
My son is still psychotic. He locked himself in the bathroom yesterday, so that he would feel safe. He ranted on about not really being schizophrenic. The drugs were poisoning him. EVERYBODY from his ninth grade math teacher to Donald Trump was trying to frame him for murder, even our dog. Somewhere in all his garble he decided that if he worked for DEA, all the problems of the world would be resolved. I know better than to engage in his ramblings, but sometimes I can’t help myself. So when he said the thing about the DEA, I said something like, “Shayne, you can’t work for the DEA, you can’t even put on pants.” He unlocked the bathroom door and went to his room and put on a pair of sweat pants. The pants belonged to my father. My mom bought them in the 70’s when velour was a thing and my dad weighed like 200 lbs. When Shayne wears them he looks like he is playing dress up. So he stood in my doorway, in the ridiculous pants, his eyes wild and glitttery to prove he could put on pants. Then he decided I was going to kill him, so he left. That’s when I called the doctor at Denver Medical. I told her he wasn’t ready to be released and she should have listened to me and it was on her if something bad happened to him or someone else.
I realize that makes me about as irrational as Shayne. But I am so TIRED of being told the system is broken. I know it’s broken. I have dealt with every broken part of it in the past five years. I know emergency rooms are holding tanks when there are no beds. Patients can be held in stripped down rooms with security gurads watching, with no treatment for days. We’ve done that. I know community mental health centers have high turn over and are staffed with young people who have limited experience and usually have no idea how to handle someone as critical as Shayne. Doctors in those centers are overworked, and underpaid, and leave often. We’ve done all that too. Doctors in private practice are hard to get in to and then are med pushers. Shayne was on four different drugs at one time. Even if I am not a doctor, I know that drugs interact with each other, and if something isn’t working, adding another drug to the mix isn’t going to fix the problem. You can’t just fire a doctor and go to another, because you can’t run the risk of running out of drugs, because even if the drugs aren’t working right, having no drugs is very, very bad. I have been told to call the police. The police know Shayne. They’ve brought him home in the middle of the night. They’ve returned his stuff when he has abandoned it on the side of the road. They’ve bought him sandwiches out of their own pockets. But unless a patient is suicidal or homicidal, or doing something illegal, the police won’t intervene. It is not illegal to be psychotic. And sometimes being psychotic isn’t even enough for hospital staff. Shayne’s been turned away from clinics time after time because he isn’t a danger to himself or others. I have been in every scenario possible and know how its going to go down every time. I know if I want Shayne to get the help he needs, I have to demand it. And this time, I’m not letting the doctor off the hook for releasing him when he wasn’t ready. How many school shootings and homicides and suicides have to happen before the system changes? That’s not happening to my son, if I have anything to say about it.
The doctor was a big girl. First of all, she talked to me herself. She didn’t communicate through the layers of medical assistants and nurses and office staff. I’ve come to hate the layers of medical communication. She didn’t tell me anything, I didn’t already know, but she said I could call her to let her know what was going on and she would keep my number and call me herself. Maybe if Shayne ends up back there, she will work harder to do what needs to be done. In the meantime, I’ve taken over being in charge of Shayne again. He threw his meds away on trash day, but I have an extra bottle from the doctor that prescribed drug after drug after drug. I have them locked up and I’m treating my twenty-four year old like a toddler again. I have learned enough about how the drugs work to know what I’m doing. I think I can get him back on track myself.
My big question is this–Is this always going to be my life? I don’t know if I can sustain this level of care by myself for thirty or forty more years. The last five have taken its toil. I can’t ensure that my other child is safe. And she wants to get as far away from her brother as possible. Sometimes I wonder if fighting for him is the right thing. I just don’t know how to stop. He is my son. My responsibility. I can’t just turn that off. I can’t fix the broken system by myself, but I am done accepting “the system is broken” as an answer for inadequate care.
I told the doctor in Denver that Shayne wasn’t ready to be released, but he was sent home anyway. On Friday, Shayne walked out of the house wearing a baseball shirt inside out, shorts, and a red terry cloth bathrobe. Darian and I told him not to go, but he said he couldn’t stay.
Shayne was committed, which basically means Shayne is unfit to make medical decisions and the hospital makes decisions about his medical care for up to 90 days. I don’t disagree with the decision. I would like Shayne transported to a closer hospital, but insurance won’t transport unless the hospital he goes to offers a different program or feature. Transport costs 5-10 thousand dollars. So he is staying in Denver.
Shayne had a psychotic break again. I could feel it building and tried to get in front of it, but as usual it was difficult to get immediate services. The way the system works is that treatment happens when patients are a danger to themselves or others, and preventive measures are not a thing. Shayne didn’t help the situation because he wasn’t being consistent with his meds. He was well enough that he decided that he wasn’t really schizophrenic after all. And he is a runner, both the kind that can move down a trail at a good clip for hours and the kind that makes a break for situations that are uncomfortable. So when he perceives a threat, he runs away.
Dad was a soldier a quarter of his life. He didn’t talk about his experiences in Korea or Vietnam much, or at all, but he flew a flag and replaced it every Independence Day. Mom wasn’t born in the country, but I heard her say a million times that “America is the best country in the world.” There was always a celebration on the 4th of July at their house–tons of food, and family and friends and neighbors. I woke up today, not really sure I could face another day of missing them like I have been. So I went on a bike ride. It
Three years ago, after my parents died and Shayne was lost, I found myself in a movie theater all by myself. I just needed a break. A few hours of escape. The movie was Ricki and the Flash with Meryl Streep. The movie was no Oscar winner, but I was transported by the music and laughter and Streep’s ability to make everything so real and true. I walked out of the dark theater and felt like I had new energy to face the craziness in my life. After that, going to the movies became kind of like a tonic for me, and whenever I just needed a break, I’d find solace in the big screen of the theater. This past week has been a tough one. I haven’t written about the anniversary of my parent’s death, or the death of a relative who meant the world to me, because I am trying very hard to not write about sad shit all the time. There are so many echoes of hard times for me right now, that keeping it together has become my full time job. So I guess it’s not too surprising that I ended up at the movies this week.
James went on a raft trip on the Green River. He didn’t really know if he should go because of his garden and pets, but I knew he wanted to go. He works so hard all year round and doesn’t play much and he’s been a rock for me. So I said I could take care of everything for him. I can irrigate the garden, water the plants in pots, walk and care for the dogs, throw some scratch at the chickens, check for eggs, harvest the berries. I could totally do all that. And I could care for the tiny wild duckling that somehow ended up in the driveway a few weeks ago. How hard could that be?