Psychiatric Ward Gothic
1. You arrive on the ward. There are no doctors there. You ask the nurses who you should report to. They tell you that there are no doctors on the ward. You stare at each other. You leave the ward.
2. Your senior makes a throwaway comment about it being the age of Pisces as you leave to assess a patient. You now know everyone’s star sign. You note that the ward is going to pieces.
3. You are introduced as The Medical Doctor. You have only had your degree for one year. Your senior asks you for a medical consult. You scream internally and try to not kill anyone.
4. Everyone on the ward - the patients, yourself, your seniors, and the nursing staff - Everyone has had a Mental State Exam performed on them. You spend hours trying to match the right MSE to the right person.
5. You and your team watch the entirety of Neon Genesis Evangelion together across two shifts. You discuss the ending. You disagree on the ending. You agree that every character in the show needs therapy. You all need therapy.
6. Your senior hands you an ECG for a patient who is taking antipsychotics. The QT interval is prolonged. You stop the antipsychotic. The QT interval normalizes. Your senior asks for a cardiology consult.
7. Your senior hands you an ECG for a patient who is taking antipsychotics. The QT interval is prolonged. You stop the antipsychotic. The QT interval normalizes. Your patient is staring at walls and talking to curtains again.
8. Your patient tells you that the country is going to hell in a basket and you agree with him. He wants to trade places with you. You consider this, briefly.
9. Your patient has had enough sedatives to take out an elephant and somehow is still walking on! his! own goddamned! two feet! and trying to throw hands with anyone who approaches. There is an unconscious elephant in the corner of the room.
10. You use the containment room on the ward to destress. No one can hear you scream in here anyway. “You need therapy, doc, the ward is going to pieces” a patient tells you. There are no doctors on the ward. You leave the ward.










