Be advised: this thread is not for serious in-depth discussion of weighty topics (we have a link for that), this thread is not for anything Culture War related. This thread is for Fun. You got jokes? Share 'em. You got silly questions? Ask 'em.
- 123
- 2
Jump in the discussion.
No email address required.
Notes -
Notes from Hinge and Bumble's Unpaid Psychiatry Services
Right. Putting doctor/psych trainee in my bio may or may not have been a mistake. I wanted to make it clear that I'm not going to be in India for more than like 3 or 4 months, just about long enough to die from heatstroke and land when it's wet and drizzly in Scotland.
The GMC frowns strongly on a violation of a doctor-patient relationship, especially when the doctor is screwing the patient. In India? Who gives a fuck? A friend of mine, a lawyer, reported that she went with her mom to see a shrink for her depression, and the horny bastard said she didn't need treatment, just an ice cream date.
Now I'm certainly not going to date someone under my care, even in India, only 30% because they're usually grannies with terminal cancer. And their cute granddaughters are probably too distraught to appreciate it, not that I'd be so uncouth as to try.
Unfortunately, I've become convinced that either I'm drawn to crazy women, or they're drawn to me. Or at least 80% of the female population on said apps needs a therapist more than a boyfriend.
Sadly, I nurse a weakness for cute girls who desperately need my help, and my dad-energy manifests so strongly that I've matched with med students to yell at them for being on the apps when their finals are ongoing. More than once. Certainly more than twice.
In no particular order:
Med student I yelled at for being on the apps. Turned out to have abruptly discontinued her SSRIs and having a meltdown. She got yelled at more, since I've been on that campus and know there's a pharmacy outside her dorm. Proceeds to inform me she suspects she's autistic. I say, sure, you're a final year med student giving said finals, you can probably tell, not that a diagnosis is going to do you any good. She then goes on to reveal to me that she's been formally diagnosed with BPD. I'm screaming and reacting with a 💀 emoji. Proceeds to tell me it's not that bad, to which I earnestly disagree. Then reveals that she harbors thoughts of stabbing her classmates with HIV contaminated needles. If it wasn't obvious to you, the deal was off the moment I heard BPD. There are many kinds of crazy, but that is what I'm not going to fuck with. Then "she" proceeds to tell me she's trans, which I genuinely couldn't tell at first on a quick skim (it was obvious later, presuming you knew what to look for, but I mostly matched to yell at her). Shoulda guessed from her being 5'10 in the bio, but at any rate, time to dip. Don't stick your dick in crazy, especially not when they can stick theirs back in you.
Another med student. Clearly in need of therapy, my attempt at psychoanalyzing her after a brief conversation was hilariously accurate in retrospect. Sadly, in the end, all I could provide was a good time. I was kinda serious with her (before I found out that against all odds, I did match into psych), even saw a buddy of hers, yet another med student, admitted to the ICU. Cue her falling for me after seeing my counseling skills with the distraught family and friends (it's a good way to dodge the malpractice suits). Sadly the buddy died, pontine hemorrhage and rebleed, no comorbidities or predisposing factors. Barring a love of biryani, and if that alone was lethal, I'd have passed away a decade back. Anyway, the girl had failed an exam from a prior year, and I was losing sleep trying to convince her to study for her next attempt. She told me not to worry about it, though my genuine concern meant I still did. Lo and behold, a 55 yo married professor with a daughter her age wrote her paper, in front of the entire exam hall, and submitted it in her name, this, in combination with her family being filthy rich and politically connected, meant that I left my concerns about her academics at the door. Then it turned out that she was the kind of party girl who had both a low tolerance for liquor, and a tendency to get frisky with anyone in sight. And said person wasn't necessarily always me. Some drama later, we weren't a thing, both because I simply couldn't trust her, and because she was growing crazy over the fact I was inevitably leaving. Long story, cut very short. I think I lost my most expensive watch, and she hasn't been so kind as to check.
Gyno final year trainee. I hit her up primarily because I was bored, and wanted to see if the uptick in market value from me being a post grad trainee extended that far. Older than me. I was justifiably incensed on her behalf and talking to her when she told me the orthopod she was seeing had dumped her over a text after seeing her for 6 months. Further conversation revealed that she's probably autistic, or just plain weird, being infatuated with me two phone calls in. Still dodging her calls with excuses of being too busy doing unpaid surgery with my dad (he's a Gyno surgeon who also happens to teach laparoscopic surgery to gyne trainees and even other consultants, I wanted to get him a new student if nothing else). But I understood why the previous poor bastard ran for the hills and didn't leave an address.
Fashion designer. Very cute, very sweet, very depressed. I had to talk her out of committing suicide, over the phone at 2 am after counseling another, actual suicide survivor, who wasn't my patient either. But working productively with her issues, seeing a therapist, actually listening to my concerns. Nice girl, I'm kinda sad she has to see me go, especially when she said I actually look good in Hawaiian shirts. I always suspected, but it's good to have a second opinion from an authoritative source.
Law student. Cute. Top of her class. Survivor of multiple suicide attempts, because she didn't take biology lessons past tenth grade, and Google wisely doesn't return results for "painless ways to commit suicide". Asked me on the first date how much paracetamol it takes to off oneself, for purely academic reasons. I had the sense to tell her I categorically refuse to answer that question. Has multiple psychiatrists and therapists. Refuses to see them, or follow their advice. When they do see her, they get depression, mine only gets exacerbated. Also, I suspect they're incompetent, or consider international consensus more of a suggestion. I've seen some absurd prescriptions, including longterm use of a combination of an SSRI and a benzo. Her anxiety is bad, but only in episodes, whereas I think she'd be way better served with a normal SSRI and benzos rarely on a PRN basis. Bunch of other medical comorbidities, but thankfully dodged the genetic mutation causing ADPKD that killed her father early and will probably get her siblings. She's pulled my hair and slapped me on a first date, the only saving grace being she's so weak only the former kinda hurt (and I need to keep my hair). As allergic to medical care as I am to textbooks, and prone to turn violent and call me old should I express any concern for her lack of care for her health.
A rather sweet psychologist doing a fellowship in Psycho-Oncology at another hospital. Met up after work for a date and to talk shop. Then she sees a text from her ex, and proceeds to have a full blown panic attack.. Slept with said ex recently, in the on call doctor's room at their hospital. I could tell she wasn't in any position to date from the moment we met, so I wish her well in figuring her shit out.
And so many more. And some of them, I assume, are good people, who do need a date more than counseling.
Yeah, I'm going to administer all my future dates a mental health questionnaire in the future, I pray that doesn't constitute a therapeutic relationship in the UK, especially when I get up mid date and run myself.
Never, ever, EVER, sleep with someone you can diagnose with BPD easily. You're welcome. cries
Excuse me what the fuck with that head bleed.
Social media autism.
All these people are probably borderline.
Once you have training to look for mental illness you'll see it everywhere, especially on the apps.
Tell them Tylenol is the absolutely worst way to die and to use Melatonin instead.
Duly noted, good sir, but in my particular case I didn't have to even sleep with them for one to take a very good shot at ruining my life. That one was the ex of my own best friend at the time (and I ended up catching his schizophrenia in med school myself).
23 yo M med student, final year. No comorbidities is a mild exaggeration, since he had borderline hypertension. His dad was a captain in the Merchant Marine, out at sea when this all went down, but just a week prior, had gotten his son a full checkup, including a then highly unnecessary NCCT brain. All squeaky clean.
Kid was slightly obese, we had some issues getting a line in the EJ.
Anyway, he was in between his written exams and OSCEs, when he was at home with his mom and developed a splitting headache. Got taken to a GP, who told him not to think so much about exams or women, and to sleep it off with a paracetamol.
Face started drooping shortly after, was brought to the ER convulsing, immediately sedated and intubated, rolled into the ICU, then SICU, bleed considered too small for neurosurgery at the time.
I counseled his family, or rather his mom, his friends, most of them from non-medical backgrounds barring the girl, who wouldn't know what a pontine hemorrhage was if it
hit her in the headThe senior consultant, the rest of the hangers on, none of them could convince his mom who was having a fully justified meltdown to go home. She wanted to spend the entire night shivering on a bench (no separate accomodations for the family of an ICU patient). I spent about two hours coaxing, cajoling, arguing, bribing and finally convincing the poor lady to go home after everyone else failed.
The dude was actually improving for the first week, with spontaneous eye opening, some degree of following of commands. Then he had said rebleed, shunt placement didn't help, his GCS dropped to 2T, I got chewed out by a neurosurgeon for asking if he was brain dead, and said brain death was informally relayed two days later, and formally declared a week later when his dad was airlifted off Taiwan and brought to say goodbye.
Funnily enough, no AVM found on multiple kinds of imaging, including an MR angiogram. No kidney disease either. As far as anyone could tell, it was just bad luck. And as far as I can tell, the stereotypes about neurosurgeon ego are entirely justified and universal.
Autism really is my best guess. Zero interpersonal skills, extremely blunt, genuinely curious about how men think about women and what they consider as red flags or worthy of avoidance, with absolutely no insight into her own behavior. The last bit isn't genuinely bad, just an example of how she really seemed clueless. Sure, she could definitely have asked someone far worse at answering that question, but if you need to ask. Shame Aspergers has been deprecated, it was a useful one. Plus she had the same, nigh inevitable, descent into undifferentiated insanity I've seen in every gyno resident, barring the men, who seem to be rather sane. Is she actually mentally ill? I have no idea, but she was off.
Absolutely genius. She's fucked up her sleep cycle enough as is, I can pass it off as a dangerous, controlled sleeping med.
Fuck.
Also OB/GYN is traumagenic. Complicates the psychiatric formulation.
On a more serious note it's worth thinking about the way autism has become a catch all for poor socialization, that isn't to say that these people don't have some form of autism spectrum, just that it's worth being a bit more cautious with it since it's becoming an over diagnosed thing (at least in the U.S., thanks TikTok!).
More options
Context Copy link
More options
Context Copy link
More options
Context Copy link
More options
Context Copy link