tag:blogger.com,1999:blog-26666124.post8765954687289110925..comments2024-03-18T03:28:36.581-04:00Comments on Shrink Rap: An Open Letter to Hospital Physicians Requesting Psychiatric ConsultationsUnknownnoreply@blogger.comBlogger11125tag:blogger.com,1999:blog-26666124.post-70177720270650508332007-08-04T17:07:00.000-04:002007-08-04T17:07:00.000-04:00its important to remember that those with a psychi...its important to remember that those with a psychiatric history arent made immune to physical illnesses<BR/>my cronic fatigue was said to be depression for years until I managed to get a sleep study which diagnoses severe sleep apneaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-6538151535061783852007-07-14T12:17:00.000-04:002007-07-14T12:17:00.000-04:00That's an excellent letter. Bravo!MJThat's an excellent letter. Bravo!<BR/><BR/>MJMother Jones RNhttps://www.blogger.com/profile/01298418463273622952noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-19389093874202206682007-07-10T19:19:00.000-04:002007-07-10T19:19:00.000-04:00Nicely put. Isn't this just the tiresome mind-body...Nicely put. Isn't this just the tiresome mind-body split coming up again? A psychiatrist would probably be comfortable checking to see whether a patient has a pulse, after all, so a surgeon could check to see whether a patient is oriented X3. And it's turf, too, isn't it? Got to protect that! Now that I think of it, maybe we can throw in managed care, too, and its contribution to doctors' feelings of "this is the most I can do right now." <BR/>Lynn, MSW, who's spent many swell hours in the ER and psych ward with Seriously & Persistently Mentally Ill patients.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-22569530381251896152007-07-09T20:34:00.000-04:002007-07-09T20:34:00.000-04:00It's been a long time since I was in this role. M...It's been a long time since I was in this role. My "can you believe" story that still sticks vividly in my head: 74 year old with no psych history who started hallucinating post-op. I suggested that this was not a primary psychiatric disorder (meaning the patient didn't just happen to become schizophrenic in the hospital) and that it had something to do with that white count of 20,000. The patient was discharged that day. Ugh.. Long ago and far away, I don't know what happened.<BR/><BR/>I think docs are intimidated by psychiatric disorders and psychiatric patients. I think it's getting better as more and more people are treated with SSRI's, it's more openly discussed, and all you have to do is ask to find a friend or family member on psychotropics. The one way that pharm advertising has helped (I think).<BR/><BR/>Just rambling. So what's new.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-67380612968498193232007-07-09T15:41:00.000-04:002007-07-09T15:41:00.000-04:00Terrific letter! I especially like the last point,...Terrific letter! I especially like the last point, as I've seen medical doctors and nurses who treat anyone with a psych history really crappy because they must be "crazy," and blow off serious symptoms because of it.Donnahttps://www.blogger.com/profile/03016331206605206438noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-159037960751401082007-07-08T23:12:00.000-04:002007-07-08T23:12:00.000-04:00Roy:Not to rain on your parade but how can I talk ...Roy:<BR/>Not to rain on your parade but how can I talk to you if you won't even return my page. I have come to the sad conclusion that psych (and derm) are fields that are of the opinion that returning pages are optional.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-835300901005520612007-07-08T22:01:00.000-04:002007-07-08T22:01:00.000-04:00As to your last point, about assuming that any pat...As to your last point, about assuming that any patient on a psychiatric medication has a psychiatric illness, does this typically occur with all psychiatric drugs (eg very commonly prescribed drugs such as SSRI's) or only with less commonly prescribed psychiatric medications?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-53631507932230061072007-07-08T19:18:00.000-04:002007-07-08T19:18:00.000-04:00Oh no! who will prevail when Dr. Rob wants Dr. Roy...Oh no! who will prevail when Dr. Rob wants Dr. Roy to ask himself "What question does Dr. Rob want me to answer?" and Dr. Roy wants Dr. Rob to say "Here is the question I'd like you to answer"?<BR/><BR/>(Ask not what your consultant can do for you, but what you can do for your consultant?)Gerbilhttps://www.blogger.com/profile/05908487212760713496noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-39665091635892978672007-07-08T13:02:00.000-04:002007-07-08T13:02:00.000-04:00Good job, Roy. I take back all of the bad things ...Good job, Roy. I take back all of the bad things I have said about you.<BR/><BR/>RobDr. Robhttps://www.blogger.com/profile/01871792467587364512noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-6931090966724927252007-07-08T09:06:00.000-04:002007-07-08T09:06:00.000-04:00I completely agree..this happens All the time. And...I completely agree..this happens All the time. And like you said, these are not morons..these are decent physicians who do care for their patients. I suspect this has something to do with the dogma associated with psych..as soon as there is a whiff of mental disorder, most doctors dissociate. Its ridiculous, and the only good way of dealing with it is giving continuous feedback. Every time.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-71012198572575900152007-07-07T23:42:00.000-04:002007-07-07T23:42:00.000-04:00Excellent! Can identify. Like the request for a ps...Excellent! Can identify. Like the request for a psych consult for an 'upset' patient. Failed to mention the multiple suicide attempts, the OCD and other psychological history.HPhttps://www.blogger.com/profile/09409589783052980600noreply@blogger.com