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This is a two part post, but, will be completed in this one writing.  I have to say to whoever is interested, I am so tired of the bullshit that masquerades as politics for the people, and, what masquerades as patients coming to clinics for care.

First, the politics.  If readers are not aware, a major candidate for Governor here in Maryland died suddenly Wednesday night, his name was Kevin Kamenetz, and he was the Baltimore County Executive, my county for the moment.  I offer the Wikipedia entry about him to help readers have some perspective:


The reason I write about this is simply I have no feelings for his death, apart from his leaving a wife and two teenage sons, that is tragic and painful, but, this guy was a diehard Democrat, and the Democrats these days, well, sorry to say, who cares.

I could write a few paragraphs about why this is so sad and yet so non emotional for me, because the Left and their ilk are so consumed with hate and disdain for anyone who does not fully genuflect to their narratives and causes, and from what I have gleaned from Kamenetz the candidate, he maintained these narratives and causes.  So, I leave readers with this song from the Broadway play “A Chorus Line”, and hope you will listen to it fully, because I identify with the singer’s perspective.

By the way, this is a great soundtrack, I highly recommend it.

But, her point was she was made to think and act in ways she did not instinctively want or pursue, and the end when she finds out the teacher died, well, this is why I thought of the song when I heard of Kamenetz’s death.  I felt nothing, and that was sad.

Here are the last lyrics for those who don’t want to listen to the song:

“And a voice from down at the bottom of my soulcame up to the top of my head and a voice from down at the bottom of my soul, Here is what it said: This man is nothing! This course is nothing! If you want something go find another class. And when you find one You’ll be an actress. And I assure you that’s what fin’lly came to pass. Six months later I heard that Karp had died. And I dug right down to the bottom of my soul And cried… ‘Cause I felt nothing.

Republ-ocrats really are soulless and just selfish bastards.  Just to note to readers, I don’t discriminate party, I can’t wait for John McCain to die.  The pathetic insulting shit he has been shoveling this week alone, well, if you can’t do your job, then retire or request a replacement serve for you.  But, being the completely narcissistic bastard he has been for years, he has stayed in position as Senator for Arizona while he is dying from glioblastoma, and frankly, I hope he screws up things for Arizona for months to years to come.  Because their inaction and tolerance deserves consequences!!!

They should have demanded the Governor force him out and place someone to be in Washington to do the job.  NOT be a schmuck and just shit on people from his death bed!

Anyway, to the other point, why I don’t need nor want AIR, that applies to what I am forced to serve at my recent assignments, and that are:

A-ddicts, Inflexibles (personality disorders), and R-egressives (developmentally and intellectually disordered adults).   These patients are at least 65% if not more of the population I am treating at community mental health clinics these days.

How fascinating nearly NONE of them primarily need meds as interventions.  And yet, the administration of these sites DEMAND these folks been seen and served by psychiatrists as the primary providers.  So, what do I do when I show up every day at 8AM?  Look forward to people demanding drugs, if not the patients themselves, then these programs who want their “clients” medicated to be quiet and subservient.  And people ask me why I show all the features of burnout.  Gee, being forced to treat people the wrong way, that really motivates and encourages my efforts, EH?!?!

And I leave readers with this column I read earlier today, by a columnist I find interesting and enlightening.  Please read and decide if you like it:


He sums it up so perfectly for me, why so many patients are beyond hope and efforts, because the level of entitlement and expectation to be served, not treated, is why mental health is dying, and so few providers have the gall to admit it!

“There is virtually no material poverty in the U.S. Eighty percent of households the Census Bureau labels as poor have air conditioning; nearly three-quarters have a car or truck, and 31 percent have two or more. Two-thirds have cable or satellite TV. Half have at least one computer. Forty-two percent own their homes. What we have in our nation is not material poverty but dependency and poverty of the spirit, with people making unwise choices and leading pathological lives, aided and abetted by the welfare state. Part of this pathological lifestyle is reflected in family structure. According to the 1938 Encyclopaedia of the Social Sciences, that year 11 percent of black children and 3 percent of white children were born to unwed mothers. Today it’s respectively 75 percent and 30 percent.”

People don’t have example by those close to them who have standards and expectations grounded by reality and social interaction.  People are selfish, entitled, and have such low frustration tolerance these days, rabid animals are safer and more reliable to interact with to attempt results of significant impact.

And to get back to why I don’t, nor even attempt to seek AIR when I go to work, because the majority of patients think they can tell me what to do, what they are entitled to get, and for those who can’t speak for themselves effectively, the people who are their alleged representatives and guardians will do the same, to basically chemically restrain these limited folks.

Dependency isn’t just about chemicals, it is about behaviors and agendas.  If people as a collective can’t step back and see the pervasive disaster that is being sold, primarily by the Democrats who want their constituency dependent and entitled to have their votes, then when things continue to slide downhill at frightening steep grades, well, good luck navigating this path!

I want to end this column with this point to readers who either don’t read here often, or who wonder why my blog has been so seemingly cynical and pessimistic these last few years.  I really see myself as a hardened realist, and while the tone is with a sense of cynicism and pessimism, well, what do people expect when there are so many who are selfish, superficial, with little insight and judgment, and most of all, with no ability to problem solve and show real effort and interest to improve themselves?

November 2016 was the defining moment of America:  we had to chose the lesser of evils, and we tolerated a man who alleged led us for 8 years prior who was a textbook antisocial cretin who truly hated the concept of America.  Oh, and the role of my generation as Boomers, we have fucked up this country in so many ways over so many years, it is staggering people who have been born since our generation could not effectively rise up and tell us to basically “SHUT THE FUCK UP!”.

Here’s an opinion:  while the Nazis and Japanese may have lost the war in 1945, they seemed to find a way to persevere and promote the message that the needs of the few will endlessly fuck the needs of the many.

I feel good writing this, and while it will offend and agitate some readers, and I apologize for doing so, it really was not intended, I find the truth and perspective to be invigorating, if not empowering.

Happy Mother’s day to women readers, and hope your travels are well and safe.

America burns