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this is not psychiatry
I’d argue, based on your post, that this is absolutely about his psychiatric state. People act like this because their mental, emotional and behavioral health is poor.
Being a functional adult does not mean you have good mental health.
100% this. Patient likely knows he's the cause of most of his problems. But it's so much easier to to not acknowledge that. Therefore his problems must be caused by someone else, likely the medical professionals, because they can't just give him a pill to fix everything.
You see the same behavior in police videos of criminals blaming the cops for arresting them or judges for sentencing them.
I’m concerned about this statement. With the advent of body cam footage we’ve been allowed to see from arrests, often turns out the LEO was untruthful, rather than the arrestee. Further, oir societies create conditions of abject despair, then criminalize abject despair. It’s disheartening to read this especially from anyone in any medical professional community.
I mean the times when they're 100% guilty. Like caught on camera. There are still some people who will blame the cops.
fully competent adult
Since you mentioned insulin I'm assuming he's diabetic. Hyperglycemia can cause irritability and mood swings, although I don't think it can get as bad as you've described without some other personality disorder or general being-an-asshole-ness. (Source: am diabeetus.)
I’m maybe not who you’re looking to hear from but I can provide a patient perspective.
I never refused my medications but there was a point where I was rude, mean and difficult. For me it was a combination of things. I was tired of being sick, tired of the hospital and wanted to leave but wasn’t well enough, struggling with loss of control and scared.
I did snap out of it and made a point to apologize to the staff I had mistreated. Ultimately it was a negative expression of everything I was feeling because I didn’t know how to process and handle it appropriately.
Shitty people raised by shitty or uncaring parents. Couple that with an unprecedented pervasiveness of misinformation—especially related to the medical industry—and you get people like these.
Sorry you have to deal with these a-holes.
Undereducated and unknowing of how much they don’t know, maybe. I’m appalled at the lack of empathy itt, and yes, I was in healthcare for a few years.
That being said, some medical side effects and costs (especially in hospitals) give pause, in the USA.
I’ve had difficult patients. Empathy and kindness work wonders. Yes, the busy pace of institutional environments aren’t conducive to that aim. Contact your union representatives.
I think OP is looking to change careers based on their post about not waiting to see if patients take medication and all the subsequent "How do you look for a new job" and "How do you deal with shitty coworkers" type posts.
'cause he's an asshole, likely with severe issues exacerbating his sunny nature. He could be a minute away from seriously losing his shit and doesn't seem particularly motivated to live. That's not normal behavior no matter whether the door says Psych or not.
As hard as it was to deal with Blue Bertha, it's still harder to be Blue Bertha.
Former paramedic here. There is a subsect of patient like this. It's psychiatric. They're admittedly terrible to deal with but they need psyche help as much as they dophysical medical help.
He sounds suicidal and he's being a cunt to get attention.
It's the kind of thing I'd do/have done.
My cousin's wife was an ER nurse for 19 years and quit her job back in 2022 after dealing with the covid patients that "knew better" for 2 and a half years. This attitude seems to still be prevelant in a certain subset of people. They know they need help but they've been indoctrinated into believing things that are not in their best interests. I'm sure tiktok told him he could cure his diabetes with microgreens or some shit and his "research" tops all of the medical and nursing degrees in your building.
I work next a group of guys who are the "know better" crowd. Just a few days back, I overheard a conversation these dolts were having on diabetes.
According to the latest in bro medical science, diabetes is due to the body losing its sensitivity to sugar, causing it to no longer release insulin. Complex carbohydrates should be avoided as they break down to sugars more slowly, meaning the body is subjected to prolonged spike in blood sugar, leading to sugar insensitivity. Simple sugars are only an issue when people consume them consistently through the day, so it's safe if you eat a bunch all at once. Furthermore, diabetes can be cured by staying on a keto diet as saturated fat causes your pancreas to release more insulin.
What. The. Fuck.
Even the parts they Magoo'd their way into being right about, they still screwed up. Impressively so
There are fragments here that do sound like reality, but all twisted up in bizarro world. Do you remember the game of 'Telegraph’ as a kid? You try secretly passing a message from one kid to the next down the line, and it inevitably gets garbled by someone mishearing or misemembering - this sounds like that.
I don't know why but I've been an ER nurse for ten years and the closest I've figured is they want help but then get resentful of being told what to do. A lot of mean patients know they aren't doing the right stuff at home but due to factors they feel ( rightly or wrongly) out of their control they end up with us and are now being told how to act by someone a third of their age! It's what I tell myself anyway. Remember, we usually just see people on their worst days. The next patient might be nice. If not, the one after that.
I feel like people are looking for a quick pill to take that will make them all better. So when they don't get it, they become jerks.
Sounds like it's possibly ODD or PDA autism. Not to diagnose based on simply a post, but the unwillingness to do self care when asked is exactly the issue.
Next time, try using declarative language.
Or don't :-) I'm not a doctor
If they are not a psychiatric patient but attack you and your colleagues, is that not exactly the scenario where calling the cops is appropriate?