The one thing I like about my job is that it is different every night, but last night was beyond heartbreaking.
There was a woman there-- probably 4'10" and no more than 85 pounds that came in with "psychosis, non specified" after locking her husband out of the house and carving up her genitals with a knife. She seemed really pleasant at first and was very polite, but things got stranger and stranger as she continued to ask for weird things and asking for help and when we asked what she needed she asked us to touch her. About 4pm she jumped into bed with another client who screamed and we had to physically stop her from kissing this woman. We then put her on 1:2 observation which meant keeping her in sight at all times. We kept trying to see if she wanted to sleep because she would just sit there crumpled up, and about 4:30 I got her to go to her room but when we got there she got naked and laid down and told me to come in. I covered her up with a blanket and set up a chair outside her room.
I read her chart and it said that she had had another episode of mutilation after she returned from Malaysia with her husband, who she met for the first time over there.
The story I gather is that she was a mail-order bride from Malaysia. The American that "bought" her probably thought she looked pretty or whatever and went to pick her up, and the trauma of the new environment probably put her over the edge. The emotional problems probably go way farther back and I can only think that she was forced into prostitution so early that her brain was changed. She's so broken that she no longer has even the desire for survival (which even humans raised by animals have), and she repeats old habits that were once forced for whatever reason, and CRAVES human touch like nothing I have ever seen in my life. She also is completely incontinent.
I can't imagine the ultra-sexual violence she must have gone through to turn a young Malaysian girl into someone resembling one of the children I saw on a TV special about people that were raised with extremely negligent or violent upbringings, only to be sold across the planet to an American looking to buy a little submissive sex kitten.
Gah.
Anyway, it was my birthday the 29th and I got a speeding ticket which sucked, but my parents also took me out to dinner at the Delhi Palace which is THE best Indian food there is in the western hemisphere and i had leftovers of Chicken Tikka Massala the next day. I have the best dog on the planet.