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Nils Wendel, MD's avatar

Love your writing style - it captures exactly everything I can't stand about C/L and why I will never do it other than on an occasional moonlighting shift. That said, I'm surprised at your decision to omit the numerous pages containing some variation of "Help! We've given this delirious patient lorazepam twice now and they just seem to be getting more delirious?! What else could we possibly do?"

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Douglas's avatar

I've subconsciously blocked those from my memory xD.

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Mary Braun Bates, MD's avatar

Love your writing style. It captures everything I loved about psych consults as a student. I ended up doing primary care internal medicine where hopefully my med lists don't smell of polypharmacy, at least not too badly, but miss psych consults.

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Benjamin Lippmann, DO's avatar

This is a brilliant cross-section of hospital psychiatry consults. Sounds like you help a lot of people quite often!

I like the framing of "countertransference consult," it sounds more collegial and less snarky than what I would call "consult to (actually) communicate with the patient."

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Douglas's avatar

Brilliant is generous, but glad it resonated with someone beyond me.

'consult to actually talk to the patient' - now that's brilliant. If that was drop down option in the consult order, I think it would be a contestant for most common consult reason

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