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Speaker 1
You.

Speaker 1
Hello, aloha and mahalo. It is Monday, September 11, day of remembrance for all of us.

Speaker 1
My name is Thomas Farley, F-A-R-L-E-Y-I have a friend who is is dying and he has been dying for many years, but it is certainly the end of the line.

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It will be the end of the line very soon for him, it seems, unless there’s some miraculous intervention from beyond science.

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I and he’s a good man. He doesn’t deserve to die, die poorly like this. I would not trade places with him. I envy him, though, in a way, with the enormous amount of resources that he’s been able to get to apply to his condition. He has a physical disease.

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He has a number of things wrong with them, but they are in the end, all physical.

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He’s had good insurance with Kaiser and I’m sure some of his own money. Similarly, I’ve had good insurance plans and money and I’m actually paid out of pocket for nearly all of my mental health treatment because compared with physical diseases, you cannot get seen by a doctor routinely enough to do any good in mental health. For a psychiatrist. Well, he has Kaiser. I think under Kaiser, probably you wouldn’t be able to see a doctor psychiatrist more than once every couple of months.

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Instead, you’re kicked down to therapists and technicians. So I’ve always paid out of pocket for regular psychiatric treatment.

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So that’s one big difference between mental health and physical health. Another is that routinely, for years now, most of the major insurance companies have provided a 24 hours nurse talk line so that you can talk to a nurse at any time of day except that. And I’ve talked to these nurses on these health lines before. They say they’ve never, ever had a psych nurse assigned to one of these 24 hours help lines. They could have a psych nurse, a telephone line in addition to the physical, the regular RNS.

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They could have that. These groups, Intermountain, Southwest, Kaiser, multibillion dollar corporations, they could pay for a 24 hours psych nurse telephone line so he wouldn’t wind up at the emergency room or some other place victim of suicide. But they don’t because mental health does not exist for these people. They talk about these institutions, talk about the rising rate of suicide, and isn’t that awful? But they won’t fund for it.

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They will not fund for it. They will instead give out some pity, some false pity and give some money to other groups, other agencies that are working on the problem, but they themselves don’t participate. And in the last few years, we’ve all seen how they want to really focus. They really want to throw everybody into two categories that of depression or anxiety. And if you’re not in that category, then good luck to you.

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I don’t want to dwell on my particular problem, although I’ll just say that it’s severe insomnia and nightmares and yeah, you hear about research, say, into PTSD and related, but it’s not really in my opinion. And I’ve been almost become a professional consultant on this subject since I so much want to get better. And I’ve tried everything. So I’ve become sort of an expert on what’s current, and I’ve done everything, including electroshock, or ECT as it’s politely called. Electroconvulsive therapy didn’t work for me, paid for all that out of pocket.

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Physical diseases, especially the physical diseases that happen to a lot of people, that Big Pharma has a market for. Those seem hopeful. As far as research getting spent, I know there’s some incurable, seemingly incurable problems like autism, and so there’s just major diseases, although autism goes to great deal of mental health fields, so it’s inherently not going to see the amount of research or funding to begin with. My friend has got all of these resources now available to him as far as end of life treatments and hospice, just like my parents had hospice and people willing to help stepping in. And there’s nothing for end of life, for mental health problems.

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My condition is not livable, and all I get in a response as far as end of life is that it can’t be that bad.

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And I sometimes say, yeah, you’re right, it’s not that bad. It’s a hell of a lot worse. You live with this, you live with this. But it’s a mental health problem that they can’t capture with a microscope or a thermometer going up or down, or blood pressure they can measure or blood they can sample. They just have to take the word of the patient, and our word doesn’t mean a damn thing.

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And I feel for people with mental health problems that are not as articulate or verbal as I am, that can’t express themselves or they express the hell they’re going through. They really have. That just I can’t imagine the misery funding needs to be addressed for my friend. There’s all sorts of patient advocates available for him. He’s actually had genetic engineering things done for him at Stanford Hospital.

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There’s been housing available for family and relatives nearby, just on and on and on. And I am glad that he’s had that care. It’s extended his life for many, many years. It’s just there is no equivalent in mental health for this. And it just devalue you.

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It devalues a person over and over and over again. You’re not worth it. And if you want something done, you got to pay for it yourself, because we can’t see it, so we don’t think it’s a problem. I’ll give you a simple example of how much I often have needed a patient advocate to deal with people just on the phone, for example. One of the things that really induces my nightmares is being a mean person and having to argue endlessly.

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And if anybody’s dealt with any customer support, any healthcare organization over the last many years, you’ll know that it is impossible sometimes to get across what you’re trying to say to a person that keeps falling back on a script will not transfer you to a supervisor about the websites and email addresses that they hand out that don’t work, telephone numbers they never call to make sure that they actually work. It just goes on and on. Well, that all forces me to get service, forces me to be a mean person with these people. And I don’t want to be a mean person. It’s toxic.

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It’s toxic to everybody, but especially in my condition. And I can’t tell them that that just engendering more and more nightmares. And it would be great if I had a patient advocate that would be able to speak for me and would be able to sit for hours and hours on a phone trying to get something arranged and it’s just not possible, not even with paying for it out of pocket. These people don’t exist. And it is very frustrating every step of the way you’re told that your condition doesn’t mean anything and it is indescribable as I try to make myself, as I try to make other people comfortable with me.

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You can’t mention, for example, that you have violent nightmares anymore. They’ll call the cops on you.

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People today are so scared by corporate media that they associate mental health with violence when in fact the mental health are far more likely to be victims of crimes than actually committing the crime. But corporate media doesn’t want to hear that. And it is the more and more I try to make other people comfortable around me, the less credibility I have, the more well spoken I am, the less people think there’s anything wrong. If I keep up appearances, then just what’s the problem? And I’ll try to say, well, how many times do you have to watch your mother or your best friend get chainsawed to death?

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Well, it’s not real. No, it actually feels real. And shock after shock and this has been going on since 1988 with me and it just breaks you down. I probably have less than 4 hours of sleep every night and tell you this is how these professionals, they just want a measurement. How many hours of sleep are you getting?

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And their limited thinking is insane. Well, four or 5 hours, it doesn’t matter. It’s the quality of sleep. It’s all broken up. I’m pacing around at 233 30 in the morning, waking up every other half hour.

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It’s the quality of sleep. But they can’t measure that. They have to rely on your word. And your word doesn’t count. Your word doesn’t mean a damn thing.

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Well, we’re sorry for you, but there’s no at this point I’ve tried literally everything, including, like I said, ECT. And that program when it first came out, using the Apple Watch, which is a dedicated Apple Watch and a dedicated iPhone that goes with it called nightwear. I’ve written a multi part review on YouTube about it that also failed.

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But in the end in the end, my friend has a ton of services he’s going to have measured, respectful, end of life experience, I guess you would call it. But no, I’m going to have to take care of things myself. And it’s tragic, but it’s consistent with the disregard that mental health gets in this country. I’m not sure it’s that much better anywhere else, and I don’t have any suggestions other than fund, but it’s all about money, and so I just don’t especially Intermountain. They’re an incredibly toxic group, incredibly damaging to mental health people.

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And you can read on my website, Thomasfarleyblot.com, what they did to me, how they treated me. I think a real fundamental problem in healthcare is how the line personnel, or the people responding to their Twitter and social accounts have no idea what duty of care means. We are patients first and then customers. This is not a typical industry where you have a customer. No, we’re patients first.

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When you extend the duty of care, if you have to explain what duty of care means to somebody picking up the phone, they need some real training or they need some days in the hospital tending to patients. Once you accept the duty of care, again, it’s just not my dad was a brilliant physician, brilliant doctor, and his colleagues were all well mannered, neat, professional, all of them caring. And they accepted the responsibility for a patient once they took them on. And once a system takes them on, like Inner Mountain or Kaiser or what have you, that duty of care is extended. That umbrella applies to everybody under their name.

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Well, that’s enough for now. I wish I could give you some hope, but there really isn’t any. Not at least for people with my condition. And I think that they would actually prefer a lot of us just to die off so they don’t have to deal with them. I think that’s what’s going on with a lot of the homeless, with mental health problems.

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It’s just get these people off the books and we can go back to treating people for just anxiety and depression and everybody else is on their own.

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But if you know more about the subject, let me know. But there’s no dignity in this, not for people with mental health.