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I saw Pam slide in next to Marcie, and the two of them start to talk in a hushed tone. I knew the messages that were being imparted, because we’d talked about them the night before.I suggested we take some of the kids to the beach before the temperatures got too high. Andrew, Darby, Jon, Amy, Marcie, and I agreed to go. We would take all the toddlers since we had more than one adult per kid. We put together some beach packs, and baby packs, loaded up two cars with gear – those cars with baby seats in them, and were soon at Lido Beach.We set up right near the water line, and immediately brought the five tots and set them in the sand just above the water line. As the next wave broke, the tail of the wave swept up the sand and splashed around the babies. Their giggles and laughter could be heard a mile away.We attracted a bit of a following watching five identically aged tots playing with their parents in the water.One woman stopped and asked, “Who goes with which baby?”Trish gestured to. They’ll do their best to wean her off the antipsychotics, but if she fights them, that makes it difficult.”“Why not just stop the drugs and see what happens?” I asked.“That is an option, but it’s not one that is likely to be considered because she needs the antidepressants to stay stable.”“So just stop the antipsychotics,” I said. “Maybe negotiate with her.”“That’s a bad idea,” Doctor Mercer replied gently, “because we can’t really negotiate away possible treatment options. If we committed to that, and she needed them, there would be a serious ethical problem. Not to mention patients often don’t know what’s best for them. You’re going to discover that the very first day of your very first clinical rotation. You’ll find out soon enough that patients decide they know better and will take less or more of a drug than prescribed, often with very bad effects. One good example is that patients often stop taking antibiotics before they finish the course of treatment. That leads to resistant.
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