psy

now doing my psychiatry posting. on the first day had this patient who made me think twice of whether i want to specialize in psychiatry. the dude was a diagnosed with schizophrenia and he was brought in by the police this time around because he was entering into people's houses and causing trouble.

during the interview (actually it was a friend who was sitting next to him and interviewing him. we all had protective distance of around half a meter) he appeared real pissed, agigated and threatening. at times, i seriouosly thought my friend was gonna get punched in the face or have his ear bitten off ala mike tyson style. and to make matter worst, the lecture was late and we had to conduct the interview among ourselves. we have no idea how to deal with a potential violent psycho patient. we were shitting in our pants.

when the lecturer did arrived, the level of fear dropped a few notch. but it soon went sky high again. he began prodding and pushing the patient to his limit. at one point the patient appeared really agigatated with the repeated questioning and said he wanted to "bunuh semua docktor-doktor bangsat bodoh dalam bilik ini." at this point i was saying sorry to god for missing church last sunday nad was wondering if i will ever taste char seoh again.

there was time when the interview was pretty funny. this lecturer of mine is a malay guy in his 40s. so when he asked the patient whether he knows the meaning of 'kaki botol' he shouted back in disgust, "Kaki botol itu kamu la. minum sampai perut buncit." to another question the patient replied a question from the lecturer with a song and it went like tat:

cina berkungfu
berak batu-batu
saya buang sama muka mu

the desire to laugh out loud was great but the fear that he might get piss and go on a rampage and kill all of us was even greater.

the second patient we saw was this guy who beleived that his penis was retracting backed into body. its a condition called 'koro' and its seen only in south asia and south east asia countries. each time has such an 'attack' he would grabbed hold of his penis to prevent it from entering the body. this patients believes that the penis can retract all the way into the body and kill them. in this case, he said it went in and hit his heart. if some cases, the patients actually use objects to hold their penis, eg: chopstcik, clothes hanger etc. and the scary thing, koro may actually spread like an epidemic.

imagine going to the hospital and all you see are men with their hand and a pair of chopsticks in their crotch.