Sublime Emergencies
On call last night in ED (A&E for non-US readers!). People wonder how US healthcare costs can be so ridiculously high wrt OECD averages, yet the average health outcomes of the population can be...
Category: Psychiatry
Morphine for Spectacular Psychiatric Efficacy
On call last night, got a spectacular consult. Elderly person w/ poorly controlled HIV, sent in from a facility. By report, “acting out and throwing self to floor, evaluate for psychiatric disease and 5150...
Yet Another ED Call Night:
No complaint of visual hallucinations, no complaint of auditory hallucinations, no complaint of tactile hallucinations, no suicidal ideations, no homicidal ideations, no reported overdose. Pt went to the XXXXXXX and spent $300.00 on a...
The Romance of Mental Illness
The Fantasy: httpv://vimeo.com/62596239 The Reality: httpv://www.youtube.com/watch?v=bWaFqw8XnpA
Catatonia, FTW!
Just diagnosed catatonia in a patient who became unresponsive and got intubated, got a CT, then a CT stroke protocol, CT angio chest, MRI, spinal tap, continuous EEG, flagrantly extensive metabolic and infectious workup....
It’s This Surfeit of Cooks That’s Having Such a Negative Impact on the Broth
Did my first psych interview with a blind, deaf and mute patient last night. It was a whole Monty Python/Big Train surreal sketch comedy scenario.
Vegetative Depression
CC: FO in Rectum. ASSESSMENT: Pt has a cucumber and coke bottle stuck in rectum x 24 hours. attempted to remove throughout day without success., Airway: clear, Breathing: non-labored, Breathing: normal, Circulation: adequate, Capillary...
A Jam Made of Young Borderlines
On call in the ED last night, I had a tidal wave of jam. But it was a jam made mainly of young borderlines. This is what borderline (cuddly toy subtype) looks like:
Crack is Whack
Just another emergency call night: States cameras in house and being poisoned by walls. States weakness and cp. taking crack for pain and energy without relief No relief even with crack? What is the...