“Vision without execution is a hallucination.”
Once I had a 90-something year old patient brought in by her granddaughter for evaluation after she kept hearing a threatening man yelling outside her window. After some investigation, the family discovered there was no man present despite the patient’s convincing account of events. The differential diagnosis in this population includes an array of possibilities from toxic, metabolic, or infectious disturbance to sundowning. When someone perceives a sensory input (e.g. visual, auditory, tactile) that does not exist, it is known as a hallucination. Commonly hallucinations are associated with psychotic people. However, normal subjects can hallucinate also. For example, sleep-deprived individuals, bereaved persons, and those in solitary confinement for prolonged periods of time can see and hear things that are not there.
· Look for a dark goat first in the daytime because you may not find it at night.
o Meaning: Prioritize your goals before it’s too late to accomplish them.
· The best way to eat an elephant is to cut it into pieces
o Meaning: The greatest task is accomplished by taking one small step at a time.
· Maize bears fruits once and dies because it is not rooted in the ground.
o Meaning: Without a solid foundation, it is difficult to be prosperous.
· If you want to walk fast, walk alone. If you want to walk far, walk with others.
o Meaning: On this journey called life, having a sense of community will get you further by not only providing focus and purpose but also encouragement along the way.
Dr. Dee is a board-certified neurologist with specialty training in clinical neurophysiology committed to educate the community on how to live more healthy lives.
“The anterior cingulate gyrus is part of the medial frontal lobe responsible for decision making, emotional control and regulation of autonomic function (such as heart rate and blood pressure). The temporal lobe houses the hearing centers as well as the memory system. The prefrontal cortex functions in personality, complex planning, and attention. In particular, the prefrontal cortex helps individuals to process and prioritize simultaneous, competing stimuli. The occipital lobe carries the vision center of the brain.”
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1. Blakemore SJ, Smith J, Steel R, Johnstone CE, Frith CD. “The perception of self-produced sensory stimuli in patients with auditory hallucinations and passivity experiences: evidence for a breakdown in self-monitoring.” Psychol Med. 2000 Sep;30(5):1131-9. 2. Boksa, Patricia. “On the neurobiology of hallucinations.” J Psychiatry Neurosci. 2009 Jul; 34(4): 260–262.