its a small world after all ... dang u hipaa...

~yesterday night i finally broke through with a really tough cookie patient. she is labile, paranoid, and irritable. very agitated at times. she has attempted to hurt my feelings many times over and i have walked away many times from her. i don't know how but we sat down and really conversed with one another for the first time since admission. it surprised me that there was an actual compassionate human being under all the profane and hostile behavior. perhaps this was just a small break in the middle of a storm. maybe i was just in the eye of it. but that glimpse of who she is or who she used to be reaffirmed my hope for her. and even more importantly reminded me "Never, never, never give up." - Winston Churchill. yes sir.

i am about to attempt a 9 day stretch of work starting tomorrow.
sigh. wipeout. please let there be no full moons ...