jcox
New Member
Elijah had his last visit with his old psychiatrist yesterday afternoon. It was definetly quite an afternoon. My husband stayed home with the other children. My cell phone was dead because my brother in law did not pay the bill so I had no phone (He has a family plan... we pay him each month for our portion). The psychiatrist is an hour away. On the way there on the state highway Elijah tells me Mom I am going to unbuckle. Then he picked up the window scraper. He then tried hitting me with it while I was driving so I pulled over. He unbuckled as I was going to the side of the road which took a minute because I was in the fast lane going about 60. By the time I pulled over he was unbuckled and running around the inside of the van. Then while we were on the side of the road the state police came. By this time I had held his body for a few minutes and he was in his car seat and calm again. I told him what happened. He was really nice and offered to talk with Elijah about how Mommy could get in trouble and if there was a car accident he could get hurt really bad. He was fine after that for a while.
At the psychiatrist office he was fine playing for about a half hour. They were that late seeing us. Then we went in with the psychiatrist and he was still alright for about ten minutes. Then he had to go to the bathroom. He went and I followed him. He locked himself in and refused to open the door. While I was getting the lady to unlock it he came out and went in a staff room and locked that door and again refused to come out. Finally they opened the door. He attacked the office dog trying to bite it. Then he threw two plants across the office and tried to hit me. I held his body in the waiting room. He was trying to kick me in the face and bite me. Then he calmed down so we went back in to the psychiatrist office. He was alright for about three minutes but then started again because he tried to call 911 and I took the phone and gave it to the psychiatrist. He then threw things around the office. The psychiatrists wife who is a therapist next door heard Elijah so she came in. He had my glasses off my face and was trying hard to break them. Then he was hitting me. Hit the psychiatrist' s wife, was calling her not nice words, kicking me, etc. She began telling the psychiatrist that Elijah needed to go to the ER. The psychiatrist said no he did not because this is nothing new... he did this almost every day. They began arguing in the office very loudly. She said that if he did not tell me to bring him to the ER then she would section 12 him. He kept acting up so finally she demanded he section him. So they did section him. He was like I don't care call the ambulance boob. But a few minutes later he began to cry "Mommy please no I will stop my mess". I sat on the floor and cuddled him asking if he promised to be good. He did, but the therapist came and said it was out of my hands. I told her I would agree on taking him, but she still did the section 12. She was screaming at Elijah to lay down, shut up and don't move. I did not appreciate the way she was talking to him, but did not say anything because I was too busy crying and trying to console Elijah. So many feelings went through me, but I knew that it would be the right thing to place him in the hospital this time. My heart was breaking though.
I called our FST worker to meet us at the ER. So the ambulance came. Elijah loved this and really enjoyed his ride. When we got to the hospital he was alright. We had to wait in the hall in a bed because there were no rooms in the ER. He did good. The nurse told him that they were going to put him in a room where he would be able to see the ambulances outside through the window. Then they decided to put him in the safe room. Elijah hates it when people don't do what they say or when plans change. He was active in the safe room, kept pushing the nurse call button etc.
Then the crisis services lady came to do his psychiatric evaluation. She asked him if he wanted to die. He said no. She asked him if he hears things that are not there. He said no. I tried telling her about his belly talking to him, but she put it off as children his age often have imaginary friends. She asked if his behaviors were new. I told her no. I told her about the new psychiatrists at Tufts and how they are going to do lots of testing and make medication changes. She said honestly he would get more out of going to Tufts on an outpatient then he would with a residential placement.
She said our insurance would not pay for an inpatient hospitalization because he did not meet the criteria of new presenting symptoms, being suicidal, or having hallucinations. I thought for sure he was going to go to the hospital. She said she could have him placed in residential, but would not recomend it because it would interfere with everything they planned on doing at Tufts. I asked our FST worker and she said that if he was not going to Tufts then she would tell me to put him at the residential placement, but since he is going there for evaluations and medication changes she would not recomend residential. The crisis services lady then asked me what I wanted if I wanted him to come home or go to residential. I told her I would take him home. The crisis service lady got him his evening doses of Risperdal and Clonidine, then discharged us and we came home.
Our FST worker let me borrow her cell phone for the ride home just in case, but he went to sleep and was fine. He has been a little irritable today, but no major issues. I would have been alright with an inpatient hospitalization, but not residential. He picked the wrong place to act up yesterday!
I was surprised that they said he did not meet the insurance criteria for being inpatient... I thought he would have. I guess for some reason he was not meant to go to the hospital last night. I go to Tufts again next week so I will know more about what they have to say.
Janice
At the psychiatrist office he was fine playing for about a half hour. They were that late seeing us. Then we went in with the psychiatrist and he was still alright for about ten minutes. Then he had to go to the bathroom. He went and I followed him. He locked himself in and refused to open the door. While I was getting the lady to unlock it he came out and went in a staff room and locked that door and again refused to come out. Finally they opened the door. He attacked the office dog trying to bite it. Then he threw two plants across the office and tried to hit me. I held his body in the waiting room. He was trying to kick me in the face and bite me. Then he calmed down so we went back in to the psychiatrist office. He was alright for about three minutes but then started again because he tried to call 911 and I took the phone and gave it to the psychiatrist. He then threw things around the office. The psychiatrists wife who is a therapist next door heard Elijah so she came in. He had my glasses off my face and was trying hard to break them. Then he was hitting me. Hit the psychiatrist' s wife, was calling her not nice words, kicking me, etc. She began telling the psychiatrist that Elijah needed to go to the ER. The psychiatrist said no he did not because this is nothing new... he did this almost every day. They began arguing in the office very loudly. She said that if he did not tell me to bring him to the ER then she would section 12 him. He kept acting up so finally she demanded he section him. So they did section him. He was like I don't care call the ambulance boob. But a few minutes later he began to cry "Mommy please no I will stop my mess". I sat on the floor and cuddled him asking if he promised to be good. He did, but the therapist came and said it was out of my hands. I told her I would agree on taking him, but she still did the section 12. She was screaming at Elijah to lay down, shut up and don't move. I did not appreciate the way she was talking to him, but did not say anything because I was too busy crying and trying to console Elijah. So many feelings went through me, but I knew that it would be the right thing to place him in the hospital this time. My heart was breaking though.
I called our FST worker to meet us at the ER. So the ambulance came. Elijah loved this and really enjoyed his ride. When we got to the hospital he was alright. We had to wait in the hall in a bed because there were no rooms in the ER. He did good. The nurse told him that they were going to put him in a room where he would be able to see the ambulances outside through the window. Then they decided to put him in the safe room. Elijah hates it when people don't do what they say or when plans change. He was active in the safe room, kept pushing the nurse call button etc.
Then the crisis services lady came to do his psychiatric evaluation. She asked him if he wanted to die. He said no. She asked him if he hears things that are not there. He said no. I tried telling her about his belly talking to him, but she put it off as children his age often have imaginary friends. She asked if his behaviors were new. I told her no. I told her about the new psychiatrists at Tufts and how they are going to do lots of testing and make medication changes. She said honestly he would get more out of going to Tufts on an outpatient then he would with a residential placement.
She said our insurance would not pay for an inpatient hospitalization because he did not meet the criteria of new presenting symptoms, being suicidal, or having hallucinations. I thought for sure he was going to go to the hospital. She said she could have him placed in residential, but would not recomend it because it would interfere with everything they planned on doing at Tufts. I asked our FST worker and she said that if he was not going to Tufts then she would tell me to put him at the residential placement, but since he is going there for evaluations and medication changes she would not recomend residential. The crisis services lady then asked me what I wanted if I wanted him to come home or go to residential. I told her I would take him home. The crisis service lady got him his evening doses of Risperdal and Clonidine, then discharged us and we came home.
Our FST worker let me borrow her cell phone for the ride home just in case, but he went to sleep and was fine. He has been a little irritable today, but no major issues. I would have been alright with an inpatient hospitalization, but not residential. He picked the wrong place to act up yesterday!
I was surprised that they said he did not meet the insurance criteria for being inpatient... I thought he would have. I guess for some reason he was not meant to go to the hospital last night. I go to Tufts again next week so I will know more about what they have to say.
Janice