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Seasoned general psychiatrist Dr. Elliot Gruen leverages his 20 years of experience in the practice of general psychiatry to the patients in the adolescent, the adult, and the substance abuse units of St. Mary’s Hospital. In his free time, Dr. Elliot Gruen goes on long-distance road trips. He has traveled from Maine to Washington State, Colorado, Yellowstone Park, and California Coast. He has just returned from a road trip to Charleston, South Carolina. There are many great stops when going on a road trip to Charleston, South Carolina. These stops offer beautiful sceneries, charming gardens, and natural preserves. One popular stop is the South Carolina tobacco Museum located in the town of Mullins. The museum highlights tobacco as one of the major crops in the eastern region of South Carolina. It also features plenty of authentic artifacts on exhibit and display. Fifty minutes southeast of Mullins is the coastal city of Conway where the Riverwalk is located. This riverfront park is an excellent place to view the Waccamaw River. Additionally, the Waccamaw National Wildlife Refuge offers bird watching activity to visitors. At Murrells Inlet and Georgetown, the Brookgreen Gardens offers a mixture of history, art, and nature tripping. Brookgreen Gardens boasts of a botanical garden, a zoo, and some sculpture parks. Across the highway from Brookgreen Gardens is the Huntington Beach State Park that is excellent for walking. Going south to the city of Georgetown, the Front Street offers many sights, museums, and other attractions. The Hobcaw Barony, also located in Georgetown, is a 16,000-acre property where 37 historic buildings dating back to the 1700s are found.

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Dr. Elliot Gruen is a psychiatrist who has been practicing privately for 14 years in Portland, Maine; he is also a general psychiatrist at St. Mary’s Hospital in Lewiston. Outside of his work, Dr. Elliot Gruen enjoys outdoor recreation and activities and has experience in building decks, replacing windows, and sanding and finishing floors. When sanding a hardwood floor, several steps must be taken to achieve quality results. To begin, you will need to sand off all of the old finish. A walk-behind floor sander is beneficial for this job and can easily be rented. A handheld power edge sander can also be rented to enable you to sand tight against the walls in doorways and corners. Once the sanding is finished, it is important to fill any gouges or nicks that are still on the floor. You can do so by using a broad knife and wood putty to fill the spots. Once the putty is dry, begin lightly sanding the areas by hand until they are smooth with fine or medium sandpaper. Finally, you will need to remove any dust from the walls, molding, and floor. Wipe down all areas and then take a damp rag to remove excess residue. After that, you can use a shop vacuum that has a dust filter to vacuum up any remaining dust and debris. Once the vacuuming is done, use a tack cloth or damp sponge to wipe the entire floor.

Dr. Elliot Gruen has worked as a general psychiatrist for 20 years. One of Elliot Gruen’s hobbies is playing the banjo. He took lessons in school and later had the opportunity to play in a band, performing in a variety of small venues and for shut-ins. There are several distinct styles of banjo playing or picking, with the two primary styles being bluegrass and clawhammer. The bluegrass style of banjo playing is also known as up-picking, because the strings are struck in an upward motion. Famous banjo player Earl Scruggs is credited with popularizing the bluegrass method of playing. Clawhammer playing, Dr. Gruen’s preferred method, is, in contrast to bluegrass style as it involves a downward stroke on the strings. Clawhammer has much older origins than bluegrass. When a musician is playing the banjo in clawhammer style, it may look simple, but in actuality, it takes anywhere from months to years to master. Clawhammer style, also called frailing, is preferred by traditionalists because of its heritage and the grittiness of the sound. No matter which style is played, the banjo continues to be a unique instrument with a rich heritage and an interesting alternative to the guitar or mandolin.

Dr. Elliot Gruen treats adult patients at his general psychiatry practice, located in Portland, Maine. Outside of his professional endeavors, Dr. Elliot Gruen enjoys playing clawhammer-style banjo. The banjo dates back to 13th-century sub-Saharan Africa. It was later brought to America by slaves, who built the instrument with a gourd body and fretless neck with heavy strings. Early written records of the banjo in America come from Thomas Jefferson, who noted in 1781 that his slaves played the instrument, which was then known as a “banjar” and is believed to have had a deep, resonant sound. By the mid-1800s, the banjo had become increasingly popular in the South, both within and outside of slave populations. It was soon played alongside fiddles and other instruments, thus birthing the modern bluegrass band. Around the same time, well-known minstrel performer Joel Sweeny invented and popularized the five-string banjo, which allowed for more intricate picking and strumming patterns. Many banjo players today, especially those playing in the clawhammer style, prefer five-string banjos, though musicians interested in playing traditional jazz or Irish music often choose the four-string version of the instrument.

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Dr. Elliot Gruen serves as a general psychiatrist at St Mary’s Hospital in Lewiston, Maine. An avid fisherman, Dr. Elliot Gruen has fly-fished at Yellowstone National Park. Yellowstone National Park is home to many species of native wildlife and fish. Fishing is permitted at the park during approximately half the year, and the region is home to some of the world’s best fly-fishing. Keep reading to learn about fishing at Yellowstone. Question: Where is fishing allowed at Yellowstone? Answer: Though some areas are closed off to human activity, fishing is permitted throughout most of the park’s 2,600 miles of streams. Question: When can I fish at Yellowstone? Answer: Fishing season runs from the last Saturday in May to the first Sunday of November. Every day is a good time to fish during fishing season, especially for trout. Question: What kinds of fish can be caught at Yellowstone? Answer: Yellowstone is noted for its exceptional trout fishing. The Yellowstone cutthroat trout is the region’s only native species, though rainbow, brown, and brook trout also live in the park’s waters. Question: Do I need a permit to fish at Yellowstone? Answer: Yes. Anyone aged 16 or older must purchase a permit. Three-day, weeklong, and season permits are available. Children 15 and younger may fish without a permit if accompanied by an adult. They can also attain a free permit that allows them to fish unsupervised.

Since 1984, Dr. Elliot Gruen has served as a general psychiatrist at St. Mary's Hospital in Lewiston, Maine. Dr. Elliot Gruen has treated adults and adolescents with a wide variety of mental illnesses, including schizophrenia. Schizophrenia is a multifaceted mental illness that affects an individual's ability to reason and to properly perceive reality. Individuals with schizophrenia may experience a phenomenon known as psychosis, in which the person perceives things outside of others' reality. They may see things, hear voices, or have other sensory experiences that others do not experience. The person often experiences these hallucinations as threatening, either to himself or herself or in the form of a suggestion that the psychotic person act against his or her will. Similarly, many individuals with schizophrenia have false beliefs or ideas known as delusions, which remain perceived as truth even when challenged with fact. Common delusions include the belief that the person with schizophrenia is a celebrity or a deity, or that he or she is being watched. Schizophrenia's effect on a person's brain and perceptions may also result in disordered thoughts and speech, which manifests in conversations that do not make sense to others. Executive functioning and focus may suffer, as may short-term memory. The individual may have difficulty performing or completing activities and may lose interest in daily life, thus presenting the false front of clinical depression. Clinicians who diagnose and treat schizophrenia must consider all symptoms, particularly the psychotic, and must consider the fact that many with the disease are unable to understand that they are ill. While this is a common manifestation of schizophrenia, it can present a serious challenge to the treatment team.

An experienced general psychiatrist, Dr. Elliot Gruen has cared for patients at St. Mary's Hospital in Lewiston, Maine, for more than 30 years. In that time, Dr. Elliot Gruen has worked in both the adult and adolescent units, where he treats schizophrenia and other conditions. In the first study ever to intensively examine the biological causes of a mental illness, researchers have uncovered a genetic process that dramatically increases an individual's risk of schizophrenia. Scientists at Harvard Medical School, Boston Children's Hospital, and the Massachusetts Institute of Technology's Broad Institute have identified a process that occurs during the synaptic-pruning phase of adolescence and early adulthood, during which time the brain disposes of unnecessary or weak connections in the brain. This pruning occurs as a normal and necessary phase of development, yet some individuals possess a gene variant that makes the process go awry. This gene variant exists on the MHC, a part of the human genome that previous research has associated with schizophrenia. Researchers found within this area four variants of the gene C4, which produces either the C4-A or the C4-B protein. Individuals with the C4-A protein were significantly more likely to develop schizophrenia. Study findings suggest that this connection stems from the C4-A protein's tendency to overprune synapses in the prefrontal cortex. Such a conclusion would support the observation that schizophrenia typically emerges in patients’ teens or early 20s, although much more research is needed to fully understand the process. Researchers hope that further investigation will one day help psychiatrists to develop more effective assessments for at-risk individuals.