Tuesday, July 22, 2008

to trust or not to trust

today i was sent to 8900 to see all the patients decide who can be discharged and kept on. So many of these guys have sad stories and you can see how there social status has put them thru a winding spiral downwards exacerbated by their mental diagnoses. schizo - drug abuse - major depression - bipolar. who is drug seeking? who isn't? did your wife REally die 5 days ago? and you knew her forever? Why aren't you crying? why are you laughing?

Why do you drink? why don't you know the answer? are you agitated because of your disease or because of these conditions?

why doesn't everyone treat you like a human? why are you treated 2nd rate? Not everything you say is crazy or unreasonable. If i were in here I would be just as mad. I would be mad if you told me i was leaving and then turn around and tell me I have to stay.

Doctor says better to be conservative - better to neither trust or distrust -merely protect yourself. we're just shuffling these people around. their problems are much greater than the meds we can prescribe - I don't feel like I'm helping.

Pts:
back pain, depression, wife died plus SI
DUI alchoholic depressed SI
schizo, drinking, noncompliant
schizo, noncompliant homeless
depressed, homeless, agitated

sunburned, confused, sad, worried, want answers.

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