Saturday, February 2, 2013

Awesome day of outpatient

Psychiatry is proving to be a real riot.

We had an autistic patient in his twenties. We heard him coming well before we saw him. Apparently one of his few means of communication is to scream. The doctor had to have him wait in the car with his handler in order not to agitate the rest of his patients. Totally understandable web one considers that half the patients are schizophrenic and bipolar. When it came time to see him, he again began to holler before settling down. His handler mentioned that he frequently liked to drop his pants, at which the patient began to laughingly mutter "Pull down da pants pull down da pants pull down da pants." To which the doctor replied, "No, you will keep your pants on." Then he started to do this crazy dance involving gyrating his hips, which he thought was the funniest thing in the world.

Afterward, another patient came in with what is termed IED, Intermittent Explosive Disorder. This patient was also clearly autistic, but had very little language impairment. He did, however, have significant cognizant and behavioral problems. His nurse told us that he had had his shoulder and wrist dislocated by the patient, and that the patient also bit his father's hand in a tantrum. He talked with us for a while, and he could clearly quote just about every Disney movie ever made. It was impressive. And a good day at the outpatient clinic. We were even provided lunch by a drug rep (always a plus to save a few bucks!).

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