|How I spent my summer vacation...|
I spent the first few days of my vacation working my little tail off around the house and getting ready for the payoff: 4 days on Oregon's northern coast. Our trip involved a very scenic tour of Astoria and surrounding areas and, as you can see from my little photo montage here, it was simply breathtaking. We visited 2 beaches, hiked, visited 2 lighthouses (saw a third from afar), hiked, watched the seals, hiked, visited filming locations for three movies, and hiked some more (and yes, that is a shipwreck you see in the bottom right picture!).
But now I am back in Denver where it's hot and dry instead of cool and comfortably damp. Colorado is a beautiful state too, it's just different.
And then this morning, there was something else different - an alarm clock. I became reacquainted with the snooze button. And even though I love what I do, it was with trepidation that I made my way back to my office, turned on my computer for the first time in over a week, and started sifting through emails and to do lists.
It was culture shock.
And yes, my friends, as it happens, there is an ICD-10-CM code for that!
When I looked up culture shock in the ICD-10-CM code book, I wasn't expecting much. But there it was - a code for culture shock... in the mental and behavioral health chapter. Hmmm. I was happy to see that it actually codes to an adjustment reaction, which simply means, I'm having trouble adapting to something new. And I had choices for accompanying symptoms. Today I chose both depression and anxiety. I'm both happy and depressed when I look at my vacation pictures. I wish I was still there. And I'm anxious when I look at my to do list. So here is the code for today:
- F43.23, Adjustment disorder with mixed anxiety and depressed mood