From Paris to Med School, you'll always know what's happening with my life on this website.

Sunday, September 17, 2006

Crazy Times

Wow, psych is already over.... that was probably the best six weeks of med school yet.
Not a single resident abused me, seriously, it was great.
Psych was crazy, but that was kind of the point, you know? For hipaa reasons i can't be specific about things but let's just say psychotic people are mean at times, and they can be real nasty when they're all upset and literally out of their mind.

The interviews were the best at the psych ward. they go something like this:
"hey there, mr. x, so how are you doing today."
"blah blah blah, a bunch of crazy nonsensical things come out of their mouth, or even better, they'll tell me delusional things concerning aliens or monsters or something.
and there goes my interview; progress report today says: "patient still delusional, we'll continue antipsychotic treatment."
and like that, I could finish a note in fifteen minutes sometimes.

My friend kayvon once told me he didn't buy the idea of personality disorders, i mean, if they existed we'd all have one. let me tell you my friends, personality disorders do exist (just walk down the OB/Gyn or surgery floor at any hospital, a lot of cluster B).
I saw SO MANY Borderline personality disorders, and let me tell you, these people are so hard to treat because well, they're just a mess. seriously, they always want to kill themselves or they're happy beyond belief the next minute. You have to keep playing psychological games with them as if they're your three year old brother. But it's still feels good when you can go home at the end of the day and say "I convinced him not to kill himself." and there you have it.
pediatrics is next, man, those kids are gonna be a barrel of monkeys.

Friday, September 01, 2006

long due update

it's been a while since i've updated th is bad boy and i really should be asleep now but i'm being stupid and not and tomorrow's a big day for sure so i'm not sure exactly what i'm doing here.
anyways
psych is well.... crazy, to say the least
but don't get me wrong, i love me the crazies
they're so fun
they get up and do ridiculous things, say ridiculous things and sometimes even piss you off but then you realiize they're just sick and don't know better and in that regard it's kinda like peds but sadder
i can't give details because of hipaa rules but i can give general info that not specific.

psych is sad because these diseases are debilitating and in many ways, the patient's moral being is taken over by the illness and in a way they're pseudo not alive, i can't say dead, because somtimes they've lost too many brain cells to be their normal cell ever again. i've seen drugs fuck up so many people's lives here, turning them into or at least bringing out their normally silent schizophrenia or mania. debilitating illnesses. these poor folks are locked up for their own good and they don't have enough insight to know why.
after we diagnosed the first schizophrenic patient i was assigned to, i went home sad all day and on the verge of tears because in many ways, that kids lives' dreams and hopes are now forever altered. but hey, three weeks later, he got better and went home semi-normal. my attending said we gave him his life back. and i guess that's true but i wonder how long it'll be before the illness gets a hold of him again, i hope never, but the statistics are not on my side. see the problem? it's more like cancer, not like an i nfection. it hardly ever simply goes away.

but i feel like woorking in psych, i'm doing something good and that's what matters the most.
finally, on a happy note: what's the difference between a p sychiatrist and his patients? When the patients leave, they're usually better. budum ching!