There are so many people in need of assistance and we often tend to forget that the people helping us figure out our fractured psyches. They carry the burden of the patients pain and rage long after a session.
Redditor u/bondmemebond wanted to give psychologists a chance to shake it off a bit by asking.... Psychologists/psychiatrists of Reddit, what patients are usually the hardest to work with and why? [Serious]
You know, I've come to think of mental illness as being something like a person being encased in blue glass, when the outside world looks at that person they see them through the glass and so see them as being blue, but when that person looks at the outside world, everything but them is blue. In this way, most mental illnesses have an internal way for the sufferer to conceptualize them and an externalized way of conceptualizing them that projects internal qualities onto surroundings.
A paranoid person generally does not experience themselves as a paranoid person, rather they experience society as conspiratorial and dangerous. In much the same way a depressed person may not experience themselves as depressed, but will externalize that in the form of life being worthless, people being cruel, etc. Often we make a mistake in educating people about mental illness by focusing too much on what it looks like, as opposed to what it feels like from within, and perhaps that makes it harder for people to recognize signs of mental illness in themselves.
So, rather than pick a specific pathology or diagnosis and say that that is the "worst" one, I think it would be more accurate to say that people across all diagnoses who don't or can't recognize that they have a problem and can only project their condition onto their surroundings, always have worse outcomes and will benefit less from interventions. Psychiatrically often times the goal is to tip the scale just enough so that you can enable that shift in someone where they do have the increased self-awareness or objectivity to have that insight.
I know psychiatric nurses who always found the ones with personality disorder really tough. They said there was a lot of manipulation there in conversation, which made it incredibly difficult to know how much progress you were making, if any.
Personally I worked in inpatient mental health facilities and I found the patients with personality disorders the hardest to work with because they can be so manipulative- they can make you feel like you're failing them because you don't care and you're a bad person. I had the insight to recognize that I couldn't personally handle personality disorders and so left that line of work.
I never found patients with paranoia, schizophrenia, bipolar etc too hard to work with because their distrust of you is more understandable- its self preservation.
In personality disorders (e.g. EUPD), patients can make you feel like they trust you and are confiding in you only to turn around and verbally cut you down. I couldn't leave that sh!t at the door, I would go home feeling like I failed them and myself. It was tough. It's also really tough because it's hard to tell if you're making progress, and the feeling that these people will never get better stays with you.
I did a full 180° and I'm much happier cutting out organs now!
Depends on the clinician. I think depressed people with low motivation are the hardest to treat. I love working with people with OCD, but I have colleagues who feel the opposite.
I had a doctor that specialized in OCD and anxiety disorders. I saw him for general anxiety disorder and panic disorder.
I was extremely motivated and with his help (and medication), I was able to graduate from therapy in about 4 or 5 months. I owe my quality of life to him and think about him often even though he treated me 3 years ago.
Psych nurse here. Staff splitting, really getting personal in their verbal attacks on you, always looking for an edge. And often they are my favorite patients, too, because they can be great. But it's hard. If a schizophrenic calls me an ugly witch, eh well, no big deal. If someone with a personality disorder calls me an ugly witch, it's usually followed up with minute details, often something I'm self conscious about. We're human too, it's hard to ignore.
Those who benefit from their disease in my experience, for example Munchausen. They tend to get to the point where they don't like where they are in life (for example loneliness), so they get help, then realize that if their life will improve, the help will disappear. They don't want that. So they start playing a game of cat and mouse. Throwing little breadcrumbs saying things are going better, only for it to magically become worse again.
In which this pattern repeats multiple times. You usually notice somewhere halfway treatment cause no progress is made.
As opposed to my colleagues here, I do not find those with Borderline to be that particularly difficult. You just gotta be very upfront with them. One interaction with a client of mine went as followed: "stop lying to me Karen and tell me what really is up" - "yea yea... I know... I know... "
My mom had a hard time with people who had borderline personality disorder. These people are very insecure and can treat you badly in their efforts to seem superior and well-adjusted. Yet when you set limits or call them out, they get defensive and often angry. Some will even act out by harming themselves or others.
Borderline personality disorder is generally regarded among psychiatrists as very difficult to help someone with. Not recommended for inexperienced doctors.
Help Rejecters are the toughest in my opinion. They might even cognitively understand their predicament, they know you are trying to help, and they start out seeking help but then reject it. Then the cycle begins again. It requires a lot of energy and time investment to show them how genuine you are, and even then it doesn't always lead to a positive outcome.
Borderline personality disorder (though I have only worked with them as parents of my actusl patients) If you can even get them to show up to the appointments, they usually have very little capacity to reflect on their own actions and how it affects how other people react to them, usually blame everything on everyone else, take zero responsibilities for their actions and demand an awful lot of you in terms of "fixing" their kids.
A lot of people mentioned people with personality disorders- especially borderline, as patients they find difficult. I have found them much easier after attending an APA conference a couple years ago where a speaker was describing how for people with borderline everything can feel very unsure and chaotic and all their emotions feel very intense.
The speaker really liked the "emotion disregulation disorder" instead of borderline because it was actually explaining something about it. Thinking about it this way really helped me. Especially as someone who at times met enough to be diagnosed with BPD ( I don't now, it was due to a lot of attachment trauma in my childhood that lots of therapy and secure attachments have solved.
I would say I have a hard time working with patients I can't communicate with well. But it's mostly because I feel like I am being a bad doctor by not being able to connect or be able to work well with what I am able to understand of what is going on for them.
Psychopaths. They have no desire or intent to change their behavior, they don't care about you or others, and they are harmful or even dangerous. There's nothing to empathize with because they have no empathy themselves, and there's nothing to work with.
They are the predator, and everyone else, including you, is the prey.
Borderline, Narcissistic, and Antisocial personality disorders.
My reason for this opinion is that these folks have one pathway that every single stimulus follows as it enters their brain... eyes, ears, taste, all the senses. That pathway goes directly to the place where they try to figure out how to use every situation to get what they want. There is no empathy. There is no concern for others. There is no genuine humanity. There is only "I want" repeated over and over.
The impulse is virtually impossible to treat because the treatment effect goes to the same place. Some believe that Dialectic Behavior Therapy can work. I disagree. The pathway remains regardless what anyone does or says. Being held accountable for dysfunctional comments or actions doesn't make a bit of difference. In the end, they go back to their impulse. The only strategy I have seen that works even a smidgen is to teach them how to get what they want without hurting other people. Even then, it is still about getting what they want.
I am quite sure that my colleagues will disagree with this opinion. Remember it is just that... anecdotal and my opinion.
Life and relationships are about give and take, sacrifice and intimacy, love and belonging. To some degree we all want what we want. But we also give of ourselves and cry at the movies and love little children. These integral emotional parts of living aren't possible for some people. It's good to know that before you get involved.
Only my opinion.
-Some girl thought she was a werewolf and would wander up and down the halls all night howling
-Another girl would walk inside of the toilet, like literally in the toilet, then complain about not being allowed to wear wet socks
-A lot of people wanting to start fights with each other
The main thing I remember was this overwhelming sense that things weren't going to get better for a lot of these people, which made me really sad.
I think the realization that a lot of the people aren't going to get better, voluntarily or not, was really bad. I know there was one kid weaning off his insomnia meds and he would just start singing in the middle of the night. Wild stuff.
This was early on in training but a mandated client had dropped acid before the session and it started coming on while we were talking - he didn't want to be there as it was and was much larger than me (5'0"). Once he got to threatening me for being the reason everything was wrong with the world I ended up needing to get up and leave my own office to get a supervisor. I definitely thought he would hit and/or strangle me if I stayed.
Used to be a therapist at a behavioral health hospital. I had some patients who genuinely scared me in theory, but nothing ever happened with them. I was significantly attacked twice at work. Both patients were young women. Neither of them "scared" me beforehand. Both were incredibly quiet, withdrawn, and unassuming. One strangled me with my keys- my lanyard was a breakaway for that very reason, but she had tried to steal them several times that shift in attempt to escape the building and run into traffic, so I stupidly knotted off the breakaway portion. We carried panic buttons on the lanyards and I was able to press it while being strangled with it.
The other attack occurred when I was fairly new and on a low-security unit, in view of other staff. I was walking away from the patient and she grabbed me by my hair, pulled me to the ground, and dragged me for several feet down the hallway where she began kicking me in the chest and stomach. She was sent to a higher security unit as a result. I guess I was afraid of her after that, but she wasn't there long. There was law enforcement intervention after she assaulted a pregnant nurse, pulled her to the ground as well, and stomped on her stomach.
The only one I have felt a little scared of was one who threatened to kill me. I knew she meant it. She had already assaulted a number of other staff. She got sent to a higher security ward and I heard she had broke staff's fingers first day she was there.
She held staff and other patients hostage in one of our rooms threatening them but circling the table as if playing with them first. I see violence and aggression regularly and it doesn't phase me but she did. I would purposely avoid eye contact and look straight ahead avoiding her and pretend I wasn't intimidated, as that's what she wanted.
My SO (mental health nurse) tells me that BPD (Borderline Personality Disorder) is very difficult to work with, because while it's a totally legitimate disorder, it often presents as someone being a brat.
I used to work with multi-disabled youth in a school. We had to sign a waiver that we wouldn't press charges or sue or anything the school, the students, or the other staff while working there. I could have sued at least two students (concussion/whiplash/bites/sexual assault...). I left after needing to be taken to the ER a 2nd time.
I am encouraged by some of the new research with psychedelics etc (disclaimer I am not advocating them for anyone, merely saying they look promising in the research) but it is nice to have something new for non-talk/behavior therapy. Metacognitive therapy is also promising as an effective variant of CBT that I have also found compelling. I wish you all the best.
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There are few things more satisfying than a crisp $20 bill. Well, maybe a crisp $100 bill.
But twenty big ones can get you pretty far nonetheless.
Whether it's tucked firmly in a birthday card, passing from hand to hand after a knee-jerk sports bet, or going toward a useful tool, the old twenty dollar bill has been used for countless purposes.
Breaking Even<p>"I got a jacket and a pair of jeans at goodwill for about $20. My first time wearing the jacket I found a tiny zipper inside a pocket."</p><p>"There was a secret inner pocket with a twenty in it."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpdv70q?utm_source=share&utm_medium=web2x&context=3" target="_blank">TheBrontosaurus</a></p>
Keeps On Giving<p>"23 Years ago I was in the US for some work and was not prepared for the cold of Chicago. Went to wal-mart and bought myself a cheap, warm jacket."</p><p>"I'm wearing that jacket right now - still looks fine, still keeps me warm."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpe41xv?utm_source=share&utm_medium=web2x&context=3" target="_blank">TastyEnd</a></p>
As Good As They Come<p>"Wool pinstripe double breasted suit from Goodwill, fit perfectly and was brand new. Ended up wearing it to get married the next year." -- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpdw6mx?utm_source=share&utm_medium=web2x&context=3" target="_blank">verminiusrex</a></p><p style="margin-left: 20px;">"God I love Goodwill!!" -- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpe5aee?utm_source=share&utm_medium=web2x&context=3" target="_blank">Neverthelilacqueen</a></p>
The Socks She Needed<p>"I work at a thrift shop. A homeless lady came in and asked us where the socks were. We only sell new socks, so I directed her towards the new socks and she was... shocked and disappointed by the price tag, surely."<br></p><p>"I gave her a moment as she looked, and she moved to some kids' socks and picked them up, and I... just couldn't let that happen. I told her that I would help her, and told her to get herself some socks and a jacket."</p><p>"She kind of just... held out the children's socks, so I took them, put them back, and grabbed the extra fluffy socks that were hanging."</p><p>"She grabs a jacket and some pants, and I pay for it. My coworker looks the other way since we're not supposed to purchase anything while on the clock. The lady is in tears as she walks out."</p><p>"I notice that she's still outside a minute later putting them on, and ask her if they fit her or if she needed something else; and she told me they were perfect and proceeded to cry. I cried in return."</p><p>"It was a good day."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpen3w1?utm_source=share&utm_medium=web2x&context=3" target="_blank">Snowodin</a></p>
Not Forgotten<p>"A guy came into my work when I managed a mom and pop Pizza Place. He said he was stranded with no phone, and no money, but that the people at the Verizon store next door to us said they could get him a cheap phone with some minutes on it for 20 bucks."</p><p>"He offered to do dishes for a few hours to make some money so he could get this phone. I told him not to worry about it and gave him a 20 from my wallet. He thanked me, asked me for my name, and then he left and I never saw him again."</p><p>"Skip forward about 5 months, and when I get into work the owner was there and said she had gotten a letter addressed to me. 'Weird,' I thought."</p><p>"But when I opened it there was a 50 dollar bill and a short note from the guy I gave 20 dollars to thanking me for my kindness and for not turning him away."</p><p>"Turns out he was in a bad way (addicted to hard drugs and homeless) and really was stranded there. He was trying to get a phone so he could contact his parents (who lived in another state) for help."</p><p>"From what it sounded like, he seemed to really turn his life around. He was clean and working a stable job while still living with his parents."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpem2xc?utm_source=share&utm_medium=web2x&context=3" target="_blank">Mixmaster-McGuire</a></p>
The Best Finale<p>"It was the day before payday. My wife came to see me at work. My break was in an hour, so I asked for her to wait a bit, so we could enjoy it together. She did."</p><p>"I bought her some lunch, because it was what I could afford. I bought her a ham and cheese sub sandwich and two iced teas. These were her favorite. I bought gas with the rest of the twenty so she could get home. She dropped me back off at work."</p><p>"That night, she passed away. It brings me comfort to know that I bought her favorite sandwich and drink for her that afternoon. It was likely the last thing she ate, since it was near dinner. I'll never forget it. Best $20 I ever spent, because it was for her."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpe9c6d?utm_source=share&utm_medium=web2x&context=3" target="_blank">LollipopDreamscape</a></p>
Leaning Into the Nerdery<p>"It was my ninth or tenth birthday. My grandparents gave me $20. The first $20 bill I ever held in my hand! I knew exactly what I wanted to do with it."</p><p>"A week later, we went into the city and Toys R Us. I went straight to the Transformers aisle. And there he was. My favourite Transformer. The one I always wanted...Soundwave."</p><p>"He's the one who turned into a Walkman and he could eject cassettes that turned into robot animals. The price tag said $19.99. It was meant to be."</p><p>"I took Soundwave to the clerk and gave her my $20 bill. "And here's your change!" she said, as she gave me a single penny."</p><p>"Ah, Soundwave. The best friend a lonely little nerd could have."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpdzzxe?utm_source=share&utm_medium=web2x&context=3" target="_blank">originalchaosinabox</a></p>
Different Time<p>"I went to a Rush concert in 1982. The ticket was $9.50 and the t-shirt was $10." -- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpdyr0k?utm_source=share&utm_medium=web2x&context=3" target="_blank">PaulsRedditUsername</a></p>
Motivational Spending<p>"My then six year old niece had a loose tooth she loved to show off and had resisted pulling out for two weeks. We were all at my parents and I was getting ready to leave, I pulled out a $20 and said 'I'll give you this right now if you pull out your tooth.' "</p><p>"She was already crying because her little sister had did something so when she ran into the bathroom none of us had no idea in what she was about to do."</p><p>"So she comes out crying still, but a little bit of blood I'm her mouth because of course, she pulled out her tooth. But the now removed tooth fell down the drain to the sink and she was crying because she lost her proof!"</p><p>"After she calmed down she was happy as a clam with a brand new $20 and everyone was quite proud of her. My sister told me she spent it on candy and shared with her little sister."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpdxi4k?utm_source=share&utm_medium=web2x&context=3" target="_blank">themasimumdorkus</a></p>
For the Story<p>"It was actually to a scammer in Rome. There was this guy right outside of Colosseum who started tying strings around my wrist and told me to make a wish. I knew it was going to cost but I thought what the hell, last day in Rome so might as well go with it. </p><p>"My wish was to find love."</p><p>"I spent rest of the day getting lost in the city and stumbled across two weddings and one baptism ceremony. So I did find love, just not for myself."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpe7b2w?utm_source=share&utm_medium=web2x&context=3" target="_blank">FatalFinn</a></p>
I realize that school safety has been severely compromised and has been under dire scrutiny over the past decade and of course, it should be. And when I was a student, my safety was one of my greatest priorities but, some implemented rules under the guise of "safety" were and are... just plain ludicrous. Like who thinks up some of these ideas?Redditor u/Animeking1108 wanted to discuss how the education system has ideas that sometimes are just more a pain in the butt than a daily enhancement... What was the dumbest rule your school enforced?
Don't Peek<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTcxNDc4OS9vcmlnaW4uZ2lmIiwiZXhwaXJlc19hdCI6MTYzNDE0Mzc2OH0.Y1Lzy1MTqxyVqOCe9xjeHTRZsKnbyVjYzdb4-Heldyo/img.gif?width=980" id="78b19" class="rm-shortcode" data-rm-shortcode-id="e14a90be026b734830e7661f776ba4a8" data-rm-shortcode-name="rebelmouse-image" data-width="475" data-height="475" />schitts creek wtf GIF by CBCGiphy<p>Took all the doors off the men's room bathroom stalls because of vandalism for 2 months.</p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gphrfce?utm_source=share&utm_medium=web2x&context=3" target="_blank"> Endless_Vanity</a><a href="https://www.reddit.com/user/Endless_Vanity/" target="_blank"></a></p>
Scanned<p>School added thumb print scanners at gates of school which counted as registration - needless to say I would just walk to school scan my thumb and walk back home with them none the wiser. Was a great few months until they noticed. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gpidnou?utm_source=share&utm_medium=web2x&context=3" target="_blank">richpianofan5</a></p>
Age of Empires...<p>Conservative Christian College. A group of us played Age of Empires one weekend. They didn't like it and called a meeting. Everyone involved got misdemeanors on their records. There was nothing in the handbook about it being against the rules. The only person that didn't get any punishment was the son of the president even though he was just as involved as the rest of us. <span></span></p>
"Genius"<p>In my freshman year of high school we had a terrible vandalism problem, the bathrooms would be broken in various ways almost constantly. In a stroke of pure genius, the staff decided that any bathroom that was vandalized would be closed for the week on first offense, the quarter for second, and permanently on the third offense.</p><p>They took back the rule after closing every bathroom on day one. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gpi77co?utm_source=share&utm_medium=web2x&context=3" target="_blank"> Samus388</a><a href="https://www.reddit.com/user/Samus388/" target="_blank"></a></p>
Is this Footloose?<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTcxNDc5Ny9vcmlnaW4uZ2lmIiwiZXhwaXJlc19hdCI6MTYzMzg0MjU2M30.PeBUt-YWZeeRStaD_RZlGPQzo29E9t733yqZbIiJlYs/img.gif?width=980" id="3a5bd" class="rm-shortcode" data-rm-shortcode-id="102730e3b1b90ba9cb393561c702c9af" data-rm-shortcode-name="rebelmouse-image" data-width="500" data-height="500" />kevin bacon dancing GIF by STARZGiphy<p>Prom was a mandatory lockdown for the night in order to avoid students going to parties after prom.</p><p>Prom was held at various house parties across town instead. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gpi37x7?utm_source=share&utm_medium=web2x&context=3" target="_blank">Coffee-spree</a></p>
HOLDEN FOREVER!!!<p>My high school mascot was Daniel Boone holding a musket. A kid wore a Guns 'n Roses shirt to school and was told he had to change shirts because of the pistols on the shirt. He pointed out the hypocrisy of the school mascot and they changed EVERYTHING. The mascot was switched to holding a flag pole instead. <span></span></p>
No Dots<p>You couldn't wear ANY kind of head items that were "gang colours" (red or blue) - this No included hair bands, scrunchies, beads in your hair, ribbons - ANYTHING. I got in trouble for wearing a blue hair band with white polka dots. </p><p><span></span><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gphzpyf?utm_source=share&utm_medium=web2x&context=3" target="_blank">Pleasant-Flamingo344</a></p>
Clothes Check<p>We had to wear belts. Someone snitched that people weren't wearing belts under their sweaters, and they actually checked and a bunch of people got detentions. Stupid. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gphz3y6?utm_source=share&utm_medium=web2x&context=3" target="_blank">ooo-ooo-oooyea</a></p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gphz3y6?utm_source=share&utm_medium=web2x&context=3" target="_blank" rel="noopener noreferrer"></a>We had belt raids at my school where the dean would burst into classes, completely interrupting any education, to check that everyone was wearing a belt. </p><p><span></span><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gpia8pp?utm_source=share&utm_medium=web2x&context=3" target="_blank">GuinnessMicrodose</a></p>
Chase the Flat<p>We weren't allowed to play tag football at lunch, only frisbee. When I asked the principal what the difference was, he responded with a sarcastic tone, "A football is round and a frisbee is a flat disk."</p><p>He left the school later that year, went to another school, and a few years later was brought up on charges for failing to report the abuse of a student by a teacher. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gpi6lh3?utm_source=share&utm_medium=web2x&context=3" target="_blank">uninc4life2010</a></p>
Poke-Thief<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTcxNDgwMy9vcmlnaW4uZ2lmIiwiZXhwaXJlc19hdCI6MTY0ODg5MzY2Nn0.5LMPk1suou6U2SvAURKP-sHEuK7Izpkbxm0PWqvx95E/img.gif?width=980" id="b6e9f" class="rm-shortcode" data-rm-shortcode-id="92383d30e34aa92fd74cf6c1374ec294" data-rm-shortcode-name="rebelmouse-image" data-width="480" data-height="480" />hotline bling pokemon GIFGiphy<p>Pokemon cards got banned in middle school because someone stole the vice principal's kid's cards. Yep. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gpiapym?utm_source=share&utm_medium=web2x&context=3" target="_blank"> Skadoosh_it</a><a href="https://www.reddit.com/user/Skadoosh_it/" target="_blank"></a></p>
In the Face...<p>If you were involved in a fight, you got suspended. While it sounds reasonable, context didn't matter.</p><p>I got suspended once not for throwing a single punch, kick, whatever. I got suspended because someone knocked the books out of my hand and when I reached down to grab them they punched me in the face.</p><p>I got suspended for walking down the hallway and unprovoked getting punched in the face.</p><p>Forget Brandon Valley Middle School. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gpicbyx?utm_source=share&utm_medium=web2x&context=3" target="_blank">CLG_MianBao</a></p>
One of the golden rules of life? Doctors are merely human. They don't know everything and they make mistakes. That is why you always want to get another opinion. Things are constantly missed. That doesn't mean docs don't know what they're doing, they just aren't infallible. So make sure to ask questions, lots of them.Redditor u/Gorgon_the_Dragon wanted to hear from doctors about why it is imperative we always get second and maybe third opinions by asking... Doctors of Reddit, what was the worse thing you've seen for a patient that another Doctor overlooked?
Grandma Wins<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTcxNDcxOC9vcmlnaW4uZ2lmIiwiZXhwaXJlc19hdCI6MTY0OTQxNTgzOX0.n9IaFGgHwnULMlI2kg7RUftxDg6lyWvdM9CnhvptCRY/img.gif?width=980" id="a0857" class="rm-shortcode" data-rm-shortcode-id="9762f97a23c27ccf6b75974caa854361" data-rm-shortcode-name="rebelmouse-image" data-width="480" data-height="270" />Old Lady Wine GIF by MattielGiphy<p>Not a doctor, but my grandmother saved my father's eyesight because she didn't listen to their doctor. </p>
The Mummy Appendage<p>When I was a resident, an 80yo female was admitted from the nursing home for confusion. Workup showed some mild UTI and we were giving her antibiotics. The nurse mentioned that her toe looked dark and asked me to look at it. The toe wasn't just dark, it was mummified. It looked like dry beef jerky. I touched it and pieces flaked off. So the patient from a nursing home, had a mummified toe, probably for months, that no one knew about. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lw2g2z/doctors_of_reddit_what_was_the_worse_thing_youve/gpg00qn?utm_source=share&utm_medium=web2x&context=3" target="_blank">Dr2ray</a></p>
The CT Save<p>Here's my story:</p><p>A guy came in to our ICU and was very septic but still talking. He had visited his primary care MD with complaints of a sore throat for a couple of days. Dismissed without any intervention since he didn't appear to have strep throat or the flu. At this point he was having pretty severe abdominal discomfort, so we sent him for a CT scan. As the scan was finishing, he coded and had to be intubated, multi-organ failure, etc. </p>
Patches<p>When I was an ER nurse we got an elderly lady in for altered mental status from a nursing home, when we undressed her to put her in a gown and hook her up to the monitor, I noticed no less than 5 fentanyl patches on her, guess I discovered the cause of the AMS. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lw2g2z/doctors_of_reddit_what_was_the_worse_thing_youve/gpg1lml?utm_source=share&utm_medium=web2x&context=3" target="_blank">ChewbaccaSlim426</a></p>
Use your Words<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTcxNDcyMi9vcmlnaW4uZ2lmIiwiZXhwaXJlc19hdCI6MTY1MDA1NjI0MH0.WtyCdxL1vRZwD2-jpKZXMOEakwhiBaJIkp1YPnOzlvo/img.gif?width=980" id="e45ca" class="rm-shortcode" data-rm-shortcode-id="f5b98e6a4605a587dbd97579468a51d8" data-rm-shortcode-name="rebelmouse-image" data-width="498" data-height="367" />Communication GIF by memecandyGiphy<p>Neurologist sent patient to our ED without informing her that imaging showed a glioblastoma assuring her impending death. He didn't overlook the disease, he overlooked the communication. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lw2g2z/doctors_of_reddit_what_was_the_worse_thing_youve/gpfl5t5?utm_source=share&utm_medium=web2x&context=3" target="_blank">AzureSkye27</a></p>
Mad Cow Realty<p>During my residency we had this lady in her 60s who was getting progressively more forgetful, just overall declining and getting less and less able to take care of herself. She had been seeing her pcp who diagnosed her with dementia. And she saw a neurologist who agreed. She was not really able to provide an accurate history. <span></span></p>
After Birth...<p>I used to work in maternal-fetal medicine, and every single week, we would have women referred to us "because the doctor couldn't see something clearly with the baby and wanted to double check." Nope, they just didn't want to have to be the ones to tell you that your baby had a complex cardiac defect or multiple anomalies indicative of a genetic syndrome or any other of a large number of horrible things that can happen during fetal development. Still pisses me off when I think about how many women waited weeks for more information because their doctors were cowards who couldn't tell them, "There's something seriously wrong here." <span></span></p>
bad doctors<p>I'm not a doctor, but a RN. This happened to me, but isn't nearly as bad as most of the stories on here.</p><p>When I was in college, I got to where I couldn't swallow. It started with difficulty swallowing, progressed to me having to swallow bites of food multiple times/regurgitating it, and then got to where all I could swallow was broths and mashed potatoes with no chunks. I went to the doctor multiple times, and was told every time it was acid reflux and part of my anxiety disorder. <span></span></p>
The Valve...<p>He put the pacemaker lead in the subclavian artery (and across the aortic valve into the left ventricle). The proper approach is: subclavian vein to right ventricle). And then he didn't notice it for over a year. I saw the patient (a 25 yo woman who didn't need the pacemaker in the first place) when she was in congestive heart failure. <span></span><br></p>
Bitten<p>Rattlesnake bite. On a 2 year old. Patient and dad out in the fields near a small town that is several hours away from the nearest big city, where I work.</p>
When we think about learning history, our first thought is usually sitting in our high school history class (or AP World History class if you're a nerd like me) being bored out of our minds. Unless again, you're a huge freaking nerd like me. But I think we all have the memory of the moment where we realized learning about history was kinda cool. And they usually start from one weird fact.
Here are a few examples of turning points in learning about history, straight from the keyboards of the people at AskReddit.