Hospital one didn't have a place for Annajane on Wednesday, so they sent her back to nursing home two. She stayed overnight, but continued to refuse medication, and, I just learned today, food, and to be rude to other residents.
Nursing home two called up yet another hospital on Thursday. I'll call it number three, although relative to the list I recently laid out of institutions since Christmas it's also hospital negative one—being the place Annajane spent a few months three years ago, before she got sent to the big state hospital (number zero), which then placed her in the adult home where she started 2004 (where she had managed to live mostly stably for almost three years).
Hopsital three is an all-psychiatric affiliate of one of the big teaching hospitals in Metropolis, built back when you sent crazy people out to the country because the fresh air just might be good for them. I suspect it's a better place for Annajane than hospital one, which is a community general with a small psych ward. But hospital three doesn't like to keep Medicaid patients around for long.
Her current social worker, Dorothy, remembers Annajane and how unpleasant she was from last time around. And she's just like that now. Arrogant, angry. She refused to speak with a doctor when Dorothy was in the room. She's insisting that everyone call her "Mrs. Maple." I'm sure she's regularly telling all of them how they're not very good doctors, or nurses, etc., too.
When I asked about the bed hold situation with the nursing home, Dorothy said, "They promised to take her back. We wouldn't have admitted her if they hadn't, and they confirmed to me today that they would. Our outplacement siutation is just so difficult." Oh, so it's your problem that there aren't enough assisted living facilities for the mentally ill out there? Not, say, my mother's problem?
Hospital three is where her case manager, Tom, is based. When I spoke with Tom today, he sounded a little hurt by how nasty she's being. "I asked her what medications she was taking, and she wouldn't tell me. She said she'd tell me next week." I sometimes forget that, even though the professionals know she's crazy, they can't help but react as human beings to the abuse.