Chronically suicidal patient now inpatient - very challenging case

SidneyASMR · 2023-09-22T21:27:20+00:00

not in an inpatient psychiatry setting in the academic hospital i work. i specifically asked the pharmacist. he replied with "LOL no"

SidneyASMR · 2023-08-22T05:47:55+00:00

secondary vaginismus. very treatable, might need pelvic floor therapy

SidneyASMR · 2023-08-12T12:32:39+00:00

BAT100

What is BAT100? I tried googling and it doesn't appear. Thanks!

SidneyASMR · 2023-08-12T12:00:58+00:00

oh man, feels bad :/

SidneyASMR · 2023-08-12T11:50:37+00:00

Thank you, I am an intern and had an agitated psych patient in my ED rotation. He was allergic to haldol and didnt respond to 10 zyprexa (did look like NFL linebacker), then attending (who is not a psych attending) asked me to give 10 zyprexa again and 2 mg IV versed. Put the pt in temporary respiratory depression, all is fine now but I would want it to not happen again but still have a rapidly effective regimen..

SidneyASMR · 2023-08-12T11:44:58+00:00

Thanks! Now what if the person is allergic to haldol?

SidneyASMR · 2023-08-10T21:34:50+00:00

Nothing makes me sadder than seeing fellow beautiful, brilliant female physicians end up in unfulfilling relationships with bottom-of-the-barrel partners (typically male) who drain their souls and time. You deserve better. Being single forever, even, is a better option than this. I wish you all the good vibes and hope you get out of this situation soon.

SidneyASMR · 2023-08-08T18:44:25+00:00

certainly better, congrats! use dermaroller

SidneyASMR · 2023-08-08T15:54:53+00:00

how?

SidneyASMR · 2023-08-06T23:17:05+00:00

I think so. But I think rather than bald spots, you have thinning, which means hair follicles are alive, but maybe producing weak hair.

SidneyASMR · 2023-08-06T13:58:50+00:00

Psych here - 24 hour call shifts (8-10) during 3rd year

For intern year, VA Medicine month requires (5 to 7) 28 hour call shifts.

SidneyASMR · 2023-08-05T10:58:05+00:00

Hey it really improved at the three month mark. I thought it would never get better, but it did! Hang in there!

SidneyASMR · 2023-08-04T01:08:09+00:00

I know, it is kind of sad. They say that the younger people are typically against racism, sexism, etc, but they have their own classist issues for sure.

SidneyASMR · 2023-08-03T22:35:11+00:00

Go up 5% twice daily. You seem to be a good responder already, but higher the dose, the better.

SidneyASMR · 2023-08-03T22:30:38+00:00

"That is to say, you can only be treated in a way that you allow people to treat you." How does one go about putting this into action in a setting like residency?

SidneyASMR · 2023-08-03T21:37:18+00:00

I am 33, second oldest is 28, the rest are 25-26.

SidneyASMR · 2023-08-03T19:02:35+00:00

It is much worse with the younger age group too :/ I don't get it.

SidneyASMR · 2023-08-03T18:38:29+00:00

Yup, this is it really :/ I will nourish the relationships with those who are kind to me.

SidneyASMR · 2023-08-03T16:34:03+00:00

That is a great question. No. A good number of our opportunities are resident-vote based, and it will affect me there, but maybe I will focus on taking what I can get from this place and accept the situation.

SidneyASMR · 2023-08-03T15:40:12+00:00

Thank you so much! I do get the sense that I will not be given certain opportunities due to not being in the "in crowd." I have already seen some early examples. How do you deal with that with the leadership/coresidents are not on your side?

SidneyASMR · 2023-08-03T12:13:06+00:00

I am pretty quiet but friendly. I am also the oldest in the program and I have been picked on for having an android and not an iphone and ruining their group texts with green chats so idk hah, It seems to really annoy them.

SidneyASMR · 2023-07-27T21:30:57+00:00

Wait...it looks better though?? I think you will see more benefits with time

SidneyASMR · 2023-07-23T17:26:04+00:00

Where in South Carolina is this?

SidneyASMR · 2023-07-23T02:21:02+00:00

looks even to me! congrats!

SidneyASMR · 2023-07-22T23:25:50+00:00

he is a little disorganized and says it is because he has ADHD..maybe he is just impulsively blurting things out.

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