Thursday, August 12, 2010

Flustrated


I try to let my patients tell me how they are feeling or describe whatever symptoms brought them to see me. Every once in a while, I hear a really good word that isn't, in fact, a word. When I was working in the rural countryside outside of Asheville, my patients often told me that they were "flustrated" by this or that. As I write it now, my computer's spellcheck is underlining it in red to let me know that it's not a real word. Well, let me say that it may not BE a real word but it IS a real feeling. I suspect the word originated when someone combined the words "frustrated" and "flustered," probably in some agitated state of mind.

Yesterday, my patients flustrated me (there goes that red underlining again). I had the middle aged, heavy woman who argued with me when I said I wouldn't write her out on disability from her Walmart greeter job. There was the young diabetic man with foot pain and whopping high sugar levels who doesn't take his insulin (which would lessen the nerve damage and subsequent foot discomfort). There was the 5 yr old just discharged from the Psych hospital, who screamed at his momma the whole time he was in the clinic. Regardless of what you personally believe about the value of psychiatry, some people really do need the help & expertise they provide. Suffice to say, he is one of them. Then there was the new patient who needed forms completed to renew her driver's license. After many roundabout questions, I finally learned that she needed to have an eye specialist evaluation and a psychiatry follow up for her schizophrenia. Whew! Am I helping these people at all? Some days I wonder if all of those years spent studying biochemistry and physiology should have been replaced by psychology and social work. I was completely undone by the end of the day, flustrated for sure.

Holly asked me what I planned to do for myself this morning before I head to the clinic. I decided to go to the Sportsplex and swim laps. I haven't been a swimmer in over 20 yrs-honestly. I used to swim quite a bit during college and graduate school. But I haven't been in a pool in decades (it's more scary to write that I haven't done something in DECADES than to actually do it. But there you go in middle age). I really had a great time. It took about 10 minutes to feel comfortable and get some semblance of form back. Then I swam for 50 minutes, which seemed long enough for a good workout and to chew up some of the anxiety and frustration from yesterday.

My mom left this morning, after staying with us for the past week. She was here to get a second opinion and another surgery on her eye at Duke. She'll be back in another month for her next evaluation. Hopefully she'll regain some sight in that eye. I'll say more about that later.

Grateful to be here. Thank you Holly for all of your help with my Mom's visit.

We watched Cherry Blossoms, a German movie, recently. Very lovely and bittersweet. I recommend it. Also saw an older movie, Diva, which was excellent as well.
Photo: My Mom and me at the beach house a few weeks ago (on my birthday).

1 comment:

Eleanor Stoneham said...

Hi.So glad to see all seems to be going well for you after all you have been through.

I love the expression "flustrated!"

How do you maintain your calm when patients go against advice - surely we all need to help ourselves as well - I know of someone close who has a pace maker and is quite ill and still smokes heavily - what can one do?

By the way I am a huge fan of psychiatry having been at the receiving end of such help and now so very much better as a result.