tag:blogger.com,1999:blog-19411997.post6762797690908122567..comments2023-07-21T07:01:10.447-04:00Comments on A Jolly Company: InternecineNathanhttp://www.blogger.com/profile/07288330419297657142noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-19411997.post-50019474373397656192011-06-06T19:46:30.561-04:002011-06-06T19:46:30.561-04:00Hi - I am really happy to discover this. cool job!...Hi - I am really happy to discover this. cool job!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-19411997.post-25770273506803639442010-12-08T10:25:08.170-05:002010-12-08T10:25:08.170-05:00Good point, though sometimes it's hard to arri...Good point, though sometimes it's hard to arrive to definite conclusionsAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-19411997.post-13426353115870443412010-01-07T14:20:48.771-05:002010-01-07T14:20:48.771-05:00Your blog keeps getting better and better! Your ol...Your blog keeps getting better and better! Your older articles are not as good as newer ones you have a lot more creativity and originality now keep it up!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-19411997.post-14377206843906689862007-08-08T21:09:00.000-04:002007-08-08T21:09:00.000-04:00Oh yes, the psych consult. Unfortunately, we have ...Oh yes, the psych consult. Unfortunately, we have a patient like that right now. I was flipping through his chart, adding up the lab levels which equal liver failure within a month, and came across the notation, "psych consult: terminal diagnosis." In a way, it might not be a bad thing. We have to admit that psychiatrists probably do a better job of holding people's hands through a tough time than most physicians. The rest of us stand there talking about what we might be able to do to make things a little better for a little longer. . . and the patient never gets a word in edgewise.<BR/><BR/>I'll tell you two tribes I recently realized get along: GI and surgery. We almost love each other; we refer constantly, and we mostly respect each other's opinion.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-19411997.post-3786922187459704222007-08-08T19:12:00.000-04:002007-08-08T19:12:00.000-04:00Yes, Versed drip. To his credit(?) the ER residen...Yes, Versed drip. To his credit(?) the ER resident was switching the guy to Ativan when we got there, but it hadn't started.<BR/><BR/>I'll also admit I'm laughing at the "he is now crying. Make him stop" line. And that I've been told to write it. But I try to pull out one of the five or so things I retained from my psych rotation and tell my resident that the guy just has "adjustment disorder with depressed mood" and we may not need psych. Usually the resident comes back with "type, computer monkey. You are the intern." I apologize for my medicine brethren over there.Nathanhttps://www.blogger.com/profile/07288330419297657142noreply@blogger.comtag:blogger.com,1999:blog-19411997.post-67796411136173625222007-08-08T18:50:00.000-04:002007-08-08T18:50:00.000-04:00Just from a psych perspective, Versed drip??? As ...Just from a psych perspective, Versed drip??? As opposed to 1-2 mg Ativan po Q4 hours prn elevated blood pressure or tremors while you wait for the psych or medicine team to institute a formal Librium or Ativan taper? Are they seriously putting drunks on DRIPS there? Man.<BR/><BR/>Our consult service is the one with the most issues with the other specialties. We get a lot of medicine consults saying, essentially, "We just told the patient he has terminal cancer. He is now crying. Make him stop." But then, I also call medicine for blood pressure concerns on my patients that turn out to be nothing. Or I have patients who fake chest pain, and I still have to call the medicine people, which sucks.Matt Connerhttps://www.blogger.com/profile/10650115418480114201noreply@blogger.comtag:blogger.com,1999:blog-19411997.post-78773789902099023512007-08-08T18:40:00.000-04:002007-08-08T18:40:00.000-04:00oh, these would be worth seeing!!! all anonymous...oh, these would be worth seeing!!! all anonymous, of course!<BR/><BR/><BR/>tmuAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-19411997.post-28351105690511774942007-08-08T18:02:00.000-04:002007-08-08T18:02:00.000-04:00Thanks. And I forgot to mention, part of what beg...Thanks. And I forgot to mention, part of what began to drive this home for me is the "wall of shame." One entire wall of the resident call room on the cardiology floor is dedicated to photocopies of ER notes containing the more humorous "flashes of brilliance" we've observed, collectively, over the past ten years or so. Illuminating, scary, or funny, take your pick.Nathanhttps://www.blogger.com/profile/07288330419297657142noreply@blogger.comtag:blogger.com,1999:blog-19411997.post-27002670577475893282007-08-08T17:43:00.000-04:002007-08-08T17:43:00.000-04:00what a vivid and apt description of the world of t...what a vivid and apt description of the world of the hospital!<BR/><BR/>tmuAnonymousnoreply@blogger.com