There are a lot of times patients say doing something hurts and I’m like “Holy shit, please stop doing that, why were you doing that in the first place?”
Most often its when a patient is in full blown bouncing off the walls mania, hasn’t slept in over a week, barely even sits down, and they tell me their feet hurt. SIR PLEASE GET OFF THEM for 5 whole seconds at least they look like fucking balloons!
And then they start demanding pain relief beyond Tylenol and Motrin and it’s like MF you can barely walk in a straight line or open your eyes if I give you opiates you will literally crack your face open on the linoleum you could not pay me enough to risk my license like that and tbh I want you to be able to feel your feet begging for a break because you really need to give them one before they literally start cracking open and leaking serous interstitial fluid all over the floor because I have actually literally seen that happen before.
TLDR: My manic patients often tell me walking hurts and I tell them to stop doing that. A lot.
One of the primary outcomes of a manic episode (for me) was the pain of walking to the bathroom. My feet hurt like hell, but so did my joints and the rest of my body. I felt decrepit. Luckily, that stuff mellows with age (at least for me and affected family members). Plus, I learned to manage it with time and experience (plus medication that slows me down when I start noticing the manic ticks that presage an episode).
Also, because I would forget to hydrate (let alone eat), my urine turned dark and smelled awful. I don’t miss it.
Reminds me of how a colleague was complaining the other day that his git indexes were all corrupted even though he did nothing wrong. Turns out his PC had power supply issues and was suffering spontaneous hard reboots daily.
Harold could not hide his back pain.
Can I please get a doctor’s note for this?
Then don’t wake up then 🤷♂️
Is this doctor accepting new patients?
