Psych consult

I've have now spent a full week on psych consult, though it feels like a lot more (in a good way). My team is nice and I feel like I am learning a lot. There's something to say about repeating things you are bad at doing (H&P, oral presentations) every day, over and over, until you finally begin to improve.

Some tidbits I've learned:

- You can get shin splints from walking

- Narcissistic people can trick you into believing in their delusions.

- Everyone who needs a psych consult seems to have a personality disorder.

- r/o ("rule out") means "we've pretty much ruled it in"

- You can't force food or nutrition on an anorexic, so the last choice you may ask them to make is whether they are ready for hospice.

- (learned this one by attending an AA meeting, a requirement for the course) If you ask an alcoholic whether they would prefer to die an alcoholic death or live a life of sobriety, they will often respond by asking you to clarify just how painful an alcholic death you are talking about.

- It can be very (emotionally) hard to 5150 an upbeat schizophrenic who hates institutions and just wants to be left alone with her happy hallucinations.

- People can swallow pretty much anything for pretty much any reason.

- There are a lot of crazy people out there.