Podcast appearances and mentions of david coughlin

In August of 1999, two best friends, David Coughlin and Raffi Kodikian, set off for a short overnight hike in Carlsbad Canyons, New Mexico. Five days later, only one of them would be found alive. This is the shockingly strange but true story of a two men entering Rattlesnake Canyon and only one man leaving. What makes this case even more heartbreaking is the fact that both men combined to keep a detailed journal describing their ordeal -- including how it ended in murder. Join us on this journey into the desert in the real-life story that inspired the Gus Van Sant movie 'GERRY' starring Matt Damon & Casey Affleck. Loving the show and want AD FREE listening while supporting 'The Woman', 'The Husband' and the 'Tolerable One?' -- then subscribe to Slaycation Plus(+). right in Apple Podcasts, or by clicking 'Subscribe' on our website www.slaycation.wtf Join our popular and super fun 'Slaycators Only' Facebook group and get direct access to the Hosts plus behind the scenes info: https://www.facebook.com/groups/394778366758281 Slaycation MERCH is now available at: https://plus.slaycation.wtf/collections/all Get your "Pack Your Body Bags" tote bag, t-shirts, towels, sandals, fanny packs, stickers and more! For more info on Slaycation, the Hosts, or to contact us go to: www.slaycation.wtf Learn more about your ad choices. Visit megaphone.fm/adchoices Learn more about your ad choices. Visit megaphone.fm/adchoices

Another *new* New Mexico episode for you this week! First up, Lauren talks about the sad story of Raffi Kodikian and David Coughlin. These two best friends head out on a cross-country road trip, but only one makes it to the other side. Be warned..this story is *very* sad. Next, Kenzie covers a story about an epidemic that impacts a Navajo community in the Four Corners area of New Mexico. Thanks to the help of tribal traditions, medical investigators were able to quickly diagnose and treat the disease. Be warned…*both* of these stories are *very* sad. --Follow us on Social Media and find out how to support A Scary State by clicking on our Link Tree: https://instabio.cc/4050223uxWQAl--Have a scary tale or listener story of your own? Send us an email to ascarystatepodcast@gmail.com! We can't wait to read it!--Thinking of starting a podcast? Thinking about using Buzzsprout for that? Well use our link to let Buzzsprout know we sent you and get a $20 Amazon gift card if you sign up for a paid plan!https://www.buzzsprout.com/?referrer_id=1722892--Works cited!https://docs.google.com/document/d/1yta4QOa3v1nS3V-vOcYPNx3xSgv_GckdFcZj6FBt8zg/edit?usp=sharing --Intro and outro music thanks to Kevin MacLeod. You can visit his site here: http://incompetech.com/. Which is where we found our music!

A Park Ranger at Carlsbad Caverns National Park was working on the afternoon of the 8th of May, 1999. As he made his way past Rattlesnake Canyon, he observed a car parked on the trailhead. Just a couple of days earlier, two men had obtained a camping permit, but they had failed to sign out…SPONSORS -Aura: Aura scans the internet for your email addresses, passwords, social security numbers, and other sensitive information, and they can request it to be removed. Get a 14 day free trial plus a check of your data: https://aura.com/morbidologySHOW NOTES - https://morbidology.com/morbidology-the-podcast-245-david-coughlinPATREON - https://www.patreon.com/morbidologyAudio Credit:Epidemic SoundEvening of Chaos - Kevin MacLeod (incompetech.com)Empty Reflections - ErikMMusic - https://www.youtube.com/watch?v=bgq4SPKHlyIA Mothers Sacrifice - OurMusicBox - https://ourmusicbox.com/Dark Tranquility - Anno Domini Beats - https://www.youtube.com/watch?v=F6mBav72AkBecome a supporter of this podcast: https://www.spreaker.com/podcast/morbidology--3527306/support.

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021. Originally released: March 1, 2018 Dystonia refers to a complex spectrum of disturbances in movement, and the differential diagnosis is even more complicated, but Drs. Andres Deik and David Coughlin make it simple. In this week's episode of the BrainWaves podcast, we'll run through the basics of a dystonia differential and approach to managing patients with these complex symptoms. Produced by James E Siegler and David Coughlin. Music by Lee Rosevere, Rui, and the Freeharmonic Orchestra. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. REFERENCES Albanese A, Barnes MP, Bhatia KP, et al. A systematic review on the diagnosis and treatment of primary (idiopathic) dystonia and dystonia plus syndromes: report of an EFNS/MDS-ES Task Force. Eur J Neurol 2006;13(5):433-44. PMID 16722965Albanese A, Bhatia K, Bressman SB, et al. Phenomenology and classification of dystonia: a consensus update. Mov Disord 2013;28(7):863-73. PMID 23649720Skogseid IM. Dystonia--new advances in classification, genetics, pathophysiology and treatment. Acta Neurol Scand Suppl 2014;(198):13-9. PMID 24588501 DISCLOSURESAndres Deik eceived consulting royalties from Adamas therapeutics, Teva pharmaceuticals, ITF Pharma, and Cynapsus Therapeutics. His research has been funded in part by Cynapsus therapeutics and The Dystonia Coalition. David Coughlin, like Jim Siegler, has no competing financial interests to disclose.  We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.  

David Coughlin ble i 1999 drept av sin bestevenn, Raffi Kodikian, på en campingtur i ørkenen i New Mexico, USA. Men hvorfor valgte Kodikian å drepe sin beste venn, og hva skjedde ute i ødemarken i dagene som ledet opp til drapet? Death of David Coughlin https://en.wikipedia.org/wiki/Death_of_David_Coughlin Mercy or Murder? Doubts About a Death in Desert https://www.latimes.com/archives/la-xpm-1999-oct-03-mn-18196-story.html Two Went Out, One Came Back https://www.nytimes.com/2003/09/07/books/two-went-out-one-came-back.html DEATH IN THE DESERT: A NEW LOOK AT THE INVOLUNTARY INTOXICATION DEFENSE IN NEW MEXICO https://core.ac.uk/download/pdf/151603932.pdf

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021. Originally released: July 18, 2017 Idiopathic Parkinson disease is the second most common cause of neurodegenerative disease following Alzheimer disease. The risk of Parkinson disease increases to nearly 1 in 100 in the elderly, and although we have been pharmacologically treating this disorder since the early nineteenth century, we have no cure and no definite therapy to delay disease progression. In this episode of BrainWaves, Dr. David Coughlin illustrates how some of these therapies have evolved and which classes of medications to choose when managing a patient's symptoms--from tremor to dystonia. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision-making in routine clinical practice. Any cases discussed in this episode are fictional and do not contain any patient health-identifying information. The content in this episode was vetted and approved by Andres Deik. REFERENCES Anonymous. A randomized controlled trial comparing pramipexole with levodopa in early Parkinson's disease: design and methods of the CALM-PD Study. Parkinson Study Group. Clin Neuropharmacol 2000;23(1):34-44. PMID 10682229Elias WJ, Lipsman N, Ondo WG, et al. A randomized trial of focused ultrasound thalamotomy for essential tremor. N Engl J Med 2016;375(8):730-9. PMID 27557301Fahn S, Oakes D, Shoulson I, et al. Levodopa and the progression of Parkinson's disease. N Engl J Med 2004;351(24):2498-508. PMID 15590952Hely MA, Reid WG, Adena MA, Halliday GM, Morris JG. The Sydney multicenter study of Parkinson's disease: the inevitability of dementia at 20 years. Mov Disord 2008;23(6):837-44. PMID 18307261Hoehn MM, Yahr MD. Parkinsonism: onset, progression, and mortality. 1967. Neurology 1998;50(2):318-34. PMID 9484345McIntyre CC, Savasta M, Kerkerian-Le Goff L, Vitek JL. Uncovering the mechanism(s) of action of deep brain stimulation: activation, inhibition, or both. Clin Neurophysiol 2004;115(6):1239-48. PMID 15134690Olanow CW. Levodopa: effect on cell death and the natural history of Parkinson's disease. Mov Disord 2015;30(1):37-44. PMID 25502620PD Med Collaborative Group; Gray R, Ives N, et al. Long-term effectiveness of dopamine agonists and monoamine oxidase B inhibitors compared with levodopa as initial treatment for Parkinson's disease (PD MED): a large, open-label, pragmatic randomised trial. Lancet 2014;384(9949):1196-205. Erratum in: Lancet 2014;384(9949):1186. PMID 24928805Weaver FM, Follett K, Stern M, et al. Bilateral deep brain stimulation vs best medical therapy for patients with advanced Parkinson disease: a randomized controlled trial. JAMA 2009;301(1):63-73. PMID 19126811 We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.

Would you kill your best friend if they were in misery? That is the premise of this story.

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021. Originally released: October 5, 2017 Dr. David Coughlin returns for this week's Teaching Through Clinical Cases to discuss the management of a delirious patient with a hyperkinetic movement disorder. Produced by James E Siegler. Music by Hyson, Josh Woodward, Komiku, and Peter Rudenko. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. REFERENCES Ables AZ, Nagubilli R. Prevention, recognition, and management of serotonin syndrome. Am Fam Physician 2010;81(9):1139-42. PMID 20433130 Boyer EW, Shannon M. The serotonin syndrome. N Engl J Med 2005;352(11):1112-20. PMID 15784664 Dosi R, Ambaliya A, Joshi H, Patell R. Serotonin syndrome versus neuroleptic malignant syndrome: a challenging clinical quandary. BMJ Case Rep 2014;2014:bcr2014204154. PMID 24957740 Dunkley EJ, Isbister GK, Sibbritt D, Dawson AH, Whyte IM. The Hunter Serotonin Toxicity Criteria: simple and accurate diagnostic decision rules for serotonin toxicity. QJM 2003;96(9):635-42. PMID 12925718 Lappin RI, Auchincloss EL. Treatment of the serotonin syndrome with cyproheptadine. N Engl J Med 1994;331(15):1021-2. PMID 8084345 Mills KC. Serotonin syndrome. Am Fam Physician 1995;52(5):1475-82. PMID 7572570 Pedavally S, Fugate JE, Rabinstein AA. Serotonin syndrome in the intensive care unit: clinical presentations and precipitating medications. Neurocrit Care 2014;21(1):108-13. PMID 24052457 Radomski JW, Dursun SM, Reveley MA, Kutcher SP. An exploratory approach to the serotonin syndrome: an update of clinical phenomenology and revised diagnostic criteria. Med Hypotheses 2000;55(3):218-24. PMID 10985912  We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.

Hello and welcome back! We're shaking things up with today's episode and we're diving into the one-in-a-million case of the murder of David Coughlin. When two best friends embark on a cross country road trip, a last minute decision landed them at the Carlsbad Caverns National Park for a quick and scenic overnight stay in the desert. When the pair woke up and began their journey back to their car, they quickly learned that they were lost. Without supplies and with no help arriving soon, their desperate days long quest for civilization ends in heartbreaking tragedy. Hang on tight. This one's a doozy.SOURCES:https://pastebin.com/NZCiWfe3Support this podcast at — https://redcircle.com/this-ones-a-doozy/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

The desert can be a brutal tormentor especially for people who aren't prepared.  The hot sun licking at exposed skin, the dry air sucking its victims dry. Park rangers  find dehydrated hikers rambling around,  incoherent, some barely able to stand. But  on August 4th 1999,  just a Stones throw from a trail head, Park rangers would come upon something they never could have anticipated….. the body of a man  covered in stones and his apparent killer resting in a tent nearby.  The death would be blamed on the desert and the killer hoped, the jury would believe him.  --- Support this podcast: https://anchor.fm/twisted-travel-and-true-c/support

This week, we're heading back to New Mexico. Once again there's death involved, but this time, it doesn't follow any of our usual story lines. Come with us, as we explore the story of 2 hikers who got lost in a relatively small national park, and only 1 of them made it out alive. We all have our opinions, download now to form your own!

W lipcu 1999 roku w Nowym Meksyku w Stanach Zjednoczonych, doszło do niewyobrażalnej tragedii. Najlepsi przyjaciele Raffi i David utknęli na pustyni nie mogąc znaleźć drogi powrotnej do samochodu. Spędzili kilka dni bez pożywienia i wody i wkrótce stanęli przed najtrudniejszą decyzją w swoim życiu.

In July 1999 two best friends set off for a cross-country road trip together. After a camping trip in the New Mexico desert went horribly wrong, one of them didn't survive. Raffi Kodikian told the park ranger who came to his rescue that he killed his best friend because he thought they were dying of dehydration. Investigators didn't believe his story and charged him with murder. Join Mike and Gibby as they discuss Raffi Kodikian and the murder of David Coughlin. These two guys were the best of friends. Even investigators working for the prosecution said that when they interviewed people who knew them. Raffi always maintained that David asked Raffi to kill him. He also said the plan was for them to die together. The authorities had a hard time believing things played out as Raffi said they did but as one official said, "you don't get to kill someone in New Mexico even if they ask you to."You can help support the show at patreon.com/truecrimeallthetimeVisit the show's website at truecrimeallthetime.com for contact, merchandise, and donation informationAn Emash Digital productionSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In today's documentary, we're covering the true scary story of David Coughlin. This is one of the most BIZARRE true stories we've ever covered, and to this very day, it's still shrouded in mystery. This is the story of a man who killed his BEST FRIEND after the pair became lost in the desert. In 1999, two college students went on a trek into the desert to camp for the night. Only taking limited water and food, they quickly became dehydrated and disoriented. It wasn't long before they got lost, and this is where the story takes a very strange and mysterious turn that no one can explain to this very day. Join us for a story time covering the bizarre true story of David Coughlin. Access WG+ episodes available only on Apple Podcasts

In today's documentary, we're covering the true scary story of David Coughlin. This is one of the most BIZARRE true stories we've ever covered, and to this very day, it's still shrouded in mystery. This is the story of a man who killed his BEST FRIEND after the pair became lost in the desert. In 1999, two college students went on a trek into the desert to camp for the night. Only taking limited water and food, they quickly became dehydrated and disoriented. It wasn't long before they got lost, and this is where the story takes a very strange and mysterious turn that no one can explain to this very day. Join us for a story time covering the bizarre true story of David Coughlin. Access WG+ episodes available only on Apple Podcasts

In this episode, Kevin interviews powerlifter David Coughlin and discuss the scientific aspects of bands and chains in powerlifting and … More

In this weeks debrief episode, Justin and Mike sit down to discuss the Raffi Kodikian and David Coughlin Story. We talk about how this was considered a homicide as well as give everyone a few camping tips and much more.

In August of 1999,  best friends Raffi Kodikian and David Coughlin set out across the United States on the adventure of a life time. David was leaving Boston Mass. on his way to California to continue his education in  the field of traffic policy analyst. They decided to stop and camp for the night at Rattlesnake Canyon in the Carlsbad Caverns National Park, not knowing that the worst days of theirs lives were ahead of them. Sources for this episode are: Murderpedia/ Raffi KodikianLos Angeles Times: Mercy or Murder? Doubts About a Death in the Desert by Pauline Arrillaga Wikipedia for dates and locations.

David Coughlin was excited to road trip across the U.S. from Massachusetts to California with his best friend, Raffi Kodikian. When the two of them arrive in New Mexico, they decide to camp for the night in Rattlesnake Canyon. After losing the trail, the two men are desperate for an escape. When they both become violently ill and dehydrated, they make an unthinkable and irreversible decision. Sources: http://www.outdoorplaces.com/Features/story/mercykill.htm https://www.cbsnews.com/news/a-death-in-the-desert-sentence/ https://www.southcoasttoday.com/article/20000511/news/305119963 https://www.nytimes.com/2003/09/07/books/two-went-out-one-came-back.html https://www.latimes.com/archives/la-xpm-1999-oct-03-mn-18196-story.html --- Support this podcast: https://anchor.fm/mass-hysteria-pod/support

We're covering two "mercy killings". First, Caitlin shares the case of Tracy Latimer. Then, Sarah covers the death of David Coughlin. Beer: Teter Rock Kölsch by Walnut River Brewing and Colossal Claude Imperial IPA by Rogue Ales. Highly recommend both. TW: Suicide, death of a child. Listener discretion is advised. Instagram: @luminolpodTwitter: @luminolpodCheck out our website: www.luminolpod.comSend us a message luminolpod@gmail.comBe a beer sponsor! Support the show (https://www.patreon.com/luminolpod)

The Dolls are going camping this week! We’ve got our hotdogs, a little bit of water, and a map we can’t read. Great idea, right? Wrong! Raffi Kodikian and his college friend, David Coughlin, learned the hard way that it takes more than book smarts to survive in the wild. Come to the dark Dolly Side and visit our PATREON for exclusive content! We appreciate your support always, and Patreon is a great way to show us how you really feel! Plus...PERKS! Click HERE to take a look at what we offer our best Dolly Listeners! Special thanks to SamHears for our cover art and music! You can check him out here at samhears.wordpress.com Email: Neardeathdolls@gmail.com Instagram: @NearDeathDollsPodcast Twitter: twitter.com/neardeathdolls

Raffi Kodikian and David Coughlin were best friends on a cross-country road trip to get David to California, where he'd be starting his new life with his girlfriend. Along the way, the pair decided to go hiking in Rattlesnake Canyon, found in Carlsbad, New Mexico. After days of wandering through the canyon, lost and running out of hope, only one of the two men would make it out alive. So what exactly happened? The survivor would say he committed a mercy killing of his best friend, but not everyone is convinced that this is the truth.  Also, a new "Feels Good" about a Dairy Queen drive thru and Joel is a real jerk! If you're listening on Apple Podcasts, give us that 5-star rating and leave us a review, please and thanks! Email us at middleagedmediocre@gmail.com (Submit your own personal paranormal stories or true crime stories from your hometown for us to read during our "Listener-submitted Stories" segment!) Follow us on: Facebook.com/middleagedandmediocre Twitter.com/midagemediocre Instagram @ middleagedandmediocre --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/middleagedandmediocre/message Support this podcast: https://anchor.fm/middleagedandmediocre/support

Emily and Taylor manage once again to be on similar wavelengths with their stories-- Emily tells the story of sisters Leslie Roy and Lee Wright, who survive a time stuck in the cold wilderness with some good spirit and ingenuity. Taylor tells the opposite of that-- David Coughlin and Raffi Kodikian, two men stuck in the desert who give into terrifying delusions of their own imminent death. 

Hi all! It's been a minute, but we are coming back to being a weekly podcast again. We just took a little summer break.In this week's episode, we explore some camping/road trip stories that we talked about while we were on the road--The Unsolved Oklahoma Girl Scout Murders, the "Mercy Killing" of David Coughlin, and  the 1976 Unsolved Camping Murders of David Schuldes & Ellen Matheys.So, buckle up, jump on in, and enjoy these tales from the road. Thanks for listening. Check out our source material at truecrimedumpster.com.

In this episode, Alysa tells her friend, Meredith, about the tragic adventure of friends, David Coughlin and Raffi Kodikian, when they enter the Rattlesnake Canyon in New Mexico and only one comes out alive. All sources are located in show notes and any images will be posted on Instagram.  Email Alysa! Tell her all about the case that has stuck with you! = fataliteaspod@gmail.com Follow Fataliteas on Social Media! Facebook = https://www.facebook.com/fataliteaspod/  Instagram = https://www.instagram.com/fataliteaspod/   Twitter = https://twitter.com/fataliteaspod  Fataliteas Theme Song! SuZen Marie and Jeffrey Lynn / Contact: martinihill3@gmail.com Drinks from this Episode!  David Teas Oh Canada! = https://www.davidstea.com/us_en/tea/oh-canada%21/10193US01VAR0013052.html Tea Drops Strawberry Shortcake = https://www.myteadrop.com/collections/dessert-collection/products/forest-berry-shortcake Media Discussed or Recommended! Adventures of Public School = https://www.youtube.com/watch?v=Ul0BdWColUo Facisim: A Warning = https://www.harpercollins.com/9780062802187/fascism-a-warning/ Out of Time = https://www.youtube.com/watch?v=NNm0a2GKFS0 Pointer Sisters Playlist on Spotify = https://open.spotify.com/playlist/37i9dQZF1DZ06evO1kqRIQ?si=YRZi4KmURt6QroJAJyzIOQ Rodgers & Hammerstein's Cinderella = https://en.wikipedia.org/wiki/Cinderella_(1997_film)  What About Bob? = https://www.youtube.com/watch?v=tk9iWXsdB-8 Sources from this Episode! https://en.wikipedia.org/wiki/Death_of_David_Coughlin https://murderpedia.org/male.K/k/kodikian-raffi.htm https://www.nytimes.com/2003/09/07/books/two-went-out-one-came-back.html https://pro.magnumphotos.com/C.aspx?VP3=SearchResult&STID=2S5RYD1Y5Y5Y https://www.latimes.com/archives/la-xpm-1999-oct-03-mn-18196-story.html https://www.southcoasttoday.com/article/20000511/news/305119963 https://www.theguardian.com/world/1999/aug/19/4 https://www.washingtonpost.com/archive/politics/2000/03/11/desert-mystery-an-act-of-mercy-or-murder/f1512037-d17f-4327-bda9-807e69cdb113/ https://www.cbsnews.com/news/a-death-in-the-desert-sentence/ https://www.hcn.org/issues/276/14806 https://www.noted.co.nz/archive/archive-listener-nz-2003/when-raffi-killed-david http://news.bbc.co.uk/2/hi/americas/744172.stm https://vocal.media/criminal/is-a-murderer-always-a-murderer https://people.com/archive/two-alone-vol-52-no-9/ https://www.chicagotribune.com/news/ct-xpm-2000-05-11-0005110190-story.html https://www.dailymotion.com/video/x5ltcoc

July 1999. Carlsbad Caverns National Park in New Mexico. David Coughlin and Raffi Kodikian were best friends. Both from Boston, though David was preparing to move to California. Raffi joined him on a cross country trip which would take them about five days. But a decision to stop in Rattlesnake Canyon in Carlsbad Caverns National Park would prove to be too much. Though they were cautioned about the desert and being prepared, they thought that one night wouldn't be a big deal. Days later when a park ranger located their camp, he discovered only Raffi had survived. David was dead and Raffi immediately said that he was responsible. But was this a mercy killing as he had claimed? Or was there a motive for murder?

Former Times Editor Johnny Vardeman speaks with David Coughlin, author of "A Storybook Site," about the building of Buford Dam and filling of Lake Lanier. The pair also explore rumors about the lake that have existed since its creation.

Dystonia refers to a complex spectrum of disturbances in movement, and the differential diagnosis is even more complicated. But Drs. Andres Deik and David Coughlin make it simple. In this week's episode of the BrainWaves podcast, we'll run through the basics of a dystonia differential and approach to managing patients with these complex symptoms. Produced by James E. Siegler and David Coughlin. Music by Lee Rosevere, Rui, and the Freeharmonic Orchestra. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision making. REFERENCES 1. Skogseid IM. Dystonia–new advances in classification, genetics, pathophysiology and treatment. Acta Neurologica Scandinavica. 2014 Apr 1;129(s198):13-9. 2. Albanese A, Bhatia K, Bressman SB, DeLong MR, Fahn S, Fung VS, Hallett M, Jankovic J, Jinnah HA, Klein C, Lang AE. Phenomenology and classification of dystonia: a consensus update. Movement Disorders. 2013 Jun 15;28(7):863-73. 3. Albanese A, Barnes MP, Bhatia KP, Fernandez‐Alvarez E, Filippini G, Gasser T, Krauss JK, Newton A, Rektor I, Savoiardo M, Valls‐Solè J. A systematic review on the diagnosis and treatment of primary (idiopathic) dystonia and dystonia plus syndromes: report of an EFNS/MDS‐ES task force. European journal of neurology. 2006 May 1;13(5):433-44. DISCLOSURES Andres Deik has received consulting royalties from Adamas therapeutics, Teva pharmaceuticals, ITF Pharma, and Cynapsus Therapeutics. His research has been funded in part by Cynapsus therapeutics and The Dystonia Coalition. David Coughlin, like Jim Siegler, has no competing financial interests to disclose.

Foot turning in when you walk? Hand cramping up when you write? It could just be you, or it could be a dystonia. History and exam findings in dystonia range from slight abnormalities in posturing to disabling tremors, but there are some clues that can help you identify this movement disorder. Drs. Andres Deik and David Coughlin share their experience in this week's brief episode. Produced by James E. Siegler. Music by Little Glass Men and the Philadelphia String Quartet. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision making. REFERENCES Albanese A, Bhatia K, Bressman SB, DeLong MR, Fahn S, Fung VS, Hallett M, Jankovic J, Jinnah HA, Klein C, Lang AE. Phenomenology and classification of dystonia: a consensus update. Movement Disorders. 2013 Jun 15;28(7):863-73. Albanese A, Barnes MP, Bhatia KP, Fernandez‐Alvarez E, Filippini G, Gasser T, Krauss JK, Newton A, Rektor I, Savoiardo M, Valls‐Solè J. A systematic review on the diagnosis and treatment of primary (idiopathic) dystonia and dystonia plus syndromes: report of an EFNS/MDS‐ES task force. European journal of neurology. 2006 May 1;13(5):433-44. DISCLOSURES Andres Deik has received consulting royalties from Adamas therapeutics, Teva pharmaceuticals, ITF Pharma, and Cynapsus Therapeutics. His research has been funded in part by Cynapsus therapeutics and The Dystonia Coalition. David Coughlin, like Jim Siegler, has no competing financial interests to disclose.

Dr. Jim Siegler interviews Dr. David Coughlin about his successful quality improvement pilot study aimed at preventing early NICU readmissions ("bouncebacks") when patients are transferred to lower levels of service. The NCS Podcast is the official podcast of the Neurocritical Care Society. Our senior producer is Jim Siegler. Our production staff includes Joshua Levine, Becca Stickney, Michael Brogan, Starane Shepherd, Benjamin Miller, and Ramani Balu. Music by Lee Rosevere. Coughlin DG, Kumar MA, Patel NN, Hoffman RL and Kasner SE. Preventing Early Bouncebacks to the Neurointensive Care Unit: A Retrospective Analysis and Quality Improvement Pilot. Neurocritical care. 2017; Epub ahead of print.  

Dr. David Coughlin returns for this week's Teaching Through Clinical Cases to discuss the management of a delirious patient with a hyperkinetic movement disorder. Produced by James E. Siegler. Music by Hyson, Josh Woodward, Komiku and Peter Rudenko. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision making. REFERENCES Mills KC. Serotonin syndrome. American family physician. 1995;52:1475-1482 Radomski J, Dursun S, Reveley M, Kutcher S. An exploratory approach to the serotonin syndrome: An update of clinical phenomenology and revised diagnostic criteria. Medical hypotheses. 2000;55:218-224 Dunkley EJ, Isbister GK, Sibbritt D, Dawson AH, Whyte IM. The hunter serotonin toxicity criteria: Simple and accurate diagnostic decision rules for serotonin toxicity. QJM : monthly journal of the Association of Physicians. 2003;96:635-642 Boyer EW, Shannon M. The serotonin syndrome. The New England journal of medicine. 2005;352:1112-1120 Dosi R, Ambaliya A, Joshi H, Patell R. Serotonin syndrome versus neuroleptic malignant syndrome: A challenging clinical quandary. BMJ case reports. 2014;2014:bcr2014204154 Lappin RI, Auchincloss EL. Treatment of the serotonin syndrome with cyproheptadine. The New England journal of medicine. 1994;331:1021-1022 Pedavally S, Fugate JE, Rabinstein AA. Serotonin syndrome in the intensive care unit: Clinical presentations and precipitating medications. Neurocritical care. 2014;21:108-113 Ables AZ, Nagubilli R. Prevention, recognition, and management of serotonin syndrome. American family physician. 2010;81:1139-1142

Idiopathic Parkinson Disease (PD) is the second most common cause of neurodegenerative disease following Alzheimer's. The risk of PD increases to nearly 1 in 100 in the elderly, and although we have been pharmacologically treating this disorder since the early nineteenth century, we have no cure and no definitely therapy to delay disease progression. In this episode of BrainWaves, Dr. David Coughlin illustrates how some of these therapies have evolved and which classes of medications to choose when managing a patient's symptoms--from tremor to dystonia. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. Any cases discussed in this episode are fictional and do not contain any patient health identifying information. The content in this episode was vetted and approved by Andres Deik. REFERENCES 1. Elias, W. Jeffrey, et al. "A randomized trial of focused ultrasound thalamotomy for essential tremor." New England Journal of Medicine 375.8 (2016): 730-739. 2. Hoehn, Margaret M., and Melvin D. Yahr. "Parkinsonism: onset, progression, and mortality." Neurology 50.2 (1998): 318-318. Hely, Mariese A., et al. "The Sydney multicenter study of Parkinson's disease: the inevitability of dementia at 20 years." Movement Disorders 23.6 (2008): 837-844. 3. McIntyre, Cameron C., et al. "Uncovering the mechanism (s) of action of deep brain stimulation: activation, inhibition, or both." Clinical neurophysiology 115.6 (2004): 1239-1248. 4. Olanow, C. Warren. "Levodopa: effect on cell death and the natural history of Parkinson's disease." Movement Disorders 30.1 (2015): 37-44. 5. Parkinson Study Group. "Levodopa and the progression of Parkinson's disease." N Engl J Med 2004.351 (2004): 2498-2508. 6. Parkinson Study Group. "A randomized controlled trial comparing pramipexole with levodopa in early Parkinson's disease: design and methods of the CALM-PD Study." Clinical neuropharmacology 23.1 (2000): 34-44. 7. PD Med Collaborative Group. "Long-term effectiveness of dopamine agonists and monoamine oxidase B inhibitors compared with levodopa as initial treatment for Parkinson's disease (PD MED): a large, open-label, pragmatic randomised trial." The Lancet 384.9949 (2014): 1196-1205. 8. Weaver, Frances M., et al. "Bilateral deep brain stimulation vs best medical therapy for patients with advanced Parkinson disease: a randomized controlled trial." Jama 301.1 (2009): 63-73.