Why America should be very afraid…

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Yeah, a flagrant political post, but, after reading tonight that the Left is now advising people to flagrantly steal from WalMart to punish them for donating to Ohio politicians who support an abortion law for the state, this is beyond just politics.

Who are Democrat supporters, and realize, I dislike the Republican party that is full of whores, cowards, and loves to start wars, so this isn’t a partisan rant, but just noting that the evil of the Left is beyond hope and redemption.  Who are Democrat supporters?

*Believe in illegal immigration that imports poverty, crime, and disease.

*Dismiss extremist Muslim terrorism solely intended to kill and horrendously ostracize anyone who dare not fully submit to their alleged religious doctrines.

*Relentless attacks on Christian and Jewish systems, turning a blind eye when there are attacks on houses of worship, and then spouting Bible verses when being challenged?

*Ignore the violence fulminated by Antifa and Black Lies Matter activists who fully demand anarchy, dissolution of law enforcement, and want violence against whites.

*Antigun zealots who want to disarm law abiding citizens, and also empower criminals by wanting them to vote while incarcerated and be released early without cause.

*LGBT extremists who believe that non heterosexual choices trump the majority of society’s sexual preferences, and want transgenders to be given absolute respect, while ignoring the increased risks of predatory behavior of women in bathrooms!

*Abortion rights supporters who want abortion even beyond birth, and as per the above comment, punish anyone who dares even suggest boundaries be applied.

*Millennials should be in positions of power and authority without qualification, maturity, and temperament, as illustrated so hideously by AOC as example A.

*Antisemitism is now not only tolerated but encouraged, and this from a party that the majority of Jewish Americans (NOT American Jews) still favor the party.

*Aggressive pushing Socialism programs that have obviously been abject failure across the world for over a century, and frankly, I see socialism as antisocialism in disguise, fair and equal are just shackles for the sociopath to thrive.

*and last, the relentless, pervasive, extreme hate the party has for Trump, Republicans, and Conservatives, and how they have the Maim Scream Media completely at their beck and call to slander, libel, and harass any who dissent and support non democrat causes.

So, as I write at various blog sites, who are Democrat supporters and voters in 2019, if these above groups are the basic platform for the party?  And how do people tolerate living among people who espouse anti-American, anti white, anti Judeo Christian, anti heterosexual, anti life, anti freedom and independence, and anti-negotiation and compromise efforts?  This is the breeding ground of overt Personality Disorder as its most horrendous and hideous, folks.

Not that I depend on Republicans to save the day…

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You finish the post with what the picture intends?…

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What is the point?!

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It’s been over a month since the last post, and the last few months, I have not been very motivated to write or pontificate, between being out of work for a couple months at a time per not being able to land a realistic locums assignment, and then working one that just defies logic, the way colleagues treat patients.  But, between the garbage of what really is DC politics EVERY SINGLE DAY of late, and what people are saying about psychiatry at other blogs and in my travels across the Net, yeah, what is the point?!

First, per a nice link supplied by colleague Dr J O’Brien in a separate email earlier today, what is it about the APA convention that just reinforces the BS my “colleagues” not only sell, but are sold?  Read the link, worth the time:

The APA Meeting: A Photo-Essay

A couple of comments to replicate:

“Were there really more than twice as many sessions on global warming as on obsessive compulsive disorder? Three times as many on immigration as on ADHD? As best I can count, yes. I don’t want to exaggerate this. There was still a lot of really meaty scientific discussion if you sought it out. But overall the balance was pretty striking.

I’m reminded of the idea of woke capital, the weird alliance between very rich businesses and progressive signaling. If you want to model the APA, you could do worse than a giant firehose that takes in pharmaceutical company money at one end, and shoots lectures about social justice out the other.”

One has to look at that list of lectures that precede this comment, just amazing what is being forced on physicians as alleged care need issues.  Climate change as a mental health concern?!  WTF!?!?  Idiocy at its finest.  Then, this from the same link later on:

“My favorite was Subvenite®, which is just lamotrigine in a conveniently-packaged box that tells you how much to take each day. The same amount of normal lamotrigine would cost about $12; it’s hard for me to figure out exactly how much Subvenite® costs, but this site suggests $540. To be fair, lamotrigine is a really inconvenient drug whose dosing schedule often leaves patients confused. To be less fair, seriously, $540 for some better instructions? Get a life.”

This is what drives the pharmaceutical industry, profit on titration packets…

One more from the link, at the end:

“Second, psychiatry has always been the slave of the latest political fad. It is just scientific enough to be worth capturing, but not scientific enough to resist capture. The menace du jour will always be a threat to our mental health; the salient alternative to “just forcing pills down people’s throat” will always be pursuing the social agenda of whoever is in power; you will always be able to find psychiatrists to back you up on this.”

Which leads me to my next gripe, colleagues who write just lame stuff, this from Dr George Dawson at his site real-psychiatry.blogspot.com, per a post he wrote over a week ago, that I commented at and he dismissed, as he did per the issue with his claim that most of psychiatry denies it sells the chemical imbalance model as the driving force to the profession’s existence as of today.  Here is the post link:

http://real-psychiatry.blogspot.com/2019/05/the-non-existent-chemical-imbalance.html

Where to go with this read?  This first:

“I keep looking for it and can never find it.  The above picture is my stack of psychopharmacology texts dating back to about 1980 and none of them mentions “chemical imbalance”.  I could add another foot or two that stack and there still would be no mention of this theory.”

Wow, I read that and just said to myself, “where is this guy practicing, and what are the dates of his references, and is he selectively taking out what suits his premise!?”

Then there is this at the end, “This is one set of receptors and modulators very simplified. To get more of the story read the 22 pages of reference 1.  To understand the brain and modern pharmacology much more needs to be understood. Forgetting about the term “chemical imbalance” is a good first step.”

Yeah, I agree with his ending, but, all the pontificating prior seems to sell exactly what most practicing clinical psychiatrists are in fact genuinely doing, selling meds as the primary, if not only, intervention for mental health treatment.  And then, dismissing the ancillary, but really primary role of therapy and case management interventions that are the backbone of chronic mental illnesses, like schizophrenia, entrenched mood disorders, and the most problematic, personality disorders as primary mental health illness that gets frequently overdiagnosed as alleged Axis 1 disorders.   Thus, again per the chemical imbalance disorder role, polypharmacy for interpersonal struggles that just defies clinical imagination by grounded, responsible colleagues!

Go his site and read the latest post as well, and the thread of the link I supply here, well, read and decipher as able…

Finally, this link I had sent to me by a site somehow I enrolled in last year, Doximity.com.  This post is very illuminative, I will just share it and advise readers to read it as ready and able:

https://www.doximity.com/doc_news/v2/entries/19197977 (sorry forgot to add it when I first completed this post!)

I just share the ending as it is me today, as I am not ready to spontaneously combust, as of today at least:

“So, please do not fault or judge those docs who have chosen to work part-time. The emergency physician who works three 12-hours shifts a week, the dermatologist who takes Friday afternoon off, or anyone at all who refuses to take call has prioritized life over work in the search for a work-life balance.”

By the way, the above mentioned colleague Dr O’Brien shared his disgust with the term “toxic” being excessively overused to define and relate mental health issues, and while I get the overuse of terms, per what one hears at almost every single Maim Scream Media report about the weekly media assaults on our current President, this week hearing “Pelosi has gotten under Trump’s skin…” (look up the montage of this supplied by the Washington Examiner, I think the source), I don’t know the best term as an alternative.

I guess “crazy” or “nuts” are not good choices, but, fit they do, eh?!

But, I do know this, Personality Disorder is so rampant and pervasive in almost all avenues of our culture and society, we are in deep shit if we don’t set some firm, consistent, strong limits, and fast, on those in positions of power, authority, and influence.  But, I have been saying this for what, 3 years now!?!?

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Climate change, or maybe, nature deranged!?

What’s the pill to throw at Mother Nature!?!?!?!?

Observations

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First post in almost 6 weeks, the longest I have gone without a post.  Left that last Locum assignment early as could not deal with a directing psychiatrist just going into the EMR and stopping meds without legitimate reason, and not notifying the patient nor treating psychiatrist of the intrusion.  Really, this guy adamantly writes that Trileptal and Topamax have no indication for psychiatric care.  Just discontinues them abruptly.  Then dumps the consequences on the patient and provider.  Which leads to my first observation:

YOU ARE WHAT YOU TREAT.  People who work in selected areas of care or systems, I truly believe, as I have seen it, the providers wind up with the qualities and characteristics of the population of patients they serve.  Correctional work, yep, providers wind up being rigid, inflexible, and at times developing, if not already having covert traits of antisocial and sociopathic disorders.  Reinforces to me, correctional work for the healthy and responsibly committed to care, do it as a temp job, as one will find out, the hard way mind you, the real people to fear in correctional systems are the staff, not the inmates, who by the way are patients in the Medical Building.  As to what I have witnessed in outpatient care services the last few years, well, the docs who stay there, have just relented and give people whatever they ask for, and frankly, I have seen polypharmacy that just blows me away that hasn’t led to malpractice claims…

TURNING TO DRUGS OF ABUSE TO TREAT DISORDERS IS ALWAYS A SLIPPERY SLOPE.  Reading up on the FDA approval of Ketamine for treatment resistant depression,  all I can say is, wow, who in their right mind is going to legitimately and responsibly want to take on the population that pursues this drug?!  I am not going to dive into all the prerequisites to what has to be done to administer this “medication”, but, patients having to stay and be observed for a couple of hours, again, wow.  And the drug seeking population that will inevitably be drawn in, again, what are the malpractice risks with this choice?  WHEN the first, and many more incidents come up that always do after a drug gets FDA approval that is questionable, if not nefarious in agenda by the drug manufacturer, I will be laughing and appreciating the malpractice carriers going nuts in figuring out how high premiums will go to allow this prescribing to be done in an outpatient setting…

HOW PROFOUNDLY IMPAIRED ARE OUR POLITICIANS AND PARTISAN HACKS.  After the Mueller Report was released, and then the side show last week with it presented to the public, it is nothing less than astounding and hideous how entrenched Democrats and the Left are in destroying Trump and anyone associated with him.  The protagonist in Les Miserable had less hassles and fears than people who work in the White House.  And the Media, despicable is not even a close adjective to how relentlessly consumed with hate and dishonesty to disrupt our political system.  I have said and written this over and over, it is time to make every single person running for public office, and those in place already, to take the MMPI and raise questions if people score high in cluster B disorders…

THE AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY IS BEING SUED, FINALLY!!!  For someone like me who legitimately and appropriately said “enough is enough” with the side show one has to go through to be recertified with the ABPN, as I am now Board Certified with the National Board of Physicians and Surgeons, to be told I am not Board Certified, well, hope that law suit exposes the frank criminality that is in place with that Board.  I was stunned to read about it on the front page of the APA Newsletter, but, I did, and wow, they told the story fairly directly that I can surmise.  From a Locum Doc standpoint, these organizations and Hospitals that are refusing to take providers who aren’t board certified with the cronies, well, when they run out of providers to treat patients solely because the candidates looking to join don’t belong to the fraternity, maybe we’ll read of care organizations being sued next…

ADDICTION AND PERSONALITY DISORDER ARE THE PREDOMINATE PATIENT GROUPS INVADING OUTPATIENT CARE FACILITIES.  Again, not a new point here at this blog, but, the relentless demand doctors medicate these people who are until proven otherwise the last to be on meds, just a set up to risk being sued.  Heard about the new protocol by Suboxone prescribers, that they demand pts be in therapy to stay on Suboxone, and then the “therapists” who genuinely don’t want to take on these people because over half of them are just MD sponsored addicts, dump them on the psychiatrists in the office because “they are on Suboxone and need to be medically managed”.  What a crock of shit.  Oh, and these clinics who tell you not to write for benzos, and then either press the docs to do so, if not just ignore all the disruptions and chaos by these benzo seeking cretins, yeah, wonder why these clinics depend on Locum Docs these days…

and finally, PEOPLE UNDER 30 YEARS OLD ARE IMMATURE AND PATHOLOGICALLY DEPENDENT UNTIL PROVEN OTHERWISE.   Have people over the age of 40 ever heard of so much bullshit from these Presidential candidates how everything should be “for free”, and yet, what the hell of importance and valued substance is really free!?!?  These children, irregardless of age even if over 18 years old, think that college, health care, even this talk of being paid by the government to NOT work, what the F is this!?!?  This woman AOC, she is a covert sociopath, the longer she has a spotlight on her, the sooner she will really show her true colors, and boy, what will be frightening isn’t she will say the hideous and antisocial crap, but that millions of people will shriek in support of her garbage…

So, hopefully won’t go 6 weeks again without a comment, but, I will note to people who might read here with regularity, I sincerely doubt I will continue past the early Fall, I think my blogging days are coming to an end, it would be 7 years here in late November, and I have to wonder if I am going to be practicing psychiatry into 2020, but, will see…

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Never really watched the show, but I think I identify with the character a helluva lot more after what I have been through the last few years as a Locum…

 

Personality Disorder rules! Literally!!

Wow, how do healthy responsible attentive citizens put up with this endless assault of characterological garbage from so many perspectives?  These politicians are beyond disgusting, and people in positions of authority and influence in various facets of society just act like rulers and complete jackasses, and frankly, people in general these days have the interpersonal skills of kindergarteners.

Been working a job for a correctional facility since late January, and just unbelievable what passes as health care interventions.  The doctors refer to the people in the office as inmates, not patients; shows the mentality of providers, eh??  The Non Formulary process alone is bordering on flagrant malpractice, the doctors who make these completely arbitrary and clueless decisions need to have someone die and be successfully sued to realize that stopping medications in place on arrival, or just refusing to allow another medication trial be initiated but instead force formulary medication trials from the 1990s first, isn’t defensible in a court of law with experts noting otherwise.

By the way, Locum Tenens work is dead, the only people who are using temp docs are desperate clueless and disrespectful organizations who treat docs as slave labor.  Sorry, it is what it is from my experiences of late.  Frankly, I think community mental health care is dead.  And that is not only a shame, but an indictment of how sad and pathetic States have deteriorated into abdicating responsible monitoring of mental health care needs for the people who can’t access private practice care.

And finally, what a lame painful unending winter it has been here on the East Coast.  After two days in the 60’s-70s for the first time here since back in November, back to 40 degree high days for another week.  Someone needs to pull that damn groundhog out of his crate and slap the crap out of him…

Gotta start playing Powerball again…

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Covington Catholic and the Exclamation point to the Personality Disordered Society narrative…

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I was very annoyed that I did not start my next Locum assignment today, having to wait until next Monday, having been off EIGHT weeks now to finally get another job.  But, that is not the issue here, as, wow, what happened last Friday in Washington D.C. was certainly worth missing a few days at least.

If anyone reading here has no idea what the title infers regarding the high school students of Covington Catholic School in Kentucky, well, you aren’t living under a rock, you’ve been accosted by aliens and off the planet.  Welcome back, unless those aliens have internet access…

Anyway, the last few weeks of what has transpired since the government shutdown ensued, that really has taken a back seat to this incredible shit show the US media delivered to us from Saturday morning to, well, today even, is nothing less than stunning.   And what will still be a story tomorrow, with the student who had a drum banged in his face for minutes being on NBC, why he accepted that interview I am not just dumbfounded, but, disgusted.

But, the point of this post is the Mental Health angle of this story.   For me, it shows the depths and depravity of what is Personality Disorder beyond out of control, we are witnessing levels of hate and disdain, dishonesty and disingenuousness, depravity and dedication to personal destruction that borders on criminal activities.

After what happened last Fall at the Kavanaugh hearings, well, I was not surprised how foul and hideous the Left and their Democrat Representatives would go to smear and destroy a judge.  But, an adult who can protect himself, and did so.  These absolutely cruel and evil Mother Fuckers (legitimate word now thanks to the Michigan Muslim Maniac and complicit media of silence) of the Left and their media lackeys, wow, to go after high school kids, as young as fifteen, there are no boundaries to destroying people by the Left.

Folks, the Left continues to up the ante of narratives that are simple to me, as they are the living embodiment of 5 year old minds in adult bodies.  They have three basic sentences that sums up the mentality of the Left:

Gimme that, it’s mine.

Who are you to say no to me.

The only choice you have is the one I give you.

Maybe others, but, those three sum up the level of selfishness, entitlement, absolute intolerance, and an intrinsic expectation to rule without any possible dissent or dialogue for negotiation.  The Left hates the tenets of America, and only a Personality Disordered Cretin can utter those above phrases and truly claim they are appropriate and deserving to not only be heard, but obeyed.

Yes, the Right and Republicans are failures in their utter fear to do what they think is the course of action to keep their jobs and levels of influence in the culture, but, their jobs dwindle in numbers, and their influence, well, they were part of the inquisition on Saturday, and in my opinion, primarily to that objective of job status and relevance to the few who listen to them, still…

My point of this post?  Hate is not a principle, as I have written before.  Beliefs of convenience are not only shallow, but useless in moments of true need.  And finally, people who polarize everything, disdain on sight of an association with a gender, class, religion, political position, and ability to voice opinion, and pervasive dishonesty that would make Hillary Clinton jealous with envy, well, that is even beyond a personality disorder issue, that is just plain evil.

Those kids on the steps of the Lincoln Memorial, wow, take that location as beyond ironic (I guess at the MLK memorial would be a tad more ironic), but, they were vilified and harassed and still being threatened as I write this post, simply because they were white boys/young men, christian in belief, and wore MAGA hats so associated with Donald Trump.  Oh, and they went to a Pro Life March that day.

May I remind anyone who even remotely doesn’t consider this:  hypocrisy is the common language of evil and destruction, and the Left will embrace it to their last breaths of life.  The relentless hypocrisy of the Left is not only astounding, but sickening to hear every damn day.  May the karma of a possible after life not only be appropriate to those who have abused the privilege of any positive and respectful options beyond this planet, but, be relentless in it’s pursuit of consequences and punishments I can’t even comprehend as applied…

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As Tucker Carlson noted in tonight’s opening monologue (but not these exact next words), who the fuck is safe in this country if they don’t fully and utterly genuflect to Leftist narratives and agendas…

Yep, there it is…

Had to have my younger daughter shove the painful reality of why it sucks to be an American, to be a doctor, to have a family in the 21st Century.

While talking about saving money by driving an extra 30-60 minutes to a further airport, likely at night and thru an annoying city at that, I noted my concern with her being on the road for a long, sometimes isolated time, just to save money, and then, the line:  “Well dad, don’t care!”

And I felt all the bricks, including the straggling last few that fall on top and just add the proverbial exclamation point of “Oww!”  That is it for people here in this country, “don’t care”.  Why I truly hate my job now, people in charge really live by that adage, “don’t care!”

Why digging ditches really seems lighthearted fare these days…

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Pay attention when at the doctor’s office, does the practitioner, his staff, the ambiance really exude care, or, just cost…

Where 2019 Health care is headed…

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Happy New Year…

Yeah, really, NOT for me, but my problem, right?

Two links to really motivate people where health care is headed, especially with these relentless shrieks by the Left and their ilk for “Universal Health Care”, what a shit label to begin with!

First, where politicians will drive health care choices, and if you really think I am off the mark or being an alarmist, well, aren’t these Leftist agendas at the end of the day???

https://www.americanthinker.com/blog/2019/01/why_was_a_muslim_doctor_who_vowed_to_poison_jewish_patients_working_at_the_famed_cleveland_clinic.html

This paragraph from there near the end of the column, well, nice in theory and hope, but, do people as a whole really see doctors this way now?!

“It’s sad and shocking, because doctors are such amazing people.  They not only cure the sick – sometimes, the very, very sick, through medical miracles performed daily – but they also are fanatical about their devotion to the Hippocratic Oath, which begins with “first, do no harm.”  They care for all people, even unworthy people, from injured bank-robbers to people who sponge off the system, putting the saving of human life above all other considerations.  What’s more, the heroism of doctors and other medical professionals was there for all to see during the Paradise fires, where we got stories such as this (Google, take note), with doctors racing through flames on all sides of them to save lives.  Doctors are absolutely amazing people, showing every day that their work is a calling, not a job.”

Sorry, doctors are NOT amazing people anymore, and yeah, I am a doctor, but, to see my profession like this, nope.  I don’t see myself as amazing, but dedicated to principles and boundaries that does separate me from the average citizen, not in a better way, but, a principled and dedicated way.  Think about it, the average citizen, what are his/her principles and dedications in 2019?  Really, think about it…

As do most doctors really present themselves as selfless providers, who take time and effort to listen, assess, and problem solve the problems each individual presents in the office, as of today, January 2019???

The other link, VERY disturbing, and how universal health care will horrendous twist and pervert this line of thinking into being punitive and uncaring:

https://www.wired.co.uk/article/medicine-disease-ageing

Having watched some of Twilight Zone the last day on SYFY, well, aren’t the story lines from some episodes eerily echoing this mind set from 60 years ago???  They all end up nefarious and hideous in outcomes, so, what the F would politicians do with this thought of seeing aging as a disease, and thus be eliminated, or, just perversely discriminated, if not just terminated, like, the premise of Logan’s Run, a good flick from the late 1970s…

Leave you with this paragraph from the perverse link:

“Contrary to what most people think, there is no biological law that says we must age. Indeed, as ageing is the most significant risk factor for almost all diseases, the true promise of ageing research isn’t simply extending lifespan; it’s the obliteration of disease itself. And, while, in some cases, the processes for extending life are complicated, in many cases, as the metformin trial seeks to show, it may be as simple as repurposing medications that are already available, in some countries even over the counter.”

2019, will be interesting, from a sick, pathological, heinous characterological perspective that seems to be endemic across the country now…

Hope the scene sums up the failures of immortality!

A wonderful life, it ain’t…

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Yep, I am a grinch, I don’t see anything positive with this holiday season, and being unemployed is a major detriment to framing things in any gleeful way.

Sorry to say, I don’t see mental health care, or for that matter,  health care in general, having much benefit for the public, the way providers are just selling out left and right to appease non clinical intrusions.  And if these relentless shrieks for universal health care, socialized medicine, whatever people want to frame it, I call it Correctional Care as it will be managed as punitively and harshly as one can manage it, if these shrieks wind up creating such a system exclusively managed by politicians, I am out as a doctor.

Hmm, maybe that is why I can’t land a temp job, karma is already trying to prepare me for my next gig, digging ditches.  My wife is watching “A Wonderful Life” as I type this post, and I totally identify with George Bailey, I am worth more dead than alive right now.  Pathetic thing to write, but, what does a person do when after 12 years of training to provide a service, and after more that 25 years trying to treat patients in a caring and concerned way,  no one wants to use you in a health care setting the way you want to provide care?

Think about that the next time you interact with a provider as a patient.  Does the provider really exude empathy and concern, or just going through the motions of satisfying documentation and algorithms of treatment process for a diagnostic code?

How screwed up has medicine allowed itself to become?  There’s a foundation for a new year’s resolution, can I manage to care, or just manage cost.  Believe me, if you folks just lay silent and let the politicians define health care implementations any further, many of you will just wind up wondering if you can manage life…

Doubt many will like the picture, but, neither do I…(couldn’t publish something that I really would like to show that truly fits my mood now)

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Just remember, people shrieking accusations of racism are just finding a less inappropriate way of shrieking “Fuck you” to the accused, and still getting it published in the media…

My one New Year’s Resolution:  that people really rise up and do scream out their windows, but better yet to their taskmasters, “I am mad as hell and not going to take this shit anymore”, and we see bad things happen to bad people.

Not much hope for psychiatry, eh?

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Finishing up another temp assignment, and really, what is there to learn from what is going on in Community Mental Health these days?  Frankly, clinics should just dump half or more of their therapists, just hire 3-4 psychiatrists to do 15 minute med checks, and let the system be the assembly line that these clinics really are these days.  Therapists aren’t doing shit as far as what real, honest therapy work is needed, they just put up a front of seeing patients every 3-6 weeks from the onset of treatment, shove patients into psychiatrists’ schedules to do med checks, or worse, want evals for patients who are just dealing with psychosocial issues, but, it’s not about problem solving, is it??

No, it’s about gettin’ ’em in to be on drugs, get the volume to get the reimbursements, to justify the clinic expenses, and then, just give an illusion there is therapy work at hand.  And, we know this to be the truth, but, the lies and misdirections, they won’t end.

Besides, the other hat that psychiatrists wear besides assembly line worker, is janitor.  I have noted this in past posts, but, nothing has changed, fix the problem with a script, and then, let the therapist continue the magic act, let the illusions of “therapy” be practiced, at the patient’s expense, oh, and the insurer’s as well.

Let’s leave with this gem from that pharmaceutical whore Nasrallah that is the Editor in Chief of Current Psychiatry, in the November issue, shall we?

https://www.mdedge.com/psychiatry/article/178237/psychopharmacology-30#

I’ll let the bastard say it so pathetically, if not hideously:

Another important feature of Psychopharmacology 3.0 is the repurposing of hallucinogens into novel therapies for posttraumatic stress disorder, anxiety, and depression.1 The opioid system is being recognized as another key player in depression, with many studies showing buprenorphine has antidepressant and anti-suicidal properties2 and the recent finding that pre-treatment with naloxone blocks the rapid antidepressive effects of ketamine.”

Really, let this sink in with people, providers and patients, this soulless creep is now alluding that Suboxone has a place as an antidepressant!

Forget him, forget all these psychiatry whores and cowards, and dump the losers who think that being on opiates has a place in psychiatry.  Reinforces my position to NEVER get a damn Suboxone license, but, how many other psychiatrists will gleefully sign up?!

Cue my buddy Chevy in National Lampoon Vacation, again…(25 seconds into the scene)

Yep, so close, and yet, so far…

Sorry if the post is rude, so have been my last 2 years if not more as a temp!…

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Addendum Nov 24 3PM:  Yeah, I was ruder than rude last night, changed some of the verbiage to make things a bit more respectable, but, the point is, there is no place to be saying in a psychiatric journal that opiates have any legitimate impact for treating psychiatric illnesses, apart from pain management that decreases angst and anger…

So what now?!

I have to say, the past year has been less than worth the time spent living it, with all the hate and disdain being spewed about by the masses, and what shows up in my office demanding pills to “treat” their ills, sheesh, what a crap out…

So I am coming up on 6 years with this blog, and frankly, not much of value I have had to note of late, I admit it, but, the state of politics really is the equivalent of the adage “art imitates life”, and politics does oh so much imitate life of the losers that are the electorate.  And yeah, I voted this year, a waste of time and energy, but, at least I didn’t vote for a party, but, who am I kidding, I didn’t vote for a person of interest last week.

I will say I was glad to catch what Dan Crenshaw, the new representative from Texas elected last week, did on SNL last Saturday night, the link has a story what Ben Shapiro had to say, as well as the clip from YouTube in the story.  Watch it if you haven’t already, it was a bit of a pick me up, but, won’t be long lasting.

http://www.tmz.com/2018/11/12/ben-shapiro-pete-davidson-dan-crenshaw-snl-apology/

Also advise readers go to the post by Dr Dawson at Realpsychiatry.com that I will link to below, and not to be self serving, but my two comments really are a pseudo post I should have done here, so, consider looking at it in its entirety and deciding if the comments have merit.

http://real-psychiatry.blogspot.com/2018/11/the-nejm-addiction-as-learning-and-not_7.html

Anyway, I guess the point of this post is to note that the characterological pathology that is rampant across the country will not be reined in by simply saying “stop this shit!”  If that worked, we wouldn’t be in the predicament we are in now as a society and country.

Just see it, realize it is happening, and then figure out what you are going to do with it, it being all this Personality Disordered shit that is being excused, tolerated, and defended.  One thing is for sure, ain’t gonna medicate it…

Maybe Crenshaw’s moment will take hold, yeah, who the F am I kidding…

Image result for Image of dan Crenshaw on SNL