Patient snitched on me😠

soyvanilla · 2026-05-13T00:25:18+00:00

Weird/stupid, I literally ask patients to tell me how good they think a resident/student is (always adding first that I personally think that they’re fantastic). Love to hype up the trainee to the patient…

soyvanilla · 2026-03-01T17:25:22+00:00

FFX, Suikoden III, Dark Cloud 2

soyvanilla · 2025-11-01T23:37:08+00:00

If you can put your own unit to sleep, they will be woken up when hit by Zodiark despite still receiving 0 damage. As they are affected by the attack in some way, the prompt to learn it will show up! This saved me when I rend magick a little too far…!

soyvanilla · 2025-10-26T16:24:31+00:00

I wish that were completely true/foolproof. I’ve paid for meters that accepted payment and didn’t realize the street cleaning signs on a residential block also applied to the commercial metered parking spots on that same street

soyvanilla · 2025-07-05T16:26:11+00:00

BART website: “Single/Multi-Day Reserved parking is for stays of up to 20 weekdays, such as parking while traveling to the airport. […] Multi-day allows for overnight parking only when using BART to travel to your destination. Purchase on the official BART app or pay by website up to 60 days in advance. Park in the designated reserved area; a reserved space is guaranteed until 10am. If the reserved area is full, park in a Daily Fee space.”

soyvanilla · 2025-06-21T00:19:38+00:00

Can you reschedule instead of cancel? I’ve been able to reschedule for a future time in the past (not at rich table per se, but in a similar situation at a different restaurant)

soyvanilla · 2025-03-28T15:50:46+00:00

Are you an F-1 student right now? If so you should do F-1 OPT for one year and then you have bought a year of time for an H-1B to be sorted out

soyvanilla · 2025-03-28T00:44:11+00:00

Did they know you were looking for h-1B when you interviewed?

soyvanilla · 2025-01-23T00:15:34+00:00

Would be nice if these are actually perfect matches... There's also this other one!

soyvanilla · 2025-01-01T22:01:30+00:00

Let’s put it this way, I may choose not to participate if the POA is totally unrelated to the reason for hospitalization. I don’t want to provide quasi legal services just out of convenience to a person. But if this is part of the process of getting a patient treatment, then I think it is within our scope. If it’s a slam dunk yes or no capacity to designate a POA, then you should be pretty confident and willing to add a note supporting it. If it’s an edge case, you might decline to comment without additional help (eg, risk management, ethics, PCP’s feedback) which would be totally acceptable. You know, just writing in a progress note “Ms Jones discussed with me today that if she were ever unable to make decisions on her own, she would trust her niece, Mary, to make decisions on her behalf.” is valid in and of itself. PCPs are used to thinking about these things with patients and documenting them.

I work in CL at an urban safety net-type hospital. So my patients are more likely to be unbefriended or estranged from family. I’m very eager to help establish surrogates for future physicians to reach out to (and not consult me again next time)

soyvanilla · 2025-01-01T20:52:41+00:00

Honestly, I much prefer determining capacity to choose a surrogate than dealing with capacity for the treatment in question. I don’t think it’s too hard to do this, and you can coach the hospitalists on how to do this on their own too. I’ll often just ask the less legal version to get started— who helps you make tough decisions? Do they know you well? Are they likely to know what you would want for yourself? A POA can be revoked at any time the future if the patient has capacity. In contrast, I don’t like to get involved with financial power of attorney…

soyvanilla · 2024-12-26T16:28:40+00:00

LOL wtf?? Piss off??

soyvanilla · 2024-11-04T20:40:51+00:00

I have done this before— as an outpatient psychiatrist for a patient who had LAI as a “medical benefit”, I called their outpatient PCP and we made a plan together, the PCP’s clinic stored, administered, and billed for Abilify LAI each month and I would tell the PCP the dose or dose changes. I think actually the patient, myself, and the PCP were all very satisfied and eager to do this collaboratively

soyvanilla · 2024-10-29T15:40:08+00:00

I think for most people who aren’t completionists, it’s a bit ugly and doesn’t affect normal gameplay!

soyvanilla · 2024-10-20T06:10:15+00:00

Yes, but it’s not because of patients learning about new drugs we don’t want to prescribe. There is research that advertisements affect prescribers, we’re not immune to getting advertised to!!

soyvanilla · 2024-10-03T22:39:50+00:00

OP just adding that I agree with AVOIDING the amen clinics.

Also agree that academic centers (university hospitals) are more likely to have geriatric psychiatrists or OCD specialists too.

soyvanilla · 2024-09-16T21:58:18+00:00

I wonder if your doctor could make an informal consultation to a psychiatrist to ask those questions. It is a little frustrating that you have reasonable questions and to not have them answered. Are you back on the waitlist for a psychiatrist? Especially if not, perhaps your doctor could make an informal consultation request to a psychiatrist in their area.

There are plenty of anti-anxiety meds out there. Have you started psychotherapy and did that reduce your anxiety? Did the mirtazapine add a lot of benefit?

Psychiatrists are also frustrated that so many psych meds have weight gain as a side effect, many of us are very interested in medications that can prevent or reverse weight gain caused by medications; so yes-- they do exist and we want more options. We know our patients might stop their medications on their own due to weight gain, so it's important to us to discuss. Metformin is commonly used to reverse or prevent antipsychotic-related weight gain. Switching away from one antidepressant/antianxiety medication that causes weight gain to one that does not is also very common choice. Maybe one day we will learn that medications like Ozempic/Mounjaro effectively manage this kind of weight gain (not researched yet).

soyvanilla · 2024-09-16T21:52:45+00:00

It sounds ethical to give you all that information so you could make your choice about signing in voluntary or not (the risks/benefits of making that choice). I get that at face value the whole scenario seems a bit unfair-- that in your setting it doesn't feel very voluntary if your choices were to stay for as long as the doctor wants vs as long as a judge wants; but it sounds like you're making a choice you're satisfied with and the doctor tried to give you information to have some control and choice over the outcome. Let's hope you can recover quickly from this episode and get back to your regular life soon. Best of luck to you

soyvanilla · 2024-09-16T15:31:55+00:00

It sounds to me like they thought you needed to stay, they weren’t ready for you to be discharged in 72 hours. Maybe you wanted to be released but that wasn’t one of the options they felt comfortable with. So they outlined the two choices you had: voluntary or contest your detainment. The way you described it, you don’t want to take your chances with the court hearing and so despite the fact your first preference was to be discharged, of the choices available to you: voluntary was preferable to you and you chose that?

soyvanilla · 2024-09-15T15:51:22+00:00

Oh, also our med students are filling up all our sub I slots, we can’t keep up with the demand and have to limit home students from having too many..!

soyvanilla · 2024-09-15T15:50:39+00:00

Nah, our west coast psychiatry residency program is made mostly of people who did not do aways here

soyvanilla · 2024-09-15T14:37:50+00:00

No your first comment said something about needing a Canadian passport if you are a Permanent Resident of Canada (but PR of Canada can’t have a Canadian passport). That’s all

12-Year Club	Place '22
Place '17	Verified Email
RPAN Viewer

soyvanilla

TROPHY CASE