Meeting Prof John Kane

Prof John Kane and I.

For all #medstudents and in particular trainees in psychiatry, this is one of the “legends” in psychiatry. Even as a medical student, (I), we were taught the Kane Criteria for diagnosing Treatment Resistant Schizophrenia (TRS). TRS are people with schizophrenia who have not responded to available treatments. According to Prof Kane, one needs to have failed 2 types of treatment – with adequate dose and adequate duration – before a diagnosis of TRS is made. The criteria to diagnose TRS is important as it is a reason to start or to justify the use of clozapine, a highly effective treatment for schizophrenia but requires some caution.

We had an extremely fruitful discussion as a group and a more intimate session for some of us in discussing the management of schizophrenia, particularly in the use of long acting injectables (LAIs). If you have been listening to my podcasts. I’ve been using these for my own patients and am convinced that this is way to go to protect brain function, reduce relapse and increase Quality of Life and day to day functionality. I hope to add more podcasts on this to share with all of you my learnings.

Today’s session was also extremely helpful as concerns that Malaysian psychiatrists have in the treatment of this population was no different from the international psychiatrists which was reassuring.

I only wish all medical students and trainees in psychiatry could have met and be inspired by him and his work. He is truly an inspiration as a clinician, scientist and advocate for mental health.

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