Inspired by Carrie's comments...
Carrie had wondered why her doc never put her on an antidepressant. She wrote: "God knows most days I wonder why not. LOL "
I replied: "It's because of the 'LOL'. If you couldn't LOL then maybe he would. Of course, if you were ROFLYAO, then he'd probably reach for the lithium."
This exchange got me thinking... hmm... how would a psychiatrist manage someone who could only communicate via emoticons? Below are the resulting progress notes...
| :-) | stable. cont prozac 40mg. f/u 3 mos. |
| :-)) | reduce prozac to 20mg. f/u 1mo. |
| :-)))) | d/c prozac. add lithium 300 tid. check TSH, creat. f/u 1wk. |
| :-D | add depakote. check lithium level, LFTs, CBC. f/u 1wk. |
| :-| | stable. cont prozac 40 mg. f/u 1mo. |
| :-( | increase prozac to 60mg. f/u 2wk. |
| :'-( | add wellbutrin SR 150mg. f/u 1wk. |
| X-( | call 911. send to ER. check for OD. |
| :*} | check breathalyzer. refer to AA. |
| %-} | weekly tox screen. refer to AA/NA. |
| :-&@? | add haldol 2mg bid. |
| |-0 | d/c ambien. |
| :-# | d/c elavil. use hard candies. |
| ;-P | d/c haldol. add clozapine. AIMS exam. vitamin E 800 iu bid. |
| :-)~ | reduce haldol. add cogentin to reduce sialorrhea. |
| 8-~ | reduce dose of seroquel. |
| (:-) | reduce depakote. add zinc, selenium. |
| ;-) | establish boundaries. do not schedule at end of day. |
| ;-x | see with chaperone only. |
| =^..^= | give Ativan 1mg IV to relieve catatonia. (thanks, ClinkShrink) |
| :-o | (on seeing the bill for 1st appt.) |
| >:-O | (on seeing the bill for missed appt.) |
Roy @ Shrink Rap (http://psychiatrist-blog.blogspot.com) and mythreeshrinks.com
[thanks, SmiliesUnlimited, for the emoticons]
You did a good job (didn't blow it)---dinah
ReplyDeleteYou must be a gifted psychiatrist to know immediately what each smiley emoticon needs.
ReplyDeleteFound you through Carrie's blog...
ReplyDeleteFunny stuff! I wonder if that would work for, say, blood pressure meds -- probably not.
Well, you probably aren't reading this far down, but I found some sterling silver smilie/emoticon jewelry; simple and cool, especially the ones that fit your diagnoses. Lol!
ReplyDelete=8^O
ReplyDeleteThis still makes me laugh.
ReplyDeleteWith gratitude....
This is awesome.
ReplyDeletei'm sending this link to all ppl in my program. hahahahahaha.
ReplyDeleteIve just realised this is a blog for psychiatrist but hell il comment anyways.
ReplyDeletei know its only meant in humour that carrie wasnt given antidepressents because of the LOL at the end of her sentence but people can fake happiness,so the LOL could be a fake LOL
do you get what i mean.
i tend to anaylse things far too much
I'm a midwife so didn't know what some of the meds were for, but I laughed...so funny. Now I'm thinking what these smileys would mean to a pregnant woman.
ReplyDelete