My Negative Experiece at Hospital

Started Wednesday, January 23, 2013

Will write when anxiety is down about my experience of my we visit the crisis worker not kno having knowledge about psychiatric advanced directives nor the we staff ever hearing of them and the refusal to have this implemented. Then will write about my admission by temporary detention order and the experience of doctors miscommunicating or not following through with what they say and also doing what they wish outside their expertise without even advising me or consulting me. But for now the regimen of medications have me unable to function and yet I was atleast functioning upon entrance to the emergency department. I just had coping skills that are dangerous at times and I take them further then I can control anymore because of my ability to dissociated from that.

Updated saturday, January 26, 2013

My negative experience began at the emergency room in my town. I was searched before getting there by 2 male police officers in the company of the ems personall who drove me there. Then searched again by 2 more male security officers at the hospital even though I refused citing I had already been searched by police officers and that I had nothing. They went through my wallet, tried to make me change into a hospital gown, and held me against my will at the hospital emergency room. I went there willingly for medical treatment. I then decided not to get the medical treatment since I was being treated as if I was a detainee. I agreed to meet with mental health after they refused for me to leave and even grabbed my arm when I said I was leaving and tried to walk out of the hospital room since I was being treated as if I was there against my will. They lied to me citing I was on an ECO which they did not obtain until almost 2 hours later. I told them I had a psychiatric advanced directive and that if they were treating me for mental health then I was not getting treatment there per my PAD. They threatened me with forcfully holding me down and even chemically restraining me if I would not give them bloodwork. Throughout this experience I felt I had no say or rights to my own physical body or my own mental health. They used intimadation tactics such as there size, threats of restraint, and involuntary commitment to get what they wanted from me. I felt violated at that time and still feel violated. I feel I have no rights to my own body even with the PAD. My psychiatric advanced directive was refused acknowledgement. I was told they knew of no such thing. Both the security officers and doctors had no idea about them even making a statement they were not legal if not notorized by a notory of the public. In The Commonwealth of Virginia where I live it is not required to have a PAD notorized but only to be witnessed by 2 adults witnessing your signing of the document to make it valid and legal. The crisis evaluator from the mental health center here who evaluated me as he was the person on call did not even have an awareness of such a document. I was then sent to there psychiatric unit per temporary detention order which was against my PAD as I have in my PAD that I am not to received psychiatric care through their hospital but to receive it in one of the other hospitals within about an hour distance from my hometown due to past experiences on their psychiatric unit and a statement from their medical director that they did not feel they could properly treat me in their facility. But yet another doctor received the call about me and accepted my admission anyways. I was refused my PAD implimentation.

On their Psychiatric unit was another negative experience at points. For the most part there were some good points to it such as the most of the other patients, the groups, most of the nurses, most of the mental health techs, and some of the clinical counselors. My experience with the docoter was good in person though I felt he was careless in his choices and follow through on communication with me about my treatment. I also feel there was no follow through on a medical doctor referel that was put in on saturday and never executed. This also occured with another patient on the unit who was refered by their psychiatric doctor to see the medical doctor on the same day. We both had 2 different psychiatric physcians. He was careless in his deciding to double my Wellbutrin that I had started on a friday on Monday. I had 3 doses at 150mg and then was upped to 300mg. Very careless I believe in his decision.

Suicide: An Ethical Typology

English: Skull and crossbones

English: Skull and crossbones (Photo credit: Wikipedia)

Suicide: An Ethical Typology

Three distinct forms of suicide may be identified based on the role that a clinician plays in the process:

  1. Unassisted Suicide
  2. Facilitated Suicide
  3. Assisted Suicide
Unassisted Suicide

This may take two forms. The first applies where the victim completes suicide while not currently or recently in the care of a clinician. The second applies where the victim was currently under care but not for a condition associated with suicidality. The clinician had no basis to assume or suspect risk. The victim did not confide any ideation, plan, or threat or did not acknowledge such behavior if queried by the clinician.

Facilitated Suicide

This applies where the victim completes suicide while currently or recently in the care of a clinician and where these factors were present:

  • A clinical or custodial relationship existed
  • The clinician or provider had knowledge of the risk
  • Means of prevention or intervention were available

A suicide in this context suggests a breach of duty. This could include ignoring the danger, and/or not effectively using resources that may have ameliorated the risk.

In such cases, the suicide has, in effect, been facilitated. This is not to say that the clinician caused the suicide. The ethical failing was doing nothing or acting passively or conservatively despite the client’s mortal danger.

Assisted Suicide

This applies where a clinician with knowledge of the individual’s wishes and consent enables completion by providing the lethal means and guidance as to use. This mode assumes capacity and rationality. However, most victims of assisted suicide appear driven by extreme stress and/or chronic intractable pain which impair capacity and rationality. Enabling the suicide of such individuals, statutes to the contrary, is unethical.

Volition and Suicide

Assisted suicide is justified, by its advocates, as a personal right. Unassisted suicide is customarily characterized as a personal decision. Where does that leave facilitated suicide? Consider the following:

  • Assisted Suicide = Voluntary Action
  • Facilitated Suicide = Involuntary Action
  • Unassisted Suicide = Nonvoluntary Action
The codes of conduct guiding clinicians are often inadequate in addressing duty to those who are at risk of becoming suicidal or who are suicidal.

Assisted suicide is voluntary when the individual is determined to be capable of independently making the decision. Facilitated suicide is involuntary because the individual made a “cry for help” to a clinician that went unheeded. Unassisted suicide is nonvoluntary in the same way that death as the result of any disease is so.

A somewhat similar typology is offered by Fairbairn (1995)in Contemplating Suicide: The Language and Ethics of Self-Harm:

The most obvious variety of a suicide act involves the suicide actively bringing harm to himself. However, suicide may also be achieved by the direct action of another, by the omissions to act of either the suicide or another, and by the suicide’s putting himself in the way of events that he intends and expects to kill him.

For a fuller discussion of this topic see: Anthony Salvatore (2000) “Professional Ethics and Suicide: Toward an Ethical Typology” Ethics, Law, and Aging Review (6) pp. 257-269

via The Ethics Side of Suicide.

triggered emotions but unsure what lots of thoughts

 

Today was my nieces birthday. We had a party for her. There was lots of family there. My sperm donor even showed up. It was really difficult for me since I had not seen him since my youngest child who is now 6 1/2 years old was about a month old. I got to see m,y baby sister who is 12 years old also but we did not say much to each other though I said bye and gave her a hug before I left. while they were there and I was still there I retreated downstairs to my sister’s room to work on her computer as I felt very uncomfortable and really did not want to be around them.

First off he sat next to me and did not even acknowledge me for about 5-8 minutes after getting there. then he says oh hi did not recognize and realize that was you. He then went about chatting with everyone else. About half hour later he introduces me and the rest of us to his friend who drove him there. It was then that I eased my way downstairs into retreat. I disappeared until it was time for me to leave. I then said my goodbyes. that may have been my final goodbye to him and I kept it simple and really did not even hug him but vaguely as I do not love him nor have any positive feelings for him. I have no respect no sympathy for him and do not really care that he is dying. I really do not care. I honestly will not cry and I will not attend his funeral when he passes away as I do not consider him to be my DAD nor do I consider him even worthy enough to be called a father to me. He is nothing but a SPERM DONOR. I wish and hope that someday I am able to even prove he is not even that to me as they is a slight possibility he is not even that to me. I can only hope and pray he is not but I cannot be that lucky. Maybe someday I will be fortunate enough to be told I was never his and I am my mothers first true loves child who is also her current husband and they are happily married after being separated for 30 years and leading separate marriages and lives they got back together and got married. I hope and wish I am his. But they wont help me find out and I am not sure why they wont. I od not want to be my sperm donors nor do I want to be the other possibility who is a child molester and messed up my life and molested my mom, my brother, and many others including me as a child. I want to be her current husbands who was her highschool love. But unfortunately I am never that lucky in life. I am never good enough to have been his. Maybe I am the child molesters and that is why she has hated me and abused me mentally, emotionally, and physically my whole life. Maybe that is why she hates me and treats me as an outcast. Maybe that is why she has always shown the other 3 kids of hers more love and that they are cared about but yet has shown me hatred. Maybe I am the makings of the evilness of the child diddler who also fucked up my life as a young child. The one who she allowed near me after he had molested her as a teenager. So in my opinion she caused my molestation and my brothers. She allowed it to occur knowing what he had done to her she should have never allowed him near us never mind alone with us.

Why is it that so many people live in denial as to their responsiblity in a child’s life. Why is it that people believe that they have no responsibility in what happens to children if they did not do it themselves. what if they knew about it? What if they saw it happen? What if they did nothing about knowing about it or seeing it? Would they not be somewhat to blame for that childs difficulties as they got older since they could have put a stop to it or helped that child get away from it or get help for it? Why is it that so many people turn a blind eye or think that is not their duty, responsibility, or job to protect, help, or save a child from abuse, whether it be sexual, physical, emotional, or mental abuse? Why is it so many people can claim to be against abuse but yet do nothing about it or turn around and do the very things that they claim they are against? Why is it that some children and families receive help and take advantage of the system and others do not get any help? Why is it that some families secrets are kept hidden and the children end up fucked up and damaged the rest of their lives like me and then others get help and are oka and able to go on living productive un eventful forgiving resentful manageable stable lives? Why can’t I have my kids? Why can’t I see my kids or have pictures of them? Why cant I just hear their voices? I just want them in my lives. I just want to be in their lives. I miss them alot!

 

The anger I feel

This week has been a very different week for me though yesterday and today has been rough it has not been easy it has been okay. Today has been difficult but I have almost made it through and the day is almost done. I am going to write this and then lay down as I have an early morning with a friend of mine needing some help and picking me p at 7 am to go help her start packing up her house.

I did do some writing this week but did not post them to my blog yet as some of it is sensitive material and some f it just may not be appropriate for the public’s eyes though I may just post them just for some feed back as tonight has been difficult for me as I have obsessed over yesterdays incidents and it boiled over into today and ended up contributing to an already difficult time for me. Instead of managing it as I planned I allowed my emotions to get in the way and was unable able to stay in control of myself and let myself not stay silent as I had said to myself I was going to do last night. I was hoping I was going to handle saying goodbye to my mental health worker as she left for vacation but instead my anger, which really has nothing to do with, or relationship got in the way. A big part of it s the fact that goodbyes are not good for me and separations are not good for me as it is hard for me to trust people will come back as so many people have left me behind and so many people have lied to me in the past. So many people have betrayed me. However, I allow things with other people to interfere in my treatment and I allow her reaction and treatment methods of other clients to effect my emotions and trust in her. I wrote about some of it last night. I may just move that post to another of my blogs as to not interfere with this one.

I was always involved in a system that failed me as a child. Now I sit and watch as the system failed to help me keep my family together. Yes, I had my faults. Yes, I got angry and frustrated at things my children did and how they behaved. I reacted at times in ways I wish I could have changed. I stayed in a relationship with my children’s father in which both of us should not have stayed together. We both were abusive towards each other, held resentments, had anger issues, and had no control over our emotions and reacted in abusive manners toward each other. Our abusiveness towards each other was harmful to our children, emotion and mentally. We were both neglectful in caring for the children’s psychological, mental, and emotional needs as we abused each other mentally, emotionally, and physically in their presence. My house was never clean and my children knew how to manipulate me to get their way most of the time. But I was a work in progress and I was always able to say I needed help, I could not do it by myself, I recognized the need for change in their lives even if things did not immediately change for the good I was always trying new things and making an effort to address what was happening in my home, I was honest with people, I never encouraged my kids to lie, I never told my kids they were liars, I never abused my kids or called them names or criticized them, and when my husband laid his hands on my children the 3 times I remember we got into severe physical altercations where I made a point to let him know I disapproved of my children being abused or disciplined physically in nature. I may not have taught my children the best ways of dealing with altercations as violence is never the best way to deal with anger and you should never tell a child not to hit and then hit but as I said earlier I had my faults and so I do understand some things to a degree.

I was raised in a system. My life consisted of being failed by the system and then the system failed to help me when I needed help in raising my own child and so the cycle continued with my children. Nevertheless, there are people who claim to want their children and then act as if they could care less about them. People anger me in the system who are there to help people change their lives and who should be protecting the children whether they are the child’s worker or the parents worker and instead they minimize the parent responsibilities and act as if it is the child’s fault what is going on. I feel as if I am reliving some of what I experienced in my own life and it is 27 years later when things have supposedly changed for the better in this world. People are supposedly better at recognizing the signs and effects abuse and neglect has on children and their responsibilities to the children in the world not just to the parents. It is not just a parents responsibility to raise a child nowadays it is the publics responsibility to protect that child if they witness that child’s abuse, neglect, or need for help.

Therefore, I have allowed myself to be hindered by some recent incidents that occurred and the anger seems to be over taken me. However, not just because of the events that occurred and in this moment I am sitting here able to recognize why I am so angered by what occurred. I am angered more about the fact that though I had many people in my life that could have helped me and should have seen what was happening and been able to protect me they did not. They could not read my mind. They could not help me because I stayed silent. I allowed the secrets to stay a secret and no one saw any of the signs or recognized my pain. No one helped me when I needed help as a child, as a teenager, as a wife, as a young mother, as a struggling, angry hurt distressed parent afraid to lose the only thing that mattered in my life. No one helped me. No protected me from losing my world, my life. They are gone. My life has been stolen. My life was stolen. I suffer a lot. Suffer many days. I do not suffer everyday as I did in the past but there are many days I suffer in silence. I still have many secrets that no one has ever cared enough to help me through. I still hold my secrets that I have held for many years and maybe I will die with them inside me. Maybe they will stay buried deep within or maybe someday there will be someone in my life with who I am able to work through this all and someday I will no longer get so angry over such issues, maybe I will not get so obsessed and feel so hurt when people do not care. Maybe I will care enough about myself and my life to make something of myself.

The day was great until the moment of ruin

So today, I was having a great day. I had a nice cookout with some “friends” and our mental health support worker. She leaves tomorrow for an 11-day vacation to visit her family and celebrate her 50th Birthday. What a milestone that is in someone’s life considering I am not sure I will ever make it that far or long in life. Overall, it was a really nice time and I enjoyed myself and had a great time spending time with one of their 5-year-old sons. We climbed the tree and I hope he had fun too. As there really was no entertainment for him but I tried to make it fun for him also. I no longer have my ids so I no longer have toys for his age as I ridded myself of all the toys finally after lugging them around for so long. The last of them went right before I moved into this building last year. I held onto them way too long after my kids were long gone but finally had enough closure I was able to let go of them and sometimes regret it but I did it and it was therapeutic when I got rid of the last one before moving here which was my son Daniel’s remote control truck I had bought him for his Birthday in 2006.

So anyways my enjoyment stopped when the it was time for the child and his mother to leave and she was not paying attention to him and listening when he was trying to tell her something as she was talking to me and had the food in her hand that I was sending home with them and her laptop in her other hand. He pulled on her arm to get her attention and she dropped the food and in angered yelled at him and hit him. I was very angry with her and saddened. She them turned to me and told me well there it is you will have to pick it up I will call you later and walked away yelling at the child about the food after she had just abused him. I was angry with her. I was saddened for the child. This was not the first time I have seen her do this but this was the first time she had publically done this to him in front of a counselor and other people who did not really know plus it was at my home and she acted as if she really did not care.

She later called me to apologize for her hitting her son and tried to lie to me saying it was the first time and she did not know why she had done it. However, in fact I had seen her do it two other times to him but at her home. I am angered even more by her denial of her behaviors towards her child and her belief in her innocence as she reminds me so much of my mother and my ex husband who belied his own lies once he told them. I am also angered by my mental health workers lack of action at this other clients abusive behavior in front of her towards her child and it feels just as it felt when I was younger and my mother told everyone what was going on and they listened and did not look at the signs of my behavior and instead just listened to my mother’s manipulative words. The worker believes this person is naive and innocence and easily taken advantage of and manipulated when in fact she is the manipulative, takes advantage of, devious, lying, person that she has people believing happens to her so often as she uses marijuana more and more and cares less and less about her child. Her life is falling apart quickly and seems to be going down the drain fast but yet I cannot stop it. I cannot do anything about it as she is in denial and she is lying to herself and everyone around her. She is manipulating her son, her workers, her life, and her child’s life. I cannot change her, I cannot change the workers in her or her child’s life, and I cannot change the system. Nevertheless, I must change my own stress, reaction, and how I cope with all this as it is destroying me more and more. I become angrier each encounter I experience and it seems to get worse than the one before.

“So Called Mother/Grandmother”

Why cant I be loved like the rest of them. Why couldnt my kids be loved like the rest of their kids. Why is it you let my kids be thrown to the wolves but yet savior the others. What is wrong with me. what was wrong with my kids. I know what you used to claim “I am not watching them they scream from the time you leave to the time you come back” but that was a reason for you not to love them as much as you the rest in your life now. But yet the ones now scream and you deal with it but could not deal with mine. Guess cause they were mine they got treated with the hate you had for me my whole life and so the cycle continued on…

My Downfall

So I am beginning to have a downfall as the day gets closer. My thoughts are getting more focused on negativity and the positivity I am losing sight of. It is almost gone. i have been trying to keep myself busy and help others in my life but that has only made me more of a failure as everything I tell them I have been told and though the stuff I am saying to them is the right things to say and I am not just saying them for that reason I am saying them because I believe they are true for them but i cannot seem to get past the part where these things are right for others but not for me. Where others deserve to be cared about, loved, and need hope and should not kill themselves as there are many reasons they should not end their lives but for me there are many more reasons why people are better off with out me. There are many more reasons why I should end my life such as all the troubles I have endowed to my children through genetics and also through the neglect they endured the early years before being taking from me. The promise I made to them to go with the social workers and behave and I promised them I would get them back. But did  truly fight? NO! I gave up in reality… I quit. I am a quitter. If I had fought I would have won and got them back and gave them the life they deserved. The life I always said my kids would have. A life unfull of chaos, domestic abuse, trauma, abandonment, hurt, shame, pain, guilt, loss, instability, and abuse. These as I was growing up feeling, experiencing, and witnessing I swore my children would never go through and I would never put them through but yet my kids did and it was because of me they had to go through it. It was because I was weak and unable to stand up for them and what I believed that they should never experience. My kids are better off if I am dead before they come searching for me. I have been taking my medications but have decided to stop because the more I take on a daily basis the less I have for the final day.