I was so exhausted on friday i didn't even write. it was a crazy morning. it started quiet with our regular rounds of the current patients and then by 2pm it was a mad house. there were so many police admissions and three juvenile cases. everyone was running around - except for me. i don't know how but i ended up with no patients. my ist admit took forever. he is a abuser of the system - who declared he wanted to committ suicide who knows - as a means of getting to stay the night somewhere with food for three days or becuase he really is depressed? hard to say. my attending came down on him pretty hard and the patient turned to me and said - what did you say to him? what? why is he being so mean to me? i know you said something to him. and later - i don't even want to look at you right now. you are a back stabber. And in all honesty i didn't say anything to the attending i barely had a moment to present my patient. in any case it made me feel bad that my patient was 'mad" at me. but later i saw him, he got admitted, he was eating and he seemed very happy. They say, if anybody thinks the ER is better than where they live, they must really need help. and we always have to give them the benefit of the doubt.
patients -
young 22 year old, possible SIBD, PNOS, or Schizoprenia early onset
42 year depressed malingerer? homeless?
although not my patients
young woman self diagnosed "bipolar disorder"
homeless latino schizoprenic smelled really bad, PNOS
hippie schizoprenic
screaming woman put in restraints
old man brought in by daughters for dementia
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