I’ve missed you guys. So glad you’re back.

🙃

Well done you guys.

Actuarial issues are all about striping the likelihood of the patient’s real complaint within the spectrum of real patients that existed. Are there patients who study psychology and case files to put on a good act? The actuary doesn’t know this, but risk averse utilization review may.

I’m ashamed to say, but I have some weird, antisocial thoughts that rise and pop into my mind as I listen to these. Most of the thoughts are of a super numb bureaucrat who processes the claims and is just heaping scorn on the malingering patient just ginning up a need for reimbursement.

When you call this strawberries, I’m thinking prominence of the weakness of the disease and how it dominates the destiny. That is, until help is sought, therapeutic adjustments set in, and then you’d be bananas to keep going that way.

Maybe it should be spelled as Bizarro. Ana Navarro. Groan!

I do process some things with entertainment tropes. It helps me deal with my Bizzaro past. Bizzaro is an enemy of Superman, which may be based on the psychological world of the German, Martin Luther. There is Superman, what Luther did (Lex Luthor) and what Luther wrote (Brainiac).

In Working Girl, Harrison Ford plays against Susan Sarandon, the debilitating features of the disease. Melanie Griffith, what mom was instructed to do to manage the disease.

My mother has bipolar with severe cycling. When she was manic, she was unable to stop and uncontrollably frenetic. When she was depressed, she was unable to do anything for days. This from my mom and dad. Their relationship ended in divorce. In Irreconcilable Differences, Drew Barrymore plays something like struggling with the two extremes of mood.

Thank you for this. I am a nurse in mental health for 15 years, and am about to become a psychiatric nurse practitioner. Still, for my personal life, I would love an episode about how to remain long-term friends with a person with bipolar disorder.