Community

    I really am hoping to turn my attention to doing something more positive for this community then watch a hospital system and my family fight over what I need and who is to blame. I just don't think this conflict is helpful. I don't think we need super medicated citizens permanently disabled just so they can look perfect and talk fancy. I really don't think it helps to learn 3 careers worth of information and burn yourself out trying to be everything to everyone. I don't think we need ODs in our ERs or people threatening each other. 

    I don't think this is helpful. That's why, again, I'd like to thank the governor, the medical board, the cdc, scdhec, and DSS for stepping in. For putting the brakes. And mindfulupstate and city center for recognizing valid problems in this community. South Carolina has real problems. So, maybe, just maybe i should figure out what I need to do. And maybe accountability keeps people safe. The house was full of pills. Everywhere. So many different types. You have no idea how many pills. Far too many. 

    Perfection isn't a virtue. It isn't safe. Can't be teaching people to drug it away. You end up with word salad, dx extravaganza, pills everywhere, dead tired, haunted, miserable, looking ok but not feeling anything like that, and then the physical issues... GI wrecked. Metabolism crazy. It's not worth it. It's so not worth it. Just leave people be. Let them be human but without controlling others or medicating them to death. 

    We have the largest prison population in the world by far already. How many more will we lock up? If ok can be ok, and money is not the end all and be all, then maybe it's ok to let people be imperfect. And free. Maybe I like this place too much. But it'd be nice to see people treating others a little better. Not so focused on perfection and ideology. Religious or otherwise. Because I feel like I have a very hard core, brutal liberalism on one side and a hard-core conservatism on the other that can be brutal too.

Big Picture

    I really hope people are starting to get the big picture. That overmedication is not ok. Abuse is not OK. Harassment is not ok. That whatever my problem is, carting me off from this hospital to that hospital and medicating the life out of me is not helpful. It's not helpful to force me to talk to lawyers and mental health staff. It's not helpful to inspire me to contact DSS or FBI or SCDHEC or the MEDICAL BOARD regardless of what my problem is. 

    Whatever my problem is or isn't, some people aren't healthy together. I think, at a bare minimum, the entirety of the upstate mental health community can agree, as numerous ones already have, that I have unhealthy relationships and certain people need to stay out of my life. For the good of this community. For its safety and security. We are not good in combination. I've got to relearn a few things. Just leave it alone. Let it rest. Just leave people be. Let ok be ok. We need to all take some big steps back and try to forget.

    Let it all go. Permanently. Let's not repeat patterns. Let's not go back to the same people. Let's not threaten or hurt anyone. Just let it rest. Keep South Carolina safe. Peaceful. Quiet. Part of that is leaving me be. At least until these two people, and thier respective teams and consultants (which includes multiple mds) say otherwise. If every shrink with a name up the East Coast has already tried, and these two teams believe i should stay home, then maybe I should do that. The cat is doing well. He's been in such good spirits. Happy as a clam most of the time. I get upset at times. I start pacing and I get lost in my mind. Just leave it alone. 

    These people are helping me. Let them do that. They're doing well. Don't make me talk to lawyers, DSS, anyone else. I don't like doing it. And if I have to go to a hospital, don't threaten me. It's not a good idea.

Drug Demons

Something that hadn't occurred to me until recently is how interesting people seem to find me. It was rather disconcerting at first. Being the last born of educated parents can affect the mind. Sometimes, people don't realize and make it worse.

If you get the wrong types of attention, it can distort the mind. Interpretation can run amuck. It's easy to get labeled bipolar, especially if you're male. Doesn't mean the label is helpful or the medications either. Highly perfection oriented populations can misdiagnose so easily. Distorting someone's perception of the world and themselves isn't hard to do. Creating chaos, through highly traumatic events or through unpredictable and varied demands will create people with many talents and little consistency. It will make them act bipolar. No chemicals required. They will rise and fall and be agents of chaos, because that is what they were taught. You don't have to go to McClean to know what messed up is. While some dx's like DID are rare and not well understood, they are not so rare in fact. Because these problems, they have like problems, and some hide better then others. The symptoms shine through. For DID and borderline, it's those patterns. Very well defined patterns. Reinforced patterns. Locking up people with patterns is like locking a bunch of thieves in an art museum. What will they learn from each other while gazing on valuable things they cannot have?  How will they heal? There's a few dozen geniuses with psych MDs that are so incredibly allergic to the truth. They can't see how they are part of the problem. They don't want to see. They want the reputation and money. It's sad. Promoting drugs and finding problems with people. It's truly sad. They may think I'm the insect they couldn't quite kill or stop from buzzing. But I am the warning. I am the warning of what fault finding can bring. Now they need to see that reflection. So the world can be safer. Demonizing people creates exactly that: demons. Drugged, useless demons. So great job guys, I'm sure we all appreciate it.

Physical

I've moved from a deep freeze to semi freeze and now i seem to shift between a mild fight state and mild shutdown. The fight state involves more GI upset and increased BP and temperature. 

They call it polyvagal theory. The engagement zone, the freeze zone, the fight zone. There's much more detail but I'm still learning the truth and unlearning the Bipolar bullshit and toxic masculinity. But I truly was screwed over by psychiatrists addicted to their own ideas of importance, ignoring red flags, overprescribing, and endangering this community with limited understanding of fight/flight symptoms, dinosauric theory, and a list of patented drugs that numb and alter behavior.  I helped them do it. I'm no longer helping them. There are others that are numbed and walking around with their issues. That ignore their reality.

Sometimes medication is necessary. It should be used with caution. Men aren't dangerous unless they are taught to be dangerous. And even then, they have to choose. Different men make different choices.

Patience

I struggle with patience. A traumatic event on top of a sudden increase in awareness is not a recipe for understanding. Being highly analytical is not a recipe for patience. The memory blocks and processing problems make tasks difficult. I'm too eager to engage. I slip into complacency. I look around and I see denial almost everywhere. People dripping with ignorance and yet only too sure of themselves. People with letters engaging in fits of incompetence and then disappointed at the results. Thinking that surely it's not that hard. Thinking that they are special. Thinking that they can see through the issues and fix me. It's not that it amuses me to see them fail or even that I want them to fail. I'm just amazed that they are wasting thier energy and engaging in such delusions. They called Prichards the magic maker. Now everyone wants to fix me and no one can. They wonder how I learned to idealize and engage in delusions when they themselves taught me line by line. They wonder if this "Bipolar" simply dropped down from heaven. They don't have the patience to realize that they themselves are human, they themselves make mistakes and fail. They want to demonize me but can't look in the mirror. I wonder why. I could be more patient if they weren't so full of shit themselves. Some of the changes in me are long term. Others are relatively permanent. There is no fixing me. The brain still has plasticity. Let it rest. Don't play with fire. And I will work on thoughts, emotions, and routines. Forget diagnoses. Forget medical solutions. Forget trying to manage me. Leave me be. Give me peace. I'll give you the same. I need quiet. That more then anything.

Thermometer

10. Rage

Psychosis like behavior. Defensive, abrupt, sometimes paranoia. Visual changes, fading out, hearing changes, faraway. Ranting. Intense fear.

9. Fury, hostile, closed. No longer listening.

8. Anger, impatient

^ Danger ^

7. Cautious, Irritable

6. Nervous/Alarmed

5. Overstimulated/stressed

^ Too activated ^

4. Peak, headache, fatigue, losing focus

3. Engrossed

2. Pleasant engagement 

^ Productive ^

1. Unoccupied, attentive, curious

0. Bored/tired. Slightly dreamy. Adhd like.

FBI

So I rather regret filing a report with the FBI. I have a sneaking suspicion that my report is very related to the internet disruptions and password reset requests that day. So my professionals are getting used to having conversations with state and federal agencies... the local police can breathe a sigh of relief. The same people that want me to shut up know county and state officials pretty damn well. Extremely well. Unfortunately they can't control the medical board or federal officials... but I'm not law enforcement I'm just pissed off. So again, it's really a bad idea to know me unless I contact you. It attracts the wrong kind of attention. Let it alone. Don't worry about DSS. Worry about DEA and FBI instead. I'm trying to keep myself physically intact and mentally functional, help the local hospitals figure out how we got into this mess. Keep people safe. And maybe the federal government doesnt mind so much giving me some disability and some insurance, if it keeps me healthy and keeps some dirty doctors in line... maybe they come to appreciate that actually... but they probably prefer not to get contacted... so, speaking on behalf of the FBI, please don't contact me without permission. It's not a good idea. Thank you. Please don't threaten me. It's not a good idea. There are jails for some things.

Side Effects

Almost every time I talk to a non-professional who knew the medicated me I get the distinct impression that people want me to shut the hell up and medicate. Such desires have side effects. Insisting on seeing someone through a lens of medicated perfection is a distortion of reality. I get it. I kinda liked the old me. But that's how I got here. Medically complex, permanently disabled unless I learn to deal with emotions differently (near as an honest professional will tell me), unable to maintain relationships... unable to maintain jobs... a medicated perfectionism. Oh, you'll be damn strong... miserable, and unstable. You have to deal with the emotions and set boundaries, or you'll drown in pills and anger and there will be no help for you on this earth. So I strongly advise anyone who knew the old me to avoid contact unless I contact you. Oh I'm full of ideas, you made me that way... not all of them are good ones... the local hospitals and I are engaged in some learning... leave it be. Or people as far off as Singapore just might understand the dangers of overprescription and poor boundaries. I like this state. I like it quiet, safe, peaceful. I'm planning to keep it that way... but I need to work with these hospitals, improve my health and hopefully keep them from endangering the population. I especially want to discourage medical professionals yet again from contacting me directly, indirectly, or by soothsayer unless they are on a treatment team... that would be extremely poor judgment. 

Gratitude

What am I grateful for?

Knowledge...

People...

Food...

Home...

Rest...

Spring...

Peace.

Awareness

I'm seeing good signs... the hypersensitivity seems slightly less. My body feels more present. I feel more aware of people around me. Slightly less lost in my mind.

The depression seems milder. The energy a little low but more consistent. The anxiety and anger still seem a little high. Blood pressure still elevated. Heart feels a little wierd with periodic mild chest pain. Allergies... less congestion, more airway constriction, especially in the sinuses. Hands and feet are sensitive. Joints pop a lot. Forehead, gums and face have pain at times. Forehead is changing a little. I can only imagine that the neural networks in the prefrontal cortex are adapting. Some of the bizarre thoughts have faded with some of the more unpredictable physical sensations. Though I think avoiding certain memories and people is still wise. Chronic inflammation from over medicalization, numbedness, lack of processing. I'm rinsing with warm salt water. Some exercise, and continued nutrition and routine... maybe the hospital and I can avoid direct legal action... hopefully avoid threatening each other... seeing as this name is still on a building of thiers... seems rather ugly. Perhaps cooler heads can prevail. Keep people safe, but without excessive force. The road to hell is paved with good intentions. Maybe some of those doctors had good ones, but they need to be careful. They need to maintain independence. Proper boundaries.

The First Time

She was magnificent. I rode her like a stallion. Oh, the creases, the curves! The way the sheets felt right out of the supply room! The long metal legs! I - damn there goes the BP monitor again... I'm waking up... 

BOLTING UPRIGHT. 3-4 PEOPLE HOLDING ME DOWN... RIPPING WIRES OFF OF AND OUT OF MY BODY... THE MONITORS GOING CRAZY...

oh yes, my love, that Hypoallergenic pillowcase looks good on you... where was I? Drifting back into my coma, I think... oh don't worry about the medical staff... they've seen delirium before...

Hospital Staff & Relationships

 When you have health problems, relationships can become a challenge. 

    Perhaps the staff at Memorial has misunderstood. Desperation is a dangerous ingredient to the mind. You've known me, for better or for worse, for decades. You brought me out of a coma. You kept me alive. It's the workers on the ground that I appreciate the most. The low-level ones. I did not come there to learn names. I know you well enough. That's the whole damn point. 

    Someone keeps you alive, you tend to remember. It's been a long time since that first coma. 17 years old. 26 years ago. You knew me even before then. Some of you have been there the whole time and are getting ready to retire. So I wrote you the poem. Safe Harbor

Anyways, I mis-learned a bit. That's why I don't want the pills anymore. Just the bare minimum.

Family doesn't like to remember these things. Big surprise.

    But hospitals built me up. Not just one of you.

    I just have an issue with misprescribing dinosauric diagnosis addicted docs who lack proper independence.

Notes to Selves

2 Do not return to MIP

3 Do not file reports before checking with Team

2 Do not talk to family

5 Do not think about law

5 Do not speak to or contemplate MIP

7 do not contemplate prescription medications

6 Stay home

5 Do not contemplate the general community

4 Dot not misplace anger

4 be careful with the sense of humor

1 Keep noise down

5 Do not get creative with dealing with the past

4 Do not try to help people atm

5 do not worry if internet connection comes in and out

5 if password reset links randomly show up, contemplate the positives and negatives of filing reports or saying weird things.

4 Mind my own business

    That said, a thank you to my team for listening. I'll be quiet now. This is waaaaay too much like "The Departed"... from numb to very aware. No longer care. Not my business. I am not a federal agent. I am not undercover. I am minding my own business. Now I'm retired from medicine AND law enforcement. What else can I retire from?

    I'd like to remind everyone to be aware that my hearing is excellent. Maybe Going deaf is a good idea...

    This was so much more interesting at a theoretical level. I'm going to think about my life choices, take some vacation.

    A note to charities: Please don't call. I don't actually have any money. I appreciate what you do, really, but I am literally broke and I'd rather spend the money tipping the delivery guy.

7:2

Oceans apart, day after day

And I slowly go insane

I hear your voice on the line

But it doesn't stop the pain

If I see you next to never

But how can we say forever?

Wherever you go, whatever you do

I will be right here waiting for you

Whatever it takes or how my heart breaks

I will be right here waiting for you

I took for granted all the times

That I thought would last somehow

I hear the laughter, I taste the tears

But I can't get near you now

Oh, can't you see it, baby?

You've got me going crazy

Wherever you go, whatever you do

I will be right here waiting for you

Whatever it takes or how my heart breaks

I will be right here waiting for you

I wonder how we can survive

This romance

But in the end, if I'm with you

I'll take the chance

Oh, can't you see it, baby?

You've got me goin' crazy

Wherever you go, whatever you do

I will be right here waiting for you

Whatever it takes or how my heart breaks

I will be right here waiting for you

My Dream

    So all this talkin bout dreams... I've lived here a long time. I had hoped to do something for the city... maybe use my words... it's a beautiful city... so many different people... if I can remember enough... maybe write a little... help people know this city... it's more a matter of recall. 

    The memories are there, the psychologist at Clarity said. She said i can't access them, they are blocked.  I can't see the big picture. If I can piece it together, maybe the city can see what I see... so, I guess that's the thing I feel i can't give up. My personal resentments are a smaller thing. My concerns about prescriptions... somewhere in-between. 

    So maybe I can put a few rocks down, grab that chisel... hopefully, give people a good idea. Just don't ask me for names. People gotta live here.

Elle + Leaves

My friends,

    You got me to here. I want you to know that you are safe. There is no danger. I made it this far. 

    Do not worry. Molly has me with Coffee Pudding now. They are going to help me. I need to resolve this issue with the old guard. Please be patient. And do not worry. I believe Malacheck's death is suspicious. I'm very concerned about the medical decisions that were made. Some of the medications prescribed. I want our home to be safe. For everyone. 

    It will be ok. I hope I can trust my community to let me understand what happened. Why Malacheck is dead. What these medications did to my mind. Are they safe to be used this way. I was a minor. Decisions were made without independence. I want to understand. I want everyone to be safe. I need you to trust me. You know me. You know I don't want you harmed. That is not who I am.

Ashes and dust

Break in

There may be a few more reasons the hospital gets frustrated. 

I had been there so much. I knew every square inch. That's not good. 

Then. The strange behavior...

The child eats, sits, sleeps.

The communicator talks too much. Tries to make friends. It was her idea. Blame #2. It wasn't me. 

The gatekeeper is cryptic. Sorry, guys, this person is closed. Move Along Please. 

The helper tries to help everyone Well, you know at crisis line we did this and that or have you heard of this resource here? Well, maybe quetiapine isn't right for you?

The solver is thinking... You know, maybe they'll give me another Bipolar again. Man, Another diploma. F'hD. I passed Cyclothymic. I reached both I and II. Or maybe a GAD again? That worries me. 

The continuing is on vacation on the outside. Sorry guys. Need some sun. Got some cooking to do. Love to Chat, On the flip side.

The Protector is acting like security. Uh, Hey fellas we shouldn't be saying that to so and so. Not Cool.

The Unitary is on vacation on the outside (whistling)

    They have predictable patterns. I do too. They want me to learn to "advocate". Help myself. Because these functions happen in different pockets of memory in the brain. I've had so much mental manipulation and medication that my memory is divided. When I am in the world, every moment is happening to 8 different pockets. So... Let's say I process about 1/8 or 12.5% as fast as other people. From a ten day of hospital time being charted at 4.5 PPH I can remember the same 12.5% of what happened at any given time. Well, if only two of me were there then technically 6 of me can remember 16.67% of what happened separately and have to confer with both the two playing hooky until the 8 of me agree on what happened.

    So, the 8 of me have to chat for a while, figure out what we can do better, consult with the PA and the Counselor, who probably got the same 600 pages of reading material. Then hopefully the Cooperation for the Improvement of Me can develop another battle plan. In case #2 talks our way in again. She's persuasive it seems. Anyways, we need some time to think. Why did I let her talk them into this? Number 7, I'm disappointed in you. I trusted you with her. You let her talk her way into MIP again? REALLY? Dude. Not cool. Man, we need to see other people. C'mon. Dude, you could have... I dunno... The labs did come back abnormal at the ER... But the aceto level was low, CO2 low... Maybe those baby aspirin the internist stopped. White blood cells were off. Something was going on. So now we got tylenol instead. careful with anti-inflammatory drugs. So, I guess we need more neural connections between the pockets of memory. 

    So, I gotta talk to myself more, until I can remember what I did more clearly. Cuz it's kinda embarrassing. I'm a little worried I may have done something we would regret. You know, like contact someone we cared about. Or say something strange. Or, you know, Say we were thinking of harming someone out of fear. Or, you know, something we did one of the other dozen or so times we were there. It's not clear why we don't talk more. But I hope it gets clearer soon. Because I'm frustrated. I'd like to be more active. I'm trying to be patient. Some activities are a little blocked. 

    I have 8 names. They have natural forms and names and numbers. Like computer Avatars. There was a 9th. The total number is not certain. So the response can vary based on who I am. I worry about the future. I worry because I'm not sure many there are. But there seems to be at least 8 now. So I need to focus on transferring memory and internal communication and getting myself to flow together. 

The Reason Why

    So, I was thinking. As usual. And I figured out the reason why the hospital staff alternated from confused to amused to frustrated.

I generated 600 pages from one ten-day hospitalization. Let me unpack...

600 pages / 10 days = 60 pages of charting/day

60/ 24 = 2.5 PPH (pages pages per hour)

No wonder they were annoyed. 

    But i got souvenirs. They were so kind as to mail my counselor a 600-page book of charting to review. She's still working on it. I wonder what I was like? She says it's mostly consistent with what she was told. She and my coffee must be good friends. Coffee is kinda hot. Of course I tell them everything, so they must be meant to be together. I hope they keep in touch. 

Safety/Threats

I thought I would explain threats of Harm in relation to Dissociation. 

When someone with a dissociative disorder feels overstimulated or high adrenaline, they feel unsafe. For me, I activate the kill switch. I tell someone that seems safe. A professional. No one is in any danger.

Dissociation is much like sleepwalking. Acting on past memories. It's not the same as psychosis, but it looks similar. 

I figured out why I said I was thinking of harming my counselor. The same reason I told that employee at MIP i was thinking of harming her all those years ago. Activating the kill switch. The hospital had a half dozen security there. They gave me a shot of antipsychotics, moved me to IMU. Later, I felt safe again, and i was around her again. She was never in danger. I don't remember her name.

But there is a law requiring notification of the person threatened. I knew that. I just wanted my counselor to know I was feeling unsafe. I felt like they were not letting me talk to her. So, I said i was thinking of hurting her. I had done that before. Maybe they contacted her. Maybe she explained. Maybe not. They don't tell me everything. Observing someone over time, you can learn their patterns, even without Dissociation. They are highly alert, just not present or aware.

Some of my talkers have been white, some black, some Hispanic, some Asian. Women or soft-spoken men mostly. I like diversity. My current talkers (including their teams) are rather diverse. 

Dissociation happens every day, all around the world. People that have PTSD, DID, Borderline... no diagnosis at all... call it living in the past, call it sleepwalking, dementia, whatever you call it... medication is not great for it. Grounding. The right sensory input. Sometimes you need someone different to do it.

Someone with DID is sleepwalking in a major way. Living in the past. Repeating patterns. I think that Gabapentin makes this worse. Benzos can too. Minipress. Red pill. Minipress can bring you down, but if you're on a large dose, and you come off, then you're walking around looking for what you were doing before. Like with Leaves of September. I was looking for a while. I came off Minipress and I was looking for a while. I bought that gun because I was afraid. I didn't want to be lost forever. I wanted to keep me here. Adrenaline. Dissociation. Patterns. I don't know if the Matrix was referring to Minipress and Propranolol, but one is red and the other is blue. It can be alarming if you don't know what you're looking at. Being calm is the best strategy. Making threats raises adrenaline. Yelling raises adrenaline. There was talk during covid of safe zones. Same concept. People become alarmed, they act on the past. Sometimes there is no danger. People become afraid of Protectors, but that's not really how it works. See, a protector can protect anyone, or even groups of people. It's a safety function. People with conflicting patterns can be dangerous together. Other times people with similar patterns are dangerous together. That's why we talk about systems. Whether internal or external, parts have to flow together. Sometimes, someone with DID can be around others without it, and those others can get the idea that they have DID. Transference. See, trauma counselors understand this stuff. Austen Riggs understands this stuff. Observing patterns, suggestion, managing projection. Using sensory and intellectual tools. DID can be complex, and the antidote is simplicity. Grounding. Calm. Taking breaks. changing mindsets. Some people call it switching. Taking turns. It can happen internally or externally. 

Roscasch

 I can never forget the Roscasch Test at MIP. I remember the inkblot that sometimes could be a butterfly. I said I saw "male sexual organs". The Test result came back as "internalized anger". 

See that's where I get frustrated. If you're saying a teenager has internalized anger and they mention sexual organs, you should be flagging that person for abuse, teaching them boundaries, and not diagnosing bipolar or psychosis and chemicalizing them. That simply submerges the issue and then they go out into the world with poor boundaries, and they get in trouble.

I'd really like mental hospitals to be more careful with medication and apply better boundaries with patients, especially young adults. Bipolar doesn't come out of thin air. The symptoms are learned. The behaviors are learned. You can't medicate that away. Putting people on antipsychotics for every little thing is the Psychiatrist's insanity. They see what they want to see in what a patient says. They project their DSM. And then they release chemically numbed patients on society to wreak havoc. Doing that with adults is one thing. Doing that with anyone under the age of 20 is very stupid. Creating mindless zombies with submerged issues is dangerous. Clozaril was taken off the market, put back on. I'd like to see it permanently removed. It will destroy your body if it does not destroy your mind. Permanent disability. Neverending burden on society. That's if the Agranulocytosis doesn't kill you first, then you worry about all the other bodily systems, the submerged issues, etc. These people may not kill themselves. They may still overdose on three medications picked up from CVS within hours of being released, however. So, if you don't kill the patient while they are still in the hospital, they may be dead within days, they may survive years, but even if they do, they will be permanently disabled and a burden on society. That medication makes zero sense. ZERO. At least Seroquel simply numbs you out. Not quite as dangerous. And the ER and ICU staff tends to resent caring for OD'd patients from local mental hospitals. I don't blame them. 

Springbrook

 I was thinking about Springbrook. There were problems. 

The nursing staff was incredibly gossipy and HIPPA was violated every single day. It was revolting. Something is interesting. Something's hearing is too good. But they need something to talk about, I guess. Awareness is helpful. But mindless gossip teaches the wrong things. It actually encourages Mindlessness. If you don't know what you're talking about, don't talk about someone in the building. You teach the wrong things. 

The male attending psychiatrist needs sensitivity training. It's disgusting to see a man standing his workplace, literally in the middle of a public patient area, unloading about one of his patients to a staff member. Absolutely appalling. It's appalling when you lie to patient's face. Claiming to know a family member that you simply do not know is just stupid. Not helpful. And unethical. Attendings get desensitized. They say weird things. One blonde resident they used simply to pass on lies. It wasn't helpful. Using a resident because she is attractive is not helpful. It sends the wrong messages. And it was sad to see her get used like that.  Another two were very insightful, but one allowed a gabapentin prescription that decreased awareness in the subject and disinhibited behavior. It was not continued. Gabapentin is dangerous. The other got pulled into manipulations from different persons. She must be tired. The male resident was too smart to be pulled into the bullshit. He let the blonde be used. It was sad. Doctors should not be used based on appearance. 

The head social worker made an incredibly inappropriate speech. It was disgusting. Going on and on about her qualifications and being an LPC and this is how you do this and that... Way beyond her qualification level for teaching a large group of patients. Dangerous to try to teach so much personal information to a group of people. Not relevant to the situation at hand. LPCs are not meant to try to have a group counseling session in a hospital setting. She may have had Knowitall Personality Disorder. But she doesn't normally do groups. She shouldn't try. She tried teaching a lot of nonsense, a handful of realistic skills mixed in. But then patients will remember which parts? Dangerous to go freestyle in a group setting. 

What I do appreciate is that the nutritional options actually seemed better then MIP. Less education but better options. Also, the staff was observant when I was placed on gabapentin, which can actually be worse than benzodiazepines because it disinhibits and can increase dissociation. When someone with a trauma disorder is placed on gabapentin, it can change behavior dramatically. It decreases awareness dramatically. It is not safe for Dissociative disorders. Not safe at all. If Dissociative disorders have a cause other than real life trauma, I think medications like minipress and gabapentin would be it. Dangerous stuff. I was on a very high dose of both at different times. Now I have DID. Gabapentin is one of the worst. All sorts of psychological issues and phantom physical symptoms. It's guide lined for nerve pain and seizures but was used improperly for bipolar and is sometimes used for anxiety (GAD). Very dangerous. GABA supplements are available over the counter. They affect the same system. I try to take them only at night for sleep. Not during the day when my mind is active and my body too. They help with stress and pain but disinhibit behavior, cause drowsiness, decrease awareness. Best for when you're sleeping. Melatonin helps with that too. Inositol (B8). Natural, non-chemically modified.

Arson

Arson is the only attending I still know. Arson doesn't like Ashes and Dust very much. It reminds him of the failures of himself and his colleagues. The Medication Mania and Medicalized Depression they created. Then the staff is constantly having to sweep me up off the floor. He finds Rain depressing, then he develops Seasonal Affective Disorder. He's rather paranoid of Shadows. Afraid of Spiders. Unaware of Bob. Gets control issues with Gatekeepers. OCD like. Why is it always locked? Where's my key? He can't find Diamonds anywhere, so at least he can't steal them. Sometimes he talks to the Skye. As if the Skye is listening. He's not great with reflection, but I think he has projection mastered. But he needs Reinforcement. Sound a buzzer, maybe someone is listening. Send Small in, she's pretty, he'll listen to her. BUZZ! Wrongo. He's still working on extinction. He's been dipping into the regression. Now he's reaching for substance use, but it's not coming to him. He's running short on patients. He's looking a little tired, so maybe he needs to give it a rest. Perhaps he needs more Reflection. Just not from me. He doesn't like the picture.

Watching the Bed

So apparently, I was wrong. I apologize. The 600 pages of documentation were not my entire record from that hospital. The 600 pages were the records of one ten day stay.

Now it's becoming clearer. This is why MIP went on and on about "watching the bed" and how much it cost to "watch the bed". That bed must be fascinating.

I guess understanding ethics is more complicated. Because what Malacheck, Prichards, Arson, Tott, Dolyart, Groans, and Rippit did or did not do back in the 90s with DSM Mania and Medicalized Depression, made them seem rather Bipolar to me. But maybe that's projection. Maybe I'm having Seasonal Disaffection. I used to like MIP, but that's back when we were both afraid of my father and I had hospital insurance, which not only paid better but it was their own insurance, so it was easier for them. When you have the government insurance, your popularity drops like a rock. It pays worse in general, doesn't cover the fancy patented drugs as well, and it has limits on how long you can stay and in certain situations if standards are not met, the hospital doesn't get paid at all. Damn that accountability. So frustrating when people get held accountable. Now we have to keep such detailed records, and people actually look at them... Of course, it motivates the hospital to provide worse food, more processed food, and food that comes in wrappers. God forbid you have government insurance and dietary needs. Ooooh does that ever piss them off. Never mind proper nutrition, drug them up, threaten them, teach them nonsense, don't coordinate, and throw them out. Fantastic. What are you teaching these people? How are you helping? Give me social workers and nutritionists, they teach me stuff I can use. Real world stuff. The nutrition education was excellent, the social workers (all three) did well, but i'm disappointed in the doctors and techs. Not the one that worked with me. The old guard doctors and loose mouthed techs. The dumbest shit I heard came from patients and techs. The patients were an ethics cesspool at times. Staff needs to correct them.

Legal Threats

 I'm thinking that maybe we're learning together. Me, the 600-page hospital, and the one next door. They seem a little nervous when I come visit. I was there only 6 minutes before appointment time and I had the code, but instead they had a security guard at the parking lot and no keypad lock. 

I'm just glad the PA is not one of them. The old guard. I'm really disappointed in the old guard. Because I idolized my father. And he worked next door. And it seemed they didn't have proper independence. Diagnosis salad. First the adhd because I didn't learn fast enough. Then the depression because I was a disappointment. Then the bipolar because I pushed too hard and because psychosis was a convenient way to bury abuse red flags. Aspergers because of sensory integration issues and communication issues that came from fear and lack of trust plus isolation. 

We're also learning about threats. A good way to avoid having patients threaten lawsuits and mailing out 600 pages of documentation is to not threaten them with restraining orders in the ER merely for showing up. I don't mind the security guards, the nurses... seems like the technicians have particularly loose mouths though. Do they ever stop talking? I guess they get bored. Maybe I'm oversensitive. Maybe they get tired of running around. But I really don't need to hear about it. I guess I feel that a hospital is not meant for excessive complaining. I feel like I prefer talking about the necessary and otherwise sticking to the weather and stuff people like chatting about. 

So, we've learned about excessive diagnoses, excessive medication, the importance of nutrition... Now we're learning about independence, not making threats, and respect. And I'm learning that too much electrolyte water can push up your BP too high. Never mind salt. Electrolyte water or gatorade. I retain water that way. Oh, the internist will be so proud. Got off Clozaril, my pulse went down, my body retained less water because it wasn't having the metabolism pumped up and the kidneys filtering the blood so much. So, I started drinking the electrolyte water to retain moisture and nutrients in the system. Now the propranolol keeps the heart rate slightly lower than that and the moisture stays in. So, I'm going to try less electrolyte solution in the water. I don't even use salt that much to start. But the almonds I like, I sometimes get salted ones. So I'll need to be careful about combining electrolyte water and salty foods. My BP shoots up. I don't know how magnesium complex or Zinc would affect that. But the inositol that Artstick recommended is great... hydrozine works decently. I really liked Artstick. Small was sweet but fairly useless. Contendon seemed intelligent. Gullet could barely look at me, but I don't trust the attendings anymore. 

rTMS

So I thought I'd maybe try to think about something a little less edgy. Because Malachecks death has been on my mind. You know, I uh, did appreciate Austen Riggs. They were very strict on medications. The most dangerous incident involved a woman pulling a knife on another woman over a man. She was permanently removed. 

But then I got thinking about rTMS. Ah the new ECT. No more lightning bolt. Magnetic waves. They had to stop. The VNS was picking up the magnetic pulses. That may have been what caused the malfunction when the wire in my chest heated up. After that I stopped fiddling with the magnet so much. Leave well enough alone.

There are some very good people that work in Healthcare. Who care very much. Who respect boundaries. I appreciate them very much. I hope they know that. I hope they remember.