Monday, February 16, 2015

Out of the ward, down the aisle

A WEDDING AND HOSPITALIZATIONS
   Chapter 3

In early 2012, Zac stopped taking clozapine, an antipsychotic with many unpleasant side effects. In April, he announced, "I'm crippled," and slipped into bed in the middle of the day. He complained of pulverized ankles, a brain tumor and a broken back. "I'll get up when I'm healed," he told Laura.
He virtually quit eating, because he didn't trust anyone to bring him uncontaminated food, and drinking, because the water supply was poisoned. He used the toilet only if Laura helped him there.
He smelled. He refused to change clothes. His dehydrated lips were crusty and cracked. "I sat by his bed, putting ice chips in his mouth and wiping his face, begging him, 'Make a good decision for yourself. See a doctor,'" Laura recalls. But he was 20. She couldn't make him.
Two weeks later, she slipped out to the courthouse to appear before a judge, who ordered Zac hospitalized for evaluation. Police came and escorted him — shaking, weak, filthy — into a squad car.


Laura Pogliano waits for her son, Zac, outside of his apartment in May.


(Photo: Eileen Blass, USA TODAY)
But he was not treated for another 13 days. There were two hearings at the hospital, one to determine if Zac was competent to make decisions (no) and the other to determine if he was sick enough to be forcibly treated (yes).
Zac spent three months in the hospital. Laura's inability during that time to help plan Leah's wedding epitomized what the mother calls "the sick kid syndrome. He gets all the attention.'' (Two years later, on the day Leah went into labor, Laura was rushing Zac to the hospital.)
In July, Zac was released. He was able to put on a suit and walk his sister down the aisle. He seemed fine.
In August he moved with friends into an apartment.
In October he stopped talking olanzapine, a powerful antipsychotic that he said was making it hard to swallow.

In November, claiming he had spiders in his throat and stomach, he was readmitted to the Johns Hopkins schizophrenia unit. It was his 10th hospitalization.



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