This CCTV video, taken in the psychiatric ward of a Brooklyn hospital on 19 June, has caused outrage in the US. The footage shows a woman collapsed on the floor while staff apparently choose to ignore her. When help is finally called after an hour, the woman is already dead.
Jamaican-born Esmin Elizabeth Green was admitted to Kings County Hospital after suffering a nervous breakdown. The 49-year-old social worker was administered tranquilizers and had been sitting in the waiting room for 24 hours when she fell to the ground at 5:30 am. None of the patients nearby reacted. A security guard approached her, but then walked away. Almost an hour later, medical personnel came to her assistance. But they were too late.
The medical report that logged Green's death shows that staff reported that she was "sitting quietly in [the] waiting room" until 6:20 am when they noticed she had passed away and immediately tried to help her. Unfortunately for them, the CCTV footage proves quite the opposite. The video was released by the New York Civil Liberty Union, who had filed a case against the hospital for filthy conditions and the abuse of sedatives about a year earlier. The lawsuit would likely have been left at the bottom of a pile, but might be taken more seriously now.
Phil is a psychiatrist in New York. While he was studying medicine he worked in the Brooklyn hospital where Green died. He wants to remain anonymous.
I have worked at a number of hospitals, but the conditions at that particular
one were different and even shocking. While many hospitals treat indigent
patients, this one treats almost exclusively poor people who have no influence.
So the conditions at the hospital are terrible: the building is from another
era. When I was there ward consisted of up to 16 patients in a single large
room; patients wait many, many hours for attention. Support staff are city
employees and there is an atmosphere of indifference. No person of means would
go there. I remember feeling that the only solution would be for that hospital
to be torn down and a modern one built in its place".Maryvonne Wetsch is a psychiatrist at the Esquirol de Saint-Maurice hospital (southwest of Paris).
The first
thing that shocked me watching this video was that there are no medical staff
present. It looks as though the hospital relies on security guards and
surveillance cameras to watch over the waiting room. That wouldn't be possible
in France.
Security guards don't even exist; there are only medical personnel and
caretakers.
You can't substitute dialogue with sedatives and guards. We have a tendency to do that in France too - when we're lacking in staff we often resort to relaxants. In the unit where I work there were three people minding 22 patients ten years ago, whereas now there are only two. This is primarily because it's hard to recruit people into psychiatric work - it's a very hard job. But also because of strict working laws in France that keep maximum working hours at 35 per week.
At the end of the day it's the hospital managers' responsibility to avoid the kind of thing that happened in this video. You have to remember that mental health hospital staff often lose their sense of humanity at work. It's the same thing in a police station or a detention centre. It makes me think of the colonisation mentality: if those in power no longer see the weak like their fellow human beings; if they think they're never going to equal them, then things can go off the rails.
Comments
Unreal
Submitted by Jeff32 (not verified) on Thu, 03/07/2008 - 03:45.This is just unreal. It really shows how focused we are on ourselves. And for this to happen at a hospital of all places...
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Film of this incident and related issues
Submitted by Rob Wallace (not verified) on Sat, 05/07/2008 - 16:17.As a film music composer, I know many independent film makers that could take this incident a those similar and craft a compelling issue.
I am going to point them toward this story and see if I can get some buzz going.
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This is just one example of
Submitted by Unregistered user (not verified) on Thu, 03/07/2008 - 03:21.This is just one example of the social services available in the Banana Republic of the United States. Health care only available to the rich. The poor or middle class must go to war to earn money to pay for higher education and the poor dying like flies.
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King's County Hospital
Submitted by Unregistered user (not verified) on Wed, 02/07/2008 - 17:15.I just finished watching the clip of the poor woman who died in the lobby of a so called "hospital" and I thought I would get physically sick.
If this woman had been in a public place she would have gotten attention sooner. Animals get more care.
How can a place call itself a hospital when they allow a patient to sit in a lobby for 24 hours, who knows if she had food or water during that time, and then the "security guard" allow her to fall and stay fallen without evern approaching her or calling someone? Just because she was "mentally ill", or on rehab???
Did he think she was malingering? Even if she was, malingering in a psychiatric patient is a clear signal stating "help".
It just goes to show that the quality of healthcare in the US is falling quickly, we are the last in healthcare in the so called "developed" nations, and yet enormous hubris exists among the US medical profession, especially physicians, who think that their over-prescribing of unnecessary tests, medications and lack of bedside manner makes them the "best" in the world.
The majority of physicians in the US below the age of 50 would probably not be able to diagnose didley-squat having to use good old fashioned medical history and exploration techniques, as well as a thorough knowledge of anatomy, physiology, pathology , a good physical examination and a thorough knowledge of the psycho-social-physical entity known as a human being.
And this is the heart of the problem. To the establishment,, this was not a person, a human being, a woman. She was a "mental case", poor, non-paying, minority female who was worthless in their eyes. Just like it is everyday in society, but not so obvious.
Until this society changes its way of thinking and rids itself of the Freudian mentality of thinking that neural metabolic illness is just in the "head" or "mental", and starts valuing people for themselves, and treats them universally whether they can pay or not with the same quality of care; we will remain last among the so called "developed" countries AND many of the "developing" countries. Because our child mortality and maternal mortality rates here in the US are among the highest in the world. Even though our people go to the doctor more often than other countries, and they suffer more iatrogenic illness than in many other countries.
Enough is enough. Institute Universal Healthcare and Universal Daycare (so that women can actually work and get out of poverty, what a novel concept) with minimum, pro-rated fees.
And institute old fashioned Universal 10% tax, with no deferments, special cases, etc., except for maybe a 1% reduction per dependant, this being defined as not ones self ,or any adult able bodied co-inhabitants, regarless of kinship or relationship. The dependants would be under 18, regardless of schooling. And this would be for EVERYONE, Including the very rich, even the president. You get money, you pay 10% of it to the government, regardless of income. That, plus low pro-rated fees at the time of service would alleviate the enormous cost of healthcare. And the doctors need to get over it. They are overpaid. They need to understand that they are public servants, as well as dentists. (And as an aside, in case you were wondering: all companies, asociations and businesses would pay a 20% tax; and governmental and non-profit, as well as religious and institutional exemptions would be abolished).
I say everyone in that emergency ward in Kings County Hospital should get fired, as well as all the top heads of that hospital, including Quality Control and Safety. And the guard should be charged with criminal negligence, maybe including involuntary manslaughter, as well as any employee who stepped into that waiting room anytime two hours after that woman was sitting there. Because a patient should be seen at the most within two hours or less. Everything about this hospital is unnacceptable.It is obvious that this is a pattern. It would never have gotten to this extreme if it wasn't.
May poor Ms. Esmin Green rest in peace.
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Ms. Esmin Green
Submitted by Unregistered user (not verified) on Wed, 02/07/2008 - 22:52.I totally agree with everything being said because I am a Certified Nurses Aide working in a Nursing home and the thinking is pretty much the same. Nurses treat residents as just another dementia case and the resident thats alert and oriented gets better care because they're the ones that complain to their family and administrators, they're the ones that get you fired from your job. I think Health care is only for those who love helping people feel better. The profession is not for everybody.
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