Showing posts with label mental illness. Show all posts
Showing posts with label mental illness. Show all posts

Tuesday, February 26, 2013

Pregnant in hell: or, hello my baby





She wasn’t exactly sure when the pain started.

It can be that way, with pain. Doctors always ask, “So. When did it start?” You’re expected to say, at 9:47 a.m. on Monday, April 27.

At first it was just a tickling, a nagging as if she were about to sneeze. But the pain wasn’t there, it was deep down in her belly. Like a bad menstrual cramp, but she’d been done with those for years.

I knew. Even then I knew it wasn’t good.

It took an incredible amount of arm-twisting to get her doctor to even listen to her. When she bled all over the floor in the middle of the night, that changed things, but only briefly.




"When did you bleed?”

”In the middle of the night.”

“What do you mean?"

“I woke up and – I don’t remember, I was half-asleep.”

“How could you bleed in the middle of the night and not remember?

Blood gets some attention, so she was pushed on to the ugly-go-round, the medical machine that whirls a patient around and around until they are sick, then dumps them onto the ground again.






Things like an ultrasound were neat, really, because she never had all this stuff when she was pregnant. Just relax, Mrs. Parker. Cold jelly, sort of like lube, and this “thing” they pressed into her, and it didn’t hurt, not even when they stuck a sort of cold wand inside her, reminding her of being abducted by aliens. She wondered if she were being considered as a hybrid pod, though surely she was too old for that.

Then there was the nausea. When did the nausea start? A flicker, a wisp, and – nearly all the time now. So it had to be digestive. Just digestive, because you could not have more than one thing at the same time, it was medically impossible.

She had to have her gut reamed, well, they called it a colonoscopy and really it wasn’t too bad, though her doctor’s office didn’t call for two months with the referral and she wondered if she would die in the interim. 







“Mrs. Parker, this is just a reminder of your appointment tomorrow with Dr. Samadhi."

“Who’s Dr. Samadhi?”

“He's the gastroenterologist. Didn't your doctor's office call you with the appointment date?”

“No.”

“But they made the appointment with us two months ago. Can you explain this to me?”

“No, but I called them twice to ask what was going on and they said, don’t call us any more, we will let you know.”

Did they let you know?”

Of course! I heard about the appointment months ago and just ignored it. Happens all the time!





So OK, the doctor says, the colonoscopy was clear, the ultrasound was clear, so - .

The doctor shrugged like the dog in the Grinch cartoon, a puzzled look on her face.

So she did what she wasn’t supposed to do and looked on the internet and found 147 potential causes for abdominal pain. Her doctor had checked off two and sent her home.

But the pain. It escalated, something awful, and she was reminded of Rosemary’s Baby and the demon pain dismissed by Rosemary’s doctor during her macabre pregnancy.




It was then that the pain, incessant now (the doctor told her to take a Tylenol) began to work on her, to work on her mind and her spirit.

She began to be blown off-course by this thing, and started to think there was “something” in there.

It couldn’t be a baby, hah! Couldn’t even be a tumor, since that possibility had been  “ruled out” conclusively by machinery. The doctor said she was sure it wasn’t cancer because she looked at her cervix and it looked normal. Not inside her uterus, which she was sure was “fine” because the ultrasound was “fine”.

She was beginning to hate that word “fine”.




She gave up and cadged Tylenol 3 from her husband, sat for hours in front of her computer with an ancient electric heating pad pressed to her belly (covered with a fuzzy Winnie-the-Pooh blankie to keep it in place).

Undressing one night, she was horrified. The skin on her lower abdomen was burned raw, almost branded. The 30-year-old heating pad was something like an old electric chair, she guessed, thinking of that awful scene in The Green Mile where the man is fried alive. But I'd do it all again to get some relief.

She was supposed to be seeing a gynaecologist, but the doctor’s office didn’t call, and didn’t call, and didn’t call. She felt sick and one night broke down and screamed and cried, certain she had cancer and no one cared or would ever bother to treat it.

She could dangle on forever until she died, probably horribly. Meantime the pain, exactly like a furious, deadly menstrual cramp, just escalated until it took over her every waking minute.






“I really don’t think I should give you any painkillers,” the doctor said. “The potential for abuse is just too great.”

“I’ve never abused painkillers.” This was a lie. She had abused painkillers nearly 25 years ago, then stopped and never again took a single unregulated pill.

“It says so on your chart.”

“I’m in pain all the time now. I can’t – “

“Just take a walk. Push on your – here, like – “ She pushed her fingers into her lower abdomen, and it reminded her of volleyball, the way your fingers were supposed to be.

“I’ve done that.”

“Well, can’t you try something else?”





Trudging out of the doctor’s office, the gynaecologist appointment felt like a sort of myth, not even set up yet, or, more likely, set up already, but they just weren’t going to phone her to tell her WHEN, so that she had some sort of date, something to hold on to. She might even miss it and have to start all over again.

It was then, in the evening, that she felt the flicker.

It was the weirdest thing. She was watching TV and knitting something and relaxing in a Tylenol 3 haze, or trying to, with the by-then-constant heating pad pressed to her lower abdomen. The skin had grown tougher now, almost like a thin layer of scar tissue to protect her against electric burns.

A flicker. Nothing, really, a digestive thing probably, except it was dead-centre and low down in her uterus, where they told her the pain wasn't because they still wanted it to be a gastrointestinal issue, something to be remedied with a Tums.




She ignored it, but it came and went, and after a while it was like a sort of tiny fetal wiggle. She hated to think what it might be: could a tumor squirm and move about? The first time she felt the baby move when she was pregnant was thrilling, but that was more of a – what? At least she knew that it was human.

Maybe she could kill it. By this time she was so unhinged by the pain, the pain that didn’t really exist because the doctor wouldn’t give her anything to help her tolerate it, that she began to come up with ideas, maybe thrusting one of her knitting needles up inside herself in that old-fashioned, tried-and-true method of self-induced abortion.

If she took a very hot bath, would it be cooked? It wiggled and jumped harder as the months went by. Still nothing from the gynecologist, no call, although by now her nerves were as raw as her abdomen, with that butcher-shop feeling, blood leaking out of brown paper.





Then it began to actually kick.

She couldn’t go back to the doctor. The doctor wouldn’t even listen to her heart, let alone look at her swollen abdomen or believe something was “in there”. Something alive.

Of course she couldn’t tell friends, tell family, tell anybody, so if anyone phoned her or met her on the street and asked her how she was doing, she carolled, “Oh, fine,” in that cheerful studied way she had. She’d been doing it for years.

Alone with her illness, her mind shrank back and retreated. She walked robotically through her days. As with any illness, not that this was a real illness, there were good days and bad days. Some days she felt better: not “ALL better”, as people usually interpret the word, but “relatively better”. Unlike Rosemary devouring nearly-raw steak, however, she wanted fish.





They sat in a restaurant one night.

“Hon, you don’t eat sushi.”

“I do now.” She attacked her plate like a scavenger.

He looked at her, amazed. “Didn’t you wear that dress when you were – “

Oh yes, twenty years ago! But wasn’t it back in style again? A sort of smock that tied in back and accommodated her burgeoning belly.

But of course he noticed, and they got in a fight about it, with him shouting at her, don’t you even care about your health?

“No. Because nobody else does either.”

“That’s bullshit. Quit feeling sorry for yourself. How can you accuse us of not caring? I can’t believe how selfish you are.”

He bullied her back to the doctor’s office. Four months had passed and there was no appointment for a gynecologist, she was still waiting. The doctor said, these things take time. They’re backlogged, they’re busy. You’re a low-priority case.




“But what if it’s already been booked and I just don’t know about it? What if you haven’t even bothered to tell me? Look, this happened before and I came damn near to missing the appointment altogether.”

Stony silence from the doctor.

"Please, listen to me, please, somebody has to, nobody gives a fuck about the fact that I am about to die!"

An incredulous look, like she had just called her a cunt. The doctor closed her file and just sat looking at her until she left.

In her file, she had written only three words: out of control.

So, no meds, no nothing. Seven months after her initial visit to the doctor, during which she stole codeine from her husband to make life bearable, and nearly undone from grief and stress, she looked in the mirror nude and saw it kicking, her belly rippling from the force of piston legs and tiny little feet.

BUT HOW CAN THIS BE? What is this thing, or did I somehow absorb my twin and it came back to life?

One day, suicidal, she decided to jump off the Lion’s Gate Bridge and was about to leave to do it when the phone rang.





“This is just to remind you about your appointment tomorrow with Dr. Gage.”

“Dr. Gage?”

“Dr. Gage. The gynaecologist.”

“But I didn’t hear anything about this appointment from my doctor.”

“You should have. They set this up six months ago. They should have told you then."

"I didn't hear anything."

"You should have asked them about it.”

"I tried to, but when I - "

Click.




So she went to this Dr. Gage, a man unfortunately, an older man, much older, a pee-smelling stale old man with a saggy hanging face like Peter O’Toole. His vein-bulging hands doddered and clumsed, and it was these hands that were soon going to touch her body, to pry her private parts open.

“You’re going to need an x-ray,” he said in a European accent. She wondered if he had changed his name.

An x-ray? Nobody took x-rays any more. They were like something out of an old comic book. Low-tech. If high-tech equipment was available, it had to be used, simply because it was there. And if it cost more, it had to be “better”.





But oh, hey, an x-ray, she’d had THOSE before, years ago when she thought she had TB. This office seemed like something from the 1950s, and when he came back with this transparency-thing in his hands he slapped it up on a light-screen to have a look.

Holy Hannah.

That’s what he said.

Holy Hannah.

She couldn’t say anything at all. For inside her, plain as day, plain as the nose on her face, was

It was a frog.

Stunned, the doctor murmured, “Frog. Frog.”




“Jesus, how did that – “

“Mrs. Parker, have you been inserting objects into your vagina?”

“NO!”

"Because the practice is not unknown. Especially among psychiatric patients." 

He practically threw her down on the examining table and felt her belly, an even lower-tech thing to do and nearly unheard-of by now.

“Mein Gott, it's alive," he whispered.

You don’t want to hear a doctor say that, but that’s what he said.

You mean there’s a live frog inside me?”

“Mrs. Parker, I’m sure this can be explained.”

“HOW?”

“Don’t be hysterical. We can do a D and C.”






“But it’s huge! How are you going to get it out?” The frog was positioned head-up, breech. Would they have to pull it out by the legs?

She had an awful thought: frog legs, aren’t they good to eat? Hello my baby, hello my honey, hello my ragtime gal.

The operation was like something out of Ben Casey, the ether mask, the clanking, the cries of “nurse!”. Now she knew she had gone mad. She just wanted this THING out of her once and for all. But when she came around, the doctor did not have a good look on his face.




"I'm sorry."

"What?"

"You haemorrhaged. We had to stop.”

”STOP?”

“Stop. Frog didn’t want to come out. And you were allergic to the anaesthetic. It would have killed you.”

She looked up into his face, abject.

“Kill me.”

“Nonsense. We’ll take a wait-and-see approach. This can be monitored, managed...”

“Oh, you mean LOTS of people have live frogs stuck in their uterus?”

“No, but its rate of growth seems to have slowed. We’ll learn a lot from this, Mrs. Parker. It’s a medical opportunity. Even something of a miracle.”

She wondered if he hankered to be on one of those awful reality shows on TLC, the ones that celebrated monstrous freaks as “miracles”.  “Maybe I should just donate my body to science. I mean, NOW.”




They sent her home, still huge and wriggling inside. It would be years until the lawsuit, when her husband discovered by accident that they never intended to do the D and C, that they wanted to study her, to see how far it would go.

She could feel something, as if the frog were trying to straighten its legs or even jump. It must be enormous, packed inside her with its legs folded up.

She had a demonish thought: when she was a little girl, or maybe once last year at the lake, she went swimming, and somehow a tadpole - . No. It wasn’t possible.

Though pain assaulted her all day, at night she could blessedly crash into oblivion. Then came a night.




She just thought she had to go to the bathroom. Something warm and wet between the legs: she was horrified she’d had an accident. Then she felt something slimy begin to violently jerk and wriggle.

Staggering to the washroom, she sat down on the toilet gripping the seat on both sides, listening as the blood fell in slimy plops, moaning and howling and praying as she waited for the horrific miracle to begin. 


Tuesday, March 27, 2012

So who's flying the plane?

'We're all going down. Say your prayers': Berserk JetBlue captain has to be restrained by PASSENGERS after being ejected from cockpit in mid-flight and running up and down screaming





Unruly pilot identified as Clayton Osbon, 49, who has been a JetBlue captain for 12 years


Captain screamed 'Iraq, al-Qaeda, terrorism, we're all going down' after coming out of the toilet telling passengers 'say your prayers, say your prayers'



Passengers looked on in horror as the married captain tried to break into the cockpit after being locked out

Flight attendant urged passengers to restrain the increasingly erratic captain


Four passengers, including a retired NYPD sergeant, jumped the man

Former prison guard David Gonzalez, 50, put the captain in a choke hold until he passed out

The flight was packed with people heading to the 2012 International Security Conference in Las Vegas


Flight 191 from JFK to Las Vegas was forced to make an emergency landing in Amarillo


JetBlue said the captain had a 'medical situation' and was taken to an Amarillo hospital



Read more: http://www.dailymail.co.uk/news/article-2121240/JetBlue-captain-ejected-cockpit-mid-flight-running-aisles-screaming.html#ixzz1qMna1v3P


http://margaretgunnng.blogspot.com/2012/01/synopsis-glass-character-novel-by.html

Monday, March 12, 2012

The flight attendant from hell, part 2


The more things change, the worse they get, it seems.


Yesterday I wrote quite a long post about that incident involving an American Airlines flight attendant who “went berserk” on the plane, ranting over the PA system for 15 minutes about 9-11, the plane crashing, and other bizarre possibilities (screaming, at one point, “I’ll kill them all”).


Yes, this was an extreme case, but a few details have come out that I think are VERY strange.





The public are understandably “concerned” (read: terrified) about the possibility of something like this happening again. Flight attendants are supposed to keep everyone calm no matter what the situation, so this hellish rant was more than disturbing.


But in the aftermath, certain facts are emerging.  Alarmingly, it turns out that airlines do NOT screen flight attendants for mental illness. Pilots, yes. But pilots have an important job. I think the old idea that “stewardesses” are just there to keep everything jolly and mildly sexy still hangs around.



So if this woman is bipolar, as she claimed she was, she would not have been required to disclose it in applying for the job. Even if the airline knew about it, it would not have been grounds for letting her go.


I am all for hiring people with mental illnesses, given the fact that the huge majority of cases are manageable with medication and a regulated lifestyle. But how regulated is the life of a flight attendant? Sleep deprivation, constant major time zone shifts, meals coming sporadically if at all, meds accidentally left at home (and where do you get lithium if you’ve forgotten it?) – and add to this the current level of job uncertainty as American Airlines teeters on the verge of bankruptcy – and you have a potential recipe for disaster.





But there are no safeguards in place here. It seems to take a traumatic event like this one for hiring practices to come to light. Failing to screen flight attendants for ANY kind of medical disability is negligent and potentially dangerous.  In this age of lurking terrorism, the stakes are even higher. Flight attendants are, as the airlines are now scrambling to tell us, “first responders”. To say the least, they need their wits about them at all times.


Whenever anything weird and scary happens, other weirdness leaks out. Many of the headlines for this international news item referred to the woman as a “stewardess”, a term I haven’t heard in decades. The police report about this strange event said she was experiencing “mental lunacy”, a term that hasn’t been used for about 100 years!



Someone else described her tirade as a “word salad”, a way of containing and distancing the terror with an obscure, clinical term most people have never heard of.


Then we have this bestselling author, Heather Poole, a veteran flight attendant who just happens to have written a book called Cruising Attitude, popping up and saying, “It could have happened to any of us.”



Oh, really?





So any “stewardess”, at random, just picked out of the crowd, could have gone completely berserk and screamed for 15 minutes while on the job? Any flight attendant, perhaps stressed by job uncertainty, could have flipped out into a state of “mental lunacy”, needing to be carried off the plane in restraints?


We still have a deep dread and horror of mental illness, a put-them-in-shackles mentality. This buried unconscious reflex is what causes us to lapse into language that is shockingly obsolete. On the one hand, bipolar disorder has been sanitized as a kind of diabetes of the mind – and in the vast majority of cases, it is something like that. On the other, we see people who are experiencing a serious episode as “demonic” and “possessed”: attitudes that go back to when humankind was preverbal and terrified of any behaviour that threatened the safety of the band.




Back in the day, “stewardesses” traditionally took care of men’s needs, all the way up to (or down to) sexual release. Thus, the “Fly Me” advertising slogan that was popular 50 years ago. On the (best ever!) TV series Mad Men, a retro look at Madison Avenue in the ‘60s, Don Draper is practically accosted on a plane by a “stew” taking an aggressive sexual stance. They were all there for the picking, it seems. Even the title of that book, Cruising Attitude, has a suggestive tone: cruising for what, exactly?


And will this bizarre episode help Heather Poole’s sales? I can’t see how it could hurt. She just lucked out, I guess.




I believe all airlines should change their policy immediately and begin to rigorously screen flight attendants for mental illnesses, especially major ones like bipolar. I don’t think this is discriminatory, and in fact I believe it would ultimately protect applicants from getting into situations like this that they cannot control. It’s unlikely this woman will ever work again in her chosen career. If the airline knew about her condition but turned a blind eye, what does that say about them? Did they pretend it wasn’t there? Did they think not hiring her would violate her civil rights? Do her civil rights trump public safety?


Why are pilots so rigorously screened, when (according to the airlines) flight attendants also carry huge responsibility for safety? I think it’s the remnants of the “Fly Me” attitude. “Stews” just squeeze up and down the aisles in tight skirts, serving cocktails with a smile. They’re really not very important, subservient to the real crew, the guys who fly the plane.


You say that’s not true? That things have changed? Then where does this “mental lunacy” label come from? Will we now begin to call mentally challenged people “idiots” and “imbeciles”?




This woman did not “flip out” because of “job stress” and “economic uncertainty”. What happened to her could NOT “happen to anyone”. It could only happen to someone who is either extremely high on drugs, or seriously mentally ill. If it’s the kind of illness that requires regulation with medication, and the medication is cut off, we have a problem.

We have a problem that could have crashed that plane. Had it already taken off, had she been armed, had she been packed with explosives like a terrorist (and do you think it couldn’t happen? How carefully are flight attendants screened, if their mental health problems are being routinely ignored?), we would have had a disaster on an almost unimagineable scale.




Will there be a response to this obvious weakness in the system? I don’t think so. I think the policy will stay the same, because we don’t like to look at mental illness. We look away at the first opportunity, as if it isn’t really happening.


It’s lunacy, after all, a term that reverberates with an ancient and even primal terror.



Cruising Attitude by Heather Poole (hot off the presses, girls!)

This synopsis/blurb appeared on the Amazon.com web site.

Flying the not-so-friendly skies...

In her more than fifteen years as an airline flight attendant, Heather Poole has seen it all. She's witnessed all manner of bad behavior at 35,000 feet and knows what it takes for a traveler to become the most hated passenger onboard. She's slept in flight attendant crashpads in "Crew Gardens," Queens—sharing small bedrooms crammed with bunk beds with a parade of attractive women who come and go at all hours, prompting suspicious neighbors to jump to the very worst conclusions. She's watched passengers and coworkers alike escorted off the planes by police. She can tell you why it's a bad idea to fall for a pilot but can be a very good one (in her case) to date a business-class passenger. Heather knows everything about flying in a post-9/11 world—and she knows what goes on behind the scenes, things the passengers would never dream.




Heather's true stories in Cruising Attitude are surprising, hilarious, sometimes outrageously incredible—the very juiciest of "galley gossip" delightfully intermingled with the eye-opening, unforgettable chronicle of her fascinating life in the sky.

Sunday, March 11, 2012

The flight attendant from hell, part 1


Yesterday I heard a disturbing news story about a flight attendant on an American Airlines aircraft (still on the ground, fortunately) who flipped out and began screaming in an incoherent, paranoid rant that went on for 15 minutes before the crew dragged her out of there in handcuffs. The “story” (not yet confirmed, yet blasted all over the so-called “social network” which is about as sensitive as an old-time carnival crowd at the freak show) is that she’s bipolar and missed her medication, but I wonder about that.

Would an airline hire someone as a flight attendant if they knew they were bipolar? Would NOT hiring her violate her human rights? What about the risks of being a flight attendant for someone with that sort of condition: constant fluctuations in sleep, time zones, meals, stress? I'm not trying to hold up people with mental illness for criticism. But as a concerned consumer, I would like to know the policy.



If in fact the woman is bipolar (or HAS bipolar disorder: people don't go around saying "I'm Parkinson's disease" or "I'm rheumatoid arthritis", do they?), did she feel compelled to hide the fact so that she could be hired? What would be the official policy for those other illnesses, or chronic conditions in general? And why is it that the only time we ever hear anything about mental illness is when someone goes completely over the edge? Some commentators are calling this an opportunity to "educate the public" about mental illness, but this idea rattles me down to the fillings in my teeth.

Educate them how? To associate bipolar disorder with behaviour that is frightening, destructive and completely out-of-control? Won't that just intensify the smart quips about "crazies", which are meant to distance us from them as far as possible?


I have read from reputable sources that over 80% of bipolar patients live “normal” or “nearly normal” lives, meaning that they are "functioning" to one degree or another. But surely that means more than machinelike/mechanical functioning. It should mean having meaningful work and meaningful relationships and joy in living, “even” (and why do we need that word?) with a disability as serious as this one. 

It's almost a truism or an old saw by now that artists, writers, and all that lot (which of course does not include me, because my blog has been deemed "embarrassing" by someone who nevertheless never stops reading it, waiting for something more to attack) are much more vulnerable to these kinds of illnesses.
The psychiatrist /author Kay Redfield Jamison has made an entire career out of proving this, to the point of claiming that almost every famous writer we have ever heard of was bipolar.



Does the illness create the need to make art (since it seems to go along with a kind of hypersensitivity to the human condition? Not that we want any of THAT.) Or does making all that art drive people crazy, causing them to scream and yell and scare the hell out of grounded airline passengers who are violating every rule in the book by recording it all on their "Smart"-phones (a misnomer if ever I heard one)?

In the video footage I saw on the news, people were gawking, rubbernecking, not even staying in their seats. I heard quite a bit of arrogant laughter. I can just picture the late-night talk show hosts playing this up as a rich bit of business. "Hey, how about that American Airlines flight attendant who went nuts on the plane?"





I can't even think of a punch line for this because the  very idea sickens me. I can just see Letterman doing the Top Ten Reasons Why you Don't Want to Fly American Airlines (which is bankrupt anyway). No doubt the parade of nasty little jokes would mingle mental illness issues with terrorism and demonic possession.

There are certain cliches that always materialize at a time like this. It usually  comes down to “oh, she didn’t take her meds”, as if missing one pill causes a person to resemble Regan from The Exorcist. It’s remotely possible for a person with a heart condition to miss one pill and drop dead, but  it's also highly unlikely. No doubt much, much more was going on, but it might be better for us all if we never know about it. She is a human being with an illness, but unfortunately it manifested in the worst possible way for someone working on an aircraft.

No: scratch that. It was just a lot of screaming and yelling. No guns, no explosives, no box-cutters. It could have been a LOT worse, folks. But will anyone even think of that as they gleefully shred and dissect this woman's pain with millions of badly-spelled, ignorant tweets? Let us hope the social network piranha don't devour any more of her privacy and dignity than they already have.