...brings no regrets. But it can certainly make things more complicated" ~ Martina Navratilova.
People hate truth. People especially hate truths that make them feel wrong.
Monday, November 21, 2016
Psychobabble
41M. Extensive trauma. No meds. Bookoos of therapy. He's talking existentialist psychobabble so far over my head I don't even pretend I've ever heard of any of it. As is required, I call the attending in. She's also boarded in integrated medicine and does a lot of alternative stuff and huge into therapy and it's like watching Yoda and Mace Windu giving a lecture. Ok. I'll be the little psych resident over here when yall are done. Prozac??? Ok. I can do that.
Sunday, November 6, 2016
Dr. Luckyone's Migraine
It started at Mariano's. I was looking at a bottle of wine (kosher if you care, thinking that it was a richer type of grape juice which should've been the first clue). I saw this greenish yellow wavy light, thinking that it was the reflection off the glass. My eyes were bugging me while we were at the checkout line. By the time I got home my head was pounding. While waiting for some friends I was watching Star Wars, and they kept saying "Jedi" and I kept repeating it like some stoner moment because even though I've seen Star Wars 8,000 times--I wasn't sure if I'd ever heard the term Jedi before. Then my hand started to tingle. I got a bit freaked out, but thankfully that passed after a few minutes. Two aspirins, and thirty minutes later I didn't feel like my head was in a cloud, but I still felt weird. Being a paranoid doctor, I was going through the differential in my mind (seizure, stroke, did somebody slip me something...). At one point I was in the mirror testing my cranial nerves--anyone who happened to see that probably would've thought I was nuts. Thankfully the headache lifted after about three hours, but the whole evening was weird.
A day or so later, I'm processing this, and I realize that I had a migraine. (I confirmed this with a few neurology friends, and friends who actually have migraines regularly). I've had one, maybe two migraines in my life, but they were both close together, and occurred about twenty years ago when I was a kid. It's very strange, the whole thing.
A day or so later, I'm processing this, and I realize that I had a migraine. (I confirmed this with a few neurology friends, and friends who actually have migraines regularly). I've had one, maybe two migraines in my life, but they were both close together, and occurred about twenty years ago when I was a kid. It's very strange, the whole thing.
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.
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."
"...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
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