The "staff" consisted of an East Indian Psychiatrist, Dr. Satyanary Chandragiri. He had a bit of difficult and took a lot of time to express himself in what one would expect to pass for clear English, neither Jacob nor Catherine understood much of what he was talking about, the majority of the time they met. To our recollection, this latest "Dr.", saw Jacob about once per month, and again, he had no training or understanding of TBI, nevermind any sort of treatment options widely knonw and avaialble, if you took the time to research the tones of information, once you actually realized your patient was suffering from it.
There is no doubt that in addition to his mental illness of Schizophrenia, as a result of abuse diruing his illeaga and mistaken incarcerations, Jacob is suffering from TBI at this time. Treat the TBI along with the mental illness, and Jacob can function well. Mistreat it entirely, or worse, don't treat it correctly, or at all, and he can't.
Sounds simple enough.
Nancy Doty was appointed by Oregon Judge, Thomas Hart, as Jacob’s guardian, had no treatment plan for Jacob, even though that was supposed to be done shortly after he arrived. Apparently in mental healthcare nowadays, it is OK to completely promise you know everythgin there is to know about something, when you don't have the slightest clue what it is. Now and ironicall, that's just crazy!
The next person that served as Jacob’s attending staff was a head nurse by the name of Shari Miller. Needless to say, she also had no clue about TBI, but felt that over and mis-medicating Jacob was the obvious natural answer to any and all of the facility’s patient problems.
To explain this so you the reader can understand the horrifying "There but for the grace of God go I" consequences of this, the facility was basically a warehouse which "stored" people, with different behavioral "problems". No treatment. Not even the capacity to diagnose what is now common and simple and easy to do. Not lifting a finger to help someone when it is not only obvious, possible, but so easy to do, is baffling. To go out of your way and without any sort of consideration, put people with illness in jeopardy or stress, as a matter of procedure and policy? Inexcusable. Bordering on cruelty. Possibly torture.
One of Jacob’s many stress points came when he was given a bedroom right next to the laundry room, where the washing machine and the dryer kept running for most of the night. This is not what you do to someone in jacob;s condition. Constant drumming sounds and machinery clanking would not be tolerated by anyone. In the case of Jacob, this deprived him of not only the critical need for a "quietened state of mind" during rest periods when the brain can self heal, it deprived him of outright sleep! Which we all need to function.
Jacob’s lack of sufficient sleep, in turn, naturally only caused more behavioral problems, for which he was promptly punished, including of all things, not being able to call home.
When Catherine finally learned of the night time noise preventing jacob from getting rest, she phoned Gateway and told them the problem with the washer & dryer. The guardian's answer to what is the simplest most obvious problem to solve, was to put a stop on all communication with Jacob’s family. which in itself is proof of insanity.
Do we now have the insane in charge of the mentally ill? Apparently.
At one point, after asking repeatedly, Catherine was finally allowed to visit her son for the first time. The conditions of the facility were deplorable.
See attached letter from Orrin Grover to Jacob's guardian's daughter:
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