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Fri Jun 22, 2018, 03:36 PM

I just had to face down an enraged patient in the waiting room of the clinic.

I'm shaking.

Shit.

This never gets easier.

The manager asked me if she wants me to call the cops. I told her let our mental health guy have a crack at him first. We got him calmed down, but if he blows up again, it's Tacoma PD for him...

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Reply I just had to face down an enraged patient in the waiting room of the clinic. (Original post)
Aristus Jun 2018 OP
CaliforniaPeggy Jun 2018 #1
steve2470 Jun 2018 #2
Aristus Jun 2018 #5
Tipperary Jun 2018 #3
Aristus Jun 2018 #6
Tipperary Jun 2018 #9
CanSocDem Jun 2018 #4
irisblue Jun 2018 #7
Aristus Jun 2018 #8
malthaussen Jun 2018 #10

Response to Aristus (Original post)

Sat Jun 23, 2018, 02:54 AM

1. My dear Aristus!

How awful for you. I hope he'll get better before you have to deal with him again.

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Response to Aristus (Original post)

Sat Jun 23, 2018, 05:52 AM

2. what was the final outcome, if you don't mind saying ?

That was really kind of you to not call the cops first. The mentally ill tend not to do well in jails, mainly because jails are not set up to handle the mentally ill. However, sometimes jail is necessary, sadly.

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Response to steve2470 (Reply #2)

Sat Jun 23, 2018, 10:12 AM

5. He left and didn't come back.

The rest of the afternoon, I worried that he would return with a gun...

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Response to Aristus (Original post)

Sat Jun 23, 2018, 07:24 AM

3. Why was he enraged? What happened?

 

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Response to Tipperary (Reply #3)

Sat Jun 23, 2018, 10:20 AM

6. It had nothing to do with us.

I had had a very pleasant clinic visit with him just the day before, treating him for a really bad allergy attack. All of my visits with him have been pleasant. He's always been a very nice guy.

I gave him a shot of Kenalog and told him it should hold him for a while, and would obviate the need for a daily allergy pill. He somehow got the idea that I was going to prescribe an oral medication for him. He went to the pharmacy yesterday and found no scrip waiting. That's when he blew up.

He's had a rough time of it lately. All of his belongings had been stolen, he's having a tough time finding a job, and he really hates living at the shelter. His life is coming apart, and the misunderstanding about his allergy medication was the last straw.

I empathized with him as best I could, and told him I respected the fact that he's having a great deal of trouble, but that coming into the clinic yelling, cursing, and screaming wasn't going to solve anything.

I hope he comes back for treatment, and that I see the nice-guy side of him again.

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Response to Aristus (Reply #6)

Sat Jun 23, 2018, 03:25 PM

9. You have a rough job.

 

Rewarding, I am sure, but dealing with patients like that must take a toll sometimes.

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Response to Aristus (Original post)

Sat Jun 23, 2018, 09:04 AM

4. Good thinking.

 



Clearly the final solution to disruptive behaviour in the USA is a cop with a gun. And no...it's not about mental health.


.

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Response to Aristus (Original post)

Sat Jun 23, 2018, 12:37 PM

7. Can anger be a side effect of Kenalog?

When the pt is on other meds?

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Response to irisblue (Reply #7)

Sat Jun 23, 2018, 02:51 PM

8. I've never had it happen before.

Irritation is listed among the side effects, but that refers to a skin reaction at the site of inoculation.

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Response to Aristus (Original post)

Sun Jun 24, 2018, 12:28 PM

10. Friend of mine was a parish priest...

... well, was temporarily serving as the old guy had passed on. One day he's sitting in the parsonage having dinner, when one of his parishioners comes in with a bottle in a bag... and a handgun. He says "I promised myself I was going to kill a priest today."
Well, my pal comes back with, "Okay, you gotta do what you gotta do -- but can I have a drink first?" They end up killing the bottle, instead of my buddy.

That's what I think of when I think of "Grace under pressure."

-- Mal

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