OldPsychDoc

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A rant before bed time---

"I'm bipolar--I can love you one minute and ready to rip your head off the next".

So today it was an immature 17 year old girl who was acting up in school, getting drunk, and <gasp!> :eek: sleeping with BOYS! Mom brought her in for an urgent med eval last year and the nurse practitioner* bought into the diagnosis and put her on lithium! Today she wants something else because the lithium gives her headaches, and doesn't help anyway. She carries it in her purse and takes it when she's about to get pi**ed--"but I have a lot of outbursts anyway".

Doesn't ANYONE read the DSM anymore?

Of course she came in 10 minutes late for her 20 minute med check, so I didn't even have time to give her my "It's not bipolar, you're BORDERLINE, honey!" speech.


*(Not to rip on my mid-levels--I've seen MDs pull the same s**t.)
 

Anasazi23

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OldPsychDoc said:
"I'm bipolar--I can love you one minute and ready to rip your head off the next".

*(Not to rip on my mid-levels--I've seen MDs pull the same s**t.)
Preach on. If I had a nickel for every time someone described normal mood swings as bipolar, I'd have at least enough nickels to buy a a few peach snapples out of the snapple dispenser machine thingy on the 5th floor near the surgical suite.

The lithium was just asinine. Also not to rip on mid-levels, but I saw a nurse practitioner mistake that would have made Stahl cry.
 

Miklos

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OldPsychDoc said:
*(Not to rip on my mid-levels--I've seen MDs pull the same s**t.)
I worked with a psychiatrist once who didn't believe in borderline personality disorder. If such a patient saw him before his colleagues, they'd usually receive a diagnosis of bipolar II and a cocktail of mood stabilizers and anti-depressants.

Convincing theses patients later on that they weren't actually bipolar was damn difficult, if not impossible despite the fact that if the PES offered frequent flyer miles, they'd all be "elite" status. If the PES did what United did (does?) (naming its planes after their best customers), some of them would have their names on the wall.
 
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LM02

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Ugh, what kills me even more is when the patient comes in with a Dx of rapid cycling bipolar disorder. I've found that it's almost always incorrect. As if the "rapid cycling" explains daily mood swings. It really does seem that some people do not read the DSM.

Miklos said:
Convincing theses patients later on that they weren't actually bipolar was damn difficult, if not impossible
So true.
 

mosche

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What really makes me sick is that the physician who actually has the kahunas to tell the truth/makes the correct diagnosis, will forever be referred to as "a quack" just because she/he told the truth!




Aside: can females have kahunas? :confused:
 

OldPsychDoc

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mosche said:
Aside: can females have kahunas? :confused:

Yes they do, they're just internal.

(mosche--is SDN still as good hungover?)
 

Poety

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what is going on with the wikpedia round here :confused:
 

mosche

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LM02 said:
Okay, I'm not usually one to nit-pick but....

Frankie Avalon = the big kahuna

The spanish equivalent of chutzpah = cojones

http://en.wikipedia.org/wiki/Cojones
In Arkansas, we don't believe in Frankie Avalon or his demonic music (for that matter we don't believe in birth control, education past the eighth grade, or that people who say, "I'm not usually one to nit-pick" really are NOT one to usually nit-pick)!!

:D :D
 

mosche

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mosche, no one likes a smart a$$!

Shut up, you're talking to yourself, and everyone's watching.

Oh, uh, never mind.
 

Poety

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I was in bed at 11:35 because one of us has to get up in the morning and doesn't have the luxury of being drunk ;) so I couldn't respond yet.

and excuuuuseeee me wikIpedia :rolleyes: oh spelling master from the great state of Arkansas :laugh: What, were you like the spelling bee champ? :smuggrin: Hold on to that title Mosche - hold on. :p
 
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