Doris Ford, RN, BSN by fax 410-402-8167
Office of Health Care Quality
Spring Grove Center
Bland Bryant Building
55 Wade Avenue
Catonsville, Maryland 21228
Re: University of Maryland Hospital and Outpatient Department
Discharge Summary - Nancy Moran
3/8/01 - 5/4/01
Dear Ms. Ford:
Please submit this fax to follow to the Office of Health Care Quality.
It is my response to the discharge summary in the permanent record of the University of Maryland Hospital. My letters of June 24 shall substitute after the notation for 4/13/01.
A different discharge summary by the same first year resident and attending physician was apparently furnished to Spring Grove Hospital at the time of my admission there and I have been unable to get a copy of it. Spring Grove does not have the instant summary in their records and it was not available to the staff there not on my admission nor discharge.
It is important to be aware that this and the "permanent" summary reflect $32,000 in payouts by CareFirst and $28,000 in payouts by Maryland Health Partners (i.e., the General Fund) for a total of $60,000.
Also be aware that the emergency evaluation of March 7 resulted in a finding that I could have been treated on an outpatient basis, had I had suitable outpatient care.
Respectfully submitted,
Nancy Moran
nm
16 sheets to follow (including UMD Discharge Summary)
INTRODUCTORY NOTES:
The "DISCHARGE DIAGNOSIS" indicated is the "ADMISSION DIAGNOSIS". There is no "Discharge Diagnosis". Therefore, on its face, in its initial phrases, this "Discharge Summary" is defective.
The original resident and the resident testifying at the Involuntary Commitment hearing was first year resident Joseph Mullen, M.D. Without warning and without prior notice, he was supplanted by first year resident Jennifer Oldham, M.D.
Angela Adbuiwa, M.D., the Attending Physician, never said a word to me nor I to her until after the "clinical review panel on April 10. At which point I said to her, "Is SHE your representative." The reply was, "She makes all decisions for me."
Doris Balis, M.D., of the Outpatient Clinic was supervising care and approving all medication decisions. Doris Balis and no other conducted the clinical review panel.[Footnote 1: With Maryland Health Partners' prior authorization, little consideration is given to date of discharge or ultimate transfer. Maryland Health Partners' funding is prolonging and fueling bad and incompetent both inpatient and outpatient treatment. Without MHP, Doris Balis and the University of Maryland Outpatient Department would cease to exist. The economics of 12-West would be severely disturbed. Doris Balis has an especial relationship to the Department of Psychiatry because her late father had been a respected member of the Department.
HISTORY OF PRESENT HOSPITALIZATION:
I was EP'd to the University of Maryland Emergency Room on March 7, 2001 for refusing to go on a social worker appointment, refusing to let a high school graduate "counselor" into my home, not answering phone calls and appearing at the door in a pink cotton knee-length short- sleeve robe buttoned to the neck. I was told in the emergency room, "You have to leave now." at 2:30 in the morning. The police had also furnished me with a raincoat, bedroom slippers and two sets of house keys. I walked home.
I was EP'd to the University of Maryland Emergency Room on March 8, 2001 because Doris Balis, M.D. wanted me to be EP'd. Doris Balis did not agree with the conclusions of Dr. Butler made the night before.
I was never able to report why I discontinued lithium on January 28, 2001. It was the foregone conclusion of Doris Balis in a telephone conversation on March 8 (on Diane Ossip's cell phone) that lithium was the problem. It was the foregoing conclusion of Edward Bolgiano that lithium was the problem during a conversation in the presence of social worker Cerise on March 8. He just tried to establish when. Neither Balis nor Bolgiano asked about the Pamelor 50 mg that had also been prescribed.
The discharge summary, under "HISTORY OF PRESENT ILLNESS", contains a misquote not attributable to me. My last lithium level in the Outpatient Department was in the normal range despite the fact I was taking only three instead of five per day. [Footnote 1: I went over the lab results not with Doris Balis, M.D. but with Sharon Lerner, LCSW-C. Folic acid, also, was in a normal range..]
I did not report decreased sleep. In fact, sleep was normal if not from 6 am to 2 pm. I was taking 5 mg Ambien as prescribed by Doris Balis during an outpatient visit after DeGuzman went out on maternity leave.
I did not lose 3 pounds over the past few weeks. My weight was 148 pounds after Outpatient administration of Zyprexa and was a concern to me. University of Maryland does not weigh patients. There is no hospital scale on the ward. I was handed an uncalibrated bathroom scale which read "145" and at the time I said, jokingly, "I lost 3 pounds!" Three pounds is insignificant even over the course of a single day. On the hospital scale in 12 East some days later, the scale read 148. In other words, there was no change at all in my weight since the time I weighed myself on a hospital scale at the time of getting my blood tested. The Outpatient Department does not weigh patients, either. There is no hospital scale on their premises.
The legal issues I perserverated on were the two perjured petitions that brought me to the Emergency Room. "Solve a conspiracy" relates to the hearing for involuntary commitment and the Petition for Writ of Habeas Corpus I was preparing as was my right [Footnote 2: A copy of the University of Maryland notification of legal rights is attached.].
As for "PAST PSYCHIATRIC HISTORY", Doris Balis placed into the record in 1999 that I had a history of "multiple hospitalizations" and a "long history of non-compliance" even though the records of the Outpatient Department indicated otherwise. This was a deliberate and intentional falsehood. I had not been hospitalized since 1990, a period of nine years.
As for "FAMILY PSYCHIATRIC HISTORY", it was well known in the Outpatient Department that my mother and grandfather were positive for depression and/or bipolar disorder.
As for "ALLERGIES", patient reported allergy to Benadryl (DPH) and Risperdal even from the previous hospitalization. The Benadryl allergy is clearly marked in the record and the Risperdal allergy was testified to in the hearing for involuntary commitment. Because of the Benadryl allergy, the nurses could not PRN it when I had sleep problems. I repeatedly asked for alternate sleep meds but was consistently denied them.
As for "MEDICATIONS ON ADMISSION": By the time of the March 7 Petition for Emergency Evaluation my prescribed medications by Doris Balis were nortriptyline 50 mg, lithium 300 mg morning and 600 mg night, loxapine 5 mg PRN and Ambien 5 mg PRN.
As for "LEGAL HISTORY": During my last outpatient visit, I referred Doris Balis to my website on mental health issues at www.ematic.com/Nancy550/ [Footnote 3: In retrospect, this was perhaps a mistake.]. The first time I ever had negative contact with the police was the emergency petition of March 7. The police sent five squad cars and a paddy wagon. I was cuffed from behind, a raincoat was place around my shoulders, and bedroom slippers were put on my feet. I was hoisted out of my home while I was making tea and put on my back in the paddy wagon. I was dragged into a seat and strapped in. Outside the University of Maryland Emergency Room, I was dragged and yanked by the arms by two police officers. There were marks around my wrists for a period of five days.
As for "SOCIAL HISTORY": Note the contrasts in the Discharge Summary of permanent record. I am single, never married, no children, two dogs. I have three sisters who live out-of-state. My father is elderly and lives in an assisted living facility. I own my house - there is no mortgage. I attended the University of Pennsylvania and graduated with a pre-med curriculum. I am receiving money from a trust set up by my grandmother.
On April 3, 1993, I was living in a building containing the My Sisters' Place group home. One of their residents set fire to the building with gasoline. I was in Shock Trauma for three days with smoke inhalation. My way of life was destroyed. I received a substantial insurance settlement. My Sisters' Place group home was where social worker Janis Raynor wanted to place me.
As of discharge in 1999, I was faced with $10,000 in fraudulent credit card debt. My safe was broken into and all my jewelry was stolen. Expensive books were missing and the house was vandalized. Another insurance settlement is pending but is jeopardized by the false record from my hospitalization in 1999.
I have a history since 1980 of working in the prisons and the prison system. I am known by name, face and letterhead by the current Secretary of Public Safety, the former Secretary of Public Safety, the current Commissioner of Correction and the former Commissioner of Correction, among many other persons, including many members of the Maryland legislature.
I have worked as a medical secretary for 20 years: five hospitals in Philadelphia - three in Maryland - Mercy, Johns Hopkins and the University of Maryland. As for the latter, there were a number of departments - Thoracic Surgery, General Internal Medicine, Radiation Oncology, Rheumatology and/or Cardiology.
As for "SUBSTANCE HISTORY": The records of the Outpatient Department from 1997 will show elevated beer intake. During early 2000, I reported to the Outpatient Department that my insurance policy would not cover substance abuse treatment. I went to Maryland General Hospital but they denied treatment based on lack of insurance. Mercy Hospital wanted $6000 up front before they would admit me. I was referred to the Walter P. Carter Center for detox, but Carter later told me they detox only for heroin or cocaine. Sharon Lerner, LCSW-C, of the Outpatient Department referred me to IOP in the same building. I found myself overmedicated with Ativan such that I missed a group meeting. I was discharged. In an earlier IOP group meeting, I found myself surrounded by people who used illegal drugs and committed crimes to procure those drugs. One of them followed me to the cafeteria and we had a 45 minute discussion on how to procure and which prescription drugs can get you the best "high". Doris Balis, M.D., head of the Outpatient Department, talked over the phone to me about Baltimore Recovery Systems. Later, Sharon Lerner told me she and Dr. Balis had decided Harbor City Unlimited would be more appropriate. After a five month wait, I found Harbor City does not provide detox. In fact, Harbor City would assist me in buying beer by the carton.
Dwain Howard of Harbor City Unlimited is not a "case manager" though he portrays one when circumstances warrant. He is a high school graduate whose major function was as a driver and, apparently an informant. If the statement "a couple of weeks ago when she decided to stop drinking cold turkey" is accurate, the March 7 petition contains false statements to a peace officer and the district court, AND "She was initially placed on an alcohol detox protocol because of her history of alcohol dependence." was not indicated, was unnecessary and was indicative of the medical malpractice endemic throughout this patient's treatment modalities.
MENTAL STATUS EXAMINATION: Assuming arguendo that this "Mental Status" recorded by first year resident Jennifer Oldham per notes left by first year resident Joseph Mullen [Footnote 4: It is not known whether first year resident Jennifer Oldham ever spoke with first year resident Joseph Mullen about this case.] is accurate, it is dramatically different from the "Mental Status" recorded by first year resident Ece Tek in the Emergency Room only 12 hours before.
The Ece Tek "Mental Status" write-up was used to get the signatures of two senior physicians to "certify" me for Involuntary Admission. The Ece Tek "Mental Status" on its face established the potential of "bodily harm" to myself if not others. One of the signed "certifications" was obviously altered after being signed. Ece Tek had conversed with Edward Bolgiano who talked to me in front of a social worker named "Cerise". Both Edward Bolgiano and Ece Tek had consulted with Doris Balis.
"Government conspiracy" is a theme that runs through the entire hospitalization. First year residents and social workers do not have any comprehension of government, cannot name the three branches of government and they diagnose "delusion" if the patient talks of tracking legislation, participating in the debate on the prescription drug bill, testifying in front of Judiciary committee, and posting on the Internet her written output. [Footnote 5: www.ematic.com/Nancy550/], [Footnote 6: Parenthetically, I haven't asked for my FBI file because I would have to pay 50 cents a sheet for xeroxes of stuff I already have xeroxes of (many). Check with Judith Preston, Esquire of the U.S. Department of Justice Civil Rights Division. I have her speed-dial on my fax machine.]
The first year resident (Joseph Mullen) who talked of "flight of ideas", "circumstantial", "judgment" and "insight", is the same resident who testified at the Involuntary Commitment hearing about "Department of Defense" when he did not have the listening skills, appreciation of government, or critical judgment to comprehend the "Department of Public Safety and Correctional Services". None of the residents involved have a comprehension of "federal" vs. "state", or "policy" vs. "statute" vs. "appellate decision", or "courts" vs. "legislature". [Footnote 7: Neither Joseph Mullen, M.D. nor Angela Adebuiwa, M.D., had the "insight" and "judgment" to interpret or deal with incoming "reporting" by Sharon Lerner, LCSW-C.]
"I'm going to change the health care system." is not grandiose. As my Internet website will prove: I have already changed emergency room practices and the outpatient billing system at Johns Hopkins. I have assisted in changing nursing at Bayview. The Sheppard Pratt billing system will never be the same. By this document, it is my intent to at least "clean up" the University of Maryland System's psychiatric means and methods. [Footnote 8: It is a sad commentary that M.D.s in their first year of practice consider it delusional or grandiose the possibility of "changing the health care system". Their self images (after eight years of education and thousands incurred in student loans) are obviously as petty players in a giant indefatigable maelstrom.]
Further assuming arguendo, the Joseph Mullen via Jennifer Oldham "Mental Status" is accurate and in good faith, the "Mental Status" enumerated here still does not substantiate a finding of "bodily harm" to myself or others, and still does not justify or condone any form of involuntary detention regardless of duration.
LABORATORIES ON ADMISSION: Contrary to the record here, I was given to believe in the emergency room that my potassium level (K+) was low. For that reason, they told me, without giving me so much as a few slabs of turkey, two pieces of white bread, and a pear that had not ripened, they were giving me "K-lyte" or two cups of orange juice with a potassium supplement mixed in. Since I had already been there for five hours and had nothing to ingest except tap water, I sipped at the mixture, and after 3 ounces, it went right to my brain like a martini. I concluded it was drugged with something besides potassium. In the presence of a Baltimore City Police Officer and a University of Maryland Police Officer, I tipped the cups such that the contents spilled on the floor. I didn't get the turkey, bread and pear until after chest x- ray, transfer to 12 West and return from 12 West for reasons of faulty paperwork. I thus had had no food from 4:00 am to about 9:30 pm (17 1/2 hours). The police officers noted I was "starving" at the point of the turkey and bread at 9:30 pm upon return to the emergency room from the abortive try at admission to 12 West. That observation never went into the medical record. [Footnote 9: Were the Ece Tek petition for Involuntary Commitment and the two certifications by doctors who had never seen me accurate, I would not at this time be able to recount events occurring in the emergency room.], [Footnote 10: At one point early on a 5'6" black female, 140 lbs., not in uniform, asked me if I wanted to see Dr. Balis. I replied: "No, not really." She asked if I had a message for Dr. Balis. I replied: "Her baldness is not likely to respond to Rogaine. She needs a good diet and exercise. I realize walking to her car in this neighborhood is not a good idea. She needs to take vitamins. I recommend Centrum." None of this event is in the medical record.]
There is no indication whether T4, T3 or any other thyroid hormone was assayed as is customary with patients on long-term lithium therapy. As of June 2002, I have been diagnosed with and am being treated for hyperthyroidism. [Footnote 11: MHP does not cover hyperthyroidism even though it has psychiatric sequelae.] How long has the condition been going on? Should it have been treated when I was an inpatient?
PHYSICAL EXAMINATION: "Vitals were stable" translates to mean that pulse and blood pressure were within normal limits. Assuming arguendo there was "manic" "pressured speech", "decreased sleep", "intrusive behaviors", "grandiose", "labile", and "angry" (later in the summary), pulse and blood pressure would have been elevated. For that reason, empirical evidence contrasted with subjective conclusions and no differential explanation was offered. There was no physical examination.
REVIEW OF SYSTEMS: The "three pound weight loss" was by patient report some days after admission. 12-West does not have a hospital scale. 12-West is using an uncalibrated bathroom scale kept in an office area behind the nurses' station. The "three pound weight loss" was an invention for the purpose of the Involuntary Commitment hearing. There is no history of headaches. I have fewer headaches than the general population. I buy ibuprofen in units of 24, not 100, and I do not use the ibuprofen inventory I maintain. I was negative for headache despite the hours spent on March 7 prior to discharge at 2:30 am. I was negative for headache despite 17 1/2 hours without food on March 8.
PSYCHIATRIC COURSE: "12-West" is a University of Maryland code. There is also a "12-East" and an "11-West". "12-West" is reserved for the "worst of the worst". I was placed on an alcohol detox protocol because no one at that time had talked directly to Dwain Howard of Harbor City Unlimited, the source of much more information beginning with the March 7 petition. Apparently, Dwain, a high school graduate whose main function was as a driver, told Shantisse White, a person I had never known and who wrote the March 7 petition citing alcohol withdrawal, didn't tell Sharon Lerner, Doris Balis, Diane Ossip or the rest of the staff at 12-West the fact I had been off alcohol for almost two weeks upon admission. Further details of my alcohol withdrawal are contained in the third section of my Petition for Writ of Habeas Corpus, a document that Jennifer Oldham has demonstrated she never read.
Doris Balis was the instigator of the March 8 petition and probably was behind or inspired its falsifications. Sharon Lerner I did not consider a therapist. Sharon Lerner, an ordinary social worker, contributed a great deal of misinformation as shown by the transcript of the Involuntary Commitment hearing, having communication problems with Dwain Howard. Sharon Lerner was the origin of Oldham's statement: "She was found by the Harbor City staff to be marching in the street wearing only a gown and had invited strangers to dinner."
If there was "decreased sleep at night" at all, it was because I was going to bed at dawn, perhaps taking Ambien 5 mg as prescribed by Doris Balis. I was sleeping a full 7 to 8 hours during the day, and was active throughout the night. On admission to University of Maryland, it was compulsory to take meds at 9 pm - the television and the day room was locked at 11 pm - seven hours earlier than the established routine over a course of a month.
There was no anxiety but there was an ongoing awareness I was being held hostage and that I was probably going to be drugged. The Klonapin was prescribed (as authorized by Doris Balis) because Doris Balis didn't know any better and didn't care. Sleep meds such as Ambien or Dalmane were withheld. I was awakened brutally at 8:15 am and the doors to the room locked regardless of any consideration of sleep deprivation.
I refused Zyprexa for reasons well known from my Outpatient Complaint.
My allergy to Risperdal was detected in my admission during 1999 but not noted in the record. I refused Risperdal entirely. [Footnote 12: The Risperdal salesman showed up every Wednesday promptly at 1 pm. His "presentation" was accompanied by endorsements of senior University of Maryland who had a stake in the company, as well as plenty of pizza and beverages from the PepsiCola Corporation. All present on the ward except patients were invited to participate. At one point I peeked into the conference room to find the narrated slide show extol the virtues of Risperdal over ECT.], [Footnote 13: Risperdal acts by blocking a synapse in its entirety. It is an extremely large molecule. Its mechanism of action is not yet known and its metabolites are not yet known. It has not been documented how it is excreted. It is contraindicated in those with liver disease (e.g., alcoholics) and in those with kidney disease (e.g., those on long-term lithium therapy). The Physician's Desk Reference was the only reading matter on the unit.]
By this document, I continue to be "grandiose" [Footnote 14: I continue to be "grandiose" with the Department of Public Safety. The phone number of Commissioner William W. Sondervan is 410-585-3301. Since discharge from Spring Grove, I've been "grandiose" with the Chairmen and members of Judiciary, Finance and Environmental Matters Committees of the Maryland General Assembly, among others.] and, as I continue to write, "labile" ("mood swingable"), "angry", "irate", "irritated", "restless", "agitated", "fidgety", "judgment(al)" and "insight(ful)". Not necessarily in that order.
I spoke to the Public Defender on the first scheduled date for a hearing and it was me personally who requested a postponement of one week. She agreed to transmit the message to the Administrative Law Judge.
Sharon Lerner, in loose association with Dwain Howard, was a gossip-monger, a tattle-tale and a blabber-mouth. Virtually all the information she transmitted was inaccurate, out-of-date, blown out of proportion, and/or misleading. [Footnote 15: The only "accomplishment" that can be attributed to Sharon Lerner is that she got me off jury duty - permanently. I had discussed with her I almost got picked for a death penalty jury while at the same time I was going in to the Maryland Penitentiary to deal with present and former death penalty inmates. Sharon wrote a letter to the Jury Commissioner that she was very proud of. She showed it off to the (previously discussed) (stupid is as stupic does) resident DeGuzman. The letter had content to the effect that I suffered from "extreme mood swings" and "had disordered thoughts". Bingo - the Jury Commissioner wrote back that I was permanently eliminated from the jury rolls. I am eternally grateful to Sharon Lerner, LCSW-C for her efforts with regard to the jury selection process. The letter is discoverable in the records of the University of Maryland Outpatient Department. I have never seen it.] The only truth in her testimony is that I had pulled the plug on all my phones as of March 5. [Footnote 16: The sole bases of the March 7 petition (authored by Shantisse White of Harbor City Unlimited) were that I refused an appointment with social worker Lerner and the phone wasn't answered. It is not known the role (if any) played by Doris Balis in the decision to issue the petition. Doris Balis is Sharon Lerner's immediate supervisor. Sharon Lerner, left to her own devices, is demonstrably inept and indecisive.]
Neither Joseph Mullen nor Jennifer Oldham knew the difference among federal, state and local, nor executive, legislative or judicial. By the discharge summary as a whole, Jennifer Oldham never comprehended the fact the a Petition for Writ of Habeas Corpus had been filed. She had been given a complete copy as soon as the Petition had been faxed to a wide mailing list, yet there is nothing in the discharge summary to indicate that she had received it or had read it.
A transcript of the Involuntary Commitment hearing, with footnotes, shall follow at a later date.
On 3/20, the day of the Involuntary Commitment hearing, the prescription for Risperdal was stopped. Administration of Risperdal never began.
The "paranoid psychotic behavior" consisted of assisting in my defense at the Involuntary Commitment hearing. Repeating, transcript with footnotes will follow.
I'm still continuing to be (paraphrasing) "delusional, grandiose, labile, and irritable". I persist in approaching the Mental Hygiene Administration, I'm about to use a fax machine to do so, it is taking me days to get through the Oldham discharge summary, and it is "pissing me off" along the way. [Footnote 17: All in all, a "government conspiracy", if there ever was one.]
Loxapine 10 mg qam and 20 mg qpm is NOT an increase over 25 mg loxapine bid. [Footnote 18: There is a discrepancy between successive paragraphs. Jennifer Oldham was obviously incapable of interpreting the medication record. AND she was relying on Doris Balis for guidance as to medication changes. Joseph Mullen was a sloppy recordkeeper. The loxapine course can only be discerned by a detailed analysis of the medication record, not the discharge summary.] The loxapine was not raised to 40 mg until I distributed copies of my email "Bipolar Realities". This was the start of the tardive dyskinesia including leg tremors far later in the hospitalization.
Also check out lithium "300 mg bid and 600 mg qhs". Is that 300 in the morning and 600 at night, or is it 300 in the morning and 300+600 at night? Was I on a total of 900 or 1200? Was my lithium level 1, 1.0, 1.02? Was this low, medium or high in the therapeutic range? Jennifer Oldham didn't know and she did not notate it. [Footnote 19: Jennifer Oldham did not know what she was doing. Angela Adbuiwa was not much of help. Doris Balis had little contact with Jennifer, Angela or me. She was operating by telephone and she was not operating well.]
CLINICAL REVIEW PANEL: The "group meeting" [Footnote 20: Jennifer Oldham had not, as of then, been introduced to the concept of clinical review panel nor her role in it.] consisted of Doris Balis (who had a clear conflict of interest: she was the prescribing outpatient doctor and was managing the inpatient term), Dwain Howard (the "driver" from Harbor City), Janis Raynor (a social worker who had never talked with me) and Jennifer Oldham (first year resident, i.e., my "inpatient treatment team"). Dr. (stupid is as stupid does) DeGuzman [Footnote 21: Pull DeGuzman in for a supervised deposition. Ask her to read some lab results. Ask her what she learns from Sharon Lerner. Have her define bipolar disorder and ask her what to do when the patient has trouble getting to sleep. Do this without a file cabinet to have her be able to figure things out. "Stupid" is a euphemism for something a lot worse.] was not present. Sharon Lerner, LCSW-C, from the Outpatient Department and the source of all the misinformation was not present.
Dwain Howard was not a "case manager". Of all the people who saw me in my home (none), Dwain was intimidated by my neighbors 1) because he had a car, and 2) he was light. Mary Ellen Cahill, Ed. of Harbor City who had actually interviewed me in my home on two occasions was also not present.
My outpatient setting was not structured. Dwain gave me rides to the supermarket on an intermittent basis and was less than competent at that.
I was not present at the "group meeting". I was called in AFTER the meeting. I found the four of them around the conference table. When I was called in, Balis asked, "Do you have any questions?" I responded, "When am I going home?" Doris Balis said to me, "You are not going home. You are going to a GROUP home." [Footnote 22: I remembered the arson fire of 1993 when a member of My Sister's Place lit fire to my building with gasoline and I went to Shock Trauma for three days for smoke inhalation.] "Why?", I asked. "You do too many dangerous things. [Footnote 23: All without witnesses: I had showed Balis my Internet website, specifically the mental health area. I used the Internet to order drugs as prescribed and CVS called her. I wrote to my insurance company about her intent to alter and falsify medical records. I went back to an old prescription (loxapine from Iacopovich) rather than put up with (stupid is as stupid does) DeGuzman when I couldn't get to sleep. I told Balis during an office visit that I had no confidence in DeGuzman. That DeGuzman was an incompetent clinician. On the ward on March 9, I told Balis I walked home upon discharge the night of the March 7 petition (which she probably ordered caused).], [Footnote 24: Doris Balis knew at the time of the clinical review panel that the statement Dwain Howard had found me in the street with nothing but a gown was false. Dwain Howard was present. Nothing was done to correct the record.] You're too trusting [Footnote 25: A double entendre. I trusted Balis. I trusted Lerner. I was unaware Dwain had been intimidated too much by my neighbors in a mixed neighborhood.]. When you're drinking, you have no judgment. [Footnote 26: It is not known if Balis was talking about me personally or persons in general.]" "What about my HOUSE?" "You can VISIT your house maybe once a week for a couple of hours.", said social worker Janis Raynor whom I had never dealt with prior to this meeting. [Footnote 27: My house would be turned over to a guardian and sold. The proceeds would pay for the group home. My dogs would be euthanized.]
Oldham, in this discharge summary, is correct that I was distraught at the thought of leaving my home [Footnote 28: And having it sold by some social worker, the proceeds on behalf of an undisclosed group home at Janis Raynor's choosing..] but Oldham had no concept of the judicial branch of government or of the recourse to the Baltimore City Circuit Court or Writ of Habeas Corpus even though it was posted in the day room and even though the Administrative Law Judge guaranteed it. [Footnote 29: Oldham continues in her second year of residency believing that "legal" and "legislative" are synonyms.]
Some days, perhaps 10, after the "clinical review panel" aka "group meeting" [Footnote 30: Jennifer Oldham had not yet comprehended the concept of "clinical review panel" or her role in it.], Janis Raynor came to me saying, "You have no choice." You go to the group home [Footnote 31: My Sister's Place, the home of the arsonist.], in the morning a bus picks you up for the Almost Family program [Footnote 32: Seen earlier used for a Chinese-language schizophrenic who spontaneously punched people.] and delivers you back in the evening. You will be seen at the Walter P. Carter Center. [Footnote 33: A dumping ground for junkies and criminals.] You go to the State Hospital and the result will be the same." I said to Raynor, "I'll take my chances in the State Hospital." [Footnote 34: The admission to the State Hospital was voluntary, not involuntary as Raynor would suggest.] I was placed on the state facility list at that time. [Footnote 35: I had WRITTEN to Raynor (not spoke with), "Can you have a computer, a printer, a fax machine and two phone lines in a group home?"]
No further comment. My letters and attachments of June 24 speak for themselves.
I reserve the right for further commentary in the future.
To follow:
State of Maryland - Department of Health and Mental Hygiene
MENTAL HYGIENE ADMINISTRATION
"NOTIFICATION TO INDIVIDUAL OF ADMISSION STATUS AND RIGHTS"
DHMH 33 (REV. 3/90)