I'm tired of these circus freaks.

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I come here as a Radiologist for the fun stories and to remind myself why I never want to see patients or work in a hospital.

I come here as a psychiatrist who almost went EM to read the funny patient stories told from the EM perspective and laugh as I recall many similar stories from my time premed working in an ER and rotations through med school and residency. Then I’m reminded why I didn’t go into EM and am extremely happy with my choice. But also the EM forum is the most down to earth, least woke place on here.

I am seeing a steady increase of the patients who have the fibro/EDS/dysautomomia/adhd/autism/somehow given a bipolar diagnosis because they were in a “manic episode” one day last week for 20 minutes then were really sad and can’t regulate their emotions for sh$t combo/ tik tok diagnoses with severe anxiety, smokes weed all day every day because it’s “the only thing that works”, asking for disability because they can’t handle being around people or just functioning quasi normally in society. The number of patients coming in telling me they saw a video or a friends sister’s cousin studied psychology for a year in undergrad and told them they should get evaluated for adhd and autism because they “can’t focus at all” or “hyperfocus and sometimes don’t get social cues” despite making straight A’s through every level of schooling including a masters degree, holding down a good job for years and never having any other sign of adhd or autism…. It’s wearing me down.

I'd just started doing my undergrad in Psychology, looking to eventually do medicine post grad as a non traditional student, when I realised I couldn't physically do the training medicine required. Before that my two top choices for a career in medicine were either EM or Psych. I have to admit I do also sometimes read posts in here and think about how I might just have dodged a massive bullet in terms of EM. Not so sure about Psych either to be honest; I do some voluntary peer support work (online based) every now and then and dear gods there are days I want to reach through the screen and just slap some sense into certain people. I can't imagine dealing with some of these folks face to face on a daily basis, I reckon I would've been burnt out in 5 seconds flat on the job. Kudos to those who do the job.
 
I'd just started doing my undergrad in Psychology, looking to eventually do medicine post grad as a non traditional student, when I realised I couldn't physically do the training medicine required. Before that my two top choices for a career in medicine were either EM or Psych. I have to admit I do also sometimes read posts in here and think about how I might just have dodged a massive bullet in terms of EM. Not so sure about Psych either to be honest; I do some voluntary peer support work (online based) every now and then and dear gods there are days I want to reach through the screen and just slap some sense into certain people. I can't imagine dealing with some of these folks face to face on a daily basis, I reckon I would've been burnt out in 5 seconds flat on the job. Kudos to those who do the job.

Good on you dodging bullet.

If you are business savvy you can start a cash only concierge psych practice and do very well.
 
Good on you dodging bullet.

If you are business savvy you can start a cash only concierge psych practice and do very well.

That would require me to actually be a Doctor, but yeah I do know someone who moved more into that sort of business model and I think it's been a lot better for their burn out factor overall.
 
My wife works in a public library and the stories are very similar except maybe slightly less nudity and less violence.
My mom worked in the public library for 15 years, and she said the main thing she learned is that people will absolutely lie their asses off to save 25 cents and lie badly--"that book was soaking wet when I checked it out two weeks ago!
 
My mom worked in the public library for 15 years, and she said the main thing she learned is that people will absolutely lie their asses off to save 25 cents and lie badly--"that book was soaking wet when I checked it out two weeks ago!

Since when is a book 25 cents?
More like 25 dollars
 
I should stop asking them “why now at 3am did you decide to come in if this has been going on for 6months?”

It seems to just make me more irritated

The curse of EM is the CMS payments are so bad that we have to make it up on volume and that means seeing these idiots.
 
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