http://saclongchamp4.webs.com/ RKEY RKEY It had been an extraordinarily busy night,converse all star. Case after case. But then, it was Saturday night, what should I have expected?
In the midst of working with a suicidal woman and an adolescent who had had the mother of all panic attacks,longchamp pliage, one of the nurses told me about a new case. A man in his late fifties was brought in by his daughter with psychotic symptoms that began only a month ago. Seems he and his wife were in town visiting their daughter and family and a decision was made to stop in for a look-see.
I was looking forward to talking with the patient, his case fascinated me,sac longchamp pas cher. I mean, why would a man his age with no mental health history suddenly experience psychotic symptoms? Sounded like a medical situation to me,converse pas cher homme, and apparently his E,longchamp pas cher.R. attending that so as well because he ordered a CT scan. That meant Id have to hold off for about a half-hour before talking with him,sac longchamp; however, it gave me plenty of time to talk privately with his daughter. I wanted to learn more.
While the man was having his head scanned,converse all star, his daughter and I talked in his room. According to this upset,sac longchamp pas cher, but poised, young woman, the family was concerned with her fathers sudden change in personality,converse all star 93166
http://conversepascher1.webs.com/,sac longchamp. Indeed, some thirty days ago her father began making frequent references to the Bible,basket converse pas cher, something hed never done before. And the man was telling family members his long-deceased mother was talking to him,prix converse. And if that wasnt enough, he reported hearing other voices,chaussures converse femme, but told his family not to worry because they were happy. Needless to say, the family was justifiably frightened.
After about fifteen minutes, in rolled a gurney carrying the subject of everyones concern. Having a look at him,sac longchamp pliage, the man was tall and his tan lined face gave the appearance he performed manual labor most of his life. He had very kind eyes and what seemed to be an engaging personality,longchamp pas cher,Psyched In The E.r. Mystery Psychosis. Well,converse all star, the first thing I had to deal with was a language barrier because he spoke no English,sac a main longchamp pas cher. But that wasnt a biggie as his daughter served as our translator. Funny after being introduced and shaking hands, the first thing out of his mouth was a request for his pants. I had to tell him to hang on a bit on that one.
On to the interview. The first order of business was to assess the mans mental status,longchamp pas cher. So,sac longchamp pliage, after explaining I meant no disrespect by asking such things, I asked him if he knew his name,sac longchamp pas cher 47013
http://conversepascher1.webs.com/, what day it was, where he was,sac longchamp,Psyched In The E.r. Mystery Psychosis, and why he was here. Well, he did alright,converse pas cher, with the exception of believing he was at another hospital. That was a concern, as hes been at this hospital before. And, though he knew why he was in the E.R., he didnt agree with the reasoning because he didnt perceive anything unusual about with his recent behavior,converse all star. According to him, his family members had it all wrong.
Id secured all the information I needed to help us determine what we were going to do for the man from a psych point of view. So, I ended the assessment, telling him and his daughter Id be back to talk shortly. The first thing I did was ask his nurse if theyd gotten the results of the CT scan,converse pas cher. They had,sac longchamp pliage, and the man had whats called a subarachnoid cyst on his brain. Now,converse all star 71500
http://conversepascher1.webs.com/, its likely hes had this cyst for many years, maybe from birth, and though it could certainly account for his current symptoms, it wasnt a slam-dunk cause.
So what do we do now,longchamp pas cher? Do we offer a psychiatric admit? If so, on what grounds? I mean, okay,sac longchamp, the man is presenting with psychotic symptoms,converse pas cher, but he certainly poses no immediate threat to his safety or anyone elses. And an inability to care for himself isnt an issue. The sum of these factors says he cant be admitted involuntarily. I was content in having him go home with his family, as he and his wife were leaving for Mexico in four days. Well,sac longchamp, as is protocol, I called the on-call psychiatrist and we swirled the case around, agreeing on having him go home,sac longchamp pas cher.
Knowing the medical staff would review the details of the cyst with the man and his daughter and provide referrals,converse all star, I chose to take the daughter aside and discuss the situation,chaussure converse all star. I brought up the cyst and the fact that it could be involved with her fathers symptoms,converse pas cher, but that wasnt a certainty. I shared with her my recommendations for neurological assessment for her father and she assured me it would get handled.
So, now it was time to say good-bye to her father. I returned to his room and thanked him for being so patient and cooperative,sac longchamp pas cher, and told him he could put his pants on in short order. That brought a smile. As I was leaving his room I grabbed him by the foot and said,sac longchamp pas cher, Vaya con dios (Go with God),longchamp pas cher. How sweet it was to see that smile broaden as he lit up like a Christmas tree. Seems he deeply appreciated the sentiment. Nice way to end the case.
Ah,converse pas cher, but no time to waste. It was time to work on getting the suicidal woman a psychiatric bed.