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Do you know where Jamal's office hours are today? It's in every room today. Do not be afraid. It only takes a few microseconds to restore normal rhythm. Good morning, I'll bring you your food, see you later, never, please untie me, very calmly, there is no reason to panic, very calmly, you can't hurt me, we don't want to hurt you, tell him. Yo, you are alone today, I understand, I just wanted to ask you if you already know that we are having a relationship, no, it was just yes, don't worry and we also took it to the police, they didn't.

I'm not telling you anything, they've been here for 5 hours, they didn't inform him, seriously, they didn't care, the man wanted to strangle himself with his headphones in police custody, I'll tell him I called him. , thank you, the psychiatrist should arrive soon, it is different from this morning. Apparently someone already waited 5 hours. We only attended an hour and a half ago. We used to have a. psychiatric ward, but now he is alone, but he said he is coming, yes, if Jamal says so, he is coming too. Is he at home or on the way? several patients. Is there anything else?

No, that would be help from the police. They hit me. The police beat me. Yes. And they just lost the accommodation order they are requesting. It took hours to apply. He had explained to them that they should do it. Take my shit if you're still standing around here I'll kick you out I've had enough of that now I know you have one It was a bad day, the man just acted like he wanted to hang himself, he wasn't suicidal. , but given the tension between him and his officers, who are already showing some aggressiveness with violence, I think it would be prudent to calm the situation a little, I suggest that we leave him here overnight and see what happens tomorrow.

He has been given something to calm him down so that his staff can also have some peace of mind. As you know, our institutions are underfunded, everyone is overworked, and the staff is F. It would be best to keep you here. tomorrow of course you should not evade justice, the accusations are undoubtedly serious, but once again I feel that your officers are exhausted and everyone needs a little rest, otherwise I fear that there will be more violence from the police officer, mentally we are not suffering. them, what is this madness that comes to them? Let's go next, no offense, but I have to ask you a somewhat provocative question, but that doesn't bother me.

Have they done a little drug trafficking? , I have, they have some money, no, okay, so it has nothing to do with it, they are holding me, do you know what that is? Yes, I know he is a traitor. Yes, do you know people who can help you, maybe in accommodation that I don't? I don't like it too dangerous, they like it, no, I prefer to be left alone, what country do you come from? Algeria, Tunisia, okay, you came alone, please, do you have family, parents, brothers, sisters, anyone you can ask for help? No, you're all alone, I guess so. you're seeing a psychiatrist for the first time the psychiatrist first The second time the first time because my Arabic is bad tell me if you don't understand me the first time I'm taking psychotropic medications yes, what are you taking?

Poet poet. Okay, should I prescribe you? If you want, I don't worry, how did that happen? They knew that these people were many 15 15 to 20 they hit me there were many they dragged me to a parking lot there they continued hitting me then one of them st

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d kicking me in the head I passed out then they put me in the car Trunk loud when I woke up it was in the trunk where I am in the trunk there were two latches to close the trunk so I did it and pressed with my feet that was between 11 p.m. and 2 a.m.

I was able to open the trunk and escape, which was lucky that Allah protected me. I was able to escape, you can see the traces of the beating. I had never been beaten like that before. we left them here all night yesterday yes one more night they stay here for now okay I will bring them cigarettes yes please they have already eaten I'm not hungry, I'm not hungry with all the stress, now you're going to smoke one, it will calm you down, I'll prescribe you the medication, everything clear, thank you, what's your name? I am Dr.

Abdel Kader, I am a psychiatrist. It seems to me that you have already met psychiatrists. , although mainly only in the emergency room, I do not think it is right to use violence against him by forcing him into a psychiatric institution because the treatment options in psychiatric care are very

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ed today because unfortunately we do not have enough resources, so I'm afraid it won't help you, it wouldn't be any use to me. I agree with him, but I know that with very strong addictions you have to act quickly, that's why I would like you to come to my office once, just once every few days, no problem in a case, not so we can talk, okay, in the morning.

If you have to drink, it doesn't matter if you're a little drunk, as long as you don't polish my face. No, I'm not violent, I know, but alcohol can happen. Let's continue our conversation at a better time because now that you're lying here bare-chested, you'd probably like to take a bath. shower and you still have a speech impediment. I just got rid of it and you might be feeling depressed. The camera can also be annoying for all these reasons. I think it's a good idea, I can only advise you to do it. get treatment soon. We will try to stay positive and confident.

I received an email from the medical information service in the future. Psychiatric services will be reimbursed based on T2a. This means that T2a means activity-based remuneration. Psychiatry had a

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ed budget, it was not billed based on quantity, as in other specialties. This budget was insufficient, that is clear, but now the right results were simply not obtained. come There is no other way, otherwise the system will collapse. I just don't know when, how old are you? I still expect changes, but how old are you? 34. At least there is a construction project. I don't mind. I have to confess something to you.

Do you think it's cute? I did some silly things with the model, and it's because I paint graffiti, so I grabbed my can, I had forever to do it. I wrote a nice hospital, I knew they would remove it because it bothers them. The next day he was gone, that took a long time and then I wrote a really nice hospital, the guy complained to me and said these idiots just don't have anything. more to do after that I stopped I thought twice was enough Vandalism is the only pleasure I have left it's real that's what you find someone to take it away the same night if a water tap doesn't work in the emergency room, you wait two months but it must be removed immediately.

Hi, I'm just checking if he's still sleeping. I'll bend it so it doesn't have a stiff neck. We have the file that I would have strongly insisted on. I would have emphasized that this is very good and very systematic, but if the judge reads this statement he will see the psychiatric symptoms but will not take them seriously. I would write that there were reports from the neighborhood of the medical psychology center about risks of. violence with this man he received the police with kitchen knives I mentioned that later the threat to the officers triggered a major police operation force had to be used very well perfect hello at this moment what is happening with my assistant is there you have me' I'm going up, stay here, we are on the third floor, very sporty, yes there are also elevators to the third floor, we can get there, so she was hit by a train, she lost both legs including her thighs and she lost half of her forearm, but she woke up. up again It's been almost a month and a half now, their stay with us is going very well, things are going well and their parents come regularly but they don't see their parents, I know they may have suppressed themselves. -protection.

I have no intention of forcing them to do anything but it was important for me to meet her and tell them that her sister visits friends at any time she supports her unconditionally, but I will not visit her. her until she has shown that she is capable of not making mistakes for at least 6 months. I understand what they are asking for an ultimatum. I want to see her make an effort and no, something will happen in two weeks. I prefer. commit suicide quickly oh I feel bad so I'm taking drugs I won't visit her while she makes decisions like that because she decides that on her own but that's not entirely true, I read in her sister's file that she was prescribed something At first, when she felt bad , yes, I know they offered him medications, not opioids, but Ben dizepine, which are highly addictive.

Apparently, France is one of the countries with the most recipes. Her sister was exposed to a highly addictive substance. a very young age at an age where the brain is still completely immature, so the idea has been engrained in her mind that she has to have something when she feels bad, but in her teenage years you want to manage alone and nothing It turns out well for you. They prescribe more and the medications at least give pleasure, they are not and I understand it perfectly but I think we have to differentiate them a little because I assure you that when I read the file I immediately noticed that the doctors had unintentionally accelerated things that will now be 10 years later Of course and we're not out of the woods yet I think Victoria will visit her but not today this weekend this weekend with Mel it's harder she's a little angrier but that doesn't surprise me I think she has legitimate reasons you know what?

They are. I imagine she wants proof that they are doing a little better in the sense of having more self-control and she wants them to be open and honest with her. She won't demand that, but it might be helpful. She has dealt with self-harm from a young age and it scared her a lot. In reality, she is angry at her because she believes that she never apologized for being so inconsiderate. She really scared me to see my older sister like that. "If she was okay or if she was still alive, she would have a good conversation that was touching.

Her sisters are very thoughtful and I am quite optimistic, if they treat each other carefully, they will definitely build a relationship again," they said. I think the three of them were very close when they were children. I advised him that because of this they will have to suffer in the hospital for a while and many things will be different than before, but I think they should make plans now. for the time after you are discharged, something that will make you happy. I want to try to get my high school diploma. But without putting too much pressure on myself, the problem is that I'm fighting logic because of my job.

It is not quantifiable, but everything has to be quantified, my work counts because for the treatment I have to generate trust but that is priceless, a cataract The operation lasts 15 minutes but what I do is not calculable because knowing the patient calms him down by talking to his family I need an hour just to read the file the problem is that by this logic it means why should we pay two or three psychiatrists to come Talking to two patients can't take that long. This young woman who came to our clinic a few days ago. She made a pretty serious suicide attempt and it wasn't the first time since she st

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d puberty.

She has attempted suicide many times, she has been in almost every psychiatric facility. in the region of France and she is a little exhausted by all this, to alleviate her suffering she has tried countless substances in recent years. We've made a list, some of which I didn't even know were new synthetics. drugs, she told me that what was most calming was ketamine, it's a happy coincidence, this drug was recently approved, so I think we should try it. Warnings from the 2010s and we received a diagnosis of schizophrenia, which was the reason for her admission to the hospital.

Well, she would describe it. the mental state in which they were at that time as melancholy because we found a whole series of indications that their condition was not an acute schizophrenic crisis but an acute crisis in the so-called mixed state, which means that their psychological activity was high but His thoughts were quite negative. There were strong feelings of guilt and shame, but they were completely irrational in nature. They had the feeling that they were making mistakes, which was not true, and that they were no longer up to the task. Social workers with people in need who had been promised some things, perhaps could not keep their promises.

In any case, something similar happens to us, especially with people with mood swings. Bipolar disorder is very similar, that's why we changed the medication and it doesn't seem to work badly, it works well, thank you. Last week they asked me for help. What they feel now is not the same as their suicidal thoughts. Back then, it's something we called impulsive phobias. Yes, they are exactly obsessive thoughts. They are stopped in the subway and when I feel them I feel the need to throw myself onto the tracks. They are afraid. It is the fear of not being able to control yourself.

In my opinion, I go to places where the windows are open, for example, I do what I have to do quickly. I will only stay for a short time and will find ways to cope, so behavioral strategies to avoid it. Yes, and I will be accompanied if possible. Your wife said there is an open window somewhere that scares you, where is it? Is that the window that is open? It's blocked, okay? I received a call from the emergency room about a 33 year old man from Dr. Guillom with schizophrenic disorders taking risperdal and luxapine. He has returned from vacation for a week and has a radically worsening lack of motivation social withdrawal condition he had stoppedWe need more psychiatrists in this clinic 5 more and we would have to increase the number of nursing assistants that would be the minimum for everyone because now We are used to not having enough staff so we stay silent and do what we worked on the other day like this that we are going to continue reducing the number of employees in your premises in the same way that they have seen that you are more or less. cope, they don't care how exhausted you are at night, that's exactly how I see it too, but where is the limit?

Don't we do the same with accomplices? That is true if we maintain a system in which those seeking help die in the clinic due to our negligence and lack of resources, what sense does it make that that should not be the case? It's not that I want to get off a sinking ship, but I'm not complicit in this crazy thing I do. All these tasks, but it is impossible to do them correctly unless you work all day, but that is not possible because at some point you will break down. Last Friday I met a colleague who came to the clinic as a patient like me 20 years ago. a great nurse and now exhaustion it hurts me to see her in this state I think even if she gets to this point we are losing a kind of nurse who doesn't work like this I hope she doesn't feel guilty like you I think probably even more than I really do yes If we don't do it, that's crazy, it's crazy to trust that they'll blame her and she thinks that maybe she even told me that she just told me I don't want to go to the emergency room.

They text me that she's sick so she actually admits that she doesn't feel well and that she's depressed, the word that she herself used that is directly related to stress, what do you mean by linked, does that mean the first thing that comes to mind? like the cause of her depression is the working conditions like in your case it means she feels worthless she feels overwhelmed she breaks down I don't know where they are actually they should be here who should know they are coming she should normally be in a cubicle here is your wife, she's here, you know what we're doing, we're providing for them, give them a chair here and then you can wait, okay, you knew Windy too, yeah, of course she died.

Those we accompany here avoid committing crimes. suicide before they have found their place in society because they are in a constant battle against death. We had talked on the phone the day before, on Friday, we were joking and said we would see each other soon. They sent him to remind him of our appointment. He was looking forward to spending a day with the actresses and the next day they found him unconscious in his apartment. I think it was the medication. It was probably an overdose. Okay, he is a psychiatrist who specializes in professional problems and he wanted to R.

I told him about my work. He let me talk for a while and then said that my working conditions had made me sick. He was quite blunt and he said he didn't care if patients died and in a public hospital. Then he said that he doesn't care if you die, he doesn't care, you are there to do your job at the indicated pace and for reasons that have nothing to do with the treatment, you just have to be there and complete an apprenticeship. I have decided to face my problems, he has told me something else, that is, that if I want to do my job correctly, I cannot do it in a public hospital, all that is crazy and I started to question my ideals. and my call to public service We live today in a society in which public facilities no longer serve the common good, that is over, we are going nice, a little sun is good, sorry for the early morning, they say.

These are how many we could start during the day, around 10 a.m. to 6:30 p.m. If things go well we will repeat it as many times as possible and if at any time you want to spend a night at home we will try. , but at the moment we still need strong arms because taking you from the couch to the bed is not an easy task, we can't hurt you so we have to be many. You must observe how your colleagues do it so that they know the correct steps, it's okay, of course They are not obliged to do so, I do not want to pressure them.

He likes this plan. A theater group is coming tomorrow. Should I pick them up? Yes, I'll be there. 3:30 pm. I don't want to bother you anymore, I just wanted to say that I'm free starting tomorrow night. I'm aware that they like to cause chaos when I'm not around, but you don't. I don't have to do that. My job is to warn you about this, yes, one-handed will be difficult, right? There has to be a clearing so don't be surprised if you don't see me in the next ones. days, I will return on the 29th, no offense, but if when I return you are not there because you have been transferred to Buffon, I would be very happy for you.

That would mean that your day has begun and the day would have ended, at least for you.