Inpatient Puns

Me and my boyfriend have been dating for almost 2 years. He’s 36 and I’m 35. We have a child together. Today I asked him if he saw a future with me like maybe one day getting married. He said that he doesn’t think about that and that I’m being impatient . I told him that I was just wondering and that I’m not saying we have to get married today or in a couple of years I’ll am I asking is if one day he can see us doing that and he became upset. He told me that he doesn’t see it with anyone right now. I don’t know what to do. Any advise will be appreciated. Thank you. I’m sorry if my English is not perfect it’s not my first language

I'm at a point in my life where I've pretty much lost it all. I have 5 mouths to feed, live paycheck to paycheck on a minimum wage job, and I'm now stuck with a lease of 1800 a month. I can't afford medical help. But I really really need help. I feel damaged and broken from everything I've done in these past 5 years, and I'm desperately looking to get help because I don't want to end it all. If there's even a glimmer of hope to get some help, I'll take it. I need it. Please help me, anyone -Michael

Update: Thanks to everyone that reached out. I've managed to get some help, and a diagnosis. Thanks so much for all the hands that reached out to me with information I could use and benefit from. While it's still scary to do these things alone now, I know I'll be okay Thank you and much love

1. get woken up at 5 AM by a flashlight in your face. conduct pointless physical checks (blood draws, blood pressure tests, etc).

2. go to the common room. this is where youll be for 95% of your stay. listen to loud-ass kids screech and party like theyre in a frat house. you want to leave, but the staff wont let you go anywhere except the lounge. they lock the bedrooms during the day.

3. "group therapy" where people talk over each other and take turns complaining. complete useless worksheets about "coping mechanisms" and "how to breathe."

4. "individual therapy" where a doctor walks in and coldly interrogates you for two minutes. "rate your mood from 1-10," "are you suicidal today," etc. if you tell them you want to die, they extend your stay at this miserable place.

5. sit in a chair for ten hours. no source of entertainment besides shredded poker cards. the employees dont let you draw because crayons are "health hazards." as you chill with you and your braincells, sounds of screaming kids blare in the background. these folks make more noise than a parade.

6. end up feeling volumes worse than when you came. next time i attempt, im gonna do it right and not end up here.

According to NYT Hospitalization Tracker, these are the local ICU occupancies:

• Mercy ICU is 99% full
• St. Mary's is 98%
• Mercy South 94%
• SLU Hospital is 93%
• DePaul is 93%
• Barnes is 90%
• MoBap is 85%
• Christian NE/NW is 78%

To view the source data (without needing a subscription) and regular inpatient bed availability, see Hospital Utilization Data at HHS

The data uses the latest values reported by each facility within the last four days.

My brother is completely lost to Q. He’s a drug addict and he’s completely disconnected from reality.

1. He believes the government is obsessed with him. Like they’re constantly watching him, and they have cameras all over our house and they’ve wire tapped his phone because apparently Siri turning on without being summoned means the government is aware of your silly delusions and is tracking you.
2. He thinks the new world order is obsessed with him. He (quote) thinks that “the new world order is obsessed with me and I can give them what they want” now even if the nwo is real (it’s not) it’s even more delusional to think billionaires know a delusion 21 year old Alex Jones fan or care about who he is. And I don’t even know what his delusion thought process ‘I can give them what they want’ even means.
3. He said that he’s trump’s new apprentice, and that he’s replaced Alex Jones, who was trump’s former apprentice.
4. He thinks the government want to kill everyone in our house
5. He thinks that dragons are/were real (I wish) and that the government made up myths like Bigfoot and the lochness monster to distract from 12000 ft long dragons.
6. He thinks that the government wants to kill off 90% of the population by 2030, and they’re starting with the vaccines.
7. He’s a total drug addict that gets high off of weed every day. He gets wasted almost every day. He does psychedelics I assume almost every day. I feel like he’s doing cocaine and probably other drugs as well.
8. His career (as a lousy director/writer/part time actor) is failing. He can’t cooperate with anyone. Any minor inconvenience (that wouldn’t even be an inconvenience to a normal person) makes him fire everyone on his project. Someone doesn’t text him back early enough? Fired. Has a different opinion? Fired. Let’s just ignore the fact that he’s never sober and a total nut job and has no filter with his insane nut job political views.

I miss my brother from two years ago. At this point he needs inpatient therapy. Sadly, I don’t think he’ll be able to get this help. I’m worried he’ll end up on the street.

Just thought I’d share that in a whirlwind of a couple days I was called in to an inpatient migraine treatment center after meeting with a new neuro. She remarked that I am overusing triptans (shocker) and because I have daily severe migraines, inpatient treatment will help me discover my triggers and get comprehensive care.

I cried in her office after explaining that I have lost two primary care doctors in the last year due to them leaving and I’m at this point navigating most of my care on my own because no one is looking at the full picture. I have lost my ability to work even part time and grad school is up in the air. I was fully honest and open because finally someone was listening!

This inpatient unit is amazing so far.

I am lucky to have good insurance, I realize this is definitely not accessible to everyone. I just wanted to share with this subreddit that places like this exist! There are nutritionists, physical therapists, cardiologists, psychiatrists, etc in addition to the neuro team. They seem to care. Cross your fingers that this gives me some answers!!

Edited to be more concise

I’ve been texting crisis hotlines almost everyday for months. I never tell them I’m genuinely thinking about it because I don’t want someone to show up. If I knew someone was on the way, I’d definitely go through with something.

I can’t call the hotlines, I have a roommate and I’m not gonna say anything anyways.

I don’t want to go to a hospital. I’ve never had to spend the night in a hospital, let alone a long period of time. I don’t want my friends to move on, I don’t want to get out and have to start over. How would that help??

I can’t go ‘home’, like back to my parents. If I get out and don’t have a place to go, then what

I don’t want to die. Idek how I’d do it, other than just wandering into the woods and freezing to death (where I live would be very easy). I mean I have a couple plans but obviously none of them are ideal.

Idk what to do.

#Title is WRONG - Admissions are up 162%

Weekly change numbers are

      Inpatient    109/232/+112%
      ICU           36/ 62/ +72%
      Vent          16/ 25/ +56%
      Admissions    16/ 42/+162% (7MA)

Omicron marches on into the Hospitals.

Maybe. Without local Omicron data, we can't tell whether it's Omicron, or the Delta surge we were already in.

New case data is still squirrely due to the 4 day weekend. The APH graph is probably more informative at this point.

https://i.imgur.com/M7jVYWP.png

Stay careful out there. 2 out of 4 people I was going to meet today are in isolation due to exposure for family gatherings.

Edit - Admission numbers were flat out wrong. Can't fix the title.

1 visitor the entire stay, the same person throughout the whole stay.

Visitation between 8 am and 7 PM.

Hello all. This community has been a lifesaver for my husband and I. Our 32 weeker (IUGR, severe early onset pre-e) was born in Feb 2021. She spent 45 days in NICU. She’s almost a year! In many ways, she’s thriving and has done so well.

We’ve had a lot of ups and downs at home. Within a week of discharge, she was spitting up 40-60x a day and losing weight. She was diagnosed with severe reflux. Put on meds. Then, a milk/soy protein allergy. I (mom) gave up dairy, soy, eggs, and nuts to help alleviate her stomach pain. It ended our BF journey early, at 6 months. It also meant hypoallergenic formula that is pricey and honestly not nutritional. Thankfully I was able to store enough breastmilk that she still gets 2 bottles a day.

She was also evaluated for Hirschsprung’s Disease early after discharge and that process was retraumatizing and brutal. Thankfully, it came back negative.

Fast forward to last November. She was hospitalized for 3 days for seizure like activity. Her EEGs, MRI, and blood work came back clear (but not before the nurses blew out 8 veins in her arms and legs which left her inconsolable and bruised for weeks). Despite another round of retraumatization, we felt so thankful. She was diagnosed with syncopies (basically tics that may or may not stick around).

Now, at 11 months old, we are waiting for a bed to open for another round of inpatient, as her neurologist suspects she is now truly having seizures. We are terrified. Her reflux is also still wildly uncontrolled despite a stringent diet, hypoallergenic formula, and taking the max dose of omeprozole and Pepcid. This could be contributing, in my opinion.

I’m basically just here to vent, share my fear, and see if anyone has experienced anything similar.

I feel like I’ve been living in fear since we started IVF, which is how she was conceived. The massive toll the pandemic has had on us all doesn’t help.

If you made it this far, wow! Thank you! You deserve an award. I also want to applaud every single parent and caregiver on this sub. You’re all incredible and so are your babies. Much love to you all.

Source

These are BIG single day jumps.

This is significant because it's showing hospitalizations, especially ICU and Vent are going up, despite our hope that Omicron is going to be mild. (Please be mild.)

Check the source for more info, but this doesn't look like a one day glitch type of thing. These hospital numbers aren't as variable as new case numbers.

Weekly change numbers are

       Inpatient 104/203/ +95%
       ICU        34/ 58/ +70%
       Vent       18/ 25/ +40%
       Admissions 15/ 36/+140% (7MA)

I need to go inpatient. But I need mental health not substance abuse (no judgement as I've been through both before, I just know I need serious mental health help) I do not have ohp. I have Aetna. I feel like I just keep going around in circles. I really need to go to a place that specializes in borderline personality disorder but any place without rats will do for now

We ship them out to EDs in our area that hopefully are not on divert. And you? Curious to see what happens are the country/world.

I’ve been trying everything. Ive called crisis lines in my area, womens shelters, I’ve asked doctor offices, hospitals, put up flyers, everything. It’s one of the last obstacles I’m facing in starting to better my life and it just seems insurmountable. The most headway I’ve made is the doctor writing my script and telling me to use good rx to save money… I told him it didn’t really matter, as I could t even afford to eat…he wouldn’t prescribe albuterol again like they used to, as it doesn’t work for me anymore.

I thought that maybe with everyone here, someone also might live close enough and have at least a 7-day of Flovent left. It’s the bare minimum of what I have to show.

There’s a lot of other things going on and I don’t want to start up a sob story, but if you live close and can help or have advice on what to do, please let me know.

I have a wonderful life, but also have Bipolar disorder, diagnosed at 14 and I’m 31 now. Most of my hospitalizations were when I was teenager, but a few since then when I get suicidal and need a fast medicine change. I’ve come a long long way with managing my mental illness. Also, I have some pretty crazy stories from being in there. I’m diagnosed Bipolar 1 with psychotic symptoms, because I used to have hallucinations when I got unstable.

I’m an MS3. As the lowest on the totem pole and being evaluated, I’m not sure what I can say without being seen as “unprofessional.” During rounds yesterday, a patient commented on my looks. I didn’t say anything and sheepishly walked away. I went home regretting not standing up for myself.

This morning, the senior resident texted me to say he told that patient to stop being rude to women. It’s great to have a supportive team but I’m hoping next time I can handle it myself. How would you expect a clinical clerk to manage this? I was thinking “usually when people start flirting with the staff they’re feeling better and ready for discharge,” but I wouldn’t want to say this if they weren’t close to being dischargeable.

I'm suspicious about the new case numbers. APH took off 4 days for Christmas.

Commentary and links below.

Anyone have any advice for dealing with hospital staff? I run into a small bowel obstruction or similar acute problem associated with Crohn's Disease about once a year or so & wind up admitted to the hospital for a few days. I've had the disease 40+ years at this point, yet despite all of that history and a chart that documents all kinds of reasons why I may or may not be relying on opioids as apart of my daily regimen, the whole pain management dance has reached ridiculous levels.

I show up in the ER at 3:30am on a Tuesday with a bowel obstruction, in horrific pain. I wait 6 hours for a bed, the doc shrugs off my comments asking for anything other than Morphine & orders a child's dose. After that I managed to get the equivalent in Dilaudid of about 10% of what would be a single dose of Oxycodone I'd already been prescribed. In other words, if I hadn't been able to smuggle my own pain medication into the hospital... forget about managing the acute pain, I'd have been concerned with withdrawal syndrome. Finally I managed to see the sane surgeon to ordered my regular Rx.

Thankfully the problem resolved quickly with steroids, but is it just no longer possible to get treated for any kind of pain in a hospital if you are already opioid-tolerant? They jack up my dose of steroids because I have a tolerance to that, but when it comes to pain meds, they do the opposite. They don't consult my pain mgmt physician, they are just perfectly comfortable seizing a chance to cut my dose at this time when there is terrible pain. This is now the 3rd time I've been admitted to a hospital (over the last 3-4 years) and experienced this.

Im talking like mandating staffing ratios at nursing homes. Mandating what EMS can be called to at nursing homes. Actually leveraging massive fines against nursing homes for preventable injuries and illnesses in the nursing home due to poor staffing ratios. Better, more robust community health support for geriatrics living in their homes (I have no idea how to do this, sounds complicated). I honestly think at least 50% of ED and hospital admissions would go down.

At least 70% of my unit admissions are people who fell in the nursing home, got pneumonia in the nursing home, hate their nursing home and want to go somewhere else, unmanageable dementia in the nursing home, UTI in the nursing home, got unstageable wounds in the nursing home, or experienced failure to thrive in the nursing home. All of these could be managed in an SNF, if SNF leaderships could get it together.

I don’t blame the facility nurses. They are doing their best with insane ratios and terrible staffing.

But these nursing home execs are making exorbitant amounts of money while taking advantage of vulnerable families and pushing the healthcare system to its breaking point.

After a really bad reaction to Latuda, Lamictal and Trileptal, it’s time for me to go inpatient to deal with the mania.

I’m terrified to go. I’m scared to death.

Anyone ever been inpatient for bipolar 2? What can I expect?

Back in training i had powerchart and i could do 3 admissions per hour.

here i have epic inpatient and its so click boxy that it i can only do 1 admission per hour.

apparently we have to use a specific template in epic now so the admins can make money and "bill to the highest".

fuckin stupid, yes let me slow down my work flow so patients can wait longer in the er just so we can bill them more.

curious if anyone has any insight or experience with inpatient facilities for mental health care in the area. I suppose I’m looking for a couple of recommendations as well as first hand accounts from either patients or those who’ve worked in places like this.

Can anyone give any insight to local (Skagit, Whatcom, snoho) inpatient facilities? I feel like I am experiencing a mental health crisis, or close to it. I don’t feel like my GP is taking me seriously. I’m not suicidal now, but it seems like those are the magic words to get help?!

I’m thinking of going to try and check in somewhere, but if I’m not suicidal will they even take me? Will they even be helpful if they did take me? Maybe being locked away with other people during COVID isn’t the best idea for my already failing mental health. I don’t know what to do. My meds aren’t helping and even if they change them it will take weeks to take effect. I don’t want to feel like this anymore.

Edit: people are seriously downvoting someone at almost rock bottom asking for help? I guess I should expect it when people get downvoted here for asking just about any question. I pretty much expected it, but for someone else who may ask for help in the future- don’t be a typical Bham asshole and downvote someone in crisis. You might be the last straw that breaks them.

Having a manic episode and need some help. Anyone have any advice on what to expect/stuff I should bring with me? I have comfy clothes on but that’s all I could think of. Tomorrow is my birthday and I want it to suck as little as possible lol

Update: 5 hours later, still in the waiting room. Sitting in a chair for this long is making me lose my goddamn mind. I can’t do this. I’m going to have to just leave soon I can’t do this.

Basically I’ve been having a few really rough weeks and work isn’t making it better. I called my manager halfway through my shift yesterday and told her I’ve been suicidal and have spent all day looking at inpatient and crying on the floor and can’t finish my shift. She both told me to get my shifts for next week covered and that I have to apply to Sedgwick for a leave of absence since I don’t have any sick time to cover any shifts I miss so my job would be at risk.

So I went home, went to bed, and woke up this morning to a text from her asking if I’d called Sedgwick and a text informing me of how much sick time I have and that it won’t protect me.

I’m debating just quitting but idk if I can afford to? But if Sedgwick doesn’t approve my leave I don’t know what I’ll do.

Edit: thank you for the reassurance peeps ✌️I ain’t doing shit. Too tired to even go to the gym

I’m a newly licensed pharmacist, who was working in retail for a good amount of years. I am now an inpatient pharmacist & although it’s barely been a week. I feel like I’m getting inadequate training and not sure what to do. There is no real training they kinda of tell you what needs to be done during a certain shift. then throws you in & tells you to ask questions. Also what you learned in school is not what they follow in the real world. I do want to be an inpatient pharmacist because I truly do love what I do, but I’m not sure how to go about getting the proper training to ensure I’m not making any mistakes and potentially harming a patient. I’m so stressed and I want to cry after work some days!! Retail world and hospital world is completely different, and I’m willing to learn and put in the work, Im just not sure what to do or how to go about it. Any help on what I should do to help me succeed as an inpatient pharmacist? Books? Podcast? Anything?!

Could anyone clarify exactly how referrals from a&e to medics or surgeons work? My trust has clear guidelines on what problems get referred to which speciality but no guidance on what is supposed to happen after. Does the speciality sho/spr have to come and see the patient? Do they have to document whether or not they'll accept? I've had multiple occasions with a particular speciality looking at the notes etc and then refusing to see the patient or document anything re. their decision. I've been told it's a one way referral and they're obligated to see the patient as per GMC guidance but people still won't see them, they then languish in a&e. My understanding is that a referral must be seen in person unless you're seeking advice from a speciality not in your hospital eg. Neurosurgery, is that correct? Can specialities refuse referrals without seeing a patient even if it's trust policy? I can understand needing further bloods/scans etc but what if they're all done and there's a definitive diagnosis

Wanna know the signs objectively. Just been in bed most of the entire time, only awake 6 hours yesterday, not motivated to eat so I’m eating a lot less, starting back self harming after a month, I’m not taking meds anymore, I feel like the give up point where my body shuts down but I don’t actively kill myself. Haven’t had any psychosis tho 👍. Husband thinks I should go but idk

Well my Q has been back from inpatient treatment and is back to her old behaviors, it was one day, one. Hiding the drinking, the charade of acting sober but also isolating(hiding) and drinking. Raved about all the great tools and programming that was gained and post treatment plan (which hasn’t started yet). Also, attended a support group meeting drunk and then told me how so many people in the meeting are in denial about their alcoholism, I just listened. Three days back, two nights drinking. I have to admit I realized the likely hood that a slip or relapse was going to happen, part of the process for some but one day? I really should not be surprised I guess but a bit heart broken. However I have really dug into AlAnon over the past time she was gone and regularly attend meetings, have therapy and a decent support system around me. What I am proud of is I have not called her out, I have not investigated and basically let her be. That was my plan anyway for when she came back because I wanted to give her time to re-acclimate back to home life. So as frustrating, angry, disappointed, heart broken I get I try to remind myself to control only what I can control, she is responsible for her own life and her own actions and her own recovery, and she has a disease of the brain called alcoholism. I feel sad for my wife, I have rational hope for her but it is what it is now. Focus on me and detach as much a possible. Thanks for listening.