Wednesday, 7 June 2017

What to Expect When You're Depressed - HOSPITALS - PART 1: The arrival


 HOSPITALS - PART 1: The arrival




I have been hospitalized three times over the past two years due to mental health concerns.
The first was a month or so after I initially reached out to my family doctor. The medications we had tried had provided little relief and my suicide ideation had become very specific. She therefore decided to Form 1 me which meant I was taken into custody for my own safety and locked in the psychiatric ward for a minimum of three days. I had not anticipated this move on her part. I didn't even know such a form existed. I was terrified at what would happen next.

My wife was called and she came to my family doctor's office where I was placed in her custody. We were warned that if I didn't arrive at the hospital within the hour the police would be called. We drove straight there and found the ER was expecting us. They already had a copy of my Form 1. After the initial paperwork was completed I was escorted into small room. The ER nurse was kind but it quickly became clear I had lost my freedom. My clothes were taken away and I was issued an ill-fitting hospital gown which slowed my every move. A security guard was even posted outside my room to ensure I remained safe and that I didn't get away. The first guard they posted was older and I joked to myself I could have probably out run him even though I was hobbled by the hospital gown. But when his shift was over, he was replaced by a decidedly more athletic guard. I was trapped.

Waiting and waiting
The worse part of the ER was the wait. By triage standards, mental health is a low priority. Also, it didn't help that there was only one psychiatrist on call. The ER nurse did her best keep me comfortable by bringing me some food and checked in on me periodically. Still I waited and waited. After about 6 hours, a psychiatrist finally arrived and assessed my condition. He promptly prescribed new medications and announced that I would be admitted into the psychiatric ward, or “One West” as they called it. I noticed that they didn't refer to it as the “mental ward” or the “psych ward” but rather stuck with the geographically neutral title of “One West.”

After the pdoc left I waited another couple of hours for a bed. Finally I was escorted by my security guard and a hospital porter into the locked ward. It was late at night and I was exhausted. 

The police
My second visit to the hospital played out basically the same except the police took me to the ER instead of my wife. My family doctor could not get hold of me after I left our appointment and fearing the worst, she called 911.

I arrived home that day, after having lunch with a friend, to find two police cruisers on my street. For the most part, the police were polite until it came time to take me into custody. The larger police officer warned me that if I tried anything I would regret it. For someone who sweats over a late library book, this warning terrified me. He then had me lean against his cruiser with my legs and arms spread wide open. Next he put on gloves and frisked me from top to bottom. As “luck” would have it, my neighbours were all arriving home with their children after school. I was mortified as I was locked into the backseat of his cruiser and driven away. I hide my face in shame as everyone looked through the window.

The police waited with me at the ER until a psychiatrist and hospital bed were found. My custody was then passed from the police to the hospital security staff. After a few more hours, I was again escorted by security and a hospital porter back to One West. The moral to this story was if you're suicidal make sure your Family Doctor has your cell number which she can call first instead of 911. I would have still ended up in One West, it just the ride would not have been so intense.

The ambulance
The third time I was taken to the hospital, I rode in the back of an ambulance. I don't remember much of the incident other than answering the front door and collapsing into their arms. I was on the phone with my family doctor at the time. My therapist had called me about a half hour before to conduct an exit interview for the group sessions we had. During our conversation she revealed that further assistance was unavailable for another 6 months. My mind collapsed and everything escalated quickly. She sensed my agitation over the phone and my growing distress. She told me to call my family doctor and that she herself would call back in fifteen minutes in case I couldn't get hold of her. I agreed but then as soon as I hung up I set my plan in motion. If you ask me why I did it, what was so wrong, the only honest answer I can give is everything and nothing. My mind was confused and the suicide ideation took over. I had visualized the steps many times before. The action was well rehearsed. Every other thought just shut down and it happened. I overdosed. I can't explain it. The best I can do is direct you to my poems where my distorted thoughts and raw emotions are better illustrated.

I remember a few snippets from the ambulance ride and some flash backs from the ICU but not much else. When my senses had fully recovered, I found myself in One West for another extended stay. After two weeks I was strapped to a gurney and rolled into a patient transport van. A nurse from One West escorted me as I was transferred to a psychiatric hospital for an additional six weeks. At the new hospital I was greeted by a security guard and another nurse who signed for my custody.
 


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