Because We Need To Talk About It

Walrus

Had a bit of a blow up today at work I think everyone was shocked cause I’m the dude they call in for emergencies as I’m so mellow when dealing with people in crisis I can diffuse completely erratic situations sometimes without using words.

However I’ve been working to get this girl who is a “high flyer” aka frequently utilizer of the ER into a medical support housing program. I’ve been working with her for 8 months I think I have 73 ER discharge forms. I collected her diagnosis (I think she was up to 15)

Ok so here is where I lost it she found another listing of diagnoses. She sent them to me I saw this one my knees got week, I went pale almost fell over

If you look you will see stage 5 kidney failure. That means she is critical. She should be on dialysis and a doner list. Kidney function probably around 15%. Updated in 2021 I’m not yet sure of when the diagnosis was made (year).
Last year the hospital DC’d her too soon with pneumonia she went septic almost died. Like they called me asked me if she had family as it wasn’t looking good. I walked over and sat with her as she has no family or support network. Luckily she made it and she is just so nice, completely harmless and I kinda grew a kinship with her as pneumonia almost took me.

Anyway all these months she’s been in the ER on and off they had this stage 5 kidney failure information and never addressed it. I called to make sure I didn’t miss something maybe they started but nope. I said “well you had this information why didn’t you start her in treatment” could not get an answer. I told them to send me any and all blood work relating to kidney function.

They started dodging so I reminded them we have a contract and I’m there regularly I got a frickin desk in the hospital. (I share it with others I’m not that important.) I knew what APRN, DOC and admin to speak with I lost my cool and was ripping them apart. I asked if they didn’t like the reimbursement rate financially from the homeless and if they were cool with letting a critical patient walk around maybe drop dead on their way back to a homeless shelter.



I had an audience in the office they were laughin as I used my sarcasm to chop these people. My CEO came down asked if I was ok. She sent me home she said she was afraid my head might explode and I still got those annoying post covid things that linger. It was Friday she reminded me I’m not going to fix it today but she said she will ask a board member who’s a lawyer to call me Monday give me some guidance. If this is because of my clients “status as a homeless human” I will of course first make sure she gets access to treatment first but lll sick malpractice lawyers all over this.

Sorry I also had one of the worst assessments of a poor pretty young girl who needed to dump a history of sexual trauma during an initial assessment yesterday. It was tragic to hear and it left me feeling so bad for her. Her family used her like a piece of meat for 17 years I really hope I can bull some rabbits out of my hat and get these girls to see hope again. Sad stuff we can’t always react professionally I do try but these past two days were killer on me I can’t imagine how the poor girls feel.

sxl2004

I admire you for being able to handle and help all these people in need with horrible stories to their life.
Chapeau!!!

ErichPryde

I think the hardest thing to accept when you are encountering people like this on a semi regular basis is that some of them just will not change.

There are people that have unhealthy boundaries that just need something severe to realize they neep to escape some situation and maybe even take a look at themselves, but if being run over by a car isn't enough to make that person realize they need to leave... you can't fix that.

I obviously can't guarantee this but it seems very likely she had a history of abuse growing up. The abuse cycle is an absolutely vicious thing because if you grow up with it you become... Accustomed or normalize, perhaps even addicted, to the tension, explosion, resolution, and "honeymoon" of the cycle.

Any child that sufficiently believes or has been taught that they were responsible for a parent's Behavior, is absolutely at risk for falling prey to this as an adult. Not too long ago I talked to someone with CPTSD that despite everything they had been through, believe that if they stayed away from their abusive parent, the parent would be calmer and happier. Martyring, self-blame, and acceptance that it is our fault can run incredibly deep, much deeper than rational thought or fact can sometimes reach.