Sign in to follow this  
Followers 0
Guest guduri

what is wrong with our pts

5 posts in this topic

In my little Psychiatric experience I have noticed that our patients get less attention from other medical specialities.

Example: - I was on call this evening covering psychiatric wards. One of our pt who has got h/o cerebral palsy and epilepsy was admitted for relapse of schizophrenia.

Today she developed fits 4 times within 4 hours. We did regular obs and stabilised pt. then I called on call medical sho who advised me to contact her SPR.who suggested infection screen which I already did (CT scan brain, EEG requested by pts own team which is due in few days) and IV diazepam if she fits again, monitor and maintain her U&E s.and more importantly do not send pt to MAU ,treat her there.

NB: A&E is 6 miles away from our psychiatric unit and SPR is aware if it.

If we do every thing what do they do. This is just a simple example.

i am sure all of you went through similar incidents.

Why our pts get discriminated when it comes to medical problems ,I want to hear your views.

Share this post


Link to post
Share on other sites

Yes, i have had similar experience.What annoys me is the number of questions that you have to answer, before you make any point to them.Sometimes they treat you as if you don't know what you are doing.They have forgotten the good practice guide lines by GMC and also the oath they have taken i.e if you are unable or not competent enough to deal with a case you should send it to an expert or specialist who will deal with the situation accordingly.

Rosie

Share this post


Link to post
Share on other sites

I have had some rotten experiences trying to get attention for LD and alcohol dependent patients from some medical colleagues. Some comments I've heard were nothing short of shocking - particularly from older upper middle class colleagues- it seemed inconceivable to some medics that people with mental health problems could even hold down a job. I've been lucky to have had so many good interactions with the other specialties, I don't feel too hard done by.

I have to say I've found that, in terms of stigmatising comments, nurses take the biscuit. I try to remember that the college expects us to be 'ambassadors' for mental health so I rarely get annoyed and see these poor fools as a challenge and worth taking the time to enlighten. I don't think it helps the cause to get into conflicts or treat them with disdain. We are all nervous about things we don't know. I am with renal failure patients, for example - total mystery to me.

Gee its good to unload.

Che :P :P

Share this post


Link to post
Share on other sites

I had a very busy on call, gp calls from all over the county. i got a call from the wardsaying that they just had a phone call from biochem about a patients potassium which was 2.7. I rushed to sort her out. As you all know, the value can be lesser too [biochemical error]. She is a patient detained under MHA . She is refusing to eat. I wanted an urgent ecg and an urgent repeat. the a and e is 30 mins away. no facilities in our ramshackled psych unit. I wanted the patient tranferred medically and treated with iv fluids as a few other biochemical markers suggested dehydration. I spoke to the med registrar who advised me to give her tomato juice and k+ rich supplements. That chap also said'' as you might know, coconut water has rich potassium but we can get it in india but not here''. I thought of asking him to pi** in a coconut shell and drink it so that he could get some k* into his ureters. Then luckily, we managed to repeat it urgently and the value was 2.9. I was still not very happy with the response. These medics dont understand that they have everybody to help, a host of nurses, other specialities at stone's throw. We are really thrown into the deep blue sea when such a thing happens.

Share this post


Link to post
Share on other sites

i think people from other faculties complain too but this will be a common feeling amongst pscyh trainess i think.

one reason for us not being treated well is that many of our colleagues-including my friends don't think we work as hard as them-not realising the amount of mental work we put in,but there is always going to be some bias when anyone sees us.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!


Register a new account

Sign in

Already have an account? Sign in here.


Sign In Now
Sign in to follow this  
Followers 0