Thursday, October 11, 2012

Humpty Dumpty

"Teach a youth about the way he should go; even when he is old he will not depart from it."
- Proverbs 22:6

"Cat 3: Suicidal Ideation - 32yo male patient BIBP (brought in by police) with desire to kill himself, asking police to shoot him."

It is interesting how generally we doctors don't respond to this triage note with "Oh! Let's go and help him!". Often, it's more of a *rolls eyes*, "Not another one? Why can't he just go ahead and do it instead of just 'trying'."

As I went into the room, I saw a man curled up into the foetal position on the bed in a corner of a dark room. Two doors were open into this room, the room where we usually put "Mental Health" patients, because the unpredictability of such patients can sometimes lead to a need for a quick way out. Out one door, you can see the security guard, looking obviously bored, emanating this aura that he felt that he should be somewhere else making better use of his time rather than sitting there babysitting this "annoying patient".

One of the first things that you look at when you meet a new person is their eyes. "The eye is the lamp of the body. If your eye is good, your whole body will be full of light. But if your eye is bad, your whole body will be fully of darkness. So if the light within you is darkness - how deep is that darkness!" (Matthew 6:22-23; Not in context, I know, but so true.) What did I see in his eyes? Weariness; tiredness; despair; fear. And when I looked more closely: the eyes of a child.

We talked. I tried to get down to what happened and why. He didn't actually remember anything about what happened last night, because he had been too drunk. But with just a little prodding, he started talking. Talking about that deep despair about how none of his family members really cared for him any more. That he had no one in the world. That he might as well die. That he lived in fear of who-knows-what and that he's usually holed up in his room. That he still gets flashbacks of how his father belted him constantly and severely and how he is still afraid of his father, long after the actual possibility of a real threat has passed.

Broken. A soul smashed beyond repair. And some 20-odd years later, this man is still trying to pick up the pieces. Except he has no hands with which to pick them up with.

There are some things that no amount of medication, alcohol or drugs can fix.

And it made me pause in… awe(?) Isn't it amazing how incredible an impact your childhood, that small period of your life, can have on your entire life? A good childhood can raise incredible people, but done correctly you can also completely destroy a person by destroying their childhood. And none of the king's horses or the king's men could do anything to fix it.

Michael Jackson (whether you love him or hate him) had an incredibly insightful song into this issue. I've often wondered whether he's written it about himself, really:

Have you seen my Childhood?
I'm searching for the world that I come from
'Cause I've been looking around
In the lost and found of my heart...
No one understands me
They view it as such strange eccentricities...
'Cause I keep kidding around
Like a child, but pardon me...

People say I'm not okay
'Cause I love such elementary things...
It's been my fate to compensate,
for the Childhood I've never known...

Have you seen my Childhood?
I'm searching for that wonder in my youth
Like pirates and adventurous dreams,
Of conquest and kings on the throne...

Before you judge me, try hard to love me,
Look within your heart then ask,
Have you seen my Childhood?
People say I'm strange that way
'Cause I love such elementary things,
It's been my fate to compensate,
For the Childhood I've never known...

Have you seen my Childhood?
I'm searching for that wonder in my youth
Like fantastical stories to share
The dreams I would dare, watch me fly...

Before you judge me, try hard to love me.
The painful youth I've had

Have you seen my Childhood?

The wounds sustained in childhood last a lifetime.
It would do well for all of us to ponder that fact.
It doesn't take much to destroy a person.

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