Monday, March 31, 2008. Rick’s gone for Dr. Barber’s bachelor party. He was really hoping Sammy would come, but predicted correctly that he’d back out. So the three other people know each other for a long time, and Rick only knows Dr. Barber. Elderine is sick, and definitely Janet is as well. I had two new patients, but Sally informed us that one of them had a shoelace around her neck and the 1:1 didn’t seem too concerned. We had an Asian Indian guy, which is unusual. This guy finally left; he looked happy. After lunch, Elderine supervised as I admininstered a safety evaluation to a Spanish speaker (with the help of a translator). The rest of the day was paperwork: picking up five printed brochures (thanks, Christi!), write-ups. I left at 5 pm and called Phoebe (Linton, Hannah, and her played scrabble Saturday night). Then I worked on my activity analysis until 11:30 pm.
Tuesday, April 1, 2008. It was an…exciting self-care group this morning. One of our longer-term patients was very cute, complimenting Elderine on her apparent weight loss. She also apologized for putting her hand in the vaseline (we usually dispense into a cup using a craft/popsicle stick since it’s public usage). She sort of emulated a new patient who was manic and I called for help. She didn’t hit me, but she charged into the room, actually nonintentionally flinging the pen hanging from my neck across the room. Victor had to take her out. He later said that if Rick was there, he’d just let her be (since I didn’t want her there since she wasn’t evaluated yet). Elderine explained the implications it would’ve had if someone did indeed get hurt, and she wasn’t evaluated. I’ll go by the rules. I played Rummy with a patient until task group started, which she attended. I met with a patient for reality orientation, and he actually filled out the two worksheets. I was more impressed by what he knew (I thought he really didn’t know anything); he knew about Obama and Hilary Clinton. I picked up seven brochures from downstairs (thanks, Jessica!). I finally called the translator to help me evaluate a Spanish-speaking-but-can-understand/listen-English patient. And I might as well do a quick re-evaluation with another Spanish-speaking patient (she’s lonely because no one really speaks Spanish :’( boo). I had a talk with the psych tech Michael Castro while waiting for a patient to come out of the shower. Get Fuzzy had a funny combo going: Simon and Garfield :-D
Wednesday, April 2, 2008. Rick is back, with lots to do. He demonstrated administering the KELS (which I read three Mondays ago) with one of our patients. After lunch I did two evaluations I had deferred from before. We had a family meeting from 2:30 to 3:30 pm. The new patient was still quite manic and was intrusive with the family so I played Pitty Pat with her (she sort of taught me - didn’t seem all that fun to me). Someone had a foul odor from her mouth so I asked her to brush her teeth, which she did well. I wonder why she has halitosis, then. At night, FBCC had our Ladies Group. Interesting conversations ensued afterwards: wanting to pop breasts (like Fergie jiggled hers), eating Cocoa-Dusted Almonds by Harrods when Jessie’s coworker went to London, checking out tickets from StubHub (recommended by Carolyn Lee).
Thursday, April 3, 2008. During rounds, I stayed a bit to hear Dr. Barber ask the medical students some questions. Did you know? Those diagnosed with schizophrenia die two decades before the general population secondary to suicide and other self-harm (e.g. neglect of self-care). We had ice cream floats and cake at 11 this morning for Doctors’ Appreciation Day. Afterwards we had a family meeting with a mother and sister, and I felt really bad for them because you can tell they care deeply for the patient but that they were frazzled and didn’t know what else to do. We don’t quite know either, but we did know that this is not yet his baseline. All I could give them was a NAMI Family-to-Family information, to maybe help with their emotions with dealing with all this relapse, and maybe get some financial assistance. After lunch I performed a KELS with supervision from Rick. After work I went to Hobby Lobby to buy some supplies for doing my activity analysis. I also went next door to Sports Authority to buy a beach ball (to test if using a dry-erase marker will wipe off).
Friday, April 4, 2008. I reported on the KELS in rounds as instructed by Rick (since we OT usually don’t participate in rounds on Fridays) then left. At first I thought Team B had 4 new evaluations, but that would total 11, so just 3. After lunch, I found out that actually the third one was Team C since the doctor written down was Dr. Coverdale. Thus instead I performed the KELS on one of the patients. His records came over from HCPC and I wanted to go through it but really I didn’t have the time; Sonja said it might help me with writing up the KELS, though. Since I had so many evaluations, Rick was nice and did bingo in the afternoon so I would have more time to write up my paperwork. I left at 4:45. Inch called as I was on the bus home. He asked me if I was available Saturday. He said that Sarah’s leaning towards staying in Houston, for multiple reasons: her family is in Houston, changing her major from Biblical counseling to Christian Education with a Counseling Certificate to cover/learn more, etc. I wonder what my hand/finger size is. I read Siwei’s new blog, and went to this website: yujawang.com. She’s a pretty, girly, talented, young pianist :-)