Dora
was about sixty, very thin, badly hunched over, with striking white hair
and blue eyes and a sweet smile that could sometimes shine strongly though
her fear. She walked with a jittery bounce, with head and eyes constantly
darting from side to side to check for danger.
“Can
I fix you some tea?” Dora would ask me, peeping out from under eye sockets
that were turned into an overhanging arch by her stooped posture. “Sure,
Dora, that would be great.” When we sat down with the Lipton, I’d ask,
“So, how are you doing, Dora?” “Not too well,” was always the reply. “Why?”
Then: “the cops.”
San
Francisco, early 1980s. I hadn’t yet gone to physical therapy school, but
worked for slightly better than minimum wage at a board and care home for
the mentally ill. The place was licensed for 12 residents. Only three or
four seemed truly insane to me; the rest were just mostly older, had various
medical problems, were usually alone in the world, and were wierd in some
way or other--so that each had at some point picked up the diagnosis of
“mentally ill.” I liked them all, but Dora was my favorite. She was the
most troubled person I have ever met.
I’ll
never forget a scene from the 1976 movie Marathon Man, where the
Nazi dentist (played by Laurence Olivier) is about to torture Dustin Hoffman
by drilling his teeth without anesthesia, saying with a demonic grin that
“you can feel more pain through the root of a tooth than anywhere else
in the body.” Dreadful shivers down the spine. But knowing Dora led me
to believe that a human can feel more pain purely through the mind than
through any physical avenue.
Dora
had a classic case of paranoid schizophrenia. Once a month, the psychiatrist
would arrive in his expensive red sports car. He went straight upstairs
to talk with my boss, to find out which residents had of late been too
energetically wierd, and which had been too lethargic, too zombielike.
I think he decided on medication changes mostly in those discussions, fine-tuning
the neurotransmitters of my wards, my friends.
Almost
as an afterthought, the psychiatrist would then meet each resident for
individual private sessions lasting from one to three minutes. I was in
charge of lining people up in the kitchen and shuttling them one-by-one
to the living room to see him efficiently, without wasting a moment of
his precious time. I was also in charge of getting a Medi-Cal sticker from
each resident’s file, and would give 12 stickers to this blood chemistry
technician when he left. He was in-and-out in an hour or so. I don’t know
how much he billed the State of California for each sticker, but
I bet it was more than I made in a day.
Dora
was on a high dose of Haldol, which was then and remains today one of the
most commonly used chemical straightjackets. I hope that Haldol helped
blunt the edge of her pain, but I’m also afraid that it might have kept
her stuck, rather than giving her a chance to somehow work through and
beyond her deep fear.
“Why
are you afraid of the cops?” I would ask Dora. Her eyes would first widen
in fear, then narrow with sharp anger: “Because I will be shot.
My head will be shot, my shoulders, my chest, my hips, my legs--my whole
body will be shot.” The story was always the same, though in one variation,
she would first be taken to Mt. Zion Hospital (right down the road), given
electric shock treatments, and then her whole body would be shot. Dora
told me that she had indeed been given electric shock treatments many years
before, at a place called Agnews State Hospital.
The
board and care home was not a locked facility, and occasionally one of
the other residents would wander off. They usually came back on their own,
but if they didn’t show up for awhile, we’d make a “missing person” call
to the police--who would then come to take a report. These were Dora’s
worst days. When the police arrived, she became incredibly agitated and
would hide in her room, quivering in terror.
Though
the cops always left without shooting Dora, she was never able to make
the logical deduction that her belief was mistaken.
Still,
I loved to have tea with Dora. She was quite interested in my life and
in the other residents, to the extent that she could for a few seconds
focus on something outside of herself, something other than her fear. I
once had her and a couple of other residents over to my own home--I have
a treasured photo of Dora, sitting in my room.
Dora’s
brother visited her often in the board and care home. I ran into him many
years later in San Francisco, and he told me that she had died a couple
of years after I quit working there. I was sad to hear this.
Since
then, at a few difficult junctures in my own life, I have called out to
Dora’s spirit and asked for help. I don’t know if she’s heard me, but something
has been helping me along. Dora had a powerful spirit, full of love and
compassion. I’m so sorry that she had to suffer such torment. I hope that
in the grand scheme of things, there was a good reason for it.