Monday, April 8, 2013

Fucked Up medicine

this morning I was trying to find a way to write about one of the worst doctors I ever had, a psychiatrist who was balls-out crazy and had an office that looked like an episode of Hoarders, in a suite of a fancy historical condo complex called the Philadelphian, of all places (this was in Philly). Unfortunately, I couldn't put pen to paper on this one (as it's been well documented that I'm too lazy to write, often, and I'm in a shit mood to boot right now, so no patience) and there were no exposes on this guy. I did find this inappropriately jaunty piece about this "character" though. does his craziness come through? P.S. in his office's bathroom, there was a bath tub overflowing with old thrift store paintings. He kept patients waiting for over an hour while he did unscheduled exercise routines in the adjacent converted laundry room that had jerry-rigged exercise equipment in it, blasting classic rock. patients would be like "uh, doctor, are you almost done, we were supposed to meet 45 minutes ago?" His secretary dressed like Jackie O except she was the oldest woman I've ever met. she wore a pillbox hat over what was either another feathery hat or else a blonde wig. when he called her in to the consultation room during our first session I was like "umm, I don't want to do this in front of her" and he got huffy and said "she's a trained nurse, she's going to take your blood pressure." also he was really loud and didn't close the door sometime, or else took calls on the speaker phone during sessions, and had some of the saddest patients ever, a lot of tragic juveniles, so sitting in his room would be like, weird weird weird vibe, then all of a sudden you'd hear him all loud like "yeah, a 12 year old girl presenting with suicidal tendencies and adhd. she has a history of incest and physical abuse," for the whole waiting room to hear. Fuck this guy.

 Well Being: Tennis is doctor's favorite medicine Richard Cohen, a psychiatrist, says tennis "helps me get more perspective on my patients' problems." (LAURENCE KESTERSON / Staff) Ads by Google By Art Carey, Inquirer Columnist POSTED: May 02, 2011 Psychiatrist Rich Cohen spends his days listening to people talk about their woes. It's not passive listening, but active, analytic listening. When he stops listening and speaks, he measures his words carefully. "Everything I say gets magnified by my patients a thousand times," he says. To clear his mind and ease his own worries, he takes a break every afternoon. For two hours, he hits a tennis ball, often with one of the promising junior players he delights in mentoring and teaching mental toughness. "Any time I'm on a court, I'm happy," he says. "I love hitting a tennis ball." Afterward, he goes to Franklin Field, where most days he runs 25 laps around the track - the equivalent of a 10K, or 6.2 miles. "I go into a trance," he says. "It helps me get more perspective on my patients' problems." After his exercise break, Cohen, 64, returns to the office and continues seeing patients through the evening. He has been following this practice for 27 years, seven days a week. He rarely skips a day. In 1992, when he was 45, he did miss a month of tennis - the consequence of having slogged through a marathon, on Penn's track, 26.2 miles, 105 laps. "I did it for the sheer joy of the challenge," he says. He is 5-foot-7, 135 pounds, exactly what he weighed when he was soundly vanquishing Ivy League opponents as captain of Penn's tennis team. He enrolled there after compiling an equally dazzling record at the Haverford School and as a phenomenal junior player. In eighth grade, he was rated the top high school player in the state and from then on rarely lost a tournament. He was known for his speed, strategy, stamina, intensity, and, above all, hustle. In one match, he scooted through a gate to retrieve a shot that had bounced over the fence. He lobbed the ball back and later won the point. Still fiercely competitive, he is ranked No. 1 among players 30 and above, and 50 and above, by the Middle States Tennis Association. A scientist of the sport, he is meticulous about stroke mechanics, which explains his mastery of them. His rallies are of legendary duration. During his afternoon workouts, it's not unusual for Cohen and his partner to put a ball in play and still be swatting it back and forth 45 minutes later. In 1980, during a championship match at the Cynwyd Club, he and his opponent engaged in a record-setting point that lasted one hour, 29 minutes, and 55 seconds, he said. "One reason I can deal with stress is that my cardiovascular system can handle it," he says. "It's better to have a good lipid panel than a million dollars." His resting heart rate: 41. His office across from the Art Museum is replete with photos and trophies attesting that the family racket is tennis. Cohen is not only a prodigious player himself, but also coach and sire of tennis prodigies. His wife, Nancy, and two children are all highly regarded and ranked. After dominating in junior play, Josh, 26, and Julia, 21, were both all-Americans at tennis powerhouse University of Miami. Julia is now touring the world as a fast-rising pro, and Josh helps coach the Philadelphia Freedoms and the tennis team at Penn. Rich Cohen's proudest moment: winning both the national father-son and father-daughter titles in 2007. For Cohen, tennis is pastime and therapeutic tool, an example of "prophylactic medicine" - something that protects health by preventing disease. Cohen is convinced that engaging in regular physical activity and enjoying a passion ("something you love to do every day") are essential to sanity. When he interviews new patients he takes an "exercise history," and he prescribes exercise to treat minor depression and wean patients off antidepressants. "Medication is helpful, but it can be overused," Cohen says. With exercise, there are no risks or harmful side effects beyond injuries. It boosts mood-altering brain chemicals, improves self-esteem, fortifies the immune system, and relieves stress and anxiety, he says. In his office, Cohen has a treadmill and stationary bicycle. For several years, he shared space with a chiropractor who taught patients how to exercise. "I love chiropractors," Cohen exclaims. "I know that's heresy for an M.D., but they know about the body's kinetic chain and the importance of stretching." Cohen refers patients to chiropractors, undergoes a chiropractic tune-up himself every two weeks, and is, by his own admission, obsessive-compulsive about his 20-minute morning stretching routine - key to his ability to continue scampering around the court, he believes. In case it's not clear by now, Cohen is a character. At a recent tennis banquet, where the Cohens once again harvested a bushel of hardware, Cohen was moved to share a song he wrote. 

The refrain: Tennis, making spirits sublime 
                  A game for all seasons 
                 A sport for a lifetime.

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