Morning Rounds, me seeing 60 y/o lady after her elective spine surgery
Me: How are you?
Patient: Terrible! starts crying
Me: What's wrong?
Patient: My boyfriend broke up with me! He said he couldn't handle me being in the hospital! We've been dating since February and everything was going so well!
Me: I'm very sorry to hear that...
Patient: Can you give me an anti-depressant?
Feelings are overrated.
And so went the story of my time on the psychiatry consult service. Never before had I so quickly lost respect for so many different specialties...ReplyDelete
I am assuming this story did not end there, so THANK YOU.
"Can you come and... talk to the patient? They're... crying."
We have totally done that. I usually ask "any stressors in your life" as part of my neurological history. Sometimes, the parent starts bawling and I don't know what to do with it. Then I kick parent out and the kid finally opens up: "a lot of my family died recently and im really scared of dying." That's not a conversation you end in five minutes.Delete
We usually call psych not so much because "patient is crying", but because psych is apparently a very limited service with months-long waitlists, and this way the patient gets hooked up a bit faster with some resources (hopefully).
Maybe if the anti-depressant's name is Lance.ReplyDelete