web analytics

www.showmeblog.com

Day three of our little family emergency

On day two Hilary, after working all day on the problem, got Jimmy to take his medication.  She was by his side all day working with him.  The stress on her has been great.  But she was right there and not giving up but feeling the stress.
One thing she noticed on right away was the amount of fear that Jimmy has…

I have had it pretty easy.. unlike the last times we have had to deal with this problem.  Thank God for Hilary.. I do not think I could deal with this problem again…
I have not told anyone ..but I am having problems sleeping and I am having chest pain.
  All day yesterday the apartment complex here did not have hot water.  Their big boiler was broken and they did not get it fixed until about 7 PM.  I feel sorry for working people.. get up at 7 AM and no hot water and get home at 5 PM no hot water.

I tell you one thing…healthcare workers that work with psychiatric patients…My God their work is so hard.  We need more of them and we need to pay them top dollar.  I could not do it.
I did have to deal with mental patients during the 30 years working hospital security.  But I got a break sometimes.
I did have problems with psychiatric staff working hospital security of course …I attempted to education them about the law … I got some joint training for the hospital and psychiatric staff and it was a little help.  But they were a pain in the ass for me.  I am so glad that I do work hospital security now.  Glad I am not working… I wish I could work at some job…I would love the extra money.. I could buy lots of computer stuff.  That sort of sounds like a psychiatric problem don’t you think?
I can not work at a job now ..unless it is as a bathroom attendant!  I got to be near a bathroom and have the ability to go to it right away.  I can go to that bathroom now.. and leave the bathroom and one minute or less have to go back and I can not wait.  So I could not be in the middle of signing someone in or on the phone and just complete that short little action.
It is hell to be old.  I guess that is God’s way to get you ready for the end.  He gives you so many crosses to bear that when your end time comes .. You are happy to be making that final trip.

I do know how lucky I have been in life.
There are a lot of people that have a big cross to bear.

I need to tell some stories, I guess on YouTube, before I make that final trip.  Not sure anyone is interested ..but I just want to get them out there.
Talking about dealing with psychiatric staff…I got called to our hospital psychiatic unit “stat” one time.  I got there and a patient had left the unit, an open door unit, and was out on the side walk.  The nurse demanded that I bring the young woman back into the unit.  I asked a few questions…They had no court order for her and they said she could not leave because she was Lesbian!  Will not go into the story here but I told them of course the woman was free to go ..and to get woman’s personal stuff so she could take it with her.  The staff had the woman’s doctor on the phone and he was ordering me to hold her.  So I had to educate the fucking doctor too.
By the way..the same unit another night .. Had a older female patient leave and they called security and we looked for her.  She had money.  Her husband owned a very nice restaurant.  Well the patient went to her husband’s restaurant and the police were called and she was taken to Kansas City’s psychiatric center.
So our psy unit called me back and told me to go pick up the patent at the city psy center.  I knew our psy unit so I asked a few questions.  The city’s psyhospital was refusing to return the patient to our unit.  Our psy unit wanted me to go to the city’s psy hospital and by force get “our” patient!

I think I will make a YouTube video later today. I am in the mood.
I got a few stories I would like to tell.

Corel VideoStudio X9

If you watch my videos you will see that I do not do very much video editing.  I have not spent the time learning and I am lazy.
But I have spent a lot of money on video editing software.  Very rare for me to use it.  One of the programs is Corel VideoStudio.  

It was not a lot of money to get and it is powerful.  I think I started with X6 or X7.  Then I upgraded to X8.  Well X9 is about to be released to the public and I upgraded to X9.  Each upgrade cost about $50.00 and I upgrade and most of the time have not even used it.

  I should not upgrade if I don’t even use the program.. but there is always some nice new features that I think I just have to have and that I never use.
Since I spent money I should not have spent for something I did not need.. maybe you will see some better video editing from me soon.

No greater love…

 Hilary got Jimmy to take all of his medications last night and for the first time.. in days Jimmy got a good night of sleep…
  I went over last night and got their network working over there…
At about 6 AM Darlene called Hilary … Jimmy was awake…
Hilary went over…
Hilary came back over here to ask for a long network cable for Jimmy.  He wants to try and get his computer back online now.
I gave him my network cable.  So now my computer is using WiFi so I am at about half network speed.  That is 4M up and 37M down now.  I can live with it.
I just ordered, from Amazon, 25 feet and 50 feet of networking cable.  I have Amazon Prime so it will be here on Monday.  Thank God networking cable is cheap now days.

 

Today will be a long day for Hilary and Darlene.  With Hilary here.. not so hard for me.. Just worrying about everyone.. but not having to deal with most of it.

 

Schizophrenia

Schizophrenia is a mental disorder characterized by abnormal social behavior and failure to recognize what is real.[2] Common symptoms include false beliefs, unclear or confused thinking, hearing voices, reduced social engagement and emotional expression, and a lack of motivation.[2][3] People often have additional mental health problems such as major depression, anxiety disorders, or substance use disorder.[4] Symptoms typically come on gradually, begin in young adulthood, and last a long time.[3][5]

The cause of schizophrenia is believed to be a combination of genetic and environmental factors.[6] Possible environmental factors include cannabis use, poor nutrition during pregnancy, being raised in a city, parental age, and certain infections.[6][7] Diagnosis is based on observed behavior and the person’s reported experiences.[5] During diagnosis a person’s culture must also be taken into account.[5] As of 2013 there is no objective test.[5] Schizophrenia does not imply a “split personality” or “multiple personality disorder” — a condition with which it is often confused in public perception.[8]

The mainstay of treatment is antipsychotic medication along with counseling, job training, and social rehabilitation.[2][6] It is unclear if typical or atypical antipsychotics are better.[9] In those who do not improve with other antipsychotics, clozapine may be used.[6] In more serious cases—where there is risk to self or others—involuntary hospitalization may be necessary, although hospital stays are now shorter and less frequent than they once were.[10]

About 0.3–0.7% of people are affected by schizophrenia during their lifetime.[11] In 2013 there was estimated to be 23.6 million cases globally.[12] Males are more often affected than females.[2] About 20% of people do well and a few recover completely.[5] Social problems, such as long-term unemployment, poverty, and homelessness are common.[5][13] The average life expectancy of people with the disorder is ten to twenty five years less than the average.[14] This is the result of increased physical health problems and a higher suicide rate (about 5%).[11][15] In 2013 an estimated 16,000 people died from behavior related-to or caused by schizophrenia.[16]

Individuals with schizophrenia may experience hallucinations (most reported are hearing voices), delusions (often bizarre or persecutory in nature), and disorganized thinking and speech. The last may range from loss of train of thought, to sentences only loosely connected in meaning, to speech that is not understandable known as word salad. Social withdrawal, sloppiness of dress and hygiene, and loss of motivation and judgment are all common in schizophrenia.[17]There is often an observable pattern of emotional difficulty, for example lack of responsiveness.[18] Impairment in social cognition is associated with schizophrenia,[19] as are symptoms of paranoia. Social isolation commonly occurs.[20]Difficulties in working and long-term memory, attention, executive functioning, and speed of processing also commonly occur.[11] In one uncommon subtype, the person may be largely mute, remain motionless in bizarre postures, or exhibit purposeless agitation, all signs of catatonia.[21] About 30 to 50% of people with schizophrenia fail to accept that they have an illness or their recommended treatment.[22] Treatment may have some effect on insight.[23] People with schizophrenia often find facial emotion perception to be difficult.[24]

Positive and negative

Schizophrenia is often described in terms of positive and negative (or deficit) symptoms.[26] Positive symptoms are those that most individuals do not normally experience but are present in people with schizophrenia. They can include delusions, disordered thoughts and speech, and tactile, auditory, visual, olfactory and gustatory hallucinations, typically regarded as manifestations of psychosis.[27] Hallucinations are also typically related to the content of the delusional theme.[28]Positive symptoms generally respond well to medication.[28]

Negative symptoms are deficits of normal emotional responses or of other thought processes, and are less responsive to medication.[17] They commonly include flat expressions or little emotion, poverty of speech, inability to experience pleasure, lack of desire to form relationships, and lack of motivation. Negative symptoms appear to contribute more to poor quality of life, functional ability, and the burden on others than do positive symptoms.[29] People with greater negative symptoms often have a history of poor adjustment before the onset of illness, and response to medication is often limited.[17][30]

Cognitive dysfunction

Deficits in cognitive abilities are widely recognized as a core feature of schizophrenia.[31][32][33] The extent of the cognitive deficits an individual experiences is a predictor of how functional an individual will be, the quality of occupational performance, and how successful the individual will be in maintaining treatment.[34] The presence and degree of cognitive dysfunction in individuals with schizophrenia has been reported to be a better indicator of functionality than the presentation of positive or negative symptoms.[31] The deficits impacting the cognitive function are found in a large number of areas: working memory, long-term memory,[35][36]verbal declarative memory,[37] semantic processing,[38] episodic memory,[34] attention, learning (particularly verbal learning).[35] Deficits in verbal memory are the most pronounced in individuals with schizophrenia, and are not accounted for by deficit in attention. Verbal memory impairment has been linked to a decreased ability in individuals with schizophrenia to semantically encode (process information relating to meaning), which is cited as a cause for another known deficit in long-term memory.[35] When given a list of words, healthy individuals remember positive words more frequently (known as the Pollyanna principle ); however, individuals with schizophrenia tend to remember all words equally regardless of their connotations, suggesting that the experience of anhedonia impairs the semantic encoding of the words.[35] These deficits have been found in individuals before the onset of the illness to some extent.[31][33][39] First degree family members of individuals with schizophrenia and other high-risk individuals also show a degree of deficit in cognitive abilities, and specifically in working memory.[39] A review of the literature on cognitive deficits in individuals with schizophrenia show that the deficits may be present in early adolescence, or as early as childhood.[31] The deficits which an individual with schizophrenia presents tend to remain the same over time in most patients, or follow an identifiable course based upon environmental variables.[31][35]

Although the evidence that cognitive deficits remain stable over time is reliable and abundant,[34][35] much of the research in this domain focuses on methods to improve attention and working memory[35][36] Efforts to improve learning ability in individuals with schizophrenia using a high vs. low reward condition and an instruction absent or instruction present condition revealed that increasing reward leads to poorer performance while providing instruction leads to improved performance, highlighting that some treatments may exist to increase cognitive performance.[35] Training individuals with schizophrenia to alter their thinking, attention, and language behaviors by verbalizing tasks, engaging in cognitive rehearsal, giving self-instructions, giving coping statements to the self to handle failure, and providing self-reinforcement for success, significantly improves performance on recall tasks.[35] This type of training, known as self-instructional (SI) training, produced benefits such as lower number of nonsense verbalizations and improved recall while distracted.[35]

Onset

Late adolescence and early adulthood are peak periods for the onset of schizophrenia,[11] critical years in a young adult’s social and vocational development.[40] In 40% of men and 23% of women diagnosed with schizophrenia, the condition manifested itself before the age of 19.[41] To minimize the developmental disruption associated with schizophrenia, much work has recently been done to identify and treat the prodromal (pre-onset) phase of the illness, which has been detected up to 30 months before the onset of symptoms.[40] Those who go on to develop schizophrenia may experience transient or self-limiting psychotic symptoms[42] and the non-specific symptoms of social withdrawal, irritability, dysphoria,[43] and clumsiness[44] during the prodromal phase.

Causes

A combination of genetic and environmental factors play a role in the development of schizophrenia.[8][11] People with a family history of schizophrenia who have a transient psychosis have a 20–40% chance of being diagnosed one year later.[45]

Genetic

Estimates of heritability vary because of the difficulty in separating the effects of genetics and the environment;[46] averages of 0.80 have been given.[47] The greatest risk for developing schizophrenia is having a first-degree relative with the disease (risk is 6.5%); more than 40% of monozygotic twins of those with schizophrenia are also affected.[8] If one parent is affected the risk is about 13% and if both are affected the risk is nearly 50%.[47]

Many genes are believed to be involved in Schizophrenia, each of small effect and unknown transmission and expression.[8] Many possible candidates have been proposed, including specific copy number variations, NOTCH4, and histone protein loci.[48] A number of genome-wide associations such as zinc finger protein 804A have also been linked.[49] There appears to be overlap in the genetics of schizophrenia and bipolar disorder.[50] Evidence is emerging that the genetic architecture of schizophrenia involved both common and rare risk variation.[51]

Assuming a hereditary basis, one question from evolutionary psychology is why genes that increase the likelihood of psychosis evolved, assuming the condition would have been maladaptive from an evolutionary point of view. One idea is that genes are involved in the evolution of language and human nature, but to date such ideas remain little more than hypothetical in nature.[52][53]

 

Environment

Environmental factors associated with the development of schizophrenia include the living environment, drug use and prenatal stressors.[11]

Parenting style seems to have no major effect, although people with supportive parents do better than those with critical or hostile parents.[8] Childhood trauma, death of a parent, and being bullied or abused increase the risk of psychosis.[54] Living in an urban environment during childhood or as an adult has consistently been found to increase the risk of schizophrenia by a factor of two,[8][11] even after taking into account drug use, ethnic group, and size of social group.[55] Other factors that play an important role include social isolation and immigration related to social adversity, racial discrimination, family dysfunction, unemployment, and poor housing conditions.[8][56]

It has been hypothesised that in some people, development of schizophrenia is related to intestinal tract dysfunction such as seen with non-celiac gluten sensitivityor abnormalities in the intestinal flora.[57] A subgroup of persons with schizophrenia present an immune response to gluten, different from that found in people withceliac, with elevated levels of certain serum biomarkers of gluten sensitivity such as anti-gliadin IgG or anti-gliadin IgA antibodies.[58]

Substance use

About half of those with schizophrenia use drugs or alcohol excessively.[59] Amphetamine, cocaine, and to a lesser extent alcohol, can result in psychosis that presents very similarly to schizophrenia.[8][60] Although it is not generally believed to be a cause of the illness, people with schizophrenia use nicotine at much greater rates than the general population.[61]

Alcohol abuse can occasionally cause the development of a chronic substance-induced psychotic disorder via a kindling mechanism.[62] Alcohol use is not associated with an earlier onset of psychosis.[63]

Cannabis can be a contributory factor in schizophrenia,[7][64][65] potentially causing the disease in those who are already at risk.[65] The increased risk may require the presence of certain genes within an individual[65] or may be related to preexisting psychopathology.[7] Early exposure is strongly associated with an increased risk.[7] The size of the increased risk is not clear;[66] but appears to be in the range of two to three times greater for psychosis.[64] Higher dosage and greater frequency of use are indicators of increased risk of chronic psychoses.[64]

Other drugs may be used only as coping mechanisms by individuals who have schizophrenia to deal with depression, anxiety, boredom, and loneliness.[59][67]

Developmental factors

Factors such as hypoxia and infection, or stress and malnutrition in the mother during fetal development, may result in a slight increase in the risk of schizophrenia later in life.[11] People diagnosed with schizophrenia are more likely to have been born in winter or spring (at least in the northern hemisphere), which may be a result of increased rates of viral exposures in utero.[8] The increased risk is about 5 to 8%.[68] Other infections during pregnancy or around the time of birth that may increase the risk include Toxoplasma gondi and Chlamydia.[69]

Prevention

Prevention of schizophrenia is difficult as there are no reliable markers for the later development of the disorder.[104] There is tentative evidence for the effectiveness of early interventions to prevent schizophrenia.[105] While there is some evidence that early intervention in those with a psychotic episode may improve short-term outcomes, there is little benefit from these measures after five years.[11] Attempting to prevent schizophrenia in the prodrome phase is of uncertain benefit and therefore as of 2009 is not recommended.[106] Cognitive behavioral therapy may reduce the risk of psychosis in those at high risk after a year[107] and is recommended by the National Institute for Health and Care Excellence (NICE) in this group.[108] Another preventative measure is to avoid drugs that have been associated with development of the disorder, including cannabis, cocaine, and amphetamines.[8]

Management

The primary treatment of schizophrenia is antipsychotic medications, often in combination with psychological and social supports.[11] Hospitalization may occur for severe episodes either voluntarily or (if mental health legislation allows it) involuntarily. Long-term hospitalization is uncommon since deinstitutionalization beginning in the 1950s, although it still occurs.[10] Community support services including drop-in centers, visits by members of a community mental health team, supported employment[109] and support groups are common. Some evidence indicates that regular exercise has a positive effect on the physical and mental health of those with schizophrenia.[110]

Prognosis

Schizophrenia has great human and economic costs.[11] It results in a decreased life expectancy by 10–25 years.[14] This is primarily because of its association with obesity, poor diet, sedentary lifestyles, and smoking, with an increased rate of suicide playing a lesser role.[11][14][129] Antipsychotic medications may also increase the risk.[14] These differences in life expectancy increased between the 1970s and 1990s.[130]

Schizophrenia is a major cause of disability, with active psychosis ranked as the third-most-disabling condition after quadriplegia and dementia and ahead of paraplegia and blindness.[131] Approximately three-fourths of people with schizophrenia have ongoing disability with relapses[30] and 16.7 million people globally are deemed to have moderate or severe disability from the condition.[132] Some people do recover completely and others function well in society.[133] Most people with schizophrenia live independently with community support.[11] About 85% are unemployed.[6] In people with a first episode of psychosis a good long-term outcome occurs in 42%, an intermediate outcome in 35% and a poor outcome in 27%.[134] Outcomes for schizophrenia appear better in the developing than the developed world.[135] These conclusions, however, have been questioned.[136][137]

There is a higher than average suicide rate associated with schizophrenia. This has been cited at 10%, but a more recent analysis revises the estimate to 4.9%, most often occurring in the period following onset or first hospital admission.[15][138] Several times more (20 to 40%) attempt suicide at least once.[5][139] There are a variety of risk factors, including male gender, depression, and a high intelligence quotient.[139]

Schizophrenia and smoking have shown a strong association in studies world-wide.[140][141] Use of cigarettes is especially high in individuals diagnosed with schizophrenia, with estimates ranging from 80 to 90% being regular smokers, as compared to 20% of the general population.[141] Those who smoke tend to smoke heavily, and additionally smoke cigarettes with high nicotine content.[142] Some evidence suggests that paranoid schizophrenia may have a better prospect than other types of schizophrenia for independent living and occupational functioning.[143] Among people with schizophrenia use of cannabis is also common.[59]

Hilary and Jimmy

 Hilary came over, from next door, with tears in her eyes.  She had no idea how bad this could be… But Hilary got him to take both his medications.  I am not sure I ever got him to take his medication when he was like this.. He would say he took them and he would refuse to take them.
  Hilary also got him to take his med to help him sleep.  He has not had any sleep for days…well not sure for how long..
He took a shower.. fully dressed of course…
The network is still down over there..  laying on the floor all spread out..
Hilary is taking her laptop over so Dar can check her mail.
Hilary took some food back to Jimmy to eat.  He is having to ask her if it is OK to breath.

Even if he takes his meds today and even if he gets some sleep today..

  This will not end today or tomorrow.. One pill does not fix the problem.
I am glad Hilary is here.. But sorry she had to worry about it and deal with it.
But she is working with Jimmy better than I can…  I am sure Hilary is a great help right now to Darlene.

Our cat is upset.. She needs a lot of attention from Hilary.

Life is not easy

 My son’s doctor cancelled his monthly appointment about a month ago.  His doctor sees him each month and gives him Rx for 30 days at a time.
  We did not know that my son did not get his Rx for a month ago.. I guess he went 30 days without taking his medications.
Hilary went with Jimmy for this month’s visit to the doctor and Jimmy got his Rx and Hilary picked up his meds this month.  But Jimmy, I guess, has not taken any meds for a month.
We can not get Jimmy to sleep or take his medication…
Bad times are going to visit us again…
Jimmy has done something to his computer…
Jimmy has disconnected the network over there…
Jimmy has had Hilary go over a few times and plug things in for him… He fears getting shocked … plus… no telling what else is going on …
We may have to call 911 today or soon…
Glad Hilary is here.. But sorry she had to see this and be part of all of this.

Update:  Hilary got Jimmy to take his medication.

  She had to teach/tell him how to drink.
  Hilary is doing great with him.  But no telling how things are going to turn out.
He still is not sleeping.. He had not been sleeping for days.

 

Army and Air Force MARS Communications Exercise

02/10/2016

The first quarterly Military Auxiliary Radio System (MARS) US Department of Defense communications exercise of 2016 (COMEX 16-1) is set for February 12. The scenario will be a loss of electrical power, landline telephone and cell service, and Internet. The exercise will get under way at 1200 UTC and run for 12 hours. Individual radio amateurs and Amateur Radio Emergency Service (ARES) groups will be encouraged to participate.

“The purpose of this exercise is to focus on individual MARS operator skills, refine our joint operations procedures between Army and Air Force volunteer leaders, and to continue to develop the working relationships at the local level between MARS operators and individual Amateur Radio operators as well as ARES and other Amateur Radio groups,” Army MARS Program Manager Paul English, WD8DBY, told ARRL. “ MARS is continuing to develop new techniques for how to make better use of Automatic Link Establishment (ALE) capabilities and will use this exercise to continue to refine how we integrate ALE.”

At some point in the exercise, MARS stations will be requested to contact local radio amateurs for a condition report. MARS stations will collect information from hams and ARES groups only via radio. 

Page 1 of 54312345...102030...Last »
Howard's Notebook - OnLine Since 1982 - Picked (1984) by "Link-Up" magazine as one of the top ten on line sites in the world! Frontier Theme
Translate »