Wednesday, August 31, 2016

Psychotherapy

As the title suggest, the subject is psychotherapy. What is it? Well...I'm not entirely sure, though I'm supposedly supposed to be well-trained in it come the end of residency. Doesn't that bode well...


I had a rather lengthy, and involved discussion with my psychotherapy supervisor this morning, about what exactly psychotherapy is supposed to be. Because again, I haven't the foggiest. We discussed my uncertainties about the modality and how I feel as though I'm not really doing anything concrete or useful. I think that I'm actually a very good listener, but perhaps it's ADHD, perhaps it's just personality, but I'm not overly fond of just listening for three hours at a stretch. Even more annoying is the fact that I often feel like whatever I suggest they don't want to hear, and they want to continue doing the same things that brought them into therapy in the first place---yes Dr. Luckyone that's the point, I'm sure you might be saying. Perhaps it is. But it's annoying. I feel constrained by how engaged I can be, and how much help I feel I can actually be. Perhaps it's inexperience. Perhaps it's having to sit down all day. Perhaps it's having to see a few patients over and over again, that I really do not like as people. Counter-transference is a big deal in therapy.

Kvetching

Dear Pharmacy: on what planet does "Invalid NPI" (itself not true, try google) for one medication equate with "Send Dr. Luckyone pre-authorization requests for every medication but the one where there's a problem"?????

Friday, August 19, 2016

Really...I mean really...

Walking (nay, speed walking) back to my office so I can scarf down some soup and a salad before my afternoon clinic begins I walk past three (or maybe four??) obviously not medical staff seated in a corner by the elevator in one of the nooks of the hospital. They were clearly important people. With a lot of important things to talk about...

"...I mean really, I think Rihanna is better than Beyonce."

Wednesday, August 17, 2016

Child Psych 101

One morning a week I see nothing but kids. It's never boring. But the best part of child clinic? Parents who defer giving their kids the sex talk...and just sit there and point and say "Listen to the man" after they ask you to do it