Monday, April 10th, 2017

When Psychiatry Transforms

Christina Hughey

 “You meet a new person, you go with him and suddenly you get a whole new city. You go down new streets, you see houses you never saw before, past places you didn’t even know were there. Everything changes.” – Samuel R. Delany, Dhalgren

My first experience in Psychiatry was on the inpatient ward at the Veteran’s Hospital. Before the clerkship, I had very little knowledge of the specialty or experience working with veterans. There is a plethora of psychiatric stereotypes in pop culture, continuing skewed views based on historical perspectives and some from the not so distant past. While many people honor veterans for their incredible service to our country, I have also heard numerous others in the community using the term “crazy vet.”

Before my rotation began, I took a moment to attempt to expose my own biases – to visualize my city, streets and houses. Have I been buying into some of these stereotypes? What are my thoughts of these patients before I even arrive? Am I going to give them a fair shot? How can I help them? Transform them?

My psychiatry rotation, unlike the movies, did not involve lobotomies or straitjackets. There was no torture. There were just people who whole-heartedly wished to get their lives back on track. There were people who were searching deeply for meaning and drive to keep going, and, in some cases, simply were people with nowhere else to go. There were no “crazy vets.”

It was Saturday morning when our team was paged to see a patient in the emergency department. He was an army veteran, employed as a cook, with a complex medical history that made basic movement difficult. He lived in a state of chronic pain and declining health. Due to his weakness, he was unable to handle the heavy workload in the kitchen. Cooking was his passion ever since he started cooking in active duty. He would light up when you asked him about ingredients, recipes or the bustle of kitchen life. Because he could no longer cook, he felt there was no reason left to live. Tearfully, he confessed he was either going to kill himself or come to the emergency department. He made the decision to come to the emergency department for help.

After sitting with him and hearing his story, he decided to allow us to admit him. I was able to follow his care for the week. I watched him in one particular heart-felt session where he discovered many reasons to continue to live. I learned about his loves for reading, drawing, and playing with his grandson. We also assisted him in finding strategies to help cope with his numerous medical conditions. He started a new medication and attended group and occupational therapy.

He was able to safely discharge home after a few days of inpatient treatment. Before discharging, he gave me a beautifully hand-drawn color picture of a mill with the above quote from Samuel R. Delany on the back.

Despite the sessions, medication options, and coping skills, I am left thinking after my psychiatric rotation it is not me who transformed him. It was him who transformed me. My city will never look the same again.

Correction: April 18, 2017
A previous version of this blog included extraneous medical information.  This information has been removed.

About Christina Hughey

Christina Hughey PhotoChristina Hughey is a third year medical student at the University of Kansas School of Medicine. She is a Kansas native and earned her bachelor’s degree in nursing with a minor in applied behavior science in 2010 from the University of Kansas. She continues to work as a Registered Nurse in Inpatient Dialysis, where her patient care experiences inform her everyday practice of medicine. In her spare time, she serves as the Chair of the Student Government Association where she guides the university in policy decisions from a student perspective. She has gone on multiple international medical missions to Kenya, Belize, and Panama and volunteers  at local underserved  free health clinics for high risk youth and immigrant populations. She hopes to incorporate academic research into everyday practice as she was the recipient of an NIH T32 grant, which gave her the funding to complete an internship in the Alzheimer’s lab of Dr. Russell Swerdlow, MD. She ultimately aspires to serve Kansans as a critical care/pulmonary physician after completing an internal medicine residency and critical care/pulmonary fellowship.


One thought on “When Psychiatry Transforms

  1. I am not an MD nor do I work in the medical field but I do work with folks with dual diagnosis and have seen the benefits of western medicine when it worked the way it was meant to and witness people move out of a psychotic state and integrate safely back into the community

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