Humans are strange creatures. Sometimes I find myself questioning if the psychotic breakdown of another individual is truly a manifestation of the crazies or if there isn’t some truth in their delusions and hallucinations.
I had switched my shift from the evening to the day at the hospital. The morning started off slow, however, as to be expected on a Friday, the ED began to get busier and the patient pool got interesting… to sum it up:
Patient comes in to the emergency room after having had been non-responsive on an airplane. The patient had been transported to the nearby local hospital and later transferred to the hospital that keeps me employed. The patient had been unresponsive the entire time giving limited information and seemed out of sorts. Per the little bit of history the medical staff could scratch up, the patient had been claiming they were an olympic athlete. It seemed plausible. The passport, the visa, bags, the airplane ride, and the oddly large quantity of cash in their bag. I received a page when the patient had finally come to. Per the doctor’s report the patient sat up and stated “I’m ready to see Jesus now.” I laughed when the doctor stated “well I’ll send in the next best thing.”
It is truly interesting to have a discussion with a patient who fully believes their spouse is Jesus Christ, they are unable to differentiate fiction from reality, and their delusions are so detailed and yet so odd you do everything you can to not laugh. The patient told me that they were on their way to another state to meet with their boyfriend-turned-husband, Christ, and that they had to drop everything else in their life and do exactly as was commanded. The patient talked about hell, satan, and what they anticipated for their return to live with God. In fact, the patient stated that their main goal was to start learning how to serve the king and be a good spouse to Christ.
Its interesting that there are religions who actively teach that humans are on this earth to one day live with God, to become queens, kings, priests, priestesses. At what point do religious ideas and convictions cross the line into psychosis and over the top religious delusions? When it becomes so invasive in every aspect of one’s life the patient cannot function. This particular patient was spending all of her time writing obscene strange facebook comments/ posts or reading the bible. At times would call family in the middle of the night demanding answers on religious debates. It seemed evident with sudden airline travel and large sums of cash the patient was in fact experiencing a manic episode with psychotic features.
Needless to say, the patient ended up being admitted to a psychiatric inpatient unit.