I love what I do. I love seeing patients, love figuring out what’s going on, love working with them to get to a medication that works.
I hate ‘administration’. This is important to know, because I entertained delusions of being an administrator-clinician for a while. That is not me.
The existing evidence no longer applies. I’m seeing patients, lots of patients, every day. These patients do not fit the DSM criteria. These patients do not fit the profile for any one medication. Often, they come to me already on a combination of medications that reflect the desperation of clinicians past to try something, anything. Yet, these patients are not unique. They are similar. To each other. I’m starting to see patterns that I have no name for, but they exist just the same. I doubt these will ever make their way to the DSM-V, or VI. I have to find a way to document them.
For the past couple of weeks, I’ve considered going old school. Keeping clinical notes. Of syndromes, patterns that I see. What works. What doesn’t work. To see if a plan emerges. To see if I can help.
It’s going to be a long, interesting journey. I only hope that something useful emerges at the end.