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Showing posts with label Dear Healthcare Professionals. Show all posts
Showing posts with label Dear Healthcare Professionals. Show all posts

Monday, July 28, 2025

Dear Psychiatry

Dear Psychiatry,

    The 90s are over. It's time to move into the 21st century. To that end, I would like to summarize and reiterate a few key points. Autism is very real and affects about 2.8% of the population, including me. ADHD is very real, and affects about 11.8% of kids and 4.4% of adults, including me. HIPPA is very real and is important for keeping medical records valid and useful. Without reliable medical records, we cannot take good care of the population. It's important that patients are able to have trust in their providers. 
    I am guilty of relying strongly on medication. This is not the same thing as drug addiction. I have at times expected too much of medication. Medication can be very dangerous. I hope to take mine safely and privately. 
    I do not know what the future holds, but I need it to look different from the past. It is not my responsibility to educate the world on how medication can be safely used or misused. It is not my responsibility to educate the world on clozapine's shortcomings as a medication. It is not my responsibility to explain the limitations of the bipolar model. It is also not my responsibility to allow these things to haunt me. I need to give up my medical guilt. I do hope that autism becomes increasingly understood. I hope that new therapies and treatments for autism advance. 
    I hope that I find peace and a place to thrive. This medical drama has taken too much of my time. I look forward to some peace. I look forward to some prosperity. I look forward to less time working on my medical situation. I look forward to fewer arguments with doctors. 

Ashes

Thursday, July 17, 2025

Kenzie


    Kenzie works in IMU. She didn't say much. She just laughed and laughed. I think laughter is great medicine. 

Monday, July 14, 2025

 


Dear Elle,


I'm sorry. That i scared you. You always kept me safe. I hope you understand. 


Love,

Sarah

Sunday, July 13, 2025

Dear Leaves,

I hope that I'm doing this right. I've had headaches and nausea, anxiety, trouble sleeping, lack of energy, lack of focus, lack of medication, lots of frustration... this has been exhausting. Trust is so hard sometimes. So very hard. My perception is changing. I hope I'll like myself when the dust settles. Sometimes I worry that I might say or do something I will regret. I feel very, very afraid to talk to people. It seems like I never know what to say. Sometimes conversations just stop, and I never figure out what went wrong. I can't stay this way forever. This earthly purgatory is running me into the ground. Sometimes death seems inevitable. It seems just weeks or days away. I feel confused much more often than clear, but that's nothing new. I need to find a better way.

Ashes

Saturday, July 12, 2025

Perfectionism

     Perfectionism can be an ugly thing. That person who cannot accept anything unless it just right. From the boss who wants reports in detail and pretty handwriting with all the gushing and fakeness and idealization of the job and the organization from the hospital that tries to mold patients into perfect citizens without any real concept of humanity, life can be beautifully ugly at times. People will always find something to criticize NO MATTER WHAT YOU DO. It is human nature to find imperfection. It is human nature to complain. 

    But where does perfect become too perfect? Where is the line on good enough? Do I look attractive enough? Healthy enough? Happy enough? Do I have enough money and status symbols? Does my family echo the very model of perfection regardless of the reality? Do I prattle on with excessive words about how great I am long after it is clear that no one is listening? Some people do. Here I am, in earthly purgatory to expunge my sins of having the courage to call people out for their bullshit. Here I am being lied about and verbally assaulted in hospitals because I contacted a nurse or because I objected to my former psychiatrist engaging in repeated boundary violations and unethical conduct and having the courage to report such conduct to the Medical Board. But no, we're not done yet, let's rinse and repeat. Because we haven't blamed the patient enough for our ethical failures. Cuz we're so damn perfect, us doctors. We gotta circle the wagons and find excuses and lies and scapegoats. 

    NEVER MIND that we recommended and prescribed the meds. NEVER MIND the patient was following our instructions to take THC as we repeatedly encouraged. Let's blame the patient and run him around from this center to that, finding new lies and problems at every turn just to run his insurance into the ground. Never mind that it pissed off IMA so much. Never mind our own failures, let's blame the patient. Great ideas guys. Then let's get the staff and patients to help. Let's demonize and find every possible fault, real or imaginary and blow them out of all proportion in order to perfect the maximum. That is the malpractice. That is the insurance fraud. And I'm tired of it. Just be glad I have a counselor that knows what she is doing FAR BETTER than any of you. Otherwise, this would be a situation for the attention of a court it's such a fucking mess. 

    I don't have enough metaphors for this shit, but maybe someday I will. 

Targeting and South Carolina Hospitals

    Hospitals are magnets for potential abuse. You get that many people having a hard time having it together and you have a recipe for disaster. Close quarters, lack of privacy, competing interests... all kinds of unhealthy behavior come out. 
    Take MIP, for example. I know for certain you would not believe me if I described to you the degree of targeting that occurred. Was I given a chance to apologize to the nurse for contacting her that ONE day a VERY VERY LONG TIME AGO when I wasn't feeling well and I was wanting her to protect me like she had before? Did they even ask once why I contacted her? Did they even give a shit or were they too interested in taking out their anger, from patients to nurses to techs? No. They were not. No, I was not given a chance to apologize to her or to explain why. They want to turn hospitals into toxic messes, they certainly know how. It's called Targeting. It doesn't matter why you're having a bad day. Maybe you're depressed and you came there as a patient. Maybe you're a tech who simply doesn't her job. Maybe you're a nurse who feels the right to defend one of your own from being contacted outside the hospital, even though you don't know the details or the even the people involved very well. You've found a convenient target. Never mind knowing the facts first. Never mind if it's any of your business. You have a right, regardless, yes? Nevermind a chance for me to directly speak to elle and tell her how sorry I am that I contacted her because I was having a hard time and she had always looked out for me. And I asked too much. And I regret that. But does that offense need to be regurgitated every time someone gets pissed off and needs a target to hit?
    Then there was CCBH, which was far, far worse. I never seen such a mismanaged institution, and i've been to a lot of hospitals. I hated McClean, but the little that they did there was done like clockwork, with a strange professional detachment that strongly resembled neglect due to the lack of any meaningful therapy outside of the powerful medications they applied before dumping you in some halfway house that was in no way equipped to handle such a responsibility. The utter lack of any meaningful professionalism and foresight, the stupidity and pointlessness of the ABC therapies... the hospital was a disgusting joke of an organization. The doctor was SO VERY utterly clueless and put in ZERO effort whatsoever. ZERO. The man was a moron with an MD. IQ of -60 and the effort to match. I swear I talked and all he hear was LALALA TIME TO FORCE MEDICATE... LALALA I'M STUPID AND NEEDED TO BE REMINDED OF SUCH... It's no wonder I stopped talking and simply ate the food the staff spit in and watched me ate and laid on the crappy mattress because NO ONE was ever LISTENING FOR EVEN ONE SECOND. Malpractice 101. Don't even try. Play games. Idiots with licenses running around. And now they're out $50k and in the bread line and that's somehow my fault. Stupid, stupid, stupid. 
    Springbrook actually gave me the best experience. I swear the first time it was so family like. The second time there were some miscommunications, some boundary issues. The social worker that was full of herself and made that epically clear. The MD who was lying about my family and had some issues with speaking bluntly and extremely inappropriately in public areas. But I can excuse these things because it was obvious they were doing things much, much differently from CCBH. I can excuse MIP's failures on the last hospitalization because yes, I contacted the nurse, and we had a lot of history. 
    But I will never ever apologize for holding CCBH accountable for their bullshit. You can bury ashes but people will still know that something happened there, something very bad. And scapegoating me or bringing out the nurse contact to try to confuse the issue doesn't make it go away. I wasn't trying to hurt her. I wasn't cruel to her the way CCBH was repeatedly and consistently abusive towards me over one a month period. My contact with the nurse occurred fully within 24 hours and then stopped. CCBH never gave up, not for 30 days of malpractice. And why they failed. That is why some of them went into the bread line. Because they earned it. 100%. And I was not the only patient that complained. MULTIPLE mental health professionals have told me the stories that came out of that place. It's not a state secret that they were doing things they shouldn't have. They earned that bread line. 100%. 
    And keep in mind that I spent three and half years of my own helping people on Crisisline, JV, and Safeharbor FOR ALL OF $0.00. ZERO. Completely voluntarily and it was my idea. There's your fucking psychopath of a cold-hearted criminal mind. Yes, he's so dedicated to drugs and hurting people that he helps them for free, day after day. What a fucking psychopath he is. 
    Great job South Carolina. Your mindfucking is astonishingly effective. Brilliant ideas people. Keep it flowing. We'll all be fucked by Christmas. 
    What I would do is go back to Crisisline and help people the way they should be helped. That's what I would love to do, but they tell me I'm needing a break from the mental health system. 
    LEARN SOMETHING ABOUT HOW TO HELP PEOPLE, SOUTH CAROLINA. 

Friday, July 11, 2025

 I know leaves would be proud. Because im doing the processing she tried to help me with. She would be proud. 

Meghan smiled last time. She was nice. Gentle. Dats what Spidey likes about his women. Berry gnice. Dey gno Spideys a good arachnid. She's so preddy. Smart. She takes good care. Spidey gnice too. The doctors make spidey nerbus. 

Ethics and Healthcare

     Healthy Ethics in Healthcare is important. 

#1 If you do a crappy job, you don't help the patient, and people generally find out

#2 If you don't help the patient, then you burden other providers

#3 If you don't help the patient, it increases the burden on the system and increases costs

    So my healthcare providers and I are helping each other by communicating better. I get healthier, and they have less work to do. Providers that promote a reputation as being MAGIC MAKERS or by demonizing other providers really do shoot themselves in the foot. People find out. The patient doesn't get helped. And you increase costs by stroking your own ego and wallet. 

Anyways...

 I hope health care professionals are paying attention. Here's a recap:

  1. Speak the truth. Don't lie.
  2. Don't threaten
  3. DO YOUR DAMN JOB RIGHT THE FIRST TIME
  4. Don't spread rumors or encourage them
  5. Respect the law at all times
  6. Demonstrate common sense and compassion. It's what your job is supposed to be about.
  7. LISTEN TO THE WORDS THAT I AM SAYING TO YOU. HABLE INGLES????
  8. TREAT THE ACTUAL SYMPTOMS AS PRESENTED AT THE TIME THEY ARE PRESENTED.
  9. Don't engage with family members that have toxic behaviors. You're wasting your time. 

You'll save yourself some embarrassment and extra work.

What you might try


    What you might try is practicing what you preach in these hospitals. Good boundaries. Telling the truth. Proper nutrition and exercise. Not spreading rumors about one of other health care providers. Being ethical. Otherwise, do us all a favor and quit. You embarrass yourselves with your failure and your lies. Because guess what? PEOPLE EVENTUALLY FIND OUT. Maybe not today. Maybe not tomorrow. But they do find out. Just food for thought. Don't let a few bad eggs spoil the bunch and don't be hypocrites. People figure it out. I'm not getting paid to help you out so you might as well take some free assistance. 

    Remember the old adage: Do it right the first time, you only have to do it once. You stabilize a bad reaction to Spravato without engaging in excessive bullshit, you save yourselves and your coworkers some time. I only have so many metaphors and so much resilience, so hope someone is getting the fucking point. Do your job right or quit. For the love of God, please. 

Tuesday, July 8, 2025

Dear Leaves,

Molly taking good care of Spidey. Ebbyday. Tell Gryps Spidey says hi. Ebbyting berry gnice. Di internist got di blood all bedder. Groovy. Spidey's women take good care. 

Spidey

Monday, July 7, 2025

Dear Elle,

I've lost my zing. Vhere did it go? I need it back. You didn't hide it, did you? Vhy do you haunt me so? You did not get worried, I hope? Volly's got sharp eyes, zat one. She keeps one on me, you know. Rest well. I think you earned it. 

Fondly,

Vladimir

Dear Angry Mental Patient

 


Dear Angry Mental Patient,

    I'm glad you and the others are getting along better. How's the old body doing? The head have enough space for the 8 of you? When you sneeze, does someone come out? Are the sinuses ventilating well, or is it getting hot in there? If Jess takes her clothes off, is it sexy or is she truly invisible? So many questions! I have such a curious mind. I sent in the pills you ordered, just eat them slowly. 

    On brighter news, I talked to Elle and she got your messages. She talked to the others like you asked. There was a bit of resentment, but they understand. I hope you don't take it too hard. Spravato is new, the looking up thing happened a long time ago. She'll be ok. The staff can't wait to see you again. They'll even throw in a pair of free scrubs and an honorary name tag (That doesn't unlock the doors. Nice try.) Oh, and Peytlin got the soccer balls. I'll say hi to Arson for you.

Coffee

Sunday, July 6, 2025

 Dear Elle,

    Maybe the time to get better at this was high school. Maybe I'm just good at overthinking. I have to find larger purpose. You know I do pray sometimes. I prayed in MIP, even as the jackals berated me. I prayed in McLean, as I walked the dark halls. Sometimes bad experiences can drive people with the same force and intensity as good ones. I'm reminded of the Count of Monte Cristo, one of my favorite stories. My focus seriously isn't as good as it used to be. 

    I trusted you, I relied on you. You never let me down. You know what I regret? I regret thinking that I had to be the name. So obsessed with how things appeared. Now I find myself rejecting that, running to the solace of the shadows, finding freedom in being unknown because known simply wasn't working out that well. I'm sorry I wasn't stronger.

Ashes

Friday, July 4, 2025

More to Me

Dear Elle,


I just wish you could see that there's more to me then what you knew in the hospital. So much more. I'm not just some crazy guy on meds that you took care of. I'm more then that. I wish you could see. I remember sitting with you in the gym. You had the reports you were writing in that pretty girly print with the colored ink. You didn't mind that I didn't go play with the others. I would sit and talk to you. While you wrote report. I trusted you. I'm glad you were there.


Truly yours,


Ashes

For Elle



You know that love is meant to be
A gift of grace that lasts forever
And I'm glad you were there by me
To help me keep myself together

You should know, everywhere I go
Always on my mind, in my heart
In my soul

You're a leader in my life
You're the inspiration
You give reasons for my life
You're the inspiration

Wanna have you hear me
I wanna have you hear me sayin'
You were there when I needed you, it's true
And I know, yes I know that I need it plain to see
How you helped keep me together
And I know that could not be just me
Whom you helped to learn to shine

You should know, everywhere I go
Always on my mind, in my heart
In my soul

You're a leader in my life
You're the inspiration
You give reasons for my life
You're the inspiration

Wanna have you hear me
I wanna have you hear me sayin'
You were there when I needed you, it's true
And I know, yes I know that I need it plain to see
How you helped keep me together
And I know that could not be just me
Whom you helped to learn to shine

You're a leader in my life
You're the inspiration
You give reasons for my life
You're the inspiration

When you save somebody
Through the weight of time
You kept my spirit alive
When you save somebody through the weight of time
When you save somebody
Always on my mind

Thursday, July 3, 2025

Dear Elle

Dear Elle,

I hope you are welle! Life has gotten quieter round here.  Still looking for work. I'm glad you were there. You just had a way. Life is different off clozaril. For sure. But i have a good feeling. I hope I'm right. Life can throw all sorts of twists and turns. We'll have to see!

Your devoted fan

Ashes

Wednesday, July 2, 2025

Dear Elle,


I hope you are well. Did you talk to the others, let them know there's no danger? I'm trusting that you did. I knew I could always count on you. I hope they're taking good care of you. 


Ashes

Dear doc,

    Crosses are Red
    Some scrubs are blue
    Your faborite arachnid
    Has some praise for you!

    Spidey tinks di oppice is berry nice. My internist is pretty and smart! The ears reelly do peel bedder! Ebbentually, I'll need a full physical, so you may have to introduce me to your doctor friend. Spidey needs to stay out ob di hospitals. Letz keep werking on dat. Tell di staff I said Hi!

Fondly,

Spidey

Past Reflections