Office space

The nursing office at RCHM is white. The only decoration on the walls is a large poster (thoughtfully provided by a drug company) illustrating locations for intramuscular injections. The over all effect is less reminiscent of interior decorating magazines circa 1995 and instead screams "we're too lazy to decorate."

So I brought a small picture of my family and put it up on top of the bookshelf.
"Do you have to do that?" GoodbyeNurse asked. "I hate looking at pictures of people I don't know."
Guess I shouldn't have given him that pep talk about being more assertive and sticking up for himself!

Drug reps confuse me

Drug reps visit our office often. They tell us all kinds of things about their product in the hope that the doctors will prescribe it. Some of it may even be true.

Last week, the rep for Meltthevoices came to visit. As far as antipsychotic drugs go, it's pretty effective, and comparatively cheap. (Only seven hundred dollars a month!) Unfortunately, the people at MegaDrugs who designed it didn't think the design process through completely. The concept that if you're going to have a medicine taken by dissolving under the tongue you may want to think about how it tastes apparently never crossed the creators' minds. Within six months of FDA approval, the company nearly stopped making it because the patient reaction to the taste was so negative.

So I asked the drug rep about this.

"I got so many complaints about the taste that I even tried a small sliver of a 5mg tablet to see what they were talking about--and it was really bad--"

"You actually took antipsychotic medication just to try it?!" GoodbyeNurse interrupted.

"Well, yes, but I took it at bedtime and didn't have anything planned for the next day in case it made me too sleepy to do anything." He abruptly remembered his spiel. "And that's why it now comes in MegaBerry flavor!"

GoodbyeNurse raised an eyebrow inquiringly.

The drug rep sighed. "Yes, I tried it too. It's definitely an overpowering fruity berry flavor, but it's way better than the original."

More things you don't want to hear during staff meetings

At the "Difficult Cases" staff meeting last month, we were discussing how best to re-engage Mr.Incredibly Unhappy with our services. He had stopped taking his medications some time before, and had decompensated to the point where he was having multiple weekly contacts with the RC Sheriff's office for being a public disturbance.
Barry had an idea. "LuAnn is his case manager. I'm sure she can take care of it!"
LuAnn had different plans. "I'm rubber, you're glue, everything you say bounces off me and sticks to you!

Time for a new dictation service

I found this in a patient's chart this week:

"I will call the client's PCP about her gigolo's vain dissension."

It's called JUGULAR VEIN DISTENTION!

The sad tale of Not Quite Bright

IntimidatingShrink has been a forensic psychologist for a long time. In addition to doing standard mental health assessments on inmates, he also gets to do competency and "how likely are you to re-offend" exams. He keeps us posted whenever "our people" wind up in the criminal justice system.

I got a call from him the other day.
"You have a Not Quite Bright on your caseload, right?"
"Yeah..." I've got about ninety people on my caseload. It takes a minute to remember who's who without accessing our computer records.
"You may want to put his case on hold for a few months. He's back in jail in meth possession charges."
This surprised me. "He just was in last month on meth charges. Did he jump bail?"
"Mr. Bright got arrested yesterday when he went to his court date for last month's meth charges. He actually had more meth in his pockets that he brought to court!"

You brought WHAT to the potluck?

One of the therapists retired last week. As we usually do, the department threw her a going-away party. People brought lots of cakes and pies and side dishes.

And two golden retriever puppies.

They were about eight weeks old; at that stage where they're all fluffy and big-eyed but still waddle and occasionally fall over their own feet when they walk. I'm still not sure why they were there (or even who brought them) but they sure were cute!

Can't make this stuff up

An excerpt from a police report I found in a patient's chart:

"Officer Perky visited the residence and saw that the door was ajar. To maintain community security, he went inside. He found a trail of broccoli throughout the house, leading to the bedroom. On top of the dresser in the bedroom was a banana peel, arranged to look like a small shrine..."