Friday, September 7, 2007

"Where is my crazy sister"

A young schizophrenic girl arrived two days ago. She was quite distraught, angry, paranoid and needless to say frightened. She came with her family which included her sister and both biological parents. One of the obtuse elderly nurses went out to assess her. It quickly appeared to her that this patient was actively psychotic. She was seeing dead people, hearing voices telling her to kill others and the gamet of symptoms. This required and called for admissions to the hospital. She wouldn't stay. Her sister began to accuse the nurses of raping her sister even prior to admissions. The elderly nurse began to get angry, but I put my hand on her shoulder and gave her the relax, calm down look. I later pointed out that we actually had two patients, the lady who came for assessment and her sister who was "acting out" in the day room. The comments she made were disurbing - to put in mildly. The situation was quickly getting out of control. The patient was screaming in the room, pounding on the wall and coming out to the lobby in an attempt to "kill that lady" referring to her mother. She then hit her father repeatedly, violently and pushed him to get out of her way. Quickly, I ascertained that we needed separation and the other sister, needed to get out of the building. Her yelling was making the psychotic sister worse. There are a couple thoughts on this I felt profound enough to share in a serious/humorous way.
The sister that made accusations and tried to come to her (patients) rescue was way out of place and more than likely has mental health issues of her own, but the venomous point she was trying to make, though disturbing, was with such tenacity it called for reward or punishment. It was best to ignore it, for if I even so much as looked at her, she would recognize that she was rewarded for this behavior. Still, I listened - peripherally as I spoke with the mother. Keeping a calm voice in a sea of madness around me. I gestured to the mother to sit down, and briefly to the sister. We all sat and things got quiter. I kept thinking about this sister. How she wanted what was best for her Ill sister. Her misperceptions and harmful conclusions were inept, but her zeal was impressive. I would have rather her venom be poisoned with truth, but in her impotent way she clung to her bond with her sister. An advocate? See, in times when you are unable to defend yourself, wouldn't it be nice? An advocate such as this. The diary of a mad black woman comes to mind