“May I help you folks?” asked the hospital employee as he adjusts the drawstring on his scrub pants.
“We’re looking for the third floor-the psyche floor. Is this the right elevator?” I’m with my husband, and my 10 year and 6 month old daughters.
“Yes, just get on the elevator and follow the directions,” says the man who disappears around the corner.
I notice that the hospital in which I had volunteered as a teenager and pre-medical student in college, had had a cosmetic makeover since I’d last been there. The old corn-blue vinyl design schema had been replaced by taupe and rose colored draperies and chair covers. The hospital, itself, however, had not changed much. The second floor looked abandoned with an empty nurse’s station, no patients on what looked to be a medical/surgical unit, and only a few unused stretchers and empty sharps container peppered the hallways.
We get on the elevator and select the black Three button. Nothing happens. The sign indicates no children under the age of 14 on the Behavioral Unit as well as a host of other restrictions.
My husband selects the button with the telephone icon and we wait for the disembodied voice to answer.
“Yes? May I help you?”
“I’m here to see my brother, ________ __________?”
“Do you have his code?”
“It’s 3416.”
“Okay, hold one moment,” says the voice.
The elevators begin to move and the doors open.
A short, solidly built male orderly stands just outside the open elevator doors. With hand still holding the elevator key into the stainless steel lock on the wall, he gestures towards the sign inside the elevator indicating “No children under 14. You don’t want your children up here with this bunch. There’s a waiting area in the lobby on the second floor” he says.
My husband says, “ You go ahead, I’ll wait with the kids.”
I step off the elevator to a drab, cinderblock walled unit painted white with no accent colors. No artwork adorned the walls; and as I followed the stocky orderly down the hall towards the nurse’s station, I notice that I’m walking between patient rooms. Each room has two headboard-less beds, some occupied, and nothing else. The orderly nods his head towards one of the rooms on the left side indicating my brother but continuing his stride towards the nurse’s station. I notice my brother stooping over to pick up a small Styrofoam cup from the floor. Ice and water are spilled in front of the cup. The orderly waves me towards him mumbling about the sign in sheet. The unit is a vapid void and my presence alone offers stimulation to both the patients and the personnel. Thoughts from my clinical psychology rotations from nursing school jump to the forefront of my mind and I think “show your patients respect, look them in eye, don’t infantilize them” A man in a robe worn over pajamas stands in the doorway of one of the rooms, watching me as I walk up the long corridor towards him and the nurse’s station. He smiles. I say, “How are you?” He responds loudly, “FINE, HOW ARE YOU?!” And laughs.
Laughing guy with pressured speech standing in a doorway with pajamas, robe, and slippers… How cliché, I think. I keep a straight face, but laugh inside. At home with the crazies, I must be.
After mentioning that visiting hours actually begin at 6:30 pm (10 minutes from now), the orderly hands the clipboard to me, then a pen, and I sign in.
Brother is thinner than when I last saw him, he’s wearing a pair of long shorts and a white turtleneck. Walking back up the long corridor from the nurse’s station, I see him leave his room and head towards a white table just across from the elevator. When he walks, his gait is unsteady and when he speaks his words are slurred.
“What brought you to THIS floor, brother?”
Well, A few weeks ago I had a seizure. Around that time…
Dec. 18, 2010 Dad, [OB], and Mom’s joint account
Younger Brother [[YB]] begins his account of the events of December 17, 2010, three weeks earlier, when an altercation between him and our father escalated into a family ordeal that left one brother in the emergency room and the other, eventually in the adult psyche unit of the local hospital. I just happened to have called my mother the morning after the event just as my father was bringing my oldest brother [OB] back home from a night spent in the Emergency Department. I was placed on speakerphone and along with NMother, NFather, and recovering-addict-oldest-brother, they give a frenzied joint account of the incident.
Mom begins: “[YB] had a rage on your Dad last night, OB heard about it and he rushed over to help. Your Dad had called me when everything was happening, so I was on the telephone when I heard the phone get thrown and the line went dead. Aunt E (89 year old Alzheimer’s great aunt whose social security income covers the costs of living for [YB] and father, all of whom live in one of NMom’s properties) was in the house and I feared for her safety. [YB] was choking Dad, his hands around his throat!!”
Me: “Why would he do that?!” There was a silence, followed by a combined grumbling of voices, each saying something different under their collective breath. The gist: “Same as always, [YB]’s rage comes from out of the blue.”
OB exclaims, “I don’t care about why he did it, you all can talk about that at some other time. All I know is I [YB] knocked me over, hurt my back so bad I went to the emergency room, only to find out that I have a spiral fracture in one of the bones of my hand. I felt like a woman, being abused. I couldn’t get up. He had me pinned down, he stomped on me, kicked me, all I could do was to keep kicking him in the knee, while he was blindly punching me. I’ve been in fights before, but this time, I actually feared for my life!”
Mom interrupts, “empathizing” with OB, obviously shaken from his frightening depiction: “I know how that feels! Your Dad pinned me down, when he beat me up that time. I’ll never forget it!
I assume Dad, whose voice could not be heard over the speakerphone, was still standing there.
Me: Did he seem sorry?
Dad: It always takes him several days to be repentant, then he’s crying and sobbing all over the place.
Mom: maybe, we need to have David committed…
OB: “He just kept saying 30 years! He’s got 30 years pent up in him! That for 30 years I haven’t been a good brother, or role model. He talked about me being out there doing drugs and not being there for him.”
Dad: “You know the one good thing that came out of it?”
OB: “That nobody got hurt?!” He chuckled, but I wasn’t sure if he was being sarcastic or not.
Dad answers: “Yeah, that…but also, that he can’t just go around handling people like that. He got it himself this time.
Me: “What do you mean?”
Dad: “That he can’t just go around putting his hands on people. That maybe somebody’s got something for HIM, sometime.”
December 20, 2010-Mother’s account three days later:
NMom: OB and your sister want to institutionalize [YB]. And I tried to talk to them about why your brother would behave like that, but it’s just too soon for them to talk about it. They want him put in a home or something. But after talking to YB, I think your Dad needs to move on… I’m about ready to put your father out. But OB and your sister don’t agree. [Sister] wants her Daddy to stay at the “family house,” as she calls it. Do you consider that house “the family house?”
Me: “No, I always thought it was [YB]’s house. That he lived in it for many years after you moved out and before Aunt E and eventually Dad moved in with him.”
NMom: “I didn’t tell you earlier, but, a week before the choking incident, [YB] began doing some work for me for pay. Just odds and ends around the house, moving some stuff around, answering the telephone, stuff like that. OB was trying to give [YB] some advice on how to answer the phone correctly. OB also corrected his younger brother on some other small task that [YB] considered easy enough to handle on his own. [YB] expressed himself to his older brother, saying ‘Look, I think I can handle this, brother. Back down.’”
NMom: “During the fight between your brother and father, your father called me so that I could hear just how terribly [YB] talks to him when I’m not around. It was pretty bad. They were fighting about your father’s hoarding. There was a fridge full of stuff. The den is filled with fridges, and this was a reason why [YB] would not be able to have his three kids in his home for Christmas. [YB] was going on about the filth and telling his father exactly what was on his mind and heart. He was really rough. Your father said to [YB], ‘You talk to ME like that?! I’m NEVER taking you to see your children again!! And in a triumphant ‘gotcha moment,’ Dad revealed to [YB] that I’d been listening the entire time.”
NMom: “I could hear your brother coming closer and closer towards the phone before everything just cut off, it just went dead. I didn’t know what to think and I had no way to get over there myself, so I immediately called your sister to go over there and find out what was going on. Well, she wasn’t getting over there soon enough, so I called OB to go over there and intervene. I told him it sounded like his brother was about to kill his Daddy. When your older brother walked in, your younger brother was hovered over your father with his hands around Dad’s throat like he was about to choke him out… They want to put [YB] away in an institution.
Me: “In an institution?”
Mom: “Yes. They think we need to call the authorities so that they can come and get [YB] to take him somewhere and be observed.”
Me: “Exactly one week ago, we were talking about this very thing for [sister]. What ever became of that?”
I was speaking of my mother’s efforts to have my Nsister, who during a conversation with NMom about how nobody cared about her, threatened suicide and harm to her twin girls, evaluated by a mental health professional. My mother, a RN of 35 years, and former supervisor of a state mental health hospital, knows the protocol for assessing threats of harm. When she came to me for input regarding the next course of action, I asked my mother if my sister mentioned having a plan for her suicide, or if my sister seemed emotional vs. calm with resolve. At the time, I reminded my mother of my sister’s children’s fathers, both of whom would use the threat of suicide to manipulate and control her. I urged my mother to have her evaluated by a professional because the threat is so serious, if she didn’t do something about it, she would regret it if something terrible happened to sister or the babies.
Mom, (in an increasingly irritated tone): Well, we have bigger fish to fry, now!! Plus, like you said earlier, she was probably just faking the suicide threat. She even admitted to saying it to get us to pay more attention to her. She said, ‘Mom, look at what lengths I have to go to get you to pay more attention to me.’
Quickly she returns to her story about YB. When I spoke to your brother, he told me he was trying to clean up to prepare for his kids coming over for Christmas. He became disgusted by the state of the refrigerator and he began to get on your Dad about the mess. Dad remained calm in demeanor at the time, but his words were reckless and mean, saying he would never see his kids, knowing that YB has seizures and cannot drive for six months at a time, depending on his Dad for a ride everywhere. Your father’s hoard is becoming huge with multiple refrigerators in the den where YB wants to put up his Christmas tree. And the smell and mess is not sanitary for young children. And your Dad has a way of tearing you down with his mouth. He degrades you and makes you feel small. He praises everyone else but you. I was never a good mother. Other kids were perfect and he would tell me that they must be doing something right and me something wrong. He would tell YB, he would never amount to anything.
Me: Two weeks ago, when Dad lost his job, you mentioned feeling extremely sorry for him. Do you still feel that way, or no longer?
Mom (stuttering): I…I…I.. don’t know. I guess it’s my compassion for people in general. When I got your father to move in with your brother he was living in a 1 room studio apartment with a turned over sofa with a blanket, a jar to pee in, and the bed… He had a smell about him. He brushed his teeth in the kitchen sink. One time, when he was still pasturing that church, he stayed in a hotel after he lost our old house, then he stayed in his car for a while, then he started sleeping in the back of the church. They had to have a meeting to have him removed from the back of the church. There have been some pitiful times where he’s been like a homeless bum…
And sometimes I feel like, he’s your father!! How can I let him be homeless?! I mean he had holes in the bottoms of his shoes and his clothes weren’t taken care of!
How can you let your children’s father be a bum on the street? It’s my compassion, I guess… But I do think your Dad needs to move away from [YB] because whatever they are going through is not good. Dad with his problems. Aunt E and her problems… It’s too much for your brother.