Our technical director is Matt Tierney. He said that was normal procedure. Put some water on your face. Just take the damn cuffs off him.". You walk to the hospital, which is how far from you? It's This American Life. I really appreciate a person who's prepared to use every mental trick in dealing with sickness. You know, how do I get through this program every week? And we couldn't identify exactly what it was. Several people told investigators that. Alan and his family told me, their sense of the staff's attitude was, this is just a guy, drunk or on drugs, crashed his car. I had a tumor in my abdomen three years ago-- cancer. And the first thing I seen was a cop fall out of the room on the floor. And it seems more likely. And sometimes there had been a lot of thought put into the process. Because if he is taken out, they don't know where he is. Maurice Benard. You want to send a mass email to everybody with Parkinson's just saying, can we all just not talk about this? You're having some problem, they're telling me," and try to relax him to get his mind off. OK. And they screw your head to the table so it won't move while the surgery is happening right? St. Joseph also has to do crisis prevention training with staff and police. They have 17 months to get their act together, or they lose their federal funding. We weren't sure if it was the eye or the head. Angry black guy. I don't know if you-- how is it that you have these officers who shoot an unarmed patient in the hospital, and then he is the bad guy, he's the guy who needs to go to jail? Take Charge of Bipolar Disorder: A 4-Step Plan for You and Your Loved Ones to Manage the Illness and Create Lasting Stability by Julie A Fast and John Preston | Sep 26, 2006 4.6 out of 5 stars 374 The doctor saved his life. Instead it has a variety of causes, called risk factors. Well, we have nothing else to talk about, Nancy. Then the delusion kicks back in. I thank God that I didn't hurt anyone else there. I just say, "I'm manic, I'm manic, I'm manic." So why are hospitals turning to police? Yeah. The next summer, it happened again. You don't want guns in psychiatry wards for common sense reasons. Bipolar disorders can be treated, and people with these illnesses can lead full and productive lives. They got very specific all of a sudden. He was not able to focus, to control it. I don't think it's them. Who are you? You stay back. He tries to pull out his own catheter. So then after that, I catch myself on the second story. And when he does, before you get to the very interesting story about how he ended up with a bullet in his chest, it's also incredibly interesting to hear him describe the day that led up to the shooting, because during that day, over the course of just a few hours, basically his mind slipped away from him. I think the second issue, then, is if you decide you need weapons in your emergency room or in your hospital, how are the people trained who are using them? The first symptoms typically appear in the late teens or early adult years, though some people may develop the disorder in childhood or later in life. While everyone experiences ups and downs, the severe shifts that happen in bipolar disorder can have a serious impact on a person’s life. I switch back into denial when it comes to the cognitive thing. The original Trouble Coconut Club is located at 4033 South Judah in San Francisco's Outer Sunset neighborhood, with hours from 7am until 7pm daily. A story by Lauren Slater about getting obsessive compulsive disorder. Since her diagnosis of bipolar I in 1995, Susie's true passion in life is to help break the stigma of mental illness and to bring hope to those who live with one. As I began my taper of the final drug just this past November, and just as importantly, as I had truly shed the brace of the bipolar identity that had become a prison, one of my best, oldest friends told me on the phone that my voice had changed. He lost a third of the blood in his body. Parkinson's is different from Alzheimer's. The story of a series of misunderstandings with very dire consequences. We know there was a scuffle. In this family of overachievers, Alan's the one who's still figuring out what he wants to do. Now his dad knows none of that. Evasive maneuvers, under cover of night. Despite popular belief, bipolar patients can have a normal life. I told the nurse that I'm a physician from McAllen, internal medicine. But it was the choice I made. At that time, Officer Law deployed his conducted energy device--" that's the taser-- "which had no apparent effect on the suspect who continued to assault the officers. She stated each time she redirected him, he would say, yes, ma'am. Yes. Today's program, "My Damn Mind." It's just, I still think I'm in shock, that I don't know how to handle it. Bipolar II disorder is no longer considered a milder form of bipolar disorder because it is associated with extensive depression time, functional impairment, anxiety, and the potential to escalate into a severe outcome, such as suicide (American Psychiatric Association, 2013). It's great, with great photos, at nytimes.com/hospital. Even though it's general anesthesia, it's not local or anything. And I think it's getting worse than that.". They would drive Alan back home to McAllen and get psychiatric help there. The actor, by the way, is named Scott Shepherd. I'm going to go ahead and get home and continue being productive. Yeah, that's exactly it. So I'm on the balcony. Things start getting confusing. Cold water on your face." Apparently, they had probably just opened it. We checked with the property manager of the building. Seth Lind is our operations director. This American Life host Ira Glass (Photo: Jewcy.com) The coffee-focused segment is seventeen minutes and available below: Listen to the full episode here. But it was all over the floor. And yet here I am, discussing it on a national radio show, so obviously my motives are mixed. Adding exercise to your daily routine can help fight the mood swings of bipolar disorder. Don't go any closer. Bipolar disorder is a mental health condition defined by the American Psychiatric Association and listed in the Diagnostic and Statistical Manual of mental disorders, fifth edition (DSM-V), a handbook used by mental health professionals. But I thought, I'm going to need their sympathy in years to come. And that is not what happened. Bipolar disorder is a mental health disorder characterized by extreme highs and lows in mood and energy. On Alan's arrival at the ER, the first handwritten notes from a resident on duty include that Alan is someone who has manic depression. I mean, can you believe a CEO saying that? Officer Ortega, fearing for his and his partner's safety, then discharged his duty weapon, striking the subject one time.". And I'm like, why isn't the gate opening? This means that we pledge to work against individual racism, interpersonal racism, and institutional racism in all their forms. So I get in my car, and I basically peel out. That was the most terrifying moment, I think, in the whole process. And I was like, who can I trust? So better training of the officers in Alan Pean's case might have prevented the shooting. This from the report, he said, quote, that "the minute the patient hit the uniformed police officer, it became a criminal offense, and the officers went into police mode and were justified in the actions they took to protect themselves." They could press a button or something, and my hand would start to wave. And let's get right to it. The story I'm about to tell you is one that we put together in collaboration with The New York Times, last year. And it's jarring. I'm a secret agent on a mission to break himself out from behind enemy lines. We see that all the time. His name is Alan Pean. This is from the account by the federal investigators. I'm Ira Glass. His argument was, when it comes to serious illness, like with all terrible things that happen to us, sure, yes, the goal is to get to acceptance-- eventually, if you can. It's like he's still in there, thinking and applying logic. His articles on denial and living with Parkinson's are here and here. Julie Snyder is our editorial consultant. The current study examines the quality of life in children and adolescents with bipolar disorder compared with other physical and psychiatric illnesses. I'm having a panic attack. There's no agents in your area that could come to your assistance. form of mental illness that causes severe psychological instability This American Life is delivered to public radio stations by PRX, the Public Radio Exchange. D. Paul Dalio, American writer, director and composer.He made his feature directorial debut with Touched with Fire (2016), a film which drew upon his own experience with bipolar disorder. Yeah. According to the American Foundation for Suicide Prevention, suicide is the tenth leading cause of death in the United States. It's great. I'm Ira Glass. That's the protocol. 10 feet. He is a human. Alan was briefly hospitalized, diagnosed as possible bipolar and put on anti-psychotic medications for a while. I told her, I think he needs to be evaluated by a psychiatrist. And they said it's just dime-sized. I'm driving. Shut up. This is the moment that we're roughly 20 hours before the shooting in the hospital room. We know the cops were not in that room for long, a few minutes at most. So I'm just here, like, remember your training. I just want to say, that seems bad. I acknowledge I'm privileged. It just keeps arriving at the wrong answers. So he didn't see anything wrong. Among the elderly, bipolar disorder represents 5%–19% of the mood disorder presentations to psychiatric care .Studies show evidence of cognitive deterioration in the longitudinal assessment of older patients with bipolar disorder and greater cognitive impairment in older than younger patients .There is growing evidence of cognitive dysfunction in euthymic mixed-age patients . And different surgeons do different spots. This is something a New York Times correspondent, Elisabeth Rosenthal, has been looking into. And that just varies around the country, depending on--. But there are some things we know for sure. He's making himself do all the things that he's supposed to do. When he asked what happened, he was told the patient was just tasered. That, by the way, is when the hospital staffer who I interviewed arrived in the hallway outside Alan's room. She's nice. So he called me at 10:00 PM. But I didn't think much of it. Then Alan is so incoherent, making so little sense, that the attending physician notes in the chart that he can't get Alan to describe his medical history or even a basic rundown of his symptoms. Nothing else could have done that. Doubled. Do you remember why you were going out into the hallway naked? There Is More to My Life Than Bipolar Disorder. And meanwhile, for you, you were thinking, but I am my edge. Mike's essay spoke to me. They test him for drugs and alcohol. Here he is. They're putting the serum that I needed in order for the morphing process to begin, to morph, to look more like Barack Obama. Nancy Updike is one of the producers of our program. The brain! But you know, he gets home, he starts to cook some food, he tries to calm down. OK. As I called around to different hospitals, there was no pattern to this. And now, in this part of our show, we're turning to a very different story-- still about a man and his brain and the awesome and confounding power of one's own mind. You know, we've come to see you." Lots of hospitals now have police and ex-military doing security with guns. Maybe that's a crazy way to look at it. So he's racing against the clock. She said he would not comply with her orders to turn around so his gown could be buttoned up.". I acknowledge that. They put Alan on a stretcher, take him into the ER. A staffer at St Joseph Medical Center in Houston finds a patient shot on the floor of his room. The authors examined the impact of life stress on the course of bipolar disorder over a 2-year period in a group of 61 outpatients. Because you don't think this would have happened if you were white? An accomplished inspirational speaker and guest blogger at bpHope Blog, Susie was the … By 1:30 in the morning, the nurses' notes say that Alan is acting weirdly, trying to pull out his IVs and his lines. However, as I'm driving, I tell myself, you were supposed to go somewhere before. But Parkinson's does get worse over time. And there's people around me. He thought he was sort of soft-pedaling something, saying, oh, you might lose your edge, as though you're still an intact thing with just a slightly softer edge. They said, why don't you just go and let him examine you and see if you're suitable for it. And then you disproving your delusional thoughts, but then another one comes up. That's in a minute from Chicago Public Radio when our program continues. I have experienced the clear benefits of denial. Adult participants (N = 482) with bipolar I or II disorder were enrolled in a comparative effectiveness study across eleven study sites and completed baseline measures of medical and psychiatric history, current mood, quality of life, and functioning. Apartment complex. I have been “suicidal” most of my life, and have made several attempts. It's not like law enforcement. That's what feels like me. In New York's hospital system, which has several of the busiest emergency rooms in the country, security carries no weapons. When Your Hospital-Borne Infection Is a Bullet, “No Time for Dreaming” by Menahan Street Band, Act One: I Used To Bank Here But That Was Long, Long Ago. There are many things I have to deal with as an adult and, while many adults aren’t dealing with chronic health issues, some of us are. Yeah. Getty Images. Alan gets shot in his own hospital room less than 40 minutes after they go. The cognitive issues vary a lot from person to person, and they're still being researched. Quote, "The patient suddenly physically assaulted Officer Ortega, striking him in the head, causing a laceration. As someone with bipolar disorder, the writer shares three common bipolar symptoms, in the hopes that being more open about them will help destigmatize them and the disorder. I was actually shocked. Take a left, and there I am. Music help today from Damien Graef and Rob Geddis. All he knows is something is wrong. I'm driving, and I'm having these thoughts, like, that place is about to explode. So I walked him through some just relaxation exercises. But in this particular case, there was something else that could have stopped this from happening, something simple. I was told that CEO Mark Bernard declined to answer that question. People with the disorder experience profound emotional highs (known as mania or hypomania) and extreme lows (depression). Too dangerous. The patient was quiet. It's too dangerous. By the way, this story about jumping down the balcony seems to be completely true. Why can't he do that? And a big reason we know that is because other people with Parkinson's-- the confronters, not the deniers-- are talking about it. The edge is-- that's me. We get hit. The American Psychiatric Association (APA) is committed to ensuring accessibility of its website to people with disabilities. And even though the staff notices all kinds of things that might lead them to treat Alan for his psychiatric problem, they don't do it. So you get out of the car. And then sometimes people die when they're shocked with tasers. When I was 30, I was finally diagnosed with Bipolar Type I among other disorders. In December, The Washington Post published the results of a huge, yearlong investigation into police shootings nationwide. Our program was produced today by Chana Jofee-Walt, with Zoe Chace, Sean Cole, Neil Drumming, Stephanie Foo, Miki Meek, Jonathan Menjivar, Robyn Semien, Alissa Shipp, and Nancy Updike. When the investigators interviewed St. Joseph's Chief Executive Officer Mark Bernard about the incident, he told them that he stood by the officers. And I start running. If you are able, we strongly encourage you to listen to the audio, which includes emotion and emphasis that's not on the page. And he was stressed out, sleeping only four hours a night. And there's an EMT guy right there. You know, so I just rammed the gate open. So I'm trying to play on the game, but it's like my wires start getting crossed. We have two stories on our program today-- in one, the brain working for you, and the other, this story, the brain very much not working for you, not being a helper, not being a pal. You were the test about whether they were getting it right. The hospital's funding was threatened. (3 minutes), If you enjoyed this episode, you may like these. I was incredibly unstable for about 4 years until they finally got me on the right combination of meds, and even then, I was still a risk to myself. She thought maybe I was lying. It made them feel safer that a couple of cops with guns would be in the emergency room in case somebody with a weapon came into the hospital. But what he cannot understand is why police officers were in his room, when he was an ill patient trying to get well.". The week before this happened, Alan Pean was starting his last semester at college, in a new school in a new city. Both were by hospital security. Denial, which is the opposite. Bipolar disorder is one of several mental and physical health conditions associated with an increased risk of developing atherosclerosis (hardening of the arteries) and cardiovascular heart disease. Those come up negative, except for marijuana, which can linger in the body for weeks. Two stories of the brain working for and against its owners. The patient came out of his room naked four to five times. Nancy Updike talked to him. I never trained for anything. Maybe just go meet her. Posted Nov 17, 2016 But they don't always do it so well. I shouldn't do it, because if I do, they'll triangulate on my position. It's like a blind date. Bipolar limits how many hours a week I can work and while I am still trying to build my career, I know deep down that I may not achieve what grandiose plans I have. I still thought, at that point in my life, that happiness came from an external source. But they--. Elise Bergerson's our business operations manager. In reply, the hospital issued this statement, which it said came from CEO Mark Bernard. Bipolar disorder is one of several mental and physical health conditions associated with an increased risk of developing atherosclerosis (hardening of the arteries) and cardiovascular heart disease. And I mean, that was the first time I'd ever seen what taser lines look like-- just a bunch of wires coming from him. One of Alan's closest friends is a cop. The original Trouble Coconut Club is located at 4033 South Judah in San Francisco's Outer Sunset neighborhood, with hours from 7am until 7pm daily. Bipolar disorder is a mental health condition that causes dramatic shifts in a person's mood, ... bipolar disorder affects about 7.1 million adult Americans, or about 2.8 percent of the U.S. population age 18 and older, ... have fewer new mood episodes and enjoy a better quality of life. Most of that violence is against hospital staff. Both his brothers are on their way to becoming doctors. Current professional basketball player for the Melbourne Boomers of the Women's National Basketball League in Australia. I didn't know what I thought a delusion would be like. He starts telling the staff that he feels all better, no need for any equipment. And I don't know what to do. With 4.4 percent of American adults experiencing bipolar disorder at some point in their lives, the medical community has come a long way in understanding the disorder and its various moods, making it possible to better screen and diagnose the disorder via a bipolar test. According to the DSM 5, Bipolar I Disorder is characterized by one or more manic episode or mixed episodes (mixed episodes involve mania and depression) accompanied by episodes of depression alone (without mania or hypomania). You try to live your life and spend your time outside of that world. Another grand jury looked into the behavior of the two officers involved in this shooting and did not indict them. And it's working. He's about to address the nation. Bipolar disorder need not ruin your life: many people who manage bipolar disorder responsibly are married, have families, work, study and pursue pastimes of their choice. So after Alan action-heroes his way down the balcony, he makes his way to his car-- not a direct path, of course. You're holding on to it. First of all, if someone's delusional and two cops walk into the room, it's a normal reaction for that patient that's having delusions, or that psychotic, to react violently. For some reason, my denial involved making several trips to the drugstore, Duane Reade, to buy dental floss, and yet more dental floss. What they treat Alan for is the car crash, which must have seemed pretty urgent. You know, so--. I was like, OK, this is just going to happen for a little bit, and it'll go away. And I really can't handle it sometimes. So I'll see you guys later." It gave him eight years of privacy, eight years of relative normalcy. You're just-- adrenaline pumping. While Alan was recovering in the Intensive Care Unit, police handcuffed him to his bed and restricted his family's visits to just 10 minutes a day, and they couldn't enter the room. And it was more of a biblical-type deal this time, Alan says, a delusion with demons in disguise, and he was on the verge of being sent to hell. Yeah. It was just this huge, red, fresh gash. Here's how that goes down. In this episode of My Life With, we follow two people living with Bipolar Disorder in New York, to show the realities of living between two extremes. Confrontation, it's the strategy that everything in our culture pushes you toward, fighting it all the way. And I remember the surgeon screaming at the cop to take his handcuffs off. OK, Alan. And he saw another benefit. Quote, "Inside the room, the other officer was standing over the patient, who was lying on the floor. And he moved to Houston with a plan to get things done-- finish school, get to grad school. I'm making up the date. Can you believe that? And you end up shot. And they wanted to make sure you were up for this. It's not totally clear what happened inside the room. 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