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Communication and the Cost of Silence

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A single missed conversation can be the most dangerous part of treatment. We start with David, a 62-year-old man living with schizophrenia who is stable on a complex antipsychotic regimen until an urgent care visit adds the wrong sedative. His family tries to warn the provider about medication interactions, gets blocked by privacy talk, and the outcome is catastrophic. It is a brutal reminder that care coordination between psychiatry, primary care, and emergency medicine is not optional when severe mental illness is in the mix.

From there, we get concrete about why this keeps…

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