I worked with a general physician who practices both psych and essentially family med (minus ob and gyn) . He had a unique perspective on his patients and esp psychosomatic presentations. A young man came in brought in by his mom and aunt after he received the news that his brother was killed. The kid was catatonic. Dr. Llamas checked him out, then took two plastic chairs to a small corner of the hospital, his "office," and as he says, "le di un sacudo" (i gave him agood shake) essentially a mini therapy session. the kid came out a whole new person. it was amazing.
later a woman who was their for gallstones and I suppose you could say intractable pain was just laying in the ER, moaning and groaning - obv. pain. Dr. Llamas went to her and of course she asked for something for her pain, yet again. And he said,(in spanish)"I could give you all the pain medicine in the world, and i have already given you a lot. But you know this will only work if you have a positive attitude and believe it will work." after that we didn't hear a peep from her and she went home. who knows.
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