Monday, October 22, 2012

What a trick or treat consult

ME
This is Michelle from psychiatry! 

INTERN
Oh, hi, thanks for calling back. I wanted to place a psych consult?

ME
Sure, what's going on?

INTERN
We want you to come evaluate our patient to see if she needs to be put on a hold for grave disability.

ME
Okay...why do you think she's gravely disabled?

INTERN
She stopped eating yesterday.

ME
Did she say why?

INTERN
No, but she looks sad.

ME
Hm, was she eating before?

INTERN
Yeah, it's really weird. She's pretty cooperative with everyone, but she just stopped eating yesterday. There's been 0% intake since yesterday at lunch time.

ME
Huh. That is pretty weird. Let me do a quick chart review to see if she's ever seen psych before. I'll call you back.


---

On chart review, I found out that the patient had a small bowel obstruction, and was scheduled for surgery today. And when you're going for surgery, you don't get to eat the night before. 

The patient was just following the surgeon's instructions.

Yes.

This was a real consult.

Sunday, October 07, 2012

Halloween humor


Seriously.

Thursday, October 04, 2012

Well, if all Asians look the same

This morning, I walked into the hospital like I always do, but instead of going to get my usual morning cup of coffee, my jaw dropped.

My patient was meandering around the lobby, loudly trying to get a security guard to help him.

And me? I was freaking out.

Because my patient was on a psychiatric hold. And unless my attending had decided to pull rank and come into the hospital early to discontinue the hold, my patient should have been in the locked unit, and not on the verge of eloping, just mere feet away from the entrance/exit and out of my psychiatric jurisdiction.

How did this happen? While my mind thought a million dark thoughts at the county nurses and their inability to pay attention to anything other than their cell phone texts, I tried to smile serenely at my Spanish-speaking-only patient.

"Hola senor! Soy su doctora! Por que...outside....aqui?" I asked him as I tried to figure out which of the few Spanish words I knew could apply to this situation.

He looked at me, confused, but thankfully, not attempting to escape.

"Vien con moi..." I motioned to him to follow me, as I started conjugating French verbs, hoping that the languages were similar enough that he would understand me.

He followed me passively back to the unit. Didn't raise a fuss when I swiped my badge to unlock the doors, wasn't perturbed when I hissed at the security guard for allowing this to happen, and followed me all the way to his room.

"Here you go sir. I'll come talk to you in about thirty minutes okay?" He had no idea what I was saying, but nodded pleasantly at me. I led him into his room, and then led him straight back out of it.

Because my patient was sleeping soundly in bed. And this man who had been following me around, was apparently not my patient after all.

I awkwardly grabbed his arm to look at his patient ID wristband, realized he was supposed to be on the sixth floor, and took him back to his proper room. And then I went and got a big plate of tater tots for the security guard to apologize for my earlier death glares.

Monday, October 01, 2012

J's wedding

"Why are you visiting Atlanta?"
"Oh, my best friend is getting married."
"How nice! Are you the maid of honor?"
"Hahaha, no, this is my best guy friend."
"Ah. [awkward pause] So is this a Julia Roberts' My Best Friend's Wedding kinda situation?"
"Oh GOD no."
---
J got married yesterday.

Ten years ago, if you had told me that J would be the first of us to get married, I would have snorted Coke out my nose in disbelief. But here he is. Married, with an adorable kid and a slightly manic dog, making mortgage payments on a cute little apartment in Seattle.

I don't really know what I expected from the wedding weekend. J and I barely have time to talk these days, instead relying on figuring out snatches of our lives from quick texts and one-liner emails. But he still has an uncanny ability of knowing exactly when I need to hear from him. True story: he texted me exactly eight hours after my disastrous car crash, before any mention of it went up on the blog or on facebook. I guess that's why he just might be a fantastic psychiatrist.

The thing is, J and Lisa made me believe in true love. Because that's what we've got for each other. True, unadulterated - completely platonic, yes - but absolute, total, and undying love. It's okay that we don't have those long JLM homemade dinners, where we depended a little too much on our guaranteed acceptances into medical school to completely slack off and watch Bravo reality TV marathons for hours on end. We don't have time for that anymore, what with our actual jobs and the whole being states apart instead of mere blocks away.

But I will always remember that J always knew my idiosyncrasies. That he would bring me two halves to a bagel, that he'd throw snowballs in my face, that he'd go grocery shopping with me and tell me to start my day off with a big bowl of pink cereal, that he'd give me his honest truth, no matter how hurtful it might be at times. J knows me. Just like how I know that he dances like an absolute dork, that he watched every episode of Smallville religiously because of his unwavering love for Kristin Kreuk, that when he falls in love he loses sight of everything else (including organic chemistry unit tests), that it doesn't matter how much he's eaten, if you put another plate of food in front of him, he will eat it and yet, it will never show up on his nonexistent gut. Yes, I know J, too.

And so, even though he denied it, I knew he got misty-eyed when his bride started her walk down the aisle. I knew he got a bit choked up on his vows but instead just gruffed them out as quickly as he could. I knew he was nervous when he first walked out to take his spot, forgetting to smile until me and Lisa beamed slightly-crazed grins at him. And that's when I knew that this was far from the end of our friendship. No, I won't deny it -- when Jeff smiled back at our over-the-top grins, I got a bit misty-eyed too, so happy that my best friend has found someone who can take care of him the way he took care of us, someone who doesn't deny him his friendships, someone who loves him and his somewhat annoying quirks.

We're expanding our JLM trio into an AJLM quartet. We're still separated by state lines and time differences, but it doesn't matter. None of it matters. What matters is that, as corny as it sounds, we're friends forever.