopefully some of you will be able to join him!

Rapid Remission of Eating Disorder…

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Flawed science: scary ramifications

posted by Julie O'Toole on September 29, 2012 at 1:23am

Recently an article was published looking at the caloric intake of children at various ages and the relationship of this intake to their weight.  The article was published in the respected journal Pediatrics and picked up across cyberspace in various medical information processing and reporting sites.  What was not picked up were the little words: “not statistically significant.”

Deeply held beliefs, paradigms, and explanations of the world that make intuitive sense whether or not…

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One more reason to make the diagnosis early

posted by Julie O'Toole on September 7, 2012 at 3:00pm

And one more reason to make the diagnosis early

Professor Richard Crandall of Reed College, himself a renowned scientist, sent me an article he thought I might be interested in.  I have to say, after I read it I was dismayed on several levels.  Read it yourself and see.  The original source is the British Journal of Opthalmology.

The first level of my distress is that I had not known about this complication before.  While it is obvious that anorexia nervosa and attendant starvation is…

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Proud of her

posted by Julie O'Toole on August 10, 2012 at 3:00pm

Today I was seeing a young patient who had just been cleared to resume her sport activities.  At the start of the appointment she was nearly trembling with anxiety, for the results of her labs were to determine whether or not the timing was right for her to return to volleyball.  Fortunately (for all concerned!) the labs were good and I could clear her.

“But I still need to know something,” her dad said nervously “Honey, how will we know if your eating disorder is returning as a…

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Judgement and consequences: where to hospitalize an eating disordered child

posted by Julie O'Toole on April 28, 2012 at 1:50am

It is understandable for parents to hope treatment for their ill child could be as close to home as possible - and to wish for as little disruption to family life and work as could be managed - but I for one am very unhappy about what I see as a lack of judgment on the part of many physicians when it comes to hospitalization for a very ill eating disordered child.

Hospitalists, who would under any other circumstances adamantly decline to do surgery for which they were not trained - or…

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The Evidence Is There, Now Make It Work

posted by Julie O'Toole on April 13, 2012 at 8:29pm

Jacques, a friend and parent advocate, sent me an online summary of an article discussing the current evidence base for the use of Olanzapine in anorexia nervosa.  Keep in mind as you read the summary that, regardless of the evidence base for efficacy and safety of Olanzapine in general and with anorexia nervosa in particular, this is still an off label use of this drug.  Off label means it is a drug approved for one condition which is used by physicians to treat a different…

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Re-training the brain and modifying behavior in eating disorder treatment

posted by Julie O'Toole on March 18, 2012 at 1:11am

Ah the brain, it's so complex; we are so complex!  What of our behavior is under our control?  What is amenable to cajoling, influence and even coercion? Does this change with age?  How is general willingness and ability to learn affected by a specific brain disorder, or can we generalize?

These issues quite frequently come to the fore during the treatment of food phobia, and even infrequently in the treatment of early onset anorexia nervosa.

Some percentage of our young food phobia…

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Exercise and the Severely Anorexic Patient

posted by Julie O'Toole on March 2, 2012 at 11:15pm

On February 18 I attended the annual conference of the Columbia River Eating Disorder Network (CREDN) and heard Dr Ken Weiner of ERC speak there.  Ken spoke about the uselessness, hopelessness and mirage of dieting, but he also spoke about some of the issues pertinent to managing the patient with anorexia nervosa.

In Dr. Weiner’s experience, and the experience of his colleague Dr Craig Johnson (founding editor of the International Journal of Eating Disorders and founding member of…

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