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cover of episode S2 E2: Strange Ailments

S2 E2: Strange Ailments

2019/8/16
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Something Was Wrong

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#parenting challenges#parent-child dynamics#unusual employment#friendship dynamics#munchausen syndrome by proxy awareness#biotechnology and neuroscience People
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Jason
参与Triple Click播客,讨论RPG游戏党员设定。
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Jen
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Kurt
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Tiffany Reese
旁白
知名游戏《文明VII》的开场动画预告片旁白。
Topics
@旁白 :详细解释了虚构疾病强加于他人症(FDIA)的定义、症状和诊断标准,强调其罕见性以及对患者和家人的影响。该描述基于医学文献和专业机构的观点,提供了客观全面的信息。 @Tiffany Reese :叙述者详细描述了其朋友Sylvia及其儿子经历的反复出现的健康问题,包括儿子的癫痫发作、肾衰竭以及其他奇怪的疾病。叙述者表达了对Sylvia及其儿子的担忧,并指出这些疾病的症状与诊断结果不符,且在离开医院后病情反复出现。叙述者还描述了Sylvia在面对质疑时的反应以及她与前夫关于儿子治疗的冲突。叙述者对Sylvia的行为感到困惑和担忧,并表达了对Sylvia健康状况的担忧,以及对Sylvia儿子健康状况的担忧。叙述者还描述了Sylvia搬家后,由于距离较远,无法像以前那样经常提供帮助。 @Kurt :叙述者朋友对Sylvia丈夫@Jason 的职业身份表示怀疑,指出Jason的职业经历前后矛盾,一会是警官,一会是保安。叙述者表达了对Sylvia及其丈夫关系的担忧,并对Sylvia的叙述的真实性表示怀疑。 @Jen :叙述者朋友描述了Sylvia怀孕并流产的情况,以及Sylvia声称流产后没有服用止痛药的情况。叙述者表达了对Sylvia健康状况的担忧,以及对Sylvia行为的困惑。 Jason:Sylvia的丈夫Jason打电话给叙述者,称Sylvia疑似服药过量,需要有人去查看她的情况。 Tiffany Reese: 叙述者详细描述了其朋友Sylvia及其儿子经历的反复出现的健康问题,包括儿子的癫痫发作、肾衰竭以及其他奇怪的疾病。叙述者表达了对Sylvia及其儿子的担忧,并指出这些疾病的症状与诊断结果不符,且在离开医院后病情反复出现。叙述者还描述了Sylvia在面对质疑时的反应以及她与前夫关于儿子治疗的冲突。叙述者对Sylvia的行为感到困惑和担忧,并表达了对Sylvia健康状况的担忧,以及对Sylvia儿子健康状况的担忧。叙述者还描述了Sylvia搬家后,由于距离较远,无法像以前那样经常提供帮助。叙述者还描述了Sylvia声称需要一种保险不覆盖的植入物来释放化疗药物,并称其父亲支付了费用。叙述者还描述了Sylvia工作表现不可靠,经常请假或缺勤。叙述者还描述了Sylvia多次声称怀孕并流产的情况,以及叙述者亲自开车送Sylvia去做堕胎手术的经历。叙述者还描述了Sylvia谎报自己的护士执照等级的情况。 Kurt: 叙述者朋友对Sylvia丈夫Jason的职业身份表示怀疑,指出Jason的职业经历前后矛盾,一会是警官,一会是保安。叙述者表达了对Sylvia及其丈夫关系的担忧,并对Sylvia的叙述的真实性表示怀疑。 Jen: 叙述者朋友描述了Sylvia怀孕并流产的情况,以及Sylvia声称流产后没有服用止痛药的情况。叙述者表达了对Sylvia健康状况的担忧,以及对Sylvia行为的困惑。 Jason: Sylvia的丈夫Jason打电话给叙述者,称Sylvia疑似服药过量,需要有人去查看她的情况。 旁白: 旁白提供了关于虚构疾病强加于他人症(FDIA)的背景信息,解释了该疾病的定义、症状和诊断标准,并强调了其罕见性。

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This chapter discusses Factitious Disorder Imposed on Another (FDIA), formerly known as Munchausen syndrome by proxy, a mental illness where a caregiver fabricates or induces illness in the person they are caring for, typically a child.

Shownotes Transcript

Translations:
中文

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Factitious disorder imposed on another, FDIA, formerly known as Munchausen syndrome by proxy, is a mental illness in which a person acts as if an individual he or she is caring for has a physical or mental illness when the person is not really sick. According

According to the Cleveland Clinic, in this mental illness the adult perpetrator has the diagnosis, and directly produces or lies about the illness in another, under his or her care, usually a child under 6 years of age. It is considered a form of abuse by the American Professional Society on the Abuse of Children.

People with FDIA have an inner need for the other person to be seen as ill or injured. It is not done to achieve a concrete benefit, such as financial gain. According to the Diagnostic and Statistical Manual of Mental Disorders 5, there is no evidence of external rewards and no other illness to explain the symptoms. Fortunately, it is rare .

The Cleveland Clinic lists the symptoms of factitious disorder imposed on another as: Often a parent, usually a mother, but can be an adult child of an elderly patient, spouse, or caretaker of a disabled adult. Might be a healthcare professional. Is very friendly and cooperative with healthcare providers. Appears overly concerned about the child or designated patient. And may also suffer from factitious disorder imposed on self.

Other warning signs include a child having a history of many hospitalizations, often with a strange set of symptoms. Worsening of a child's symptoms generally is reported by the mother and is not witnessed by the hospital staff.

The child's reported condition and symptoms do not agree with the results of diagnostic tests. There might be more than one unusual illness or death of children in the family. And the child's condition improves in the hospital, but symptoms reoccur when the child returns home.

I'm Tiffany Reese, and this is Something Was Wrong. You think you know me, you don't know me well at all. Think you know me, you don't know me well.

So what happens is she's super sick, spiraling down health-wise. And at this point, right before she moves again, her son becomes very sick. And she says he's been having seizures. And so he's on phenobarbital. And I never saw him have a seizure, but he didn't talk a lot. It was very odd. Beautiful baby.

not a baby then, I guess, young child, toddler, very sweet spirited, but he didn't talk a lot. And I remember thinking that was odd. Right before this next move, she says his kidneys are shutting down and he's kidney transplant and he's super sick. And so all of a sudden the focus is now shifting to the child. Like this is the child is sick, but

But I remember her telling me, "My husband actually doubted that my son was having seizures because he never saw him have a seizure and I'm making him give the son phenobarbital because they share custody, right? So the son is going to stay at his dad's house, her first husband who she's divorced from now, right?

So he has them like probably what every other weekend or something like this. And the medicine will go with him, of course. And then the husband starts questioning, like, why am I giving my son this medication? I've never seen him have any. I remember that conversation and I can remember her outrage of,

My God, like, why? Why are you questioning me? This is, you know, this is bullshit. This is ridiculous. And I remember being mad. Oh, what a jerk. What an asshole. It's like a two month time period. And then, you know, this big scare and he might need a kidney transplant and he's having to go to the doctors. And then all of a sudden he doesn't need a kidney transplant. His kidneys are working better. He's feeling better. She's sicker.

We were all like so concerned for this little boy and then all of a sudden he's not sick anymore. Her son consistently had these strange ailments, odd ailments. Things didn't make sense. When we were training together, she told me that she was leaving the position because her son had a brain tumor and she was going to have to take care of him.

So at this point, we're going to jump a house now. So she says, I found this amazing house. It's like 45 minutes outside of our main city here. It's a beautiful area. It's kind of up the mountains a little bit. And she's like, I found the most beautiful house ever. And she shows me pictures of it. Super, super, super cool. And I was like, yeah, but...

It's 45 minutes away. So I was like, we're not gonna be able to help you as much. That's my concern with this because she was 10 minutes away from my house before she needed something. I was there. I can remember one time she was too sick to pick up the kids from school and I was on the emergency contact so I could go pick up the kids and bring them home. So I was like, I won't be able to do that anymore. Like,

remember thinking to myself, how can you guys afford this? Like, I don't know what's going on, but that definitely occurred to me. And of course, my husband, I helped her move and helped her unpack because, you know, she'd be unpacking and be pale and have to sit down. But I remember her sitting in that living room telling me this is going to be my place to heal. This place is so beautiful. I'm going to heal here. I'm going to get better here. I'm going to kick this cancer's ass, you know.

Like I said, it was beautiful, but I couldn't go there very often. I remember going there one time and I remember her being in bed and it was super dark and her not feeling good. And I remember the house not being kept up, smelling like dog urine.

I did go a few times, but not like in the past. She didn't live there that long. And she moved back to Orangeville. They rented a house in Orangeville. In this house, this move in Orangeville, they decided to get married. So that was a whole huge thing, right? Persuasion.

person's dying, you know, I want to get married before I die. And in this time period, her so her daughter's grandmother moved from the Bay Area to where we live in Northern California to help with the child and help Sylvia. And she was very helpful with the granddaughter. She put her in art therapy counseling.

where they would go and do drawings and paintings and talk about her feelings. And she had a counselor that she talked to about, you know, her mom being sick and that kind of thing. And so when we decided to have the shower, the aunt that lived in town and the grandmother and I all threw a big shower. It's cool.

Bobo. I mean, we went, we all chipped in money. We all went all out. How do you, how long do you think you had known her at this point? Two years. Okay. Yeah. Two years. And you've been close friends for probably at least a year. Over a year. Yeah, for sure. Okay. There wasn't a whole lot of time in between the saying we're going to get married and getting married. And, um,

Her biological father really wasn't in the picture. Like he lives in a different state. Right before the wedding as well, she said that she needed this implant that would like release chemo, but that our insurance wouldn't cover it. I can remember kind of being indignant, like, oh my gosh, your insurance won't cover this. It's what you need. It's what's going to help you, blah, blah, blah.

She said that she reached out to her dad and he paid for her to get the implant before her wedding. I think there was probably like 30 to 40 people there. So that's all of the hospital people and our spouses. So that was probably half of the wedding. I feel like she didn't have any friends outside of us. Yeah.

Then she was working for us, but became very unreliable at this point. Like she would call in sick a lot or, you know, we'd have her on the schedule and she just wouldn't show up. Like when she was there, it was great because she was really good at her job. But I can remember her totally shaking, hands shaking and like having to, you know, shake it off and like trying to pull blood again and

Her husband, no, he worked a lot of nights, late nights where he was out on patrol. And then I can remember her telling me that she found out Jason was not a police officer, that he was a community service officer. And she was very mad about that. And I was like, well, what does that mean? I don't know what that means. What is a community service officer? She was like, it's not really a police officer. It's like a low paying thing. And I was like, wow, that's weird.

Things didn't make sense. This is Kurt. Stories that were told of who he was at first. One time he was a police officer, and then we found out he was a security guard. I mean, we had an impression of him wasn't so good.

I didn't cross paths with him too much because when he was home, I wasn't there. So we would see each other in passing. He was always extremely pleasant to me. He was never rude. He was nothing but kind and he was fine. He was lovely to me. I can remember a couple of times, are you taking her to this doctor's appointment or am I taking her to this doctor's appointment? Texting wasn't very big back then. You weren't on Facebook? No. You wouldn't have seen me?

Correct. Right. No. And you never saw him in a uniform? No, I always saw him in a uniform. Yeah. Police. And you thought it was a police uniform? Yeah. And I, to this day, I don't know if she was lying and he really was a police officer or if he was, who knows? I don't look like he was a cop. Yeah. Yeah. And when he found out that she said that he took later after everything was out in the open, I said, well, you were lying about being a police. He's like, no, I am a police officer.

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So there's different levels of nursing. There's an RN, a registered nurse, there's an LVN, and then there's nurse practitioners. So an LVN is kind of the lower end. A RN is the next step up, and then a nurse practitioner. So she was an LVN, although I believe that she told all of us that she was a registered nurse, which is an RN. I do not believe she was a registered nurse. I do not believe she finished the education process to that point, but she was nursing.

She got a job at Folsom Prison that pays extremely, extremely well. At this point, she's maybe working for us one day a week or she would just come in when she... It was kind of like that thing, like, we love you. You just come in and work whenever you want. It's great when you're here, but we can't have you on the schedule. Again, she was pregnant. Again, she told me she lost the baby. I believe she was told me in the four years that she was pregnant at least four times.

And I did personally drive her to get an abortion. And I did stay there through that. One of the only times I actually went inside someplace with her. And I remember her being upset and crying and holding her hand, the nurse taking her away. And then me talking to the nurse after she got wheeled away saying, you know, this is extremely hard. Like, you know, she's a nurse, but she's battling cancer. And I remember the nurse looking at me really strangely and

That was extremely difficult, you know, and that was not okay. That was not fun. That was not, it was a very emotional, difficult experience. And then there was one instance where she had gotten pregnant and she was going to have an abortion. That's Jen. I took care of the kids. I took them to school and she went off to her surgical appointment that day. And then she came back like normal.

I had taken care of the kids and gotten them dinner and she was laying on the couch resting you know like you would after such a procedure and she didn't have any pain medication I was like you know let me I'll go pick up your medications from the pharmacy for you so we can get you more comfortable and she was like oh no no no I don't need them I'll go pick them up tomorrow

She did suspect that her husband was having an inappropriate relationship. They started becoming volatile and arguing. Next time. And I get a telephone call. It's Jason. He says, I'm at work. Sylvia called me. I think she took a bunch of pills. I need you to go check on her.

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