This is to certify that any misunder standing betwee Doc Ndodlo was just that and I apologise for my behaviuor in taking it out on Doc Ndlovo that she sent me to Umzimukulu physc Hospital as Doc Ndlovo in her late twenties was obtaining instructions from above
Rated 18+ Sex Violence Language Substance, if you are under 18 get out of here, parents are responsible to filter this domain so their kids don't read below
Quick jump to: Part 18, Crimes against humanity in South African Psychiatric Hospitals
Crimes against humanity, as defined by the Rome Statute of the International Criminal Court Explanatory Memorandum, "are particularly odious offences in that they constitute a serious attack on human dignity or grave humiliation or a degradation of human beings.
Quick jump to: Part 19, G.J. Crookes Hospital Quick jump to: Part 20, THMC
Umzimkulu Psychiatric Hospital - Crimes against humanity
The beginning of November 2014 I suffered a nervous breakdown which in fact was an electronic attack on my person, I found out in 2022 after my LNB from my Multichoice dish blew like a 88 mm canon, and was later in 2014 admitted to the G.J. Crookes Hospital in Scottburgh, Kwa Zulu Natal,
South Africa, after less than two weeks a girl general practitioner, Dr Ndlovo decided to transfer me to the
Umzimkulu Psychiatric Hospital nestled in the foothills of
the Underberg still in Kwa Zulu Natal but in the middle of nowhere. Most of the patients there where admitted for drug induced paranoia or criminal acts. I now release Doctor Ndlovo was taking orders from above as I was first hit electronically in March 2012 when I arrived in Pennington. I had to leave poor Mama behind in JHB as she was Manic and a Doctor said we will both fall ill from the move, John the estate agent from Seeff let Mama stay in his bungalow and Mama stated that his cub board was full of BPMD meds never mind that John smelled of alcohol early in the morning, he did however sell Mama's house on the third shot, I was under the impression that Mama would go stay with her friends in Linden but whilst I was driving down, John called me numerous times and said he will call the cops whilst I was driving down the N3. What was I to do, Mama instructed the movers whom she said four days to pack and into the Elliot Afrovan 24 wheeler,they tried to do the packing in three days and Mama told the packers to leave he bedroom half unpacked so I had to drive down at 6 am with Bono, Buci and Hiya to make it to Pennington before sunset, I had a back massage the night before and made it to Mooi River before I had to down two Red Bulls Mama waved to me as I pulled up the hill towards Pennington, WTF was I to do?
These are factual events as of 13th January 2015 which occured at the Umzimkulu Psychiatric Hospital and G.J. Crookes Hospital, three months
prior to the 13th January 2015. I am working on the typos and grammatical errors.
On one occasion a patient was bugging me with questions and i told him to speak to the nurse. The nurse told me to "fuck off" and when i
went to the sister in charge to report this the security guard followed me and tried to prevent me from speaking to the sister in charge,
the security guard from LK Solutions Security then said to me that i am "rubbish" and he will call the other security guards to beat me
with battons.
Bathing time is African style like the majority of Africans in South Africa bath in a large plastic dish with about ten litres
of water or less. I was quite used to this as this is how i bathed at my wives house. Above is a pic of how the basins looked like.
I feel sorry for the patients as most of them receive no visitors and i have never heard of or seen before this episode that nurses walk
around with polycop plumbing pipe about four hundred milimeters long and fifteen milimeters thick and assualt the patients. Is this
Psychiatry?
On the other hand the sisters in charge and some staff sisters where quite good to me and where very helpfull, but they have to
follow the Umzimkulu Psychiatric Hospital rules.
Medication is handed out at 09:30 after breakfast and the patients share the same water cups to down the medication,
thank God I do not have turberculousis or some other horrible disease from sharing cups with 45 patients.
Water is sometimes not available during the
night when the water bucket and one cup is not left on the other side of the locked grill gate, never mind the fire hazard.
If there was a fire there is no chance in hell that all five wards could be open to let out the patients.
The wards, ten patients per ward are locked at night as some windows where broken with axxess to the courtyard from the passage.
At this stage I think I would be ashamed if I was any part of the medical profession, especially the Doctors
whom are aware of all this and general practitioners who treat psych patients as there is currently no psychiatrist
in the Hospital.
Stephen Fry (a BBC presenter) based in London AFAIK has experienced mental health problems for much of his life. I am sure he did not
receive the treatment i received in Umzimkulu Psychiatric Hospital, not for the life of my can i still phathom that Psychiatric patients are
treated with assualt and abuse as part of there treatment to become well again even thought most of the patients are in the
Umzimkulu Psychiatric Hospital are there for drug induced psychosis where they stabbed or assualted someone.
The Zulu language is spoken most of the time and i don't have a clue what is going on especially at the twice daily forced prayer
sessions but i have to join in anyway. My wife is a Zulu girl yet i only understand a bit of Zulu, like "faga lo makulu mthondo kona la ingquza". My wife is quite religious
so i don't have anything against religion if i at least i could understand the singing and chanting.
I think it's disgusting that South Africa receives billions of ZAR in medical grants from overseas for this kind of treatment and never mind the theft.
I had a terrible summer flu for two weeks and only realized later that the roll on deodrant shared by forty five patients was for woman.
The roll on ordered for the patients at the Umzimkulu Psychiatric Hospital is stolen by someone working in the Hospital for there own
use and most of the nursing staff are woman, can't figure out the theft bit as the nursing staff have three to eight thousand ZAR
smart phones and drive new 150 000 ZAR plus motor vechicles.
I was treated slightly better than the rest of the patients because i am Caucasian, and like i typed before the only Caucasian within
miles of the Umzimkulu Psychiatric Hospital. I hope someone takes notice of this part of my book so my African friends (patients)
can receive better treatment instead of being assaulted with battons, high heels and plumbing pipe.
I actually fear for my life at Umzimkulu Psychiatric Hospital, the ward where i am now is called Male Block Two. And one of the patients
in this ward is some kind of martial arts expert. On my arrival he had to show off his moves whist we where waiting to be counted.
(Counting of patients involves the patients sitting for one hour doing nothing waiting the shift to change and then be counted.) From
time to time this "martial arts patient" goes a bit nuts especially on the tobacco subject like most other patients, 70% of the patients.
Pure joy knowing i can be assaulted or worse anytime for a small amount of tobacco or food.
The tobacco saga occurs with all new patients and their tobacco
or food is quickly consumed in a few hours. Watching lions, hyenas or vultures on TV or in real life on a kill can give a good picture of the food and
tobacco episodes, meaning the food and tobacco brought by visitors to the patients.
Tobacco smoke contains many harmful chemicals such as carbon monoxide, cyanide, nicotine and tar, which cause disease and death. Non-smokers and ex-smokers on average, live longer and are healthier than smokers. For more information call +27117203145
I rather enjoy this in the pic above than the menu below
South Africa is one of the few countries in the world where one can receive treatment for under $3 but this kind of treatment i don't
ne ed and i am not the only patient who complains about abuse and assault. Most of the African patients and there families live in the
sticks
cks so to whom will they report all this to. I love South Africa and South Africans but this is really the pits.
I noticed many of the patients at the Umzimkulu Psychiatric Hospital take a drug called Risperidone, a horrible piece of work where sixty
sixty percentage of males suffer from erectile dysfunction when taking Risperidone, i wonder if the "mental patients" (that's what they are
referred to as by the staff) actually have a choice whether to have erectile dysfunction or not, i bet my bottom dollar and it's a fact
that no patient is informed of the side effects of the medication they are taking, why should us "mental patients" be informed or have
the right to know of side effects, we are the scum of the earth, maybe Government Psychiatry gets it's "info manual" from the holocast.
I once researched Risperidone for days on the internet in 2012 and wow what negative reviews. Some of the patients are so spaced
out on prescription drugs they sleep most of the day to keep them calm.
I learned a whole lot of new Zulu words at Umzimkulu psych hospital like, ingquza, masende and bhebha to the disapproval of my wife.
Don't try this at home or anywhere else and i do not condone this but it seems that according to Umzimkulu Psychiatric Hospital,
violence is cool and condoned. As long as you sort out your frustrations with batons,
polycop plumbers pipe, high heels, a strawberry jam sandwich and mind bending, muscle spasm causing injections.
I am upset now very upset. How on earth could Dr Ndlovo from G.J. Crookes transfer me from a cage full of pigeons to a cage full of vipers
and ruin me financially. If i had been discharged from G.J. Crookes i would have been able to make up my payments.
Surely if a patient is so psychotic they would be transferred on day one or two. Yet according to my mother: a security guard impersonating
a principal psychiatrist, informed my mother that "they need the beds" which is also not true as there where two empty beds in the ward and G2 is also used for psych patients.
I must have been in a very bad state of mind as one night sister took my blood pressure nightly and allowed me to take her blood pressure
on numerous occasions. Imagine that some cleaners and staff nurses allowed me to choose and play songs on there smart phones.
Ok i hope this paragraph does not get anyone into trouble but i watched the most fantastic game of soccer with the night staff
and security guards one Wednesday night. I stand corrected i was at G.J. Crookes longer than 72 hours as i now remember there
was no soccer game the next Wednesday for some or other reason whilst i was at G.J. Crookes Hospital.
Talking about "joints", marijuana is freely available at the Umzimkulu Psychiatric Hospital. I found this out when a patient asked me for a light and
my bodyguard and best African friend John, told me not to smoke from that "joint" as it contains marijuana. Mary jane is supposed to induce paranoia in mentally ill patients so WTF.
Quite educating this business. I found out that one can crush and smoke pain killers as another room mate who slept opposite me did.
Maybe that's why some nurses refused to hand out pain killers without a Doctor's script. So if you have a splitting headache in the
afternoon one might obtain some pain killers the next day if lucky. I stay away from pain killers if possible but with my buttock
injury from being assaulted and my two week summer cold i was popping pain killer's like crazy. Not thanks to the female Doctor
whom i requested pain killers at the nurses station and she did not write them up the first time.
Come to think of it my best African friend went on his knees to talk to this female Doctor at the nurses station. Not that they where married
but i was under the impression that Zulu girls serve food on their knees to their husbands. And he was nowhere near psychotic.
To get back to the drugs story, on one occasion i received a phone call in the injection room and there was this newly admitted coloured chap
trying to open the medicine trolly. (He also received the customery tobacco treatment on arrival.) A few days later he and the guy who
smoked the pain killers managed to steal some drugs from the medicine trolly. They received the baton treatment for their troubles.
The assaulting of patients continues to baffle me as i was under the impression that violence in psychiatry was meant to be discouraged
(never mind frowned upon) and guys that where in private and most state hospitals, that i have communicated with where never assaulted.
Thank God i never witnessed any assault the first time i was admitted at G.J. Crookes Hospital unlike Umzimkulu Psychiatric Hospital.
On my move from one section to the next at Umzimkulu Psychiatric Hospital i lost my mountain view bed but was soon invited to another
ward closer to the windows by two patients, the alterior motives you guess it, tobacco. The first ward or section i was in
(gets a bit confusing this ward business) but anyhow i had a lovely view of the foothills of the Underberg mountains but knew this
stunning view of the mountains and a village which was part of Umzimkulu village would not last and soon became quite mudane.
Being an outdoor lover i never dreamt magestic mountains could become so boring.
So much agro and fustration as the patients where not allowed out the wards for walks. In any of the three wards bar one occasion.
Maybe the patients would try to escape, wow why on earth would anyone want to escape. The one occasion sixteen patients where allowed to go
for a walk outside was for a haircut. I remember that day very well. I was sitting in the courtyard and a female nurse starting picking out patients
for a haircut. She called me out and i said no thanks. I did not want my hair to be cut bald as some Africans cut their hair. My blood really boiled
and when the sixteen patients where about to get on the way for hair cuts i wanted to go with to have my beard trimmed off. The female nurse
then changed her mind and said that i could not go at all. Talk about being petty.
I might be making a big issue of the tobacco story but that was the only occupational therapy there was at the Umzimkulu Psychiatric Hospital and
when the patients received their monthly disability grant or visitors brought tobacco the patients who smoked, smoked non stop almost till all their
tobacco was finished in two or three days. Might as well make a "meal" of it when you have it. I was rather more cautious and tried to ration my tobacco
till my wife came to visit me. For every one hundred grams of tobacco i received, i recon i smoked fifty grams and the other fifty grams was for "bodyguard"
and sharing of tobacco fees.
Ninety five percent of the patients smoked and a large percentage never smoked before but only smoked at the Umzimkulu to pass the time and have
something to occupy themselves with, the youngsters under 28 years of age or so would hide there smoking habits from their mothers or family when they came to visit them.
The patients make their own beds in the morning's. The nurses then come along and make the beds again. I found out only one blanket per
patient is permitted during the summer months. Allegedly June and July the coldest months, really cold in the Underberg as I found out first
hand on some of our vacations in the Drakensberg, two blankets are allowed. One or two degrees celsius (34 F) outside in winter at late night
and early morning it gets really cold without a heater in the bedroom wherever you might be in a hotel or the Umzimkulu Psychiatric Hospital.
The patients ward windows are not triple glazed but thinking back the glass is 15mm thick so that must help with the cold a wee bit.
How dare the Sisters, nurses (male and female) and security guards force the patients to pray and dance around in a circle singing Zulu religious
songs after the way some of them treat the patients, two faced religious attitudes, i am sure it is written somewhere: abuse, assault,
degrade ones dignity, humiliate and tomorrow you will be forgiven. I took no part in these prayer "meeting's" other than i was forced to
stand. And my last morning at Umzimkulu Psych Hospital i did go around in circles chanting something at the insistence of one of
the nurses just to please her and not have hassles on my last day.
Not everyone who says to me, Lord, Lord, will enter the kingdom of heaven, but the one who does the will of my Father who is in heaven.
On that day many will say to me, Lord, Lord, did we not prophesy in your name, and cast out demons in your name, and do many mighty
works in your name? And then will I declare to them, I never knew you; depart from me, you workers of lawlessness. Matthew 7:21-23
I used to be quite a self religious person but i have lost my respect for God due to this hospital stay and psychological after effects, really too much is
too much.
I think Stephen Fry is correct with his viewpoint on God. ''The quicker you forget about Him, your life will change for the better"
This is the final nail in the coffin between God and i and it really hurts me to loose faith after so many years, but this is really it, i have had
enough. What i have gone through in my life is a fraction of some of the pain and suffering others go or have gone through but i have
had enough of this blatant two faced religious attitudes.
And it gets even better, on the 18th Febuary 2015, another anniversary, my birthday, my
The reason i was sent from G.J. Crookes Hospital in Scottburgh, South Africa to the Umzimkulu Psychiatric Hospital was that Doctor Ndlovo
filled up a bath and gave me a teaspoon, cup and bucket and asked me to empty the bath, i choose the bucket, she asked me whether i would
like a bed by the window in the Umzimkulu Psychiatric Hospital as normal people would pull the bath plug. Just thought i would ad a bit
of humour, this did not actually happen but one never knows, many things said in jest could be true.
Crimes against humanity, as defined by the Rome Statute of the International Criminal Court Explanatory
Memorandum, "are particularly
odious offences in that they constitute a serious attack on human dignity or grave humiliation or a degradation
of human beings, they really fucked me up at Umzimkulu.
On arrival at the Ethembeni ward i was beaten up by male staff nurses, hit with solid punches to my back for no
apparent reason. Must be another lesson they will never forget. I was not that psychotic to imagine that.
As usual the security guards are in charge of the ward(s), to be a security guard at a government
hospital the security guard has to first go to university for three years at least, in any faculty,
the security guards also have to be au faut with beating up one patient, eight against one. Which i witnessed
with my own eyes at G2 and at Umzimkulu.
In the apartheid days i would have been killed for going out with an African girl or marrying one. By the Africans and not the apartheid security police, according to one of the staff nurses at Umzimkulu Psych Hospital.
To top it all on my last out patient visit to G.J. Crookes in May 2016 there was no psychiatrist working in
the Hospital
and i was seen to by a GP. Hopefully this has changed by now, psychiatrists might as well not study for a few years
longer if a GP can do the shrinks job which they cannot.
I obtain a rash from the meds i take but was refused by the GP in May 2016 for a script for Persivate
ointment, she informed me "i must go upstairs" and wait another three hours in the queue to see another doctor.
Seriously if herbal meds where strong enough for my condition i would be taking them and not these shit meds that
give me erectile dysfunction and Cialis costs an arm and a leg which i cannot afford even though there are
herbal alternatives
at one third of the price which work just as well.
It was rather cold on a motorcycle in May 2016 and i arrived at G.J. Crooks at round 8:00 by the time i
obtained my file it was 09:00,
i waited till 12:00 to see the GP at the psych clinic. The total cost for the consultation and meds supply
for six months is one and one half USD (twenty ZAR) so can't complain there.
This is to certify that any misunder standing betwee Doc Ndodlo was just that and I apologise for my behaviuor in taking it out on Doc Ndlovo that she sent me to Umzimukulu physc Hospital as Doc Ndlovo in her late twenties was obtaining instructions from above
For example it took my wife and i to return home on the 14/01/2015
seven hours by four taxis and we missed the last taxi as it was late and we had to walk for one and one half hour up a hill to get home,
we arrived after sunset. The non scenic route takes one and one half hours by a low level flying sixteen seater Quantum ambulance transporter.
To top it all i have to go back to the Umzimkulu Psychiatric Hospital for more evaluation by a general practitioner as
there currently is no psychiatrist at the Umzimkulu Psychiatric Hospital and ones fate is decided by a general practionioner. Did you see the movie Rwanda,
well what is to
follow is very similar. I was the only Caucasian patient in the two wings of the Umzimkulu Psychiatric Hospital amongst forty five Africans.
What a nightmare, i was assaulted by an psychotic patient who tried to steal my breakfast, six slices of bread with a bit of
butter and tea.
i limped for two weeks after this incident with terrible pain in my left buttock. Patients who assault other patients are hit with batons
by the security guards and then given Clopixol Acuphase injections to knock them for a few days. The patients fight and hit each other for
tobacco especially when the tobbacco runs out and i m the only one who has tobacco. It is impossible to enjoy a hand rolled cigarette by
oneself as i was surrounded by twenty psychotic or semi psychotic patients each and every time demanding two pulls of my fag and the
patients act as if its there right to my tobacco. Never mind food or gifts received from visitors, one has to eat what one receives
at the nursing sisters station or all the food will be taken over by the patients.
What a relief to find out that prison is worse than the Umzimkulu Psychiatric Hospital from two of the patients who actually where in prison,
i am being a bit salcastic in this sentence.
The patients spend the whole day in a closed courtyard, fifteen by twenty meters and urinate in one corner of the courtyard as the patients are
not allowed to go inside the wards to urinate during the day. The stench of urine is unbearable in that corner of the courtyard unless
it rains and the urine washes away into the drain. On one night the urinal was blocked inside the ward and the urinal overflowed with
urine for three days. More stench and those patients without shoes walked in the urine. The toilets do not work and faeces build
up till someone flushes the toilet with a bucket, most nauseating.
I was unable to pay my bills as i was in the Umzimkulu Psychiatric Hospital and G.J. Crookes Hospital,
joy to the world, i now have
"hundreds" of debt collector companies after me and my credit rating has dropped to zero. Of course no shrink, G.P., sister, nurse nor social worker will help me out with my debt but someone was very eagar to put me away to Umzimkulu psych hospital because of their grave faux pas. The social worker at the Umzimkulu Psychiatric
Hospital has ninety patients in the queue and i was lucky to see the general practionioner on the 13/01/2015 as he was still busy
attending to patients from November 2014. This frightens me as i may wait for weeks to see the general practionioner on my return.
I don't know anymore what is the official language of South Africa but the medication i took home on my leave of absence, the instructions
where in Zulu.
Above is a pic of an example of the small pieces of tobacco some patients would gather for hours to roll one fag using a newspaper as rolling paper
Patients are admitted to Male Block One where 80% of the patients are psychotic, 40% from actually been mentally ill and the rest mostly drug induced pyschosis or being sent to Umzimkulu for some criminal act. Smoking of tobacco is allowed in the ward. Sorry to burst your bubble, i was never once tested positive for mary jane nor coke nor any other magic mushroom. Then the transition to
Male Block Two where smoking tobacco is also allowed. Male Block Three, i dread to go there, there is absolutly no smoking allowed and
i have been smoking tobacco for thirty five years. I had a small nervous breakdown on admittance to Male Block One and then to Male
Block Two. Each transition is like some kind of initiation ceremony where the patients test to see if they can obtain tobacco and food
out of me. One patient actually sits on my bed up to and hour waiting for me to light up as he figures what's mine is his. Not all the
patients are like this thank God and i recon i have made a few friends.
No need to complain, wow at G.J. Crookes Hospital, the food was better, at least different kinds of porridge for breakfast and an egg and
a variety of meat and veggies for lunch. Don't understand why all the Government food dished out is not standard
During my stay at the Umzimkulu Psychiatric Hospital, i observed the finer art of theft, assualt by LK Security Solutions on patients, i
pity the guy (patient) whom escaped from the ajoining ward, his screams could be heard miles away whilst the patient was beat with batons.
No respect for patients, i once informed one of the staff members that the burglar bars put up on one window had jaggered steel edges and
could hurt someone so the staff member said "let them". There is no outbound communication to the outside world for most of the African
patients, if one asks a nurse to send an sms the answer is "battery flat" or "no airtime, mean while the nurses sit using WhatsApp the whole day.
Ok it would be a bit heavy if 45 patients used the nurses phone, even though i offered to pay, the nurses could at least answer truthfully and inform the
patients that cell phone calls are allowed. The nurses are a bunch of liars and have the cheek to pray twice a day with the patients. If
a patient ask a nurse for something the answer is more likely to be "kusasa" (tomorrow). I can understand spending twelve hours a day
for five days shift with psychotic patients is a bit taxing but the staff nurses opted for this job and i think that the patients at the
Umzimkulu Psychiatric Hospital could be treated with dignity and more humanly.
Some of the African patients where so desperate for tobacco they would collect the tiny pieces of loose tobacco from the floor and when there was
enough tobacco they would roll a "joint" in a manner of speaking.
Doc e, arranged that i do not have to go back to the Umzimkulu Psychiatric Hospital, thank you very much for that.
I prefer and so do all of us, a restroom like in the pic above and not a restroom overflowing with shit and piss
I acquired two "bodyguards" in Male block one after my tobacco was stolen off my person whilst i was lying down in the morning sunshine on the tiled
section of the courtyard floor. My one bodyguard and friend (John was his name) even himself mentioned that it was stressful holding onto my tobacco and rolling "joints" for me.
The other bodyguard had been in the ward for many months and the other African patients where a bit wary of him. He would make sure that
the other African patients stayed away whilst the tobacco was rolled mostly using my own purchased paper or if that ran out then newspaper.
Best to choose the meanest mother fuckers as your friends in a place like this, which works on occassions.
Crimes against humanity, as defined by the Rome Statute of the International Criminal Court Explanatory
Memorandum, "are particularly
odious offences in that they constitute a serious attack on human dignity or grave humiliation or a degradation
of human beings.
On a brighter side, Xmas day we spent at the beach and had supper at the mall thanks to my sister whom arranged a pass out. It was nice to
eat out with my family and especially my wife at one of the restaurants. My sister and i also spent a day at the beach
amongst the throng of holiday makers on a previous occasion.
An African lady was locked up in the seclusion room for a few days and all she did was scream at the
top of her voice, non stop. She was there for at least one week, strange that she was not transferred to Umzimkhulu.
I think I rather be in a psych ward at G.J. Crookes Hospital (but not Umzimkhulu) than at the oncology ward
if i had to choose illnesses. I am so blessed, touch wood not to have any physical illness other than
erectile dysfunction which is a cause of the meds i swallow religiously. No joy to those guys whom suffer
from blood pressure hassles as well, ED is also part of their game. Two doctors suggested i take Cialis, fuck that i need a boner on demand not having to wait one hour before i can get hard on and stress does not help either, i can take 2000 mg Cialis and will not get it up if i am stressed out.
Just like in Ward one at Umzimkulu Psych Hospital the patients bath in a
basin to make them feel really at home. 70% of South Africans bath in a basin at night or during the day with a
kettle of hot water or boiled water on a fire. In the country where i come from, after WWII and still into the
fifties, ditto for some.
G2 ward at G.J. Crookes had five showers and as i mentioned previously Ethembeni ward had one scalding hot
water supply from the bath. A thermostat costs around 250 ZAR, (12 USD). The thermostat was either set on boiling point so 10 patients could have hot water or some dick head needed to replace the thermostat, but who the fuck am i to talk being a former electrician of sixteen years. Maintenance could at least install another water heater back to back at ethembeni after spending millions of ZAR revamping G.J. Crookes Hospital where the reception area is tops and so is the pharmacy.
Spot of bad luck in the South Coast for me with my manic episodes spiking due to what i thought was the change in altitude but i will never know as there is only a twenty minute if that consultation with a GP or shrink per out patient session at the G.J Crookes Hospital.