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Dr. Paul Appelbaum, who oversees changes to psychiatry's main diagnostic manual, says excited delirium is bad science, based on faulty studies that grew out of the 1980s cocaine epidemic.

Hospitals try to come up with ethical triage frameworks, but Dr. Robert Klitzman said there are often workarounds for V.I.P.s.

"The number one goal of health tech, unlike other tech, is not to engage and immerse patients in their phones but to support and embolden them in their real lives," writes Dr. Ravi Shah.

Among those on high doses of steroid medications, "between 5 and 18 percent experience significant “mental status changes,” as we call them," writes Dr. Sally Satel.