11:01, 12:12, 1:30, 1:45, 2:05, 4:15 - "... thanks for letting me know they were kicking the staff and that they were put in seclusion, here's something to help them calm down...", "ok, i agree that the guy with cocaine intoxication should get something to make him stop spitting at staff"... all the while, i'm hoping not to get the call that i'm dreading- seclusion in the crisis unit- because i can fall asleep fairly quickly with these other calls, albeit often hovering in a strange hallucinatory half-wake state for awhile (e.g. dreaming about pages and patients that i haven't gotten). i don't medicate everyone, however, lest you think all we shrinks do is push pills (or if they're real lucky, injections). sometimes i demur, because clearly not EVERYONE needs to be conked out or quiet, despite the staff's anxiety when they aren't.
5:00am- "that guy who was spitting at staff, he's in seclusion for throwing punches." CRAP. i roll out of my futon bed (in the spare room, so as to spare my poor hubby), throw on something warm, drive slowly to the crisis unit with bleary eyes, walk straight in to examine the patient, fill out my requisite forms, then walk straight out.
5:45am- back in bed, and dreaming about cute little black puppies (wish fulfillment??). they keep getting lost... i must find them! as i fall asleep, i hear the water running in the other bathroom- my hubs must be getting ready for work... maybe i should say good morningzzzzzzzz....
7:00am- ...aaaaaaaand i'm finally stopping the addictive snooze-sleep cycle and waking up to go to work.
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