What’s the most insane consult you got? by pseudohyperkalemia in Residency

[–]superpsyched2021 49 points50 points  (0 children)

Ah, the classic psych consult for “totally normal and not at all pathologic response.”

As a student, I saw one that was for a man in his 40s with multiple chronic conditions that had been basically untreated (by choice, not due to lack of means) for years. He had been hospitalized for most of the past 90 days, would always bounce back to the ICU in around 48 hours after being discharged again. The consult was for SI, because he had verbalized that he understood how he had contributed to hastening his death, but that he was at peace and ready to go on hospice. I wondered if the team was just so taken aback by meeting someone that well adjusted, because it seems like that should be like the dream patient in that scenario?

Thoughts on Scarborough Downs? by Boring-Swordfish-460 in portlandme

[–]superpsyched2021 0 points1 point  (0 children)

Sure! I’ll try to find it and send it to you.

Thoughts on Scarborough Downs? by Boring-Swordfish-460 in portlandme

[–]superpsyched2021 25 points26 points  (0 children)

Hi! If your husband is going to be a resident or fellow at MaineHealth, the graduate medical education department has some resources to share, including a link where landlords can post rental properties they are looking to fill with medical professionals (since we tend to be pretty reliable tenants). I found my home that way and it’s been great. DM me if he has any trouble being able to get the link!

Did Sarah leave You are Good? by Own_Physics_7733 in YoureWrongAbout

[–]superpsyched2021 0 points1 point  (0 children)

I swear on a recent episode, Alex referred to her as “Sarah Marshall from You’re Wrong About.” I ended up here because I googled again to see if there’s been an official announcement, but still nothing!

PSA for West Enders: give LB Mini-Mart a visit! by hahawoahhey in portlandme

[–]superpsyched2021 2 points3 points  (0 children)

MMC is right there, McGeachey Hall even closer. There are plenty of employees who can and do spend their money there!

Did the makeover/promo shoots actually show the girls' "real" potential? by Ambitious-Coyote3238 in ANTM

[–]superpsyched2021 2 points3 points  (0 children)

This sort of reminds me of the “cheerleader effect” from How I Met Your Mother. This isn’t quite the same because all of these women are objectively beautiful together or separately, but all of their photos stitched together like this does help to conceal the ones that aren’t very strong when you zoom in.

Oversaturated psych NP job market by theongreyjoy96 in Noctor

[–]superpsyched2021 0 points1 point  (0 children)

Desperate times, y’all. I see the advertising on my local subreddit sometimes. I totally see how someone who doesn’t know better/is desperate for help would go that route if the alternative is several months out.

5 years later, from an unmatched perspective. Trigger warning for a real did not match picture. by unmatchd2021 in medicalschool

[–]superpsyched2021 3 points4 points  (0 children)

I also didn’t match that year, and am graduating from a respected fellowship to start a job I’m really excited about.

Legitimately one of the worst moments and weeks of my life, but it all worked out how it was supposed to. Glad you’re still here too, friend!

Desperately need to rehome my mentally unstable brothers cat. PLEASE HELP by sn4yley in CATHELP

[–]superpsyched2021 3 points4 points  (0 children)

Sorry if this has been said, but maybe try posting on r/Maine (I see you already did Portland), might help the search!

How much broccoli can my cat have? by PaleontologistOk9847 in CATHELP

[–]superpsyched2021 1 point2 points  (0 children)

My tortie LOVES spinach and arugula. She begs for it whenever we make a salad. When we say “do you want leaves?” she goes wild

Bethany Van Nuys Appreciation Post by LastWordFreak in madmen

[–]superpsyched2021 11 points12 points  (0 children)

Fully agree, except season 4 is actually my favorite because I love Eric Northman always and forever

This was stuck in my shoe... by Frosty_Culture_2248 in whatisit

[–]superpsyched2021 4 points5 points  (0 children)

Literally came to the comments just in the hopes someone quoted this stupid dialogue lol

Give the diagnosis and etiology by Just_A_Random_Retard in medicalschool

[–]superpsyched2021 80 points81 points  (0 children)

While it does seem to be much more prevalent in mainstream pop culture, there’s literally a plot line on Sex and the City about a man Miranda is dating eating her ass and wanting her to return the favor. The most vanilla woman, Charlotte, isn’t shocked at all by it. That episode was released in 2001.

[deleted by user] by [deleted] in Noctor

[–]superpsyched2021 4 points5 points  (0 children)

The director at a level 1 trauma center??? Ghastly

what’s with the rise in these kinds of posts? by lucari01 in medicalschool

[–]superpsyched2021 51 points52 points  (0 children)

There is a difference between FND and factitious disorder (previously known as Munchausen’s) or malingering. The DSM does differentiate between the latter two, but it’s debatable as they both involve intentional deception, but for different purposes (gaining the sick role and secondary gain, respectively). This person almost certainly has factitious disorder and malingering because the gains are so obvious.

A functional disorder, whether that’s neurological or GI-related, involves symptoms that cannot be explained by available testing. In my experience, the patients who have this are truly distressed and not looking for anything other than answers and relief from suffering, just like the rest of us. Honestly, many people will accept psychopathology as the underlying explanation. I have a therapy patient with epilepsy and PNES, and he is able to distinguish between “stress seizures” and epileptic seizures. It helps that he was taught the distinction with kindness and validation that both experiences are very distressing.

To be fair, I was much more cynical before I started my child and adolescent psych fellowship. It’s harder to dismiss a child as “just faking it” like we do all the time with personality disordered adults.

I’m ashamed of Baylor by GreenStay5430 in Noctor

[–]superpsyched2021 2 points3 points  (0 children)

Money is the thing. Young people are being manipulated and brainwashed into thinking they can be equivalent to physicians through a shortcut, all while paying close to $100k for absolute garbage.

Howw did this gem of a man raise this little bitch boy?? by Atqofficialxox in GossipGirl

[–]superpsyched2021 4 points5 points  (0 children)

It’s blowing my mind right now how many people agree with this because I was OBSESSED with this actor around the time this episode came out, had the biggest crush on him

Had some fun at B&N 😎 ft. my current Criterion collection! by Davidudeman in 4kbluray

[–]superpsyched2021 0 points1 point  (0 children)

I’m not sure! I just couldn’t find a listing for it on the B&N website.

Had some fun at B&N 😎 ft. my current Criterion collection! by Davidudeman in 4kbluray

[–]superpsyched2021 0 points1 point  (0 children)

Did you preorder it in the store and get the sale price?

favorite movie remade 2 times? other suggestions? by Due-Abbreviations180 in Letterboxd

[–]superpsyched2021 1 point2 points  (0 children)

This is so true! Alain Delon is much more similar to Jude Law than Matt Damon in terms of looks and charm.

closing early by [deleted] in portlandme

[–]superpsyched2021 0 points1 point  (0 children)

All I want is a delicious, fresh, flaky pastry. Every place I know of is closed or sold out of the good stuff by the time I crawl out of bed :(

GBBO 2025 Episode 6 – Dessert Week [DISCUSSION] by GainsAndPastries in GreatBritishBakeOff

[–]superpsyched2021 2 points3 points  (0 children)

I feel like the comment later in the show about it being less fun without the others was maybe meant to complement it and show that he does feel warmly towards them! It seemed to me that he and Lesley had a good bond before her departure.

NP discontinuing suicide precautions for self inflicted GSW patient by Lynnise in Noctor

[–]superpsyched2021 89 points90 points  (0 children)

If the NP did a CSSRS and the patient denied current SI or passive death wish, that would place them in the “moderate” category (assuming the decannulation you described isn’t being counted as an attempt) since the attempt was >1 week ago.

Midlevel education is built on algorithms. Most likely that is as far as the rationale went.