Paula S. Yorke, an administrative law judge for the New York State Department of Labor demanded that I present evidence of my claim that I was fired from my job at the Youth Counseling League as a result of disability discrimination–
“Your employer may not have the right to demand a copy of your medical records, but I do. You better present a copy of this so- called disability of schizophrenia or else! You better write this down. Do you hear me, Mr. Taylor?”
“And you’ll have no objections to us looking through your file?” the attorney for the my former employer asked.
“You can look through all of it. I really don’t care. May I request that my former boss, Janet Johnson be at the next hearing? Before she left the Youth Counseling League, she told me that she would support my claim that the administration at the Jewish Board told her to get rid of me.”
“Sure, if you can get her here,” Judge Yorke snipped, refusing to use her authority as a judge to subpoena an important witness to my claim.
The hearing was in late February. I’m nearly homeless now– still waiting for unemployment benefits. Just waiting for another hearing date. I have no money now. Of course, there is the recession to consider. Last paycheck was the week of Christmas. The heat and gas has been turned off here at home. At least there is still electricity as Passover ends. No telephone. At least there’s internet. Sent off the following medical record from Trinitas Hospital– where I was hospitalized in 2002. Funny. They told me I had schizophrenia. The medical records say the following…I wonder what Judge Paula S. Yorke will do to me. I really don’t care. I really don’t care. For I am not the one with emotional issues. I guess I’m not crazy after all:–
PSYCHIATRIC DISCHARGE SUMMARY
NAME: Taylor, Charles
DISCHARGED: July 9, 2002
REASON FOR HOSPITALIZATION
The patient is a 34 year old single male with a 12th grade education, a resident of Brooklyn, New York, and the patient has significantly decompensated since the death of his live-in boyfriend six months ago from AIDS and also loss of his job five weeks prior to this admission. He claimed that he was working at Steinway Child and Family Services as an assistant administrative officer. The patient has reportedly been very aggressive and assaultive towards the people in the train station in Elizabeth. The patient was found wandering along the train tracks in the Elizabeth area. In the streets, he was yelling “These people are jabbing me in my side with a laser. They wanted me to die.”
“I am collecting souls.”
PAST PSYCHIATRIC HISTORY:
The patient admits to Ecstasy and cannabinoid use. The patient is also a drinker of alcohol.
The patient is a 34 year old high school graduate and lives in Brooklyn, NY.
The patient is stable.
The patient was in the military for four years.
EDUCATIONAL AND EMPLOYMENT HISTORY:
The patient is a high school graduate. He lost his job five weeks ago.
MENTAL STATUS EXAMINATION:
The patient appeared as a 34 year old, well-built, white male with effeminate gestures. He was alert and oriented times tree. He was religiously preoccupied. He has been having prophecies about being the chosen one. He was internally preoccupied, suspicious, and guarded. His sleep and appetite were erratic. He had increased spirituality, internally preoccupation, and disorganized thinking.
Axis I: Psychosis, NOS
Axis II: Deferred
Axis III: Medically stable
Axis IV: Death of boyfriend six months ago
Loss of job five weeks ago
Loss of grandfather from Pennsylvania whom he was close with.
Axis V: GAF of 15
ROUTINE PHYSICAL EXAMINATION ON ADMISSION:
The patient’s physical examination was within acceptable range.
Baseline lab work revealed findings to be within acceptable range.
The patient had no insight into his problem. He appeared psychotic. He had been dancing in the hallway and talking to himself, having arguments with the voices. He had inability to respond to staff redirection. He continued to exhibit bizarre behavior. The patient was given Ativan 2 mg q. 6 hours p.r.n. for agitation, Zyprexa ZYDYS 20 mg at night, and Celexa 20 mg daily dose. Eventually, Zyprexa was further increased to 10 mg in the morning and 20 mg at night and Celexa 30 mg daily dose. The pateint had continued to be disorganized, had auditory hallucinations, command hallucinations, and he was noted to have bitten one of the staff members, Jamal, and Jamal needed to be examined and treated in the emergency room. The patient appeared very psychotic and was given Haldol 5 mg IM, Benadryl 50 mg, and was placed in four-point restraints for safety considering his dangerousness. The patient remained psychotic. He refused to give any kind of blood for HIV or hepatitis screening. Zyprexa was further increased to 30 mg at bedtime and Zyprexa ZYDYS 10 mg in the morning was continued. His psychosis persisted.
Later on, the patient continued to sleep better and was able to take his medication on a regular basis without any kind of problem. He attended and participated in activities on the unit and had expressed his need to follow through in the outpatient clinic and he planned to go back to Kings County Hospital Outpatient Clinic in Brooklyn, New York, per HMO restraints. He continued to improve significantly and was no longer having religious preoccupation. We had spoken to the mother, who also acknowledged support towards her son, and was then finally discharged on his 12th hospital day.
Axis I: Psychosis, NOS
Signed: Susan Borja, M.D.