Disclaimer: I do not have rights to House and any other character that I have borrowed for the purpose of that story. I don't have any money either so there is no point in dragging me through courts.
House took one Vicodin too many and overdone with scotch a bit. Allison has overreacted and there he was in ER waiting for psychiatric evaluation. Door opened and he saw blind women entering the room assessing her way carefully with a white cane.
What the hell is going on?! – House wondered.
"I think you got yourself into a wrong room."
"I am afraid that it is not so. Doctor House?"- The woman was obviously glad to hear him speak as that helped her to orientate herself within the room and she approached the bed much more confidently.
"Yes, but…"- House was now thinking really hard who she was and what did she want. Was it some kind of a joke or was Wilson trying to prove something to him once again?
"Is there a chair in the room? If you can direct me it will save us both a little time"-She interrupted in a rather impatient tone of voice.
"Straight ahead, next to the bed…"- House was observing as the women felt a bit awkwardly the empty space in front of her with an outstretched hand- Stop now. Just ahead of you"
She sat down carefully, folded the white cane and put in her pocket.
"I know the way around my own department but I don't pay visit to ER that often.- She sounded a bit apologetic as if she was ashamed of her awkwardness but her voice reigned confidence within a second- I am doctor Robinsky and I came to do your mental status assessment."
"Look I do not need all that. Nice of you to drop by but I want to go home now."- House was having no of that nonsense.
"Lets just get done and over with it. Hospital procedures are clear, you cannot be realised without this examination. We both know it is pointless, I will ask usual questions you will give all the right answers. I will get it signed and hopefully we can avoid admission for the sake of nursing staff upstairs"
"I didn't know my reputation has reached psychiatry department."
"You must be joking. We have been drawing straws on who is going to come here to see you and I am pretty sure that other attendings cheated by taking an advantage of my disability. Shell we begin? ".
"How did you make it through med school?"
"I lost my sight when I was already qualified. Pituitary adenoma, there were complications during surgery as you can guess. I was specializing in internal medicine but switched to psychiatry for practical reasons. Are you satisfied? I have clinic upstairs so let's get cracking with it".
She went to the standard list of questions aimed at assessing mental status of self-harming patients following emergency admission and through depression assessment scale.
"For the record you are fine. I am sending you home as I have no formal reason to detain you in here. Off the record you are depressed, dependent on Vicodin, probably borderline alcoholic as well. My professional advice would be to try and sort that out before you hit rock bottom again. With those doses of Vicodin you can expect problems with your liver and kidneys soon, but I don't have to tell you that."
"I gave all the right answers so what are you going on about"- House knew that she was at least partially right in what she was saying but there was no way he was admit to it.
"I can be blind but I am not an idiot. It is not what you say but what you lie about that meters to me"
"So why are you signing me off?"
"As I said there are no formal reasons for detention. If my calculations are correct you would woke up in the morning without any major problems. It was just bad luck you were found so sedated and your friend got concerned. You were not trying to kill yourself. If that was the case we would not be speaking now. "
"You haven't based your calculations on the dose written on my chart, have you?"
"If I thought that you tell truth to the triage nurse about your usual daily use of Vicodin I should be looking for a job in some different field. I had a look on pharmacy records. If at least one of the doctors in ER cared to look at those records I would not be here. Taking into account your real daily doses instead of going by tox screen it is clear that it was not an OD attempt. Doctor Wilson will get himself into trouble one day over those prescriptions by the way. I can already see red flags on the horizon. "
"I am in pain. I thought consent is needed for looking into those records".
"Usually but with psychiatric patients detained for emergency observation that is not longer the case"
"Detained!"
"Relax, as from now you are free to go, I have signed all the papers. There is no way I am having you on my ward against your will. You would just run havoc with the nurses. I could prescribe antidepressants but with all that Vicodin in your system I am reluctant to do so. Would you take them anyway?"
"No"
"That what I thought. We will leave it here. I am going to keep your file in my case load. You are expected to come for a follow up visit in a weak time. If you decide to do so we can discuss some treatment options."
She stood up, unfolded her cane and started walking towards the door.
"I was not as bad as expected, was I?"
"Depends what you mean by bad. You were not violent, not even verbally abusive so in my field you can count as a nice patient. There is nothing I can do for you though, so you are a waste of my time and I find this a bit frustrating"
She left his room and House could hear the conversation taking place just behind the door.
"Excuse me, could you point me towards the elevator"
"It's over there. Are you… I am so sorry. I will take you…"
