If you have an incident at home, if either you or someone calls an ambulance, you are seeing an EMT. These people make about $11 an hour. They make critical decisions, but our trust is eroded in some cases.
the next line of care is an ER, LPN who remonitors your vitals, asks about your weight, general health questions.
Next comes RN to make assessment she can give to the doctor.
When the doctor does come in, he will relay the information you give him to a psychiatrist on the other side of town over the phone. That psychiatrist will determine if you are a danger to yourself or others, and if not, you don’t get admitted.
The ER doc comes back in, and if your loved ones are there, will offer to shoot up with Haldol, or a shot to calm down.
So, really, you never see a psychiatrist, for an episode.
yeah, true. I also prefer making the drive to the university hospital where if you go to their ER, they might have a bed for you there.
If you are wanting to detox, you can just be an in patient and under the care of your general practitioner, for a few days, to break the cycle. They can transfer you to another hospital that has longer term in patient care for substances abuses. But these places are all like prison in my opinion, though I haven’t tried 'em all.
It makes me always wonder if you do get in trouble with the law, whether in your case, they’d put you in jail, a rehab center, or a psych ward, and I still don’t know how they decide. The last time I did rehab, several in there had warrants.
I’m just sharing what the care is like in my area. I’m sure it’s different other places.
I stole something when I had blood poisoning (alot of toxins in my brain) and wasn’t thinking straight and they gave me a haldol injection and released me to my parents. I turned myself in though so I dont know what would happen otherwise.
Well I have been offered a job this week making a couple dollars more per hour than i am allowed to make on ssi however I have to find out if it can be a part time position as I am in college and can’t really work full time. My attorney says I will be able to get my misdemeanor expunged because of the untreated blood infection but that will take a couple years before we can file for it. It has been hardest to find a part time job that will accept me like working at lowes or starbucks (I tried these because they offer benefits like dental and 401k and are close to my apartment) I dont really need benefits though because as long as I make under 15,650 working part time I can keep medicaid. I have been looking for only a week now so it’s not been too bad.
good, if they do start turning you down, get an answer why, so you can know. I like to do that too cuz I get paranoid.
I’ve been told, you can earn as much per month as your monthly disability check, but don’t quote me on that. I always tried to max it out when I was working, and even if you go over one month (say 3 pay checks) they won’t count it unless it up to about 6 months.
I’ve been there. On one side of the issue they say these specialists are specifically trained for these situations, and they know what to look for. I don’t need a neurosurgeon to determine if I am psychotic. On the other side of the issue, I heard this woman say, “Now look, I was brought to this place against my will and presented to a person who had known me for all of five minutes, and this person is going to make a decision on whether I should be deprived of my liberty and forced to take medical treatment.” To me, it seems like both sides have some validity.
yeah @crimby. I found the ER can’t do much, and have to rely on the same old broken policies sometimes. My last visit, episode, I walked out of there with a script, no follow up, no referral, and no lasting help.
I call a mental health facility for out patient care, and they said I’d need intake, paperwork, and see if I can be seen, on a second visit, and if I am, it will take at least 2 months to get an appointment. gosh.
@L.ogan, that sounds good. My son on SSI and I’m not sure I’ve ever been told that about his earnings.
any of my problems, I would never get there on my own. My adult daughter took me. I was very scared, and wanted to be treated well. I don’t think my daughter expected that.
I went in for chest pains last month. Wound up having a psychiatrist show up at my bedside within an hour of admission in the emergency department because of the psych issues listed on my intake sheet. She wanted to know if I was having any problems with symptoms because of the stress of being hospitalized, plus what meds they needed to prescribe for me. I wound up getting extra Zeldox and some other stuff as needed. I was transferred to another hospital within days because the hospital I was in couldn’t cope with congenital heart defects. They arranged for me to get psychiatric care in the hospital I was moved to. The psychiatrist at the next hospital showed up before their cardiologist did and also made sure I was taken care of.
Pretty cool that I went in for a cardio episode and they immediately recognized the need for and then provided psychiatric care.
was it a psychiatrist, or nurse practitioner, or admit worker for the unit?
I’ve had that too, at university, but it’s procedure. My daughter, CF, had admit worker visit us often while she was in patient and leaving, never knew her total credentials, she was in a leg cast, had broken her leg in a skiing accident, and told me, You don’t know, your daughter might die in a car accident.
â– â– â– â– off with that â– â– â– â– â– â– â– â– .
The admitting nurse took my medical history and asked if I would be open to seeing the psychiatrist who was on call. The psychiatrist on call showed up within an hour and spent half an hour questioning me. What I really appreciated was that she talked to me and NOT to my wife who was next to me. Not that I don’t trust Mrs. Pixel, but there’s nothing more humiliating than when psychiatrists talk to your family about you like you’re not there or are too ■■■■■■■■to follow the conversation.
I had all of my bottles of meds with me and she immediately prescribed the same. I was having increased positive symptoms because of anxiety so meds got adjusted for that, but I’d have to say it was a positive experience otherwise. The psychiatrist at the next hospital didn’t spend as much time with me but did get the job done.
I found the nurses to be helpful about my MI issues and that they still managed to be respectful of me as a person. Certain things about the hospitalization made me crazy (delayed cardio tests and roomies I wanted to club like baby seals), but the psych care was decent.
In fact, psychiatrists are so pressed for their time, they only saw each of us in patient for 10 minutes a day. If I thought they were writing reports, making accommodations, assessments, or phone records that might help me down the road, I’d be majorly impressed. They came around with resident docs, or many who were learning, and counted on me to talk. It’s all on my talk. Otherwise they can’t do their meds.
I dont know what his would be but with mine I am allowed to earn 1130 per month and the amount of ssi I would recieve is 1130-85 and divided by 2 then subtracted from 733 which would be 733-522=211 in ssi per month on top of the 1130.