I don't know if it has anything to do with the lithium. But I am going back to 900mg, because I felt just as numb and out of it today. And I just don't want to think about meds for a while. I just want things to be set, and deal with what is. If I hadn't dropped a lithium that night, I wouldn't even be in this situation. My lithium level is not that high anyway, I'm not even in the therapeutic zone.
At work I did inpatient coverage today. The last place I did inpatient was a level 1 trauma hospital so I had a wide variety of patients. This is just a community hospital. Yes, we do get some hip fractures and joint replacements- but most of the patients are there because the are old. It really hit me today that if you are not doing pediatrics and you work in a hospital, you are doing geriatrics. In graduate school I did a subspecialty in older adults with my OT degree. But I wonder if it should be subspecialty- maybe it should be the norm.
The nice thing about outpatient is that I don't have to worry about discharge planning. Like the patient I saw today with a fracture who needs to go to rehab. But she is a caretaker, so she wants to go home. Or the older gentleman who has a little bit of cognitive decline and is probably a little bit of a fall risk but is at baseline- but if we sent everyone who is a fall risk to rehab then all of the rehabs would be overflowing.
I actually like doing inpatient- it is giving me a change. I just couldn't see the volume of patients that the regular therapist sees in a day. I'm not that fast. For us coverage therapists, they have lower expectations. I just did eval's today, no treats.
And good news on the iphone front- I may be able to get one for free. They are giving $200 rebates if you turn in your old iphone (and if it works). I think they will even take the iphone 4. That would be the price of an iphone 6 with Verizon. So I think I will get a new phone sooner than planned.