|
Cuckoo's Nest Revisited
Diagnostic and Treatment Incompetence at a University Based General Hospital in the Case of Antidepressant, associated Mania
SEC. 97-3-13. False confinement; sending sane person to insane asylum.
Every person or officer who shall maliciously send to or confine in an asylum, mad-house, or other place, any sane person as a lunatic or insane person, knowing such person to be sane, shall be guilty of a felony, and, on conviction, shall be punished by a fine of not more than five hundred dollars, or by imprisonment in the penitentiary not more than one year, or in the county jail not more than six months.
MISSISSIPPI CODE OF 1972
SOUTH OF WILLOW BROOK:
SOCIAL WORK IN A CITY OF SHAME
General Facility Dr. Lansky's report on August 26, 1998 documents abuse[1], with a hideous lie that the patient was "generally pleased with her treatment". In New Jersey and Rhode Island, other women treat women on women's wards. San Francisco is the heart of the feminist movement in this country. A large part of this patient's trauma, was that she was provided with no safe haven from men during her illness. Please explain why the staff at your facility, believed that sexual violation was an acceptable level of care for this patient? She reported the entire incident to each staff member, and they refused to address it, as though American women accused of mental illness, are no longer entitled to universal standards of human decency. Medical records note that she was a celibate [2] Roman Catholic[3] at the time she was assaulted.
This is a precise summary of this patients initial response to brutal seclusion and restraints, and it remains her opinion today.
Attitude is angry, indignant, and humiliated
Pt threatening a lawsuit and to tell Geraldo Rivera.
Thought content focused on the hospital being cruel and unethical
Pt appears disheveled and very upset
[4]
Why was an entire psychiatric staff incapable of recognizing and treating trauma? The hospital staff had callous disregard for human suffering. Your staff further demeaned, and humiliated this patient, by attributing her anguish to some personality disorder instead of the medieval torture, that it really was. This paper will prove beyond reasonable doubt, that the staff at the South of Market Mental Health Services was negligent.
The LSCW I Adult Geriatric Assessment 8/21
False Psychiatric History
"Client denies mental illness, and is not a reliable historian regarding past treatment. [5]
Patient reported a post surgery manic episode induced by Demoral in 1987, which was true. Manic episodes clearly associated with sedatives, and anti-depressants are not considered mental illness. [6] ASW notes herself no sx of psychosis.[7] About what part of past treatment was this patient unreliable?
1 Paxil, Adivan, Dalmane, Restoril, and Trazedone were prescribed from 1/13 [8]- 9/22
2. Dr. Hamari prescribed Paxil, Adivan, and Trazedone on 7/22 with 2 refills[9]
3 Dr Nygren prescribed Dalmane on 7/23 with a refill
4 Tried Depakote for the first time on 8/4, and it slurred speech [10]
5 Patient was nauseous, dizzy barely able to walk on 8/7 [11]
6 Dr. Nygren told her to d/c all medication on 8/7 and patient was compliant.
7 Patient enters hospital with drug side effects 8/11 [12]
© Psycho Social medicine falsely blames patient condition on "5 pills" or "3 Dalmanes", because patient had already been prescribed anti depressants for months. Patient threatened lawsuit, because staff never presented consent form for Depakote with full list of adverse reactions.
False Psycho Social History
1Writes this patient had marginal housing at the Casa Loma, but has difficulty affording $ 129 a week and had periods of homeless as a result"[13
2 Evidence indicates this patient had a monthly SSA income of $975 per month [14] directly deposited into her Well" s Fargo[15] account that included the standard option to earn $500 per month in 1998. The bank provided a credit line of $200.
3 Patient lived at the Casa Loma before and after her false imprisonment, as evidenced by her California State ID mailed to her at that address. [16
4 Dr. Sexton provided a note that was on file with Raja, [17]the hotel proprietor.
5 The patient described her own status as "in transition" between apartments, because she always had the income to rent an appropriate apartment room. [18
5150 Unable to Provide for Basic Needs
This is the precise sequence of events on August 11, 1998:
1 Dr.Nygren informed patient on 8/7 at the Ramada Inn [19] of an appointment@ 1pm, and the patient arrived on time. Patient told doctors that she had left the Travelodge[20], and was now staying at the Ramada Inn.[21]
2 She complained of drug side effects, and the doctors told her to enter the hospital.
3 She called her sister in New Jersey and her husband in Rhode Island long distance from the conference room at the end of the hall.
4 She took a cab to pay her storage bill, [22] and get her luggage.
5.At 3:30 pm, Dr Sexton carried her luggage to the hospital back door
Current Mental Status
1 Section 2 notes patient medication level was already "toxic" [23]. Movement slowed. Affect is constricted, mood depressed. Required redirection to cover exposed breasts. [24] Please explain how this is clinical positive response, and not abusive overmedication? 2 Evidence shows the patient had a license, and more formal education than the interviewer. [25] What achievablegoal was the correct answer for the purpose of reality testing for this interviewer?
DSMV IV (Last 12 months)
1The box is checked that the interviewer made her, own, diagnosis.
[26] How did she independently determine this patient had a spontaneous manic episode, and rather than induced, as the patient claimed? She notes in #9 that patient had no evidence of mania that very day.
2 What possible evidence served as the basis for her allegation that this patient was homeless, lost a job, and lacked social support?
Since patient had a clear TP, with no manic or psychotic symptoms, it seems SFGH was not treating a manic episode, but rehabilitating an indigent.
She notes three hours for error correction.
1 This patient had keen insight into the evidence presented, at all times. Why did she write that the patient was an unreliable historian, instead of validating the patient' s story herself?
2 This patient reported her abuse, and no mention is made of this complaint.
3 Since the hospital staff was treating this patient based upon false information, she relied on the social worker to validate her authentic case history. Social workers traditionally remove their clients from abusive environments, and advocate for their humanitarian treatment
Lynn Kim
© 9/10 Notes patient perseverating about how the medication has caused her to go manic
1 Dr. Lansky notes on 8/26 that this patient was less sedate, and more manic[27] at full therapeutic levels of Depakote.
2 This correlates with the other LCSW" s report this patient had no manic symptoms five days before, and was forced to take toxic levels of medication.
3 Why did she assume the patient' s report of negative side effects were incorrect? Patient visited Motor Vehicle for a new ID on this day, unaware of this ASW's false notes.
© 9/23 Never informed this patient of the existence of Mr. Lau. Who is responsible for informing patients their affairs have legally transferred to stranger, without their knowledge? This patient's Social Security history is accessible to every professional in this case.[28]. Which false report did this social worker use as the basis for reality testing in 1998?
1. Dr. Sexton's false report of GA? 11/20/97
2. LCSW I's false report of 1.5 years of unknown cause 8/21?
3. Maria F Aiechiga's false report of SSDI 9/3?
4. Dr. Lee's perjury in court " no income and no assets" when she appointed Mr. Lau 8/26?
10/26 Explained to clt that MediCal was discontinued because of her sister and sent client back to MediCal. This patient never qualified for MediCal because $997 exceeded their eligibility requirements at all times.[29] Why did she never validate this herself?
This patient's most important medical problem is vision impairment because she was born with severely crossed eyes.30] She is unable to see without glasses, and they were broken in the hospital's care. How can anybody function with vision impairment?2 Dr. Lansky expected her to see with glasses from the lost and found, instead of consulting an ophthalmologist, and so did this social worker.
© 11/5 Writes a "report" from Dr. Sexton that this patient "responded well to Depakote,"
.1 Original pages from the Psycho Social Department clearly indicated that it "slurred her speech" on 8/4 and she was sick on 8/7, after just a few days.
2. Contacts another professional about the case, perhaps to discover the patient's "whereabouts", rather than asking the patient.
3. In his own final report, he states this patient was "much worse" on Depakote, after hospitalization.
4. The Food and Drug label from Abbot pharmaceutical states that the safety and efficacy of this drug cannot assured for more than three weeks, and lists dangerous side effects.
11/ 23 Patient never kept a single appointment with an ASW who kept trying to convince her that she was an indigent, eligible for Medical, not more manic on Depakote, deserved to be abused by the hospital staff, should solve her own vision problems, and find her own gynecologist. In summation this ASW:
1 Falsely reports in #4 that the last doctor medication order was for Depakote, when Dr. Wolk clearly stated he would d/c Depakote because it made this patient' s hair fall out.
2. Falsely reports a final Axis I 296.4, when the psychiatrist in charge clearly wrote Bipolar II. The opinion of the doctor, rather than that of the ASW should be reflected in the final summary. Borderline Personality is difficult to assess in three sessions.
3. Falsely reports homelessness and lack of social support without validation.
Clearly, this ASW never communicated with the patient about the content in the records, because all this evidence was available at the time. She received a salary, formally clocked license hours to make treatment decisions, based upon her own persistent false beliefs. Since the patient was released from the hospital "much worse", she required competent assistance. Instead, this social worker spent the duration of her treatment hours discussing non-reality based problems, with other paid professionals with non reality based opinions.
©This ASW volunteered to take this patient's case, thereby effectively preventing her from seeking help from a competent professional.[32]
Dr. Bertrand
On 10/21, a report this patient was delusional and grandiose without providing any specific content evidence. Did this mean this patient did not present herself as a homeless, indigent with no social support, or that she thought she was Cleopatra waiting for the royal barge? This patient reported to all providers that she drug induced manic episodes, and that Demoral was the first. Could this psychologist determine independently that this patient did not have drug induced manic episodes in a fifteen minutes? This psychologist failed to address the issue of this patient's abuse.
Dr. Espiritu
On 10/22, he notes there were no medication side effects. Record notes that patient was prescribed Paxil, Depakote, and Elavil on 9/15. By 10/15 she was experiencing discontinuation syndrome from all of them.
[33] How did he determine her presentation was unrelated to these medications? The Food and Drug Administration precautions and adverse side effects for all three suggest that any or all might have triggered side effects.
Paxil is known to induce mania, and Depakote was documented to make this patient manic. Elavil is a tricycle with a special manic warning. There has never been a clinical study to establish the safety and efficacy of this drug combination. Did this patient demonstrate poor judgment, by recognizing the physiological effects of withdrawal, or by complaining that she was abused by the hospital?
© This doctor charged Medicare $ 150 to prescribe this patient Zyprexa, with a signed the consent form. He never explained this drug caused tardive dykinesia. There is no signed consent form for both Zyprexa and Depakote. The combination is especially dangerous. Since he was prescribing temporary medicine, he should have prescribed the same medication as the patient's regular doctor, instead of risking her life with medications for psychosis. This doctor prescribed these medications, so the patient would realize that she was a homeless, indigent who needed help from Lynn Kim. He was negligent in failing to recognize trauma from abuse.
© © Mental Illness
Throughout the records, several staff members note that the patient denies mental illness. This patient had absolute accurate insight into her own condition at all times. She was a credentialed professional, withformal education beyond her Master's Degree, living at the Casa Loma
Hotel with a potential income of about $1500 a month in search of a new apartment. She has manic- like states, from polytherapy, with dangerous psychotropic drugs, whose safety and efficacy in combination, has never been established in clinical trials. Depakote makes her more manic, its safety has not been established for more than three weeks, Tardive Dykinesia is an adverse reaction, and it made her almost bald. She was treated like a criminal without a trial without any criminal record.[34]
Conclusion
This patient was falsely imprisoned for 23 days, tortured, abused, violated, and molested to convince her that she was really a homeless indigent without hope or goals who needed Depakote every day to make her more manic. Now her life has been destroyed by nightmares of this event, and she will never resume her former place in society. The staff at SFGH, negligently, fabricated a false psychiatric and psychosocial history. Rather than correct the errors, and treat this patient' s individual condition, they extended the same pattern of negligence for another three months. This patient's "mental illness" was the contrast between her own evidence based self perception, and the staff's clinical assessments based upon a false psychosocial and psychiatric history. The purpose of treatment is to improve the quality of a patients life, and this staff failed abominably.
It is pertinent to end with an old short story. A woman was captured by savages, and pleaded her innocence. "Sorrow follows me on a fast horse. If you hurt me, Sorrow will get you. Your women will be barren, and your crops will die. Sorrow follows me on a fast horse." The savages were wise enough to release her. This facility employs licensed professional savages without the wisdom of their primitive peers. Has anybody on this staff ever, personally been tortured, severely enough to scream for 24 hours?
|
