tag:blogger.com,1999:blog-15583952.post6442222999195513418..comments2023-12-11T08:19:00.272-05:00Comments on DoctorMama: The MICU: How I Know Antidepressants WorkDoctorMamahttp://www.blogger.com/profile/05187502628715846144noreply@blogger.comBlogger21125tag:blogger.com,1999:blog-15583952.post-33950364743249134562006-10-18T20:18:00.000-04:002006-10-18T20:18:00.000-04:00Hi -- 47 year old here who has been pulling all ni...Hi -- 47 year old here who has been pulling all nighters and, in the occasional emergency, 72 hour shifts to finish papers for school. It is rough going. The Eldest called me my evil twin after the 72 hour stint. And I fell into a nap on the couch so deep that when I woke up I had total amnesia -- didn't know who I was or where I was for a time. Very scary.<br /><br />Sleep. Good.amusinghttps://www.blogger.com/profile/03347183179627696626noreply@blogger.comtag:blogger.com,1999:blog-15583952.post-65871099232778799562006-10-16T16:10:00.000-04:002006-10-16T16:10:00.000-04:00Whoo, that's good stuff. I could feel the sweat t...Whoo, that's good stuff. I could feel the sweat trickling in sympathy as I read.<br /><br />I'm glad to hear other people use the Sick-Not Sick dichotomy. My varient for the ER is Discharge-Admit-Fly, aka Kick'em Out, Put'em In, or Send'em Up.Larkihttps://www.blogger.com/profile/08886109381398230026noreply@blogger.comtag:blogger.com,1999:blog-15583952.post-27738955463146934552006-10-16T04:34:00.000-04:002006-10-16T04:34:00.000-04:00I live much of my life in a sleep deprived state a...I live much of my life in a sleep deprived state and have stayed up for 72 hours at a time to finish papers that are due. It's very common for me, actually. There are many days where I go work when I've only slept for one or two hours. Sleep deprivation has an interesting effect on cognition. Sometimes it is a bit like being drunk where you are numb to things or less inhibited but also you look Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-15583952.post-82208085320558790122006-10-15T11:07:00.000-04:002006-10-15T11:07:00.000-04:00Hey Sara:
Not a doc but I am treated for depressi...Hey Sara:<br /><br />Not a doc but I am treated for depression, anxiety and add. The add meds I take as needed. For example if I have a big project or feel I need them because I am not focusing, so I dont take them everyday. I do however take my SSRI everyday. I have seen a vast improvement in my productivity and concentration. <br /><br />I really do wish my add was diagnosed years ago. Now thatC.https://www.blogger.com/profile/17677555290950815409noreply@blogger.comtag:blogger.com,1999:blog-15583952.post-56703218344958133982006-10-14T17:01:00.000-04:002006-10-14T17:01:00.000-04:00So is this sleep-deprivation, trial-by-fire traini...So is this sleep-deprivation, trial-by-fire training approach another unique and Draconian product of the good ole U-Nited Sates? I know we're running behind the pack for vacation, family leave, post-partum care, etc. What's the deal? Am I being too soft - do you think this scary litmus test for doctors is crucial to your development as a quality physician?Mignonhttps://www.blogger.com/profile/07716330276288396317noreply@blogger.comtag:blogger.com,1999:blog-15583952.post-1327481554391007922006-10-14T15:27:00.000-04:002006-10-14T15:27:00.000-04:00DM, thanks for sharing that story here. As yet an...DM, thanks for sharing that story here. As yet another depressed medical student with a long-time history of on-again/off-again medication, I too struggle with the decision to medicate. (I've got ADD as well, so it's a double-whammy - do I get treated for one, both, or neither?) <br />It seems from the comments that there are quite a few of us. It's comforting to hear from someone who's made Unknownhttps://www.blogger.com/profile/01207678339857611774noreply@blogger.comtag:blogger.com,1999:blog-15583952.post-85430671829463013132006-10-13T18:00:00.000-04:002006-10-13T18:00:00.000-04:00DM, do you mind sharing w/us the med that has work...DM, do you mind sharing w/us the med that has worked for you? It's gotten to the point that I don't know whether it's the depression itself or my own hard-headedness that's keeping me from seeking meds...Valhttps://www.blogger.com/profile/03152215204773184788noreply@blogger.comtag:blogger.com,1999:blog-15583952.post-41677113601609106222006-10-13T00:20:00.000-04:002006-10-13T00:20:00.000-04:00I have a hard time knowing whether I need(ed) anti...I have a hard time knowing whether I need(ed) antidepressants, and knowing whether they do/did what they're supposed to do. It certainly wasn't like having an infection and taking antibiotics and feeling significantly better. I did notice the decrease in libido, though. How to get around that? <br /><br />I enjoy your stories and yet I find myself feeling anxious about the ridiculous custom of B.E.C.K.https://www.blogger.com/profile/17692965288646024168noreply@blogger.comtag:blogger.com,1999:blog-15583952.post-40628976472673869162006-10-12T17:35:00.000-04:002006-10-12T17:35:00.000-04:00Fascinating post. I have a really, really, really ...Fascinating post. I have a really, really, really dumb question. What's the difference between an attending and a fellow?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-15583952.post-37609396134260224192006-10-12T17:30:00.000-04:002006-10-12T17:30:00.000-04:00Woo-hoo! I've been a (good) MICU nurse for a litt...Woo-hoo! I've been a (good) MICU nurse for a little over 5 years now and I love it! Thanks for the back pat. Usually I just read about obnoxious nurses. I can see when the interns are scared and I feel for them. I can tell them what we normally do in a situation, but they're the ones who shoulder a huge load of responsibility.<br /><br />I work at a huge teaching hospital and we've had Lindahttps://www.blogger.com/profile/08293892189430836712noreply@blogger.comtag:blogger.com,1999:blog-15583952.post-7947689858252107332006-10-12T14:55:00.000-04:002006-10-12T14:55:00.000-04:00A 2nd year medical student said to a 1st year that...A 2nd year medical student said to a 1st year that he could tell we had really begun to get into the the swing of things because we had all stopped smiling and were grouchy all the time. I thought that perhaps since we get so many free pizza lunches, that it might behoove Lilly to provide Prozac shakers (instead of pepper flakes) for our pizza. It sounds like it might actually come in handy. IOMDGhttps://www.blogger.com/profile/17937425894428802591noreply@blogger.comtag:blogger.com,1999:blog-15583952.post-14920362513152318852006-10-12T13:09:00.000-04:002006-10-12T13:09:00.000-04:00Sheer curiosity: is the MICU different from the IC...Sheer curiosity: is the MICU different from the ICU, and if so, how? Is it just the more extreme version of the ICU?E.https://www.blogger.com/profile/10023959769203103393noreply@blogger.comtag:blogger.com,1999:blog-15583952.post-82258734260099363442006-10-12T13:02:00.000-04:002006-10-12T13:02:00.000-04:00All I can say is, thank god for the MICU nurses. ...All I can say is, thank god for the MICU nurses. I remember being an OB/Gyn intern who *had* to rotate through the MICU, even though I went into OB specifically because I didn't want to deal with the sickest of the sick. I would kiss the feet of the nurses when they would call and say "Mr. X (or usually "bed 4") just had a run of V-fib, do you want me to send the usual labs, <i>doctor</i>?" andAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-15583952.post-36183042282816544732006-10-12T12:32:00.000-04:002006-10-12T12:32:00.000-04:00See, that's the tricky question -- "how am i suppo...See, that's the tricky question -- "how am i supposed to feel" I'm not bad when I'm off, but something will set me off (usually Mr. X and/or hormone shifts aka my period) and then I'm a mess. On, I'm the same, just a bit less so.<br /><br />Is the "bit" worth being turned down for medical insurance becauase I take antidepressants and get migraines? Seems unfair to me, since I'd guess a amusinghttps://www.blogger.com/profile/03347183179627696626noreply@blogger.comtag:blogger.com,1999:blog-15583952.post-56762665132796178922006-10-12T12:18:00.001-04:002006-10-12T12:18:00.001-04:00Great post. I'm in a medication struggle at the mo...Great post. I'm in a medication struggle at the moment myself. I too have suffered from chronic depression my whole life, some times worse then others of course. I started medication a number of years ago, but too, felt fine, went off for a number of years doing okay until last year when I realized "it's baaacck." It's funny how it sneaks up on you.<br /><br />I can go a long time functionally Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-15583952.post-67476271327697740072006-10-12T08:53:00.000-04:002006-10-12T08:53:00.000-04:00My husband left clinical practice 15 years ago, a...My husband left clinical practice 15 years ago, and he STILL sometimes wakes up in a cold sweat from a nightmare that he's had to go back on call. <br /><br />Medical training ain't for the faint of heart, that's for sure.Phantom Scribblerhttps://www.blogger.com/profile/03258384756183844406noreply@blogger.comtag:blogger.com,1999:blog-15583952.post-26985456271241406872006-10-12T04:04:00.000-04:002006-10-12T04:04:00.000-04:00Great, edge-of-the-seat storytelling...but, but, b...Great, edge-of-the-seat storytelling...but, but, but...how on Earth do you cope with the lack of, um, orgasmic activity?? If you've managed to find a pill which lifts the blues and still allows it, do tell! That was what made me come off mine (though I don't suffer from depression, but panic disorder and emetophobia...man, the MICU would have been no place for me!).<br /><br />FionaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-15583952.post-14448152575520308422006-10-12T02:46:00.000-04:002006-10-12T02:46:00.000-04:00Oh lord, that's perfect. Such a good description o...Oh lord, that's perfect. Such a good description of the MICU madness that I got flashbacks to residency. Thanks for writing that tonight -- I'm up fretting about a Not Sick patient who suddenly got Sick while on my watch, and boy am I glad that she's in someone else's MICU. Without residents. I wish I could say I don't worry about them any more, but you're right that the difference between the Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-15583952.post-66193781309080921152006-10-12T02:19:00.000-04:002006-10-12T02:19:00.000-04:00That post was surprisingly uplifting and calming f...That post was surprisingly uplifting and calming from the perspective of a premed student who's scared shitless of intern year.Gregory House, PA-Chttps://www.blogger.com/profile/03114548202436644026noreply@blogger.comtag:blogger.com,1999:blog-15583952.post-42325661296476332302006-10-12T02:11:00.000-04:002006-10-12T02:11:00.000-04:00Hi DM... Thanks for posting about this topic (mos...Hi DM... Thanks for posting about this topic (mostly the anti-depressants, but it's interesting to hear about medical training, too!)<br />I have a question for you, and don't worry, it will not be construed as medical advice on my part. Have you been on the same meds since your MICU days? If not, how'd you determine it was time to switch up the cocktail as opposed to it just being a shitty Return Of Saturnhttps://www.blogger.com/profile/11213074885041424996noreply@blogger.comtag:blogger.com,1999:blog-15583952.post-50727353493089381622006-10-12T02:09:00.000-04:002006-10-12T02:09:00.000-04:00This comment has been removed by the author.Return Of Saturnhttps://www.blogger.com/profile/11213074885041424996noreply@blogger.com