is amazing. period.

i had a patient who was diagnosed to have pica, on top of her list of other problems.

i have never seen a patient with this diagnosis before; but i am familiar with it in theory.

what is it about the human brain? something snaps and you do the most unusual things.

in ICU, after she was extubated, she started chewing on everything she can get her hands into, so they restrained her hands. she was smarter than the rest of us of course, because she can reach her hands with her head. so they put on the mighty mittens.

when she got to our unit, i saw the right mitten (i have no clue why they are called mittens, when in reality, they look like white boxing gloves, but no, i am not complaining) was bloody. when i took it off, i found out that she was able to bite off half of the nail of her index finger. i wrapped it with gauze, and another gauze, and another gauze….you get the drift.

i checked her at least every 30 minutes. when i was unable to, i saw more blood, and found out she was able to bite off more skin from the already bleeding finger.

how she managed to do this without feeling pain is beyond me, and that is exactly the reason why i am so amazed at the human brain. a little something snaps somewhere, and you think your finger tastes like french fries, or the NGT tastes like spaghetti. then, as if it is a buy one take one kind of thing, you loose your sense of pain. i was drooling in pain, and for crying out loud, i was only looking at her finger.

i would have been so aggravated by the fact that i reinserted her NGT twice within my shift, since she came down from MICU at midnight, but i wasn’t. it meant changing her gown and the linens too, but i was particularly patient. i thought i would have done worse things if i had the idea that the NGT was some sort of a snack. i felt terrible seeing her and thinking about her condition. it is heartbreaking, to say the least.

i used to joke about wishing i had pica — eating non-foods. i thought it was a good way to save money. imagine not buying anything to eat, but just eating anything.

i stopped joking about it.

it obviously is not funny.