If you're reading this thread, I want your dos pesos on this...
The folks on the medical service are often at war with the psych service. Heres a common rundown
The Emergency Dept receives a pt. brought in by police, who has an obvious Axis I diagnosis, (wandering the streets in nothing but socks, raving about being God..... whatever you want). The ED knows the patient well, and he's a diabetic, and has a psych Dx, and is noncompliant with meds.
The ED medically clears the patient, and decide that the only problem is that his Psych Dx is uncontrolled.
The medical guys find that the blood sugar is chronically high around 200, and that it isn't safe to lower it to a non-diabetic normal like 100. They want to admit the pt to the psych service.
The Psych service refuses to take the patient because the sugar is at 200, and they arent able to manage that complication.
The medical service has nothing to do, because the patient has ruined their own physiology, and their baseline blood sugar is 200. They aren't able to manage the patient because they wander around the ward and assault other patients.
What to do?
