4 doctors weighed in:

Schizophrenic 60 yo, malnourished, chain smoker, drinks a lot of coke, refuses medical treatment. Severe abdominal pain and swollen anus. Thoughts?

4 doctors weighed in
1 doctor agrees

In brief: Needs to go to ER

Schizophrenic on not, he is in acute physical distress and needs to see a doctor ASAP (either in ER or go or call immediately to his primary doctor.

In brief: Needs to go to ER

Schizophrenic on not, he is in acute physical distress and needs to see a doctor ASAP (either in ER or go or call immediately to his primary doctor.
Dr. Izabella Gokhman
Dr. Izabella Gokhman
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Dr. Richard Roberts
Clinical Genetics

In brief: Better tolerated med

ask why the affected does not want to get treatment; if hallucinating, never contradict what they are seeing, hearing or feeling is not real, because their brains are making it all too real for them. You may support them in what they are feeling, but also explain that you do not see or hear the same as they, and there are new meds which can help them understand or fix it.
good luck

In brief: Better tolerated med

ask why the affected does not want to get treatment; if hallucinating, never contradict what they are seeing, hearing or feeling is not real, because their brains are making it all too real for them. You may support them in what they are feeling, but also explain that you do not see or hear the same as they, and there are new meds which can help them understand or fix it.
good luck
Dr. Richard Roberts
Dr. Richard Roberts
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Dr. Matthew Smith
Psychiatry

In brief: Emergency

"Severe abodominal pain": a basis for an emergency phone call, even though he refuses.

In brief: Emergency

"Severe abodominal pain": a basis for an emergency phone call, even though he refuses.
Dr. Matthew Smith
Dr. Matthew Smith
Thank
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