On Expectations

2008-12-14T08:05:00.000-08:00

Fate is a strange thing in life. Often people are lucky enough to plan for a life time and live exactly according to the plan. however that is such a rare thing. More often than not, people tend to start out a certain way and end up in completely different corners of the world doing completely different things than planned.

To find yourself in a foreign situation is one that needs at least some amount of adjusting. One could certainly make the most of the situation. All situations in life have both some good and some bad in them. Like the great cognitive behavioral model, when one does take a situation and feel good about it, one can then generate good thoughts, and good thoughts can lead to a good feeling which can then lead to good actions.

while i am unsure where i am going with this post, i think anyone in distress who reads this can certainly obtain insight in to whatever situation they are in .

puzzle or frustration.

2008-11-17T17:31:00.000-08:00

As an Resident Physician in America, in the Field of Psychiatry, you see several things. I often tend to see more than my fair share and try to reflect on weather this was a good thing or bad.

On my seemingly usual day, on the Adolescent psychiatry unit, i came across a young teenage lady who was admitted for suicidal behavior from a placement facility. If anyone spends 5 mins in these units, you would know that it is a common occurance for us to see kids from one facility be dropped off in an other for several reasons. This particular individual who also suffers from borderline traits, has unfortunately stuck pieces of plastic comb in her left forearm, thereby allowing it to become an abscess. although this abscess was drained and one part of the debris removed by a surgeon on an outpatient basis, this girl continued to complain of pain, and the inflammation didnt subside. she repeatedly complained of leftover debris, and one can actually feel a small hard nodule in her left forearm above the recent sutures.

However as a resident in psychiatry one is not at liberty to order testing at ones discretion. when i did ask my attending about the need for atleast a doppler to r/o leftover foreign objects, the response was "offer tylenol" and make an outpatient appointment.

this occaisionally bothers me, as a psychiatrist, one goes through medical school, then to residency, one therefore should not loose the skills necessary for primary care, and one should infact make it a point to practice primary care. i often wonder why the field of psychiatry has to remain so far away and elusive from Medicine. Perhaps the Inclusion of atleast or some part of medicine will make it more acceptable in the mainstream society. In any event, i do think seperating medicine from psychiatry is like seperating government from finance. these are interdependant and anyone who chooses to practice otherwise is only turning a blind eye to the complete problem list.

crash

On Expectations

puzzle or frustration.