And why anyone think of her as a driving force in the disability rights community is laughable
Throughout this nonsense, I wonder if SJ has been purposely dehydrating herself before her home nurse visits to put in her IV, so it would be noted each time, so she would get to prance off to the ER for attention and an IV, and eventually hoping she might get that glorious port.
Hello, everyone. I'm Dusk's aunt. I've been a practicing psychiatrist for twenty-three years. After I did my residency in psychiatry, I did a fellowship in forensic psychiatry, intending to work with violent offenders in correctional facilities. I did that for five years, but I'm not really patient enough to be a therapist. When I was a med student, my dream was to become a profiler and work with the FBI, but as it turns out, psychiatrists and other behavioral professionals aren't very good at catching criminals, so I decided I'd rather call criminals on their shit than sit and nod. I'm not an expert on Munchausen, though I do have an interest in Munchausen by proxy. Munchausen cases are generally more self-destructive than antisocial, so I don't come across them too often in my job. I had no idea there was a whole online museum dedicated to them. Like anyone else, I think it's quite interesting, how they present themselves, mostly for anonymous affirmation and praise. The first set of pictures I got from Dusk was a girl named Morgan McCastor.
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The first thing I noticed was that she seems to have a very low tolerance for discomfort. Most people experience aches, pains, anxiety, and inconveniences in their day to day life. However, most people also have the resilience to know that these discomforts are temporary. Morgan, however, seems to be incapable of self-soothing. She cannot sit with discomfort. Instead of accepting that certain situations make her anxious, or that she is in pain (she references 'severe pain' but it doesn't seem like this pain is severe enough to keep her from participating in everyday activities, so it seems that her definition of severe pain is different from the medical definition. Dusk may have mentioned her cluster headaches, and I developed CRPS in my wrist, ankle, and shoulder after a fall. Severe pain (7/10 out of 10) interferes with clear thinking at the very least, and will cause you to lose consciousness at the higher end of the scale. People who have never experienced severe pain can overestimate where they lie on the pain scale without being intentionally deceptive, but when someone is doing this for the purpose of getting drugs, or when it falls into a predictable pattern of malingering or seeking attention, that's when the patient becomes an unreliable narrator. Most people could be bounced from doctor to doctor if they took the ordinary oddities of the human body and brain as medical problems instead of part of life.
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This hospice scenario is just absurd. I find it disgusting that this girl has been taking up resources badly needed for ill and dying patients. Palliative care can be a godsend for terminally ill people. Ehlers-Danos Syndrome is not a terminal illness. To think that dying patients might have missed out on care...it's every hospice doctor's worst nightmare. This mother demonstrates very little insight into the consequences of her own behavior, and a staggering degree of entitlement. Administering too much pain medication shows a doctor that she cannot be trusted. And as a medical professional, it's your head in the smasher if you have a patient overdose, or if you're given wrong information and make a mistake based on an unreliable history. Moreover, diagnoses cannot be "proven," unless this is diagnosed via blood test or genetic screening. When you're dealing with something that is like the Beighton criteria, which is more qualitative than quantitative or objective (and considering that around 25% of women are hypermobile, with no pathology implied), you can't "prove" a diagnosis like that. It'll always be up for revision. Seeing how her mother acquitted herself made the picture became a bit clearer to me. I suspect that this is a girl that has never been told "no" or expected to soothe herself. It would be reductive to blame everything on her, but it's evident to me that this is a lazy parent. It's easier for her to go along with her daughter than it is to parent. This feels like a parent who feels like she missed her chance to set boundaries. I don't have any children, but when my father was raising me (and when my brother was raising his kids), the emphasis was on building independence. A lot of parents these days seem to be building children destined to never be independent. This is a girl whose only skill is getting attention. She is in a perpetual state of infancy, eternally being catered to. She knows that she is so far behind her peers that she can't catch up, and this role of patient is the only role that she knows how to inhabit. What is truly sad is how her mother has enabled her.
Apparently this was posted to a private parent's group. It speaks volumes to me that she can say this to strangers but not her own daughter. She'll enable her to her face, and trash talk her privately. That being said, I don't believe that this is Munchausen by proxy. When people settle into patterns of behavior in relationships, they can be very difficult to break. I just think that they have decided that their relationship is defined with one of them as the "Mama Bear" (ugh) and one of them as the ill, dying waif, and neither of them have found sufficient motivation to break it.
I don't have anything particularly clever to say about this, except that if you had a CSF link, you would know it. A friend of my sister-in-law developed one after her dura mater was turn during an epidural, and she couldn't move without a horrific headache. Parkinson's is 50% more common in men than in women, and anyone who becomes symptomatic before 50 is termed "early onset," and only 2% of those diagnosed are under 40.
This tells me that she is self-centered in that she has an overinflated sense of her own importance in other people's lives. Especially on the internet, everyone can overestimate how much people care about the details of their life. But I can't imagine than many people would believe that their internet friends would take time out of their day to "white knight" them online. Especially in a place so unfriendly towards the uninitiated. Most people might be distressed for a day or so, but they wouldn't feel this unquenchable need to prove themselves to strangers. People only feel the need to elaborate that much on a lie. When someone gives too many details, that's a sign of deception. I'm sure you don't need me to tell you that she's lying.
Anyhow, that's my initial read based on the evidence I recieved. If anyone has anything I missed that they would like me to react to, just send it to Dusk and I'll take a look at it. I got nothing but time for the foreseeable future, and this is genuinely interesting. I was a little surprised by Dusk's interest in this community, but I have to say, there's a lot of perceptive internet archaeology being done in regards to Munchausen by internet.
EDITED by Dusk: I didn't change anything, except for removing my name and some identifying info (med school affiliation) and formatting, and spoilered.
I'm not convinced. Clomipramine is a tricyclic antidepressant prescribed mostly for OCD or occasionally off-label for depression. There are some people who believe that medical child abuse is based on an underlying mental illness-that they suffer from "straight O" OCD, and that they are obsessed with the idea that their child is ill. I believe that FDIA is ore akin to spousal abuse, or the sorts of violence imposed on others by antisocial personalities. Basically, I believe that they do it because they like it. They like what it gives them, and they like the way it makes them feel. In psychiatry, I think we have to pay attention to why we're medicating. When we use first-gen antipsychotics, for example, we're not treating hallucinations and delusions. We're making the patient too doped-up to articulate them. Effectively, we're medicating for us, not for the patient. It would also be a dubious proposition to decide who to medicate. Women with personality disorders, especially cluster B, are more at risk, as are women with a history of abuse, but that's correlative, not causative. I came from an extremely abusive home, and I never developed BPD traits. You would essentially have to have a mother confess to thinking about or previously committing medical child abuse, and agree to trying medication. I'm not convinced that this would move the needle in terms of treating or preventing medical child abuse.
Did she actually just fucking admit that she's mad that she doesn't get as much attention as her dog? I mean, we been knew, but she actually managed to type that out and post it without realizing how witheringly pathetic it is.
Lying down makes the pain worse. Most people ride them out sitting in an armchair or propped upright in bed. Rocking back and forth or pacing can help. 100% oxygen, along with injectable triptan are the most common and effective treatment for cluster headaches. However, it's not very hard to get your hands on oxygen. I'm also not seeing any swelling or sweating. I mean, it's not exactly a hot take that she's lying, but she's not even trying to sell us on this one.
Fivehead
While she can attempt to blame her haircut on her fake autoimmune encephalitis, what fake disease caused her batshit crazy eyes?
Well done! Can't wait for the rest.Hello, kiwis! Dontpetmeimworking and Bee are both on the docket, and we'll probably start work on them sometime tomorrow. For now, however, @large_farva requested a workup on Krissy Klein, and, no surprise, she had a LOT to say about it. I've left in most of her anecdotes, though I guess they could be considered OT, as well as some of the personal examples used. I did spoiler her semi-long leadup. Just let me know if you want me to spoil anything else that could be considered OT or isn't directly referencing the cow in question.
This was a fairly shocking case, even by my standards. I'm not bothered by much. I grew up in [WEST COAST CITY] in the seventies and eighties, and I've been a psychiatrist for over twenty years. I've seen a lot of upsetting and objectionable things, but the one thing that causes me to have trouble maintaining objectivity is the abuse of children. It's perfectly natural, from an evolutionary perspective, to have a guttural, instinctual reaction to children being abused or threatened. When you're a doctor, you're supposed to have compassion for the people you're treating, and even if you can't understand them, you have to see the humanity in them. For every medical professional (and especially for every psychiatrist) there will come a time when you don't feel that. I still remember when it happened for me.
I was treating a kid who ended up in a diversionary program for troubled youth for setting fires in his apartment complex. He was fat, and he had cystic acne all over his chin like a swollen, red, beard. I remember thinking that he looked like he'd been stung by wasps. I remember he was wearing a long-sleeved shirt like the ones worn by shitty fourth-grade boys (the kind that says FOR SALE: BABY SISTER or something like that) as he sat there and told me that he fantasized about forcing his six-year-old stepbrother to perform oral sex on him. He had a plan: I won't inflict the full story on you, but it involved a dog collar, a knife, and the walk home from the school bus stop. He has all the markers for cold and callous behavior, a lack of impulse control, hell, even arson is correlated with sexual frustration and aggressiveness by some psychiatrists. I knew he'd do it--if then, soon, if not to his brother, to another person--so I called a meeting with his mother. I told her that she needed to get her stepson out of the house right then for his own safety, and that she needed to put her son on a secure psychiatric ward before God got the news. And what did she say? "He's a sweet boy. He doesn't understand what he's saying. This is a mental health issue."
But it wasn't, though, because he wasn't crazy. He was perfectly rational. And that was the problem. I wanted him Baker Acted not because I thought we could help him, but because he needed to be out of that house and off the streets. I stuck it out in that job for another nine months, but it wasn't for me. I can't get blood from a stone, and I can't medicate away someone's personality. Some people, no matter what you do for them, refuse to change. And if we can't change them, we have to contain them.Anyhow. This woman is clearly one of those people who was just born missing something. The instinct to protect children is strong, even in people who don't have kids. I've never given birth, and I'm not exactly the warmest woman out there, but I was enraged viewing those pictures. I wanted to protect those kids. First things first: apparently this photo is from 2013.
The initial turn to modeling as a means of extracting attention from your children is very interesting to me. There is a documented history of this kind of behavior, most famously in the Jon Benet Ramsey case, but also by Susan Schofield.
[DUSK NOTE: The Schofield thread was my entree into the Farms, and the first thread I showed my aunt. Before Susan diagnosed Jani as schizophrenic, she did the baby pageant circuit and tried to land commercial gigs for her. JustBreatheNicole also tried to use pageants as a bid for attention, but combined it with munching when it became clear that her mediocre looks weren't going to get her the asspats she was craving.]
The use of the child to bring attention to the mother is a significant trend. Krissy tries one avenue to get attention, but when that doesn't work, she turns to FDIA.
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Normally, it's frowned on to publicly talk shit about another doctor. However, since this is anonymous, I don't give a shit. This man is a hack, and I would happily give up my career if it meant that I knew he would never practice again. Doctors are supposed to be healers. Scientists. Experts. This man is nothing but a hired gun, a thug, a henchman in this woman's quest to kill her children. No responsible surgeon would jump to surgical decompression as a FIRST STEP in treating Chiari malformations, and they would not allow themselves to be bullied into this sort of behavior by a mother who is clearly not a reliable historian.
"Advocacy" is another red flag--if not for FDIA, then for a bossy cunt and a nightmare of a patient. "Advocacy" went from being a legitimate term for encouraging autistic children to become verbal and express themselves instead of pointing or crying or waiting to a sanctimonious excuse that parents and malingerers pull out to excuse their poor behavior. Parents who "advocate" for their children bring in Googled printouts of rare diagnoses and throw tantrums when doctors don't agree with them. "Advocate" parents ask for extreme and unproven treatments for conditions that can be managed with lifestyle changes. Again, I'm not in private practice anymore, but i hear this all. Day. Long. From my colleagues. I feel terrible for this, but I laughed at the "She may be behind the rest of the kids her age academically but she is far beyond even myself spiritually and emotionally." It's probably not the girl's fault. I'm sure her parents are shitty homeschoolers or un-schoolers, but why must the parents of dim or underdeveloped kids make up some nonsense for their kids to be superior in? I had no idea law schools were operating on "spirituality" criteria, as opposed to LSAT scores. My nephew is a sensitive lad, but I don't bring that up when other people talk about their kids' SAT scores. I talk about his SAT scores. Which are excellent.
[DUSK NOTE: Favoritism.]
This is blatant "concern trolling." She describes highly significant clinical symptoms, which are terrifying and pitiable to a lay audience, and then asks if she should be concerned, clearly wanted a flood of people to respond telling her how awful this is and how sorry they are.
[DUSK NOTE: This is super long, so I'm splitting this one up.]
