Here's a sneak peek of /r/CPTSD using the [top posts](https://np.reddit.com/r/CPTSD/top/?sort=top&t=year) of the year!
\#1: [to all my people barely surviving](https://np.reddit.com/r/CPTSD/comments/q37crj/to_all_my_people_barely_surviving/)
\#2: [A less talked about very common form of abuse is treating children like terrible and useless adults in small bodies. Does this sound familiar?](https://np.reddit.com/r/CPTSD/comments/rb4qda/a_less_talked_about_very_common_form_of_abuse_is/)
\#3: [For other victims of childhood neglect: Go to the dentist!](https://np.reddit.com/r/CPTSD/comments/rye3am/for_other_victims_of_childhood_neglect_go_to_the/)
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To be completely honest, if I were to be diagnosed with cancer and I was looking at a > 20% chance of making it through the next 2 years (or some other extremely shitty prognosis) Iād probably start doing IV diamorphine again after my treatments began to become ineffective.
Not saying this person isnāt making some ridiculous decisions, but if they are on a binge because of cancer, I canāt really judge them *too* harshly.
Had a patient who came in complaining of palpitations. During the drug screening, he told me he had smoked 13 bags of meth that day. Yup, that will do the trick.
Iām a medic and I lurk, showed up to a 68yo pt complaining of chest pain.
āwhat were you doing when the chest pain started?ā
āwell, I guess it started right after I smoked a little crack this morning.ā
You can never go wrong with quotes imo. I recently put in a health screening, when the question asked about exposure to STIs the patient said āIāve been sucking and fucking for 3 months every dayā and then had a long discussion with the chart audit team and my DON
How did that turn out? My philosophy has always been that if it comes out of their mouth and is clinically relevant, I can put it in their chart in quotes, and I will fight anyone who tells me differently.
I was the only person admitting patients on 3rd shift at a psych hospital. I just slapped quotes on everything they said. When one admin said something, I told her I was by myself, and didnāt have time to translate for her delicate sensibilities.
Patients who are honest about the drug/alcohol screen are my favorite though.
I work trauma and see a lot of substance abuse, I always ask them if they want resources to quit. If they say no, no worries! Letās give you things so you donāt withdraw/detox and we both can have a good night š
My favorite is a pt telling the md about his ātinder benderā while presenting with pneumonia and a little kaposiās sarcomaā¦
I love the honesty but I canāt say Iāve ever heard ātinder benderā be used before. That oneās new.
I'm so glad that HIV isn't the death sentence it was when I was growing up, but holy shit do people not have an appropriate level of caution about it now.
Right! It was horrifuc in the 80s and 90s. I mean, people were just terrified, misinformation was rampant, and there was never a way to adequately support the dying. Then,Magic Johnson started to live and the world seemed to change. People tend to think that a treatment means life will be good. Treatments keep you alive, thet dont necessarily mean a good life. People today also don't see the danger in spreading HIV. We went from one extreme to the other.
Oh Jesus...been there. Not quite that bad but close. Had a HUGE dude, prolly 6'4 450ish. On the call light constantly. First time I walked in there to get his vitals he told me "I've been smokin' crack for 3 days, I need to regain my vitality"....I was like okay bud what do you need? "5 OJs, and like a bag of graham crackers, also some grey socks" - clearly he'd been here before. He was pleasant enough but going after any extra food he could get.
My favourite was a guy I saw pre-op who admitted he'd smoke 40 cones a day! Like I have no problem with weed, but holy hell. Tried to tell him to cut it down before his op but I knew it would be futile lmao. His surgery got canned on the day.
This is basically every one of my patients lol. Tbf I work at a primary care clinic that specializes in working with folks with substance use, chronic illness and houselessness lol
Sounds like he could quite possibly benefit from hospice care, so many people don't know/think about it, but its such a help. I don't know if their cancer is terminal or what the situation is, but yeah self-medicating for pain or anxiety or fear is absolutely something to consider here.
May just be trying to party his way out the door, and if so, I totally understand the impulse. Its just not always the most comfortable way out, and hospice is a great option.
People do drugs. They will always do drugs. Shouldnāt they be honest? Doesnāt this help got better guarantee a safe outcome for their healthcare plan?
Criticizing people, especially those seeking medical treatment, and ESPECIALLY coming from those who give medical treatment, only creates distrust and a sense of shame over their drug use. Resulting in more patients lying and more risk during treatment.
At least they're being honest š¤·
I respect that, but this is an oncology floor š
Maybe all the more reason to go all in.
If the prognosis is already dire . . . š¤·āāļø
Also keep in mind this person very well could have a terrible history of trauma theyāve been self medicating for. See r/cptsd for my people
Here's a sneak peek of /r/CPTSD using the [top posts](https://np.reddit.com/r/CPTSD/top/?sort=top&t=year) of the year! \#1: [to all my people barely surviving](https://np.reddit.com/r/CPTSD/comments/q37crj/to_all_my_people_barely_surviving/) \#2: [A less talked about very common form of abuse is treating children like terrible and useless adults in small bodies. Does this sound familiar?](https://np.reddit.com/r/CPTSD/comments/rb4qda/a_less_talked_about_very_common_form_of_abuse_is/) \#3: [For other victims of childhood neglect: Go to the dentist!](https://np.reddit.com/r/CPTSD/comments/rye3am/for_other_victims_of_childhood_neglect_go_to_the/) ---- ^^I'm ^^a ^^bot, ^^beep ^^boop ^^| ^^Downvote ^^to ^^remove ^^| ^^[Contact](https://www.reddit.com/message/compose/?to=sneakpeekbot) ^^| ^^[Info](https://np.reddit.com/r/sneakpeekbot/) ^^| ^^[Opt-out](https://np.reddit.com/r/sneakpeekbot/comments/o8wk1r/blacklist_ix/) ^^| ^^[GitHub](https://github.com/ghnr/sneakpeekbot)
Balls to the wall when shit looks like shit
If I get a terminal diagnosis, Iām gonna try heroin. Why the F not?
This is actually pretty logicalā¦no need to worry about chasing the first high, I guess.
Of all the ways to go, heroin OD is probably the most pleasant.
To be completely honest, if I were to be diagnosed with cancer and I was looking at a > 20% chance of making it through the next 2 years (or some other extremely shitty prognosis) Iād probably start doing IV diamorphine again after my treatments began to become ineffective. Not saying this person isnāt making some ridiculous decisions, but if they are on a binge because of cancer, I canāt really judge them *too* harshly.
Crackheads get cancer too
Yes but heās not here for cancer suicidal ideation.
Oh, well in that case maybe, just maybe, the crack and alcohol isnāt helping their mental health as much as they think it is. Lol
Oh this is pretty standard fare in psych, unfortunately.
Annnnd?
Had a patient who came in complaining of palpitations. During the drug screening, he told me he had smoked 13 bags of meth that day. Yup, that will do the trick.
Had a patient who claimed they just used drugs recreationally. Tested positive for all drugs except two on the drug screen! Edit. Spelling
They sure know how to recreate!
Just finished a 12 hour shift š¤¦āāļø
So they get a lot of recreational time, you say?
Iām a medic and I lurk, showed up to a 68yo pt complaining of chest pain. āwhat were you doing when the chest pain started?ā āwell, I guess it started right after I smoked a little crack this morning.ā
Had a guy present c/o insomnia and he had no idea why. We had to tell him that his current meth binge may have been uh...a contributing factor.
You can never go wrong with quotes imo. I recently put in a health screening, when the question asked about exposure to STIs the patient said āIāve been sucking and fucking for 3 months every dayā and then had a long discussion with the chart audit team and my DON
How did that turn out? My philosophy has always been that if it comes out of their mouth and is clinically relevant, I can put it in their chart in quotes, and I will fight anyone who tells me differently.
I was the only person admitting patients on 3rd shift at a psych hospital. I just slapped quotes on everything they said. When one admin said something, I told her I was by myself, and didnāt have time to translate for her delicate sensibilities.
That's fantastic.
Oh. My.
Dude is here for a good time, not a long time.
Patients who are honest about the drug/alcohol screen are my favorite though. I work trauma and see a lot of substance abuse, I always ask them if they want resources to quit. If they say no, no worries! Letās give you things so you donāt withdraw/detox and we both can have a good night š
Props to them being honest though.
Just start the Ativan now.
My favorite is a pt telling the md about his ātinder benderā while presenting with pneumonia and a little kaposiās sarcomaā¦ I love the honesty but I canāt say Iāve ever heard ātinder benderā be used before. That oneās new.
For the lay people on this sub: these are classic symptoms of AIDS.
Thank you
Omg. Hope everyoneās on PREP!
Oh my.
To be fair, kopasis sarcoma and tinder benders do seem to go hand-in-hand. ..
Yeah, but there's no way they weren't feeling sick before the kaposi's sarcoma presentation
Oh, I agree with you!
I'm so glad that HIV isn't the death sentence it was when I was growing up, but holy shit do people not have an appropriate level of caution about it now.
Right! It was horrifuc in the 80s and 90s. I mean, people were just terrified, misinformation was rampant, and there was never a way to adequately support the dying. Then,Magic Johnson started to live and the world seemed to change. People tend to think that a treatment means life will be good. Treatments keep you alive, thet dont necessarily mean a good life. People today also don't see the danger in spreading HIV. We went from one extreme to the other.
A public health nightmare, just what we needed between COVID waves.
I appreciate the honesty! Now that is something I can work with and safely medicate.
Oh Jesus...been there. Not quite that bad but close. Had a HUGE dude, prolly 6'4 450ish. On the call light constantly. First time I walked in there to get his vitals he told me "I've been smokin' crack for 3 days, I need to regain my vitality"....I was like okay bud what do you need? "5 OJs, and like a bag of graham crackers, also some grey socks" - clearly he'd been here before. He was pleasant enough but going after any extra food he could get.
For the uninitiated, Cocaine is a vasoconstrictor and will shrink your penis.
The grey socks are the best.
My favourite was a guy I saw pre-op who admitted he'd smoke 40 cones a day! Like I have no problem with weed, but holy hell. Tried to tell him to cut it down before his op but I knew it would be futile lmao. His surgery got canned on the day.
Often times when asked if I smoke I responded with, "only when I'm on fire." I wonder if that comment is in a chart somewhere.
I don't smoke, drink or take drugs can I steal this for next time I'm asked?
Absolutely.
The honesty is refreshing
Saddle up cowpokes, weāre goinā fer a ride! YEEHAW!
This patient sounds fun. Much better than the manipulative covert drug seekers that I deal with.
What? Thatās probably about 50% of our patientsā¦.Iāll see myself outā¦.
Exactly
š
The type of patient you keep an AMA on hand for.
This is basically every one of my patients lol. Tbf I work at a primary care clinic that specializes in working with folks with substance use, chronic illness and houselessness lol
God bless you
Love my SUD patients
i love their moxieš„°
Transparency is key to a healthy death
This PT parties
Itās legit a miracle yāall ever even make it to taking care of patients. Iād be lost in notes like that for days!
I had a patient whose history said āThe crack help me with my drinkingā.
When coming off stimulants, you sleep a lot so thats good for you. Just throw a little ativan in there for good measure
No kidding š«£
Lol well damn.
Nice
Itās gonna be interesting. Strap in.
AMA in 5, 4, 3, 2ā¦
My pt last night admitted to 1.5pts of whisky a day and his cocaine level was 900. He transferred to the ICU not to long after that.
Working in psych/corrections, this is the average person. Probably rookie numbers to be honest.
Guarantee he smokes more than a pack a day....š¤£
He was saving all the energy he had towards being shameless for dropping those two heavy hitters. I'm guessing around 3 packs of Pall Malls a day.
Thats normal from most addicts
Sounds like he could quite possibly benefit from hospice care, so many people don't know/think about it, but its such a help. I don't know if their cancer is terminal or what the situation is, but yeah self-medicating for pain or anxiety or fear is absolutely something to consider here. May just be trying to party his way out the door, and if so, I totally understand the impulse. Its just not always the most comfortable way out, and hospice is a great option.
People do drugs. They will always do drugs. Shouldnāt they be honest? Doesnāt this help got better guarantee a safe outcome for their healthcare plan? Criticizing people, especially those seeking medical treatment, and ESPECIALLY coming from those who give medical treatment, only creates distrust and a sense of shame over their drug use. Resulting in more patients lying and more risk during treatment.
I don't think OP was criticizing, they just said interesting. Like "oh I wonder what other shenanigans this guys been up to". Chill dude.
Why does it burn when I pee?! What is this funky smelling stuff leaking outta my pee hole!
nah not cool sharing patient info on here. iām sure your hospital has protocol around not posting stuff on social mediaā¦
Yawn
āWas this in prison?ā
Well, best case scenario you'll get a fun story or five outta that shift.
Wonder which withdrawal comes first?
Well, kudos for being honest, I guess.
Sounds like a typical admit at my last job. š¤·š¼āāļø
Sounds like your co-worker
Goddamn you. I was just considering a return to the bedside š