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Holding Space In Crisis — Published

I almost lost my best friend last weekend.

She tried to die by suicide. I received her text that she was in the hospital while I was tutoring.

“Call me ASAP.”

“I need you to come to hospital and spend the night with me.”

“No joke.”

My response: “I know. Still working with a student.”

She: “Ok please get done soon! I need you.”

I: “What hospital?”

She: “I’m at ******. I had a suicide attempt. The nurses know me and hate me here, so they’re doing small mind tortured. Waking me every five minutes–saying duragatory things. They told my parents I’m hallucinating–I’m not, please come stay with me–I don’t feel safe.”

“Can you stay the night?”

I: “Yes, I can.”

She: “With me, please? ***** (her husband) won’t.”

I: “Yes, of course.”

She: “OMG- get here now!! Room **.”

Meanwhile, I am trying to do my online tutoring job. I can see the look of horror on my face on camera while the texts are displaying on my phone. I tell my student I have to talk to his dad. I inform him that I have to leave immediately due to an emergency. I explain while his son is out of earshot. He gives his sincere emotional support. I give a quick run-down of what his son needs to complete for the assignment, then I start packing. I text my husband to let him know that I have to help my friend, then I tell one of my twins that I’m leaving for the hospital.

My brain is racing at the speed of light. I am trying to cover all the bases: what would she need from home that she did not get since she was directly transported to ER? I text her to ask if she needs anything from home before I leave. She would like headphones. I grab my earbuds, but first I have my son help me find an extra set because I would like my own set. After trying a few sets (why is it that teenagers blow through so many earbuds?), I decide to bring my own to share. She might be too tired to listen to music.

I text her to let her know I’m finally on my way. I arrive and remind myself of several things: put on your own oxygen mask first, stay strong, and be her advocate.

She is in the ICU. She has a central port PICC line as well as two IV lines because the medical staff had a hard time getting an IV started. She’s bruised all over. She overdosed on a plethora of medications at her parents’ house while she was housesitting there, including painkillers and her father’s injectable insulin. Her kidneys shut down and the medical staff had to pump her stomach. The medical team pull her labs every two hours to make sure that her levels are improving. Thankfully, the PICC line is a saving grace.

My friend makes comments about the nursing staff. She says that they make comments about her, saying that she OD’d to get attention, that she is a princess and she is going to call her daddy, but when she confronts the nurses about it, they say that my friend is hallucinating. The hospital has a one on one person for suicide watch. This person has to document every little thing that the patient does while under their care. On Saturday night, the one on one person documented all of the unprofessional conduct.  While I was there, she said that the nurses were commenting about her again, as well as me. I went up to the nurse and asked her about it. She denied it and said that my friend was “hallucinating and making things up”. I said, “You may say that, but when you talk about patients, others can hear it and that is breaking patient privacy. Everyone else can hear it, and that is not acceptable. It is not professional. You need to stop it.”

The nurse called her supervisor and she came down to talk with all of us. My friend finally voices how she feels. The nurses, of course, covered their butts and say that my friend had been hallucinating from her OD. I interject and say, “Even though that did happen, it is not professional for you to discount how she feels. Nor is it professional of you to talk about her while other people can hear. She does have recipient rights.” The minute I mentioned the term “recipient rights”, the two immediately changed their tune and started apologizing. My friend apologized as well for things (even though in my opinion, she didn’t have to, but it is part of healing the relationship). I asked if my friend could be moved to step down critical care since her levels were improving, and the nurses agreed. Two hours later, my friend was moved to a quieter, private room with a more caring team. Ironically, the bitchy nurse stays after her shift end to help us move.

We get settled in, and my friend finally has the best sleep she has had. Her levels improve so much, her kidneys are normally functioning, and the medical team clears her. The next day, she gets her PICC line removed. My friend keeps telling me to go home, that she is OK. All of a sudden, we learn that Community Mental Health (CMH) is on their way to start the intake process to find her a facility. Things start accelerating at an astronomical rate, and my friend has no idea how to process this. I stay to help her process things and to be her advocate. Her parents come to the meeting, as well as her husband. I ask the CMH representative if it is OK if I stay during the meeting to be her advocate and he said if it was OK with her it was OK with him.

Here is where I see mental health stigma magnified. Thankfully, the CMH person is neutral, asks all the appropriate questions, and takes my friend’s requests seriously. I was floored when my friend’s stepmom was blaming my friend for what happened. She said, “Your dad is so angry at what you did to him.”

I couldn’t hold it back anymore. I said, “I’m sorry. With all due respect, when you make comments like that to her, you are blaming her for her illness. We need to help her instead of telling her what she did wrong. She didn’t do this to you.”

The stepmom got angry at me and said, “Well, with all due respect to you, you haven’t been here for the past eleven years.”

I responded, “You’re right. I haven’t. But, you need to understand that constantly telling her how bad she is isn’t helping her heal.”

When her parents left, my friend said, “That is the first time that anyone stood up to my stepmom.”

I pack up to go home because my friend’s husband is there. I feel that she is stable enough now. Her husband made the comment, “Well, I would have come earlier, but I had a half talk of gas and no money.”

I looked him and smiled with my sweetest Southern smile and said, “I had only the change in my pocket, a quarter tank of gas, cancelled my tutoring job that I was doing, cancelled my other two tutoring jobs and packed up to stay the night with *****.”

He looked at me, laughed and said, “What is wrong with you?”

I said, “Nothing is wrong with me. My priority is taking care of those I love, and I love ******.”

I was hurt for my friend. It is hard enough battling mental health demons, but when you are alone with no emotional support from your family, it is almost insurmountable.

Once I got to my car, I video chatted with one of my friends, and I finally cried. I let it all out. I cried body rocking sobs for my friend, the pain that she is shouldering on her own, the fear of the unknown that she is facing, and the aching of wanting to heal. I sobbed in anger against mental health stigma, the blame people put on those with mental illness, and the broken system that is failing so many. No one should be blamed for his or her mental illness. It would be akin to being blamed for having cancer, diabetes, or asthma.

I received a text from my friend’s husband. It read: “Thanks for being such a good friend to ******. I don’t think I have ever witnessed such devotion from a friend of hers. I will try to keep you in the loop as much as possible ok” I responded, “Thanks for keeping me in the loop. I appreciate that. We all need to rally around ***** and help her to recovery and wellness.”

This is my prayer. I pray that we work on our recovery and wellness, be our best advocate, and remember to put on our oxygen masks first.

 

 

 

 

 

Holding Space in Crisis

I almost lost my best friend last weekend to suicide. She tried to take her own life.

She texted me while I was working: “Call me ASAP. I need you to come to hospital and spend the night with me. No joke.” I informed her that I was still working with a student, which she understood, and I went back to work until she explained why she’d been admitted to the hospital: she’d attempted suicide. I felt the wind knocked out of me. Frantically she texted me to come as soon as possible, as she believed the nurses in the ICU were waking her up to say nasty things to her. These nurses even went as far to tell her family that she’s hallucinating; and my friend didn’t feel safe. She begged me to stay the night as her husband refused.

I could see the look of horror on my face on camera in between her texts. I realized that I needed to be there for her, so I ended the tutoring session then and there. After I explained to my own family why I was leaving, I took off, my heart and brain both racing as I began driving, trying to understand what had happened. Did she need anything from home? I stopped to get headphones for her, thinking she might enjoy some music.

When I get there, I put on my proverbial own oxygen mask so that I can be her advocate as I walk into her ICU room. Immediately I see that she’s got a PICC line, the staff had a hard time inserting an IV and she’s bruised up one side and down the other. I finally get the story from her: she’d overdosed on a number of medications – including painkillers and insulin – while she was housesitting her parents home, resulting in kidney failure. One pumped stomach later, the nurses draw her labs every two hours to make certain that her kidneys are indeed working as they should be.

She complains that the nursing staff is abusive; they’ve make comments about her, saying that she’d overdosed to get attention, that she is a princess and she is going to call her Daddy. When she confronts the nurses about their poor behavior, the nurses deny it, brushing it off as a hallucination. As she’s on suicide watch, the hospital provided her with a sitter, a one-on-one person who has to watch her at all times, documenting every thing that she does, noting all the unprofessional conduct by the medical team before I arrived.

Once I got there, she informed me that the nurses were still commenting about her…and me. When I asked the nurse about it, she denied it, saying my friend was hallucinating and fabricating tales. I didn’t believe a word of it and explained that due HIPPA, it was illegal to discuss any patient care within earshot of others.

The charge nurse called her supervisor who came down to talk with all of us. My friend explained how she felt. The nurses, of course, covered their misbehavior, claiming that my friend had been hallucinating. I interrupted their stories and explained that no matter what, my friend does have recipient rights, which are something we have in Michigan. These rights protect and promote the constitutional and statutory rights of recipients of public mental health services and empower recipients to fully exercise these rights.

The minute I mentioned “recipient rights,” the two nurses apologized, and we began to discuss moving my friend to a step-down unit as she was medically stable. Two hours later, my friend was moved to a quieter, private room where we got settled in. Her kidney function went down to normal so she was medically cleared for transport to an actual mental health facility.

We learned that Community Mental Health (CMH) was on their way to start the intake process to find her a mental health facility – that’s when things started accelerating at an astronomical rate. My friend had no idea how to process this, so I patiently helped her. Her parents and her husband arrived for the intake meeting.

This was when I saw mental health stigma magnified.

Thankfully, the CMH person was neutral, asked all the appropriate questions, and took my friend’s requests seriously.

When my friend’s stepmom stepmom began blaming my friend for what happened, I was floored “Your dad is so angry at what you did to him.”

I couldn’t hold back, I was so angry, and interrupted, saying “I’m sorry. With all due respect, when you make comments like that to her, you are blaming her for her illness. We need to help her instead of telling her what she did wrong. She didn’t do this to you.

Her stepmom got angry at me and said, “Well, with all due respect to you, you haven’t been here for the past eleven years.” I responded, “You’re right. I haven’t. But constantly telling her how bad she is isn’t helping her heal.”

When her parents left, my friend said, awestruck: “That is the first time anyone stood up to my stepmom.”  I began to pack for home once I felt she was stable, and her husband had arrived, stating that he’d have come earlier, but he’d only had a half a tank of gas, she was stable now,

I looked him and smiled with my sweetest Southern smile and said, “I had only the change in my pocket, a quarter tank of gas, I cancelled my tutoring job that I was doing, cancelled my other two tutoring jobs and packed up to stay the night.”

He looked at me, laughed and said, “What is wrong with you?” I explained, “Nothing is wrong with me. My priority is taking care of those I love, and I love her.”

I was hurt for my friend. It is hard enough battling mental health demons, but when you are alone with no emotional support from your family, it is almost insurmountable.

Once I got to my car, I video-chatted with one of my friends, and I finally cried. I let it all out. I cried body-rocking sobs for my friend, the pain that she is shouldering on her own, the fear of the unknown that she is facing, and the aching of wanting to heal. I sobbed in anger against mental health stigma, the blame people put on those with mental illness, and the broken system that is failing so many. No one should be blamed for his or her mental illness. It ‘s like being blamed for having cancer, diabetes, or asthma.

I received a text from my friend’s husband: “Thanks for being such a good friend to my wife. I don’t think I have ever witnessed such devotion from a friend of hers. I will try to keep you in the loop as much as possible, okay?.” I thanked him for keeping me in the loop so that I could help rally around her, to help her recovery and mental well-being,

This is my prayer.

I pray that we work on our own recovery and wellness, be our best advocate, and to put on our oxygen masks first.