wenkebach

Hollywood and Mr Ken Kesey have done a major disservice to the layperson by portraying this therapy as it has (tied down, leaving people as vegetables). This is a very good therapy for Major Depressive Disorder which has not responded to first/second line medications.

Memory disturbance and confusion were the only major reported cognitive side effects reported in the 50s, which has been improved by different methods to deliver the electric current (constant vs brief pulse, improvements in localization). Secondly, the use of anesthesia has allowed the seizures to not cause bone fractures that happened in the unmodified form back in the 40s. Leaving people as vegetables sound like the lobotomies performed, as u/sensicle stated. Thirdly, possibly most importantly, is the importance of informed consent nowadays; it makes sure nobody gets something they don't. I have seen nobody refuse ECT, especially those who want to get better.

I'm a fourth year medical student who has spent a month in an inpatient psych unit and seen how ECT is used nowadays. But honestly, you could have just googled and found an answer to this question.

How is your education funded usually? Is there the same staggering debt (~200,000) that US grads face graduating?

Hi Doctors, I've done a sub-internship as a med student at Cedars, and I love that place.

Question about the curative intent; do you work with your surgical oncologist colleagues with regards to doing the lumpectomy/mastectomy and do the reconstruction same day? Or is it a separate procedure after the cancer treatments are done?

Do you wait until margin's are clear or the sentinal lymph node biopsy is negative before you attempt the reconstruction?