Spent ten hours dealing with my first patient with full-fledged Munchausen’s syndrome (conviniently missing information on the admission paperwork). What a freaking nightmare. On top of a real eating disorder, a supposed botched gastric bypass, thyroid cancer, calcium absorption problems, self-mutilation as a hobby, a seriously tenuous and fragile concept of reality, and a nice opiate and booze addiction, had to deal with the non-stop b.s. medical crapola so she could define herself in her day and feel okay. And to top it off, when she was admitted on Friday, she claimed to be a Penguins fan, and her nonsense caused me to miss the game. I really got to help her with her priorities. She's clearly messed up, but so much so that you have to cater to it to avoid potential legal ramifications. Dropped her off at the hospital for some stat bloodwork on calcium levels on my way out the door. That should keep her happy for a least a day.