A pleasant day in surgery, with no real problems (that usually translates as someone being unpleasant to me for whatever reason)
I did see one man, a long established schizophrenic who is brought by his dad, who tells me that his current medication regime isn't working out for him. He spends part of each day leaning out of his window hurling nonsensical abuse at neighbours and other equally surprised passers-by, so I give him a reality check, warning him that people who live in a crowded community shouldn't upset their neighbours and that there could be dire consequences of behaving in this manner, police being called, angry victims coming to the house with the purpose of giving him a good hiding, etc etc.
I also increased the sedative component of his regime, which is probably going to be more effective. He seemed to take my advice on board at the time, but I know perfectly well that psychotics don't usually respond to rational argument. But you've got to try...
Monday, 15 March 2010
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