Angel Dust

So it was a busy weekend night at 5 am, and our Generation Y patient was concerned. Muscle aches, numbness, incoordination, difficulty speaking properly.

"Did you hear that? I don't usually talk like that."

MmmmK.

Although these problems had been going on for over a month, word on the street was that Dr. Scalpel was working that night, and my shift was almost over. Good thing you came in when you did, my wild-eyed friend. You almost missed me.

The first and perhaps most important part of the physical examination is simple observation, and I couldn't help but notice that your affect fluctuated rapidly between fearful, agitated, overfriendly, and inappropriate laughter. And the rest of your exam was really pretty normal.

Your drug screen, of course, was not. But you knew that already.

"Dude, it ain't that. I think there is something really wrong with me."

Yes there is. Now go fix it.