Medical Trauma

Black Box

I had an exciting thought about a poem at the tail end of a dream, and now I can’t go back to sleep. The fact that poems thrill me after three decades says a lot about poems. Perhaps it’s not just the Earth and sky that last forever, as the band Kansas asserts. It’s also the verse, the line.

I will never remember what happened to me two years ago today because I was overmedicated in the emergency room at Intermountain Health after being turned away when I went to the mental-health access center there for help the day before, but not before the access center kept me in a loud, brightly lit room for 24 hours with no bed, where I was left alone with two male nurses. What a terrifying thing for someone with a history of abuse at the hands of men to endure while in a state of trauma about her childhood abuse. Also, sleep deprivation and exposure to lights and noise, including music, day and night are more in keeping with prison torture tactics than with mental-health care, but sadly, the two are often one in the same. Shame on Intermountain for engaging in such practices.

To top it off, they failed to give me my thyroid-replacement medicine for hours, thereby exacerbating the state I was in by disrupting my endocrine system, which in turn negatively affected my HPA axis. That axis is key to emotional regulation. I don’t have a thyroid thanks to thyrotoxicosis and cancer, so my thyroid-replacement medication is critical. My TSH was already 11mIU/L when I got to the access center. It should have been less than 1mIU/L. The access center made my hypothyroid state even worse by not administering my medicine in a timely fashion.

The ER overmedicated me after I said Joseph Smith was delusional. What I actually said was, Sure. It’s fine when Joseph Smith does it, but not me. I wasn’t being hyperreligious. I was deconstructing religion, in that moment Mormonism, as well as the unwritten social rules that appear to govern when someone is seen as insane, divine, or both. Crazywise, as some call the latter. But not, largely, Southern Utahns, and certainly not ER workers at Intermountain.

That’s the last thing I remember. I blacked out for more than a day, this one: September 9, 2023. It’s a dark, rough-hewn box I can’t open, but I think Sharon Olds’ devil from her collection Satan Says might be inside it. By that, I mean my father.

Folding

This is the two-year anniversary of my stay at the local inpatient psychiatric hospital where the psychiatrist described me as being involved in sex trafficking, as if I was trafficking others as an adult as opposed to having been trafficked as a child. The psychiatrist also said my trauma had nothing to do with my mania, told me in so many words to be a better wife when I expressed my concerns to him about my husband’s behavior, refused to help me get services from the local organization that helps people who’ve survived sexual abuse, and wrote in my chart that I had a poor prognosis because I have no insight into having bipolar.

And he was supposed to be one of the better psychiatrists at that hospital.

This is also the day I briefly saw Utah poet laureate Lisa Bickmore and thought she was some kind of healing Earth goddess, which I still think is the case. When I’m manic, I see essences. Lisa is a lot more than a healing Earth goddess, but she also has the essence of a healing Earth goddess.

These are the final days of my hegira, the one I declared over before it was over. Over the next few days, I’ll be sitting with everything that happened two years ago in a process that’s like folding now and then together the way two ingredients are combined in baking. Not that I bake. I prefer folding time to folding things like whipped eggs and melted chocolate. When I need to eat something, I just eat it. I rarely mix it with something else.

Dead, I Wanted to Live

I dreamed I died. I saw my body lying on its side on a gurney. I was wearing a blue hospital gown. I was sort of in the fetal position, but my arms and legs were positioned unnaturally. I’d been turned and folded into myself after my death like someone trying to fit more garbage into a can.

I watched myself from above trying to figure out what happened. My mouth was partially closed around a laryngoscope. A tube had been inserted partway down my throat. Then I felt it: the heart attack that killed me. I remembered the shock, the pain, the flooding warmth like contrast dye used in CT scans, my belt-tightened chest, the last wild hoofbeats of my heart, then nothing.

The staff didn’t try to revive me. This one’s not worth saving, I heard one of them say. They rolled me into a side room that wasn’t monitored and left me there, where I was now watching over my corpse.

I don’t know how long I’d been dead, but the part of me that was disembodied began to feel cold. Everything went starry and black. Time wasn’t gone, but it was everything together all at once, not sequential. There was no past, present, or future. And it wasn’t a human time scale time. It was the universal time scale.

I didn’t like it. I didn’t want to be cold forever, and I was pissed that the doctors and nurses let me die. I fought my way back to the hospital room where I was lying. The next step was to get back in my body the way I’d always done in lucid dreams when my consciousness became untethered. I laid down inside my corpse, but I wasn’t connecting with it. When I moved, it was just my disembodied self that moved, effortlessly and mass-free. Finally, with great concentration, I was able to move my arm. Nobody noticed because the room was empty. My heart began beating, but there where no monitors to alert the staff.

I was pretty fucked. I knew I didn’t have much time before I died again. I used all my inner strength to throw myself off the gurney and drag myself to the nurse’s station using my fingers. Boy, we’re they surprised. They immediately picked me up and fussed over me. “We did everything we could,” they told me as they dusted me off. I knew they hadn’t.

I knew then that I cared more about staying alive than anyone else cared about keeping me alive. Even when I was dead, I wanted to live, so I did.

I also knew I couldn’t tell the staff I remembered what they did. If a knowing look even momentarily hardened my face, they’d see it, and I’d never get out of the hospital alive. I had to pretend they tried to save me when they actually discarded me. I had to let devils be angels.

There was one hitch. I’d been dead long enough that I could no longer speak or write without every word being replaced with a different one. No matter how careful I was when I communicated, the wrong things came out of my mouth or appeared on the screen. That’s when I realized I should have stayed in All-Time rather than returning to Earth. Living is nothing if it’s gibberish, if every important word is replaced with a meaningless one, like vole when you mean love or oval when you mean love or leave when you mean love.