First Do No Harm: An Oath For Us All.  

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I've wanted to write about this for some time, but some friends of mine needed help, so I have had to balance my time. It is about a post that was written by a hero of mine, Liz Spikol. I have her site in my "Brilliant Blogs", because I've read her writings ever since I can recall being here in Philly.

The reason why her blog is listed on mine is because she exposes mental health "issues" and is brave enough to write about her own struggles with a mental illness. Me? I'm mad and I'm proud. But there are many who are ashamed of who they are. And we need to help them.

In 2005, the World Health Organization wrote a health treaty for those suffering from mental illness. It stated in part: The explicit inclusion of the promotion of mental, as well as physical, health is a timely reminder of the importance of looking at health holistically. Poor mental health affects more than 130 million Europeans at a cost to every European household of more than €2,000 per annum. Despite the high personal, social and economic costs too often mental health has been marginalised within public health policy.

But it was only for Europe. Here, a Medical Power of Attorney only applies to one's physical health. So apparently, one's mind is a free, floating, and separate entity. This strange discrepancy reflects a society that does not seem to understand that mental illness is an actual, physical sickness. We who are hospitalized frequently do not enjoy the same treatment as those with other ailments.

For example, my parents waited until my third hospitalization before they made their one and only visit. Ever. If I'd been hit by a car, had cancer or some other life-threatening illness, I would bet my crappy car that they would have been right there; flowers, balloons, cards and concern. But the reality is, my Bipolar II Diagnosed mind can be a very real threat on my life. It far too often has me believing that the only way to stop the anguish that I'm in is to kill myself.

In the many psyche wards that I've stayed on, I am far from alone in having a family that stays away. In Chicago, there is a network of people at Mad Tea Party, who go to visit those who would otherwise have no one else. What does this say about our priorities? For a country that promotes "family values" an awful lot, it seems crazy that a group of strangers have to provide comfort and company to those that need it most.

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Which brings me back to a deeply disturbing video that Liz Spikol posted on her blog. I would give you the link, but last I checked, the video was no longer playing on the news site that first aired it.

In it, a woman dies in the King's County Psychiactric Ward, N.Y. waiting-room, having been there for over twenty-four hours. Two guards and a doctor see her flat out on the floor, but they do nothing. It is not until a nurse kicks the woman's corpse so hard that it actually moves, that something is done. What? They remove her and then proceed to falsify records, stating that the victim was alive and checked throughout her whole ordeal.

The time-lapse security camera tells the truth, though. The doctor has been been fired, which doesn't mean he won't practice again. As for the others, they have been suspended while the investigation proceeds. Both the firing and the suspensions seem to me a tad on the mild side.Why haven't they been arrested? I may piss some people off here, but what the hell, I'm good at that.

My belief is that because the patient was African-American, mentally ill, female and possibly poor, she did not receive the response that, say, a critically ill White,"sane" and possibly rich man would get. Think this sounds far-fetched? I have friends who keep their Mental Diagnoses secret when they go to an E.R. Their past experiences have made this seem reasonable to them.

One woman was presumed to be homeless and looking for a bed to sleep in. A man told me that they believe he is making his symptoms up, when he says that he's mentally ill. This is terrible and also potentially dangerous. If you won't say that you're mentally ill, you also won't be 'fessing up to any psychotropics that you're taking. Which opens the door for lethal drug interactions.

It would be wonderful if the medical community would apply their oath to one and all: First do no harm. It would be a miracle if our society would abide by it too.

This entry was posted on Friday, July 11, 2008 at Friday, July 11, 2008 and is filed under , , , , , , , . You can follow any responses to this entry through the comments feed .

7 comments

Anonymous  

Hi Dano, I'm sorry to see that you haven't received any responses to this post. I can almost bet my whole bank account on the fact that the reason stems from the perpetual need of society to be "happy" and ignore or underestimate (i.e., downplay) the reality of mental health instability and need in our society.
I was able to read your post on psychcentral.com (one of the sites I frequent most for the latest news), and also read your post on your site. I am a counseling/clinical psychology student and most of my days and life are filled with the heavy and discouraging job of making mental illness visible to main society. I have had the opportunity to present at conferences on the psychology behind people who ignore mental illness, "criminals," or those we tend to label "criminal." One thing I strongly believe is that we have falsely accused the "sick" of being criminal just because their illness provokes them to rage or anger or sometimes end up in jail. The most heart-breaking aspect of this is that the highest population in society who are overlooked are either minorities, low income families, or children. As you can probably agree, mental illness should not have an economic face which seeks those who are wealthy. There are so many wrongs and very few rights that I could talk about. But my main point for writing is to encourage you and say that I am one who is fighting for the rights of people who need them and deserve them.
I have worked with children and personally know children by way of close friends, that society is doing us no favors by pushing mental illness away and not providing reliable services to them.

All of this is going to come back around like a boomerang and hit everyone standing on the foundation of denial.

I wish you many blessings.

T.A.

Tuesday, August 26, 2008

Thanks, Anon, for taking the time to read and then comment on the post! I think that you're spot on in your analysis.

One of the things that I do is hold a 12-Step meeting in prison. Every Monday night, I go to the Cannery, which is a women's jail. They are the overwhelmingly for drug and alcohol charges, or parole violations.

Some will be incarcerated for up to twenty years, this time around. I know from experience, that substance abuse can start as a way of "street medicating" and develop into addiction. Been there, done that.

Many of the women receive medication, for a mental health diagnoses, once they're incarcerated. The problem is upon release, it may take up to a week to meet with their parole officer, who is the one that makes the decisions about recovery houses, social workers and so forth.

This just happened to a new sponcee of mine. She was released directly from court on a Friday and called me in a panic. She wasn't scheduled to see her P.O. until Monday. When we went there on Monday, which was her first time EVER reporting to a P.O. after being released, he wasn't even there. She just had to sign in and then leave.

I worked hard to get her into a couple of recovery houses, and when she called her P.O. to let him know, he blew up and said that she couldn't go anywhere until she talked to him on Friday! So, right now, she's homeless.

This is patently rediculous. She has no net-work, no money, no job and if I weren't gunning for her, because she has the real desire and, I think, chance to stay sober she'd be back out on the streets.

I have written before about the Death Penalty. Beyond the fact that I don't agree with it, it's a fact that the vast majority of those on Death Row and being executed, are poor, black, Southern men, who many times are mentally challenged. Happily for those that have been exonerated through The Innocence Project, there are more people like you out there, making a difference!

Cheers, Dano.

Wednesday, August 27, 2008
Anonymous  

Thank you for your kind comments!

If we continue to believe that if we have that pocket of hope, or Biblically speaking..."faith as small as a mustard seed we can move that mountain(Matthew 21:21). Currently our mountain is the blinders that prevent society from seeing the truth behind the curtain, which is, that mental health issues need acceptance and support.
If you have a Bible Dano, please take the time to look at Luke Scripture 4 and verse 18 (4:18) because this is exactly what you are doing, what I am doing, and others are doing for those who need us most.

Take care!
T.A.

p.s. If you don't have a Bible...you can look it up on the internet as well.

Thursday, August 28, 2008

Hi Dano, Thank you for bringing some of the problems with the mental health 'system' to light. I have been hospitalized five times in my life. The first time was in the early eighties as a teenager. At that time in Massachusetts, we had a dedicated 'work force'of mental health workers. The counselors, med nurses, and doctors we're really committed to helping US get better. I really felt like the people around me wanted me to get better. It wasn't for another fifteen years or so that I was hospitalized for the second time. I could not believe the difference. I have depression and addiction (herion and other opiates) and this second hospitalization was the first of a series of dual-diagnosis wards over a six month period. The staff we're a nightmare, I can't think of another word to describe them. These places we're not state institutions either, they we're places that private health insurance probably paid good money for. I can only imagine what a state facility in Massachustees is like now. I don't know exactly why mental health is not treated like other medical conditions, but it isn't. Thank you again for your blog. Beth Hughes, Canton, Mass.

Monday, September 01, 2008

Dear Beth Hughes,

To be dual-diagnosed is a double whammy, which I know only too well! I've been clean and sober for four years, which is a miracle. I believe that getting the right medications when I was locked down for three months was just as important as the 12-Step program that I work.

It is hard enough to conquer any addiction, whatever it is, without a mental health diagnoses. We start using to mask the pain, and end up slaves to the drugs/alcohol that has turned on us.

Making sure that your mental health is taken care of, to make sure that you have that on your side, is soooo important, I believe. Other "sane" addicts may be pissed at this statement, but I stand by it. How could I possibly stay sober, if I'm hallucinating/psychotic/depressed/manic? These are states in which my brain works against me even harder, giving me faulty information which hinders me.

That said, thank you for your brave "outing" of yourself and the awful stories of your hospital experiences. The last hospital I was in didn't have enough sheets and pillows, and you had to work hard to get a single piece of fruit a day!

It may be a good idea for you to share your stories further, such as at the NAMI web site, or others, which you can find in my side column, "The Pros".

I feel that the more we speak up, the less they will be able to shove in the dark corners. My best wishes for you in your fight to regain yourself and your life,

Dano

Monday, September 01, 2008

ATTENTION!

NAMI is currently surveying the experience of public mental health services. It's open until the end of September, '08, you can remain anonymous, so get on it!

There site is:

http://www.nami.org/

Tell ten friends!

Dano.

Monday, September 01, 2008

Hi Dano,

Yes, you found me!
I received the info you posted on my blog about the NAMI survey; I will take the time to take the survey asap.
Thank you for your advise. I'm trying to write my story for younger woman to read and maybe learn a little about what not to do! I'm using the blogosphere to gather feedback, i.e., see if I can help anyone!
Thanks Again,
Beth Hughes

Wednesday, September 03, 2008

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