Ask Me If I'm Safe At Home

Ask your patient if she is safe at home -- even if her husband is handsome and charming, well-dressed and well spoken. Ask even if you know her husband, he's the life of the party or you've worked with him for years. Ask because maybe you've only met Dr. Jekyll; she may be living with Mr. Hyde Nurses General Nursing Article

My husband and I shared the same PCP. After my first visit to the practice, no one ever asked me again whether I was safe at home. I wasn’t. But no one asked because everyone had met my husband, the handsome, charming life of the party. The guy that everyone liked. They all “knew” I was safe at home because he was “such a nice guy.” They knew him, you see. A nice guy like him couldn’t possibly be an abuser.

They only met Dr. Jekyll. I lived with Mr. Hyde.

I’ve written numerous articles on the website about domestic violence, about the ex-husband who strangled me into unconsciousness and left me on the highway with the clothes on my back and my dog. I’ve written about the elephant in the room, what leaving feels like, about starting over again and about the bravest thing I’ve ever done. I lived it; I’m resilient.

Thirteen years after I left my abuser, I married again. THIS time I married a friend, someone I had known and worked with for nine years, dated for more than five years. THIS time I was sure I was going to be safe at home because he really loved me. THIS time I knew I had the right person. I had known him for years; I knew all there was to know about him. And we were happy, for a time. For years. And then I got sick and I needed him. Suddenly, he was not the center of attention at all times, because I had to focus on my health; on getting better. And my happy marriage and perfect husband were never the same again.

I beat breast cancer, and a serious back injury. I had two joint replacements -- he dropped me off at the hospital for the surgery and had to be BEGGED to come and get me when I was discharged. He had a bad cold, you see. It was such an effort to come to the hospital to get me. I had a post op infection and a fever that registered as “HHH” on our cheap electronic thermometer. AT one point, he actually told me, “I know it must seem strange to you, me whining about my bad cold when you have a potentially lethal post op infection . . . But it’s a really. bad. cold.” After 48 hours of me peeing every 15 minutes, he finally deigned to take me to the doctor. After he took a nice, long nap.

My best friend asked me if I was safe at home, and I assured her that I was. I had lived with abuse; I had survived it. I knew what it was like and this wasn’t it.

My husband, the man I thought loved me more than anyone on earth except his daughter, only talked to me to nitpick. Or criticize. Or scream at me that I was fat and useless. I was pretty useless -- I’d just had a joint replaced, I had a fever and a CAUTI and was exhausted from trying to get down the stairs to the bathroom every fifteen minutes with my cane and my brand new artificial joint. Eventually, I recovered, but rather than stopping, the screaming and the criticism just escalated. Soon he was having tantrums three or four times a day. I was tiptoeing around him, trying to avoid setting him off and trying to please a man who could not BE pleased. He was always right, he was never wrong and if I dared to disagree with him -- or even failed to agree with him quickly enough -- there was punishment. One day he opened the kitchen cupboards and smashed all of my coffee mugs. There were shards of my coffee mug collection on the floor, in the sink and in the dog’s coat. Another time, he swept everything off the dining room table -- almost everything -- and sent it flying into the next room. Just my stuff, it seems. One time I came home from work to find that he had painted the closet doors, and “somehow” got white paint on every one of my jackets. It was an accident, it just happened. He didn’t mean to. But HIS jackets somehow escaped the carnage. That winter I was always cold because I didn’t have a winter coat. HE was warm enough -- and was I harping on THAT again? He SAID he was sorry that my coats “got paint on them.” It was an accident. Why couldn’t I just get over it?

My old friend asked me if I was safe at home, and I assured her that I was. I had lived with domestic violence, I knew what REAL abuse was like, and this wasn’t it. There was no perfect Ruby-shaped dent in the drywall, no purple fingerprints on my neck. I was safe.

There was a letter from the mortgage company telling us that we were going to have to find another lender as one of the conditions of our loan was keeping homeowner’s insurance. My husband admitted that he had let the homeowner’s insurance lapse because, and this is really special, he was angry at me. Somehow this became my problem and I had to scramble to get the house insured. He had so many single cars or at-fault accidents that the car insurance was cancelled. I got that reinstated as well, at an exorbitant cost. Then we took a 900-mile car trip to see his daughter graduate from college, and I drove because I was frightened of riding with him. I stopped to go to the bathroom and foolishly left the keys in the car -- he was sleeping. When I came back, he was behind the wheel and raging at me because I stopped to go to the bathroom too often. For the next three hours, he wove in and out of traffic, changing lanes and exceeding the speed limit by 30 mph or more, tailgating, cutting people off, screaming at me the whole time for being fat, ugly and useless. In a deluge, with standing water on the roads and people sliding off the road right and left trying to avoid him. I was terrified, clinging to the armrest and promising God that if I lived through this, I would leave him. When we got to our destination, he dropped me off at the hotel and took off in the car to “see friends.” If there had been an available hotel room or rental car, I would have left him that night. There wasn’t, and I didn’t.

And then, in a domestic violence thread on AN, one of our members recommended Patrica Evans’ book about the verbally abusive relationship. And I realized that my happy marriage and perfect husband had deteriorated into a verbally abusive relationship. “It’s not that bad,” I told myself. “I’m strong. I can deal with this. It’s not as if he’s VIOLENT. I lived with that, but he isn’t like that. But maybe it’s time he got back on his Prozac.”

In an extreme act of courage -- or perhaps idiocy is more the word -- I brought up the Prozac discussion with my husband, whose depression had always manifested as anger. Get the depression under control, and he’s easier to live with. That was the night he had such a tantrum that I left “walk the dog” and was afraid to go back. Instead, I sat on a park bench in the rain and called the National Domestic Violence Hotline. They asked me if I was safe at home. I thought I probably was -- after all, all he did was scream. And throw things. And smash things. And punch things. And drive recklessly and terrify me. “Abuse is about power and control,” they said. “Verbal abuse can escalate to physical abuse. They can kill you.” But we were on vacation on our boat, in a town too small to have a hotel or an Enterprise. I got back on the boat with him, and we cast off to go to the next town.

My husband went to his PCP and asked for anti-depressants. He was referred to a psychiatrist. For Prozac? Or Zoloft? I wasn’t sure he needed that. Turns out I was wrong. He came home from the psychiatrist's office, a study in rage. “That guy doesn’t know a thing,” he raged. “I am NOT a narcissist.” He was kicking the punching bag (a safe enough thing for him to kick, I thought) and I went to “walk the dog.” Only I was too afraid to go back, so I sat on the bench cleverly placed at the school bus stop, and cried. A neighbor lady sat down next to me. I had nodded at her at the mailbox but had never talked to her, unlike my husband who frequently stopped to talk to her and her husband when they were outside.

“He’s a narcissist,” she said. “Run.” Who was this woman to tell me my husband is a narcissist? She’s the clinical psychiatrist who lived a house over from us, and who could easily hear his rages through her open windows. She started the domestic violence program in our state -- and in another state. She’s an expert. She knows.

“Are you REALLY safe at home?” She asked. “Really?”

“No,” I had to admit. I wasn’t really safe at home.

Just the other day, my new PCP asked me if I am safe at home, and I assured her that I was. I am, you see. I left my husband, the love of my life, with what I could carry and my dog. I rented a car and drove a thousand miles AWAY. I’m safe here. I’m living with a generous friend who lost her husband to cancer. I have my own bed now, and a bed for my dog. I bought a car last year, and this year the divorce is final. I don’t have much, but what I do have is MINE. I don’t have my house, or my lovely dishes or my leather sofa or any of the things that I once thought were so important. But I have me again, me without the soul-crushing load of abuse. I’m getting my sense of humor back. One day it will be my superpower again, but for now, my superpower is resilience. Really. I am finally safe at home.

Ask your patient if she is safe at home. Even if her husband is handsome and charming; even if you KNOW him -- he works at your hospital, he's a good guy. Because perhaps you've only met Dr. Jekyll and she lives with Mr. Hyde.

Your story gave me chills!! glad you are safe at home NOW!

I think of you often, Ruby, and hope you are well.

Thank you again for sharing your insights and experiences. I didn't realize you had a 2nd marriage go south because of an immature, selfish, sick %*)%^&$#

Specializes in School Nurse, past Med Surge.

Every single woman needs to read this. Thank you for sharing your story.

Specializes in Critical Care.

....I read this days ago and couldn’t find the right words....I still am not sure I can, so I’ll just leave it at this...Thank you....and I’m sure happy you’re around...

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
8 hours ago, Kooky Korky said:

I think of you often, Ruby, and hope you are well.

Thank you again for sharing your insights and experiences. I didn't realize you had a 2nd marriage go south because of an immature, selfish, sick %*)%^&$#

Yup. I seem to have a knack for finding the most narcissistic, selfish and abusive man in the room . . . and then marrying him. Not my best quality.

Specializes in Educator.

Thank you so much for sharing!

I recently met up with some old work colleagues - 1 of them confided in me that she had been in an abusive marriage for decades and had finally plucked up the courage to leave. I felt so bad that I had worked alongside this woman for years and had no idea of the hell she was enduring on a daily basis.

Your courage and resilience are inspiring <Hugs>

On 5/19/2019 at 5:07 AM, Pippynurseuk said:

Thank you Ruby for so eloquently describing what it is like to live with a Mr Hyde.

Your description is eerily similar to my experience. Every single line had me nodding and remembering. My Mr Hyde declined to visit me the day after the birth (emergency Caesarian) of my daughter because "he was tired and needed a lay in! (All day)" missing visiting time and then apparently had more important things to do during evening visiting time. We also had many accidents where somehow only my stuff got damaged. The tantrums, the tiptoeing round his moods, the driving, the money....And of course it was always somehow my fault.

It took me 12 years to leave.

As far as everyone was concerned he was charming, funny, loved his family. Then one day he forgot himself for a few seconds and Mr Hyde came out in front of my family. My parents lent me 2 months rent money and a month later I was out, 2 kids in tow.

That was all I needed, someone else to see it and assure me that it wasn't my fault and a little bit of practical assistance. My life is my own now, and it's beautiful.

Thank you again for writing this and painting such a clear picture.

Somewhat off topic but I just want to remark about the behavior of some men when it comes to becoming a father.

Some men are elated. Some are very scared. And the fear can keep a man from realizing or accepting or totally embracing that this is the day of birth for his child. And the day of often horribly painful bringing forth of that child for his wife. Men often won't say they are terrified of losing the wife or having a child who might be imperfect or come forth dead. They won't tell you they don't feel able to financially or otherwise take care of a wife and child. But that is often the truth.

One man I know of, who loved his wife dearly, told her during labor that he wished she would die. He had told her 9 months earlier when he learned he was to be a father that he didn't feel financially on his feet. He said his wife was always wanting sex (not necessarily intercourse, but snuggling at least) during the pregnancy, but he was totally turned off by her being pregnant and he hadn't wanted to hurt her or the baby. He hated the childbirth classes and she was very unhappy that he seemed so unhappy.

And then, while she was in labor and expressing pain - and it was only early labor - he was feeling so overwhelmed that he said he wished she would die. He didn't mean it, he was just scared. BTW, this man went on to be a great dad, totally in love with his son. And I think the relationship with the wife improved, too. They had more than 20 years together and enjoyed their grandchildren. He then passed and she remarried a few years later. He spoke very highly of his "jewel" of a wife, who "loves me and understands me and is faithful to me, no matter how stupid or childish I am. She loves me anyway". There was not physical or mental cruelty, to my knowledge. So men who start out poorly can improve.

So my point is that, while it is certainly a bad time for a man to freak out, and while he should choose another day to come to grips with the stark reality that he is about to be a dad, perhaps we can glean some understanding of why a man might not want to be at the hospital with his wife during labor or soon after, why he might be "sick" or "tired".

But back to the original topic. Thanks, Ruby, for your tremendous insight and willingness to share. May God bless you and all the others here who have had a Jekyll and Hyde in their lives. May your latter days be much, much better than the J&K days.

On 5/17/2019 at 3:07 PM, Ruby Vee said:

I've been thinking about this post since I read it almost ten hours ago . . . and you're right. "Do you FEEL safe at home?" is the better question. If someone asks "Are you safe at home?" you might answer that you ARE safe because you don't THINK your spouse would physically harm you, even though you might actually FEEL threatened by him. FEELING safe is probably a more true reflection of your actually safety than THINKING you are safe. In fact, research suggests that a woman's actually FEELING of safety or not is the most accurate predictor of her safety.

And if I was so danged safe at home, why was I so afraid to GO there?

When I left, I rented a car and drove five states; a thousand miles away before I felt safe enough to stop. I do FEEL safe now. No restraining order -- for one thing, there's the five states and a thousand miles. And for another, there's the other woman that he kept after I left him. I'd feel sorry for her, but she was willing to mess with a married man, so . . . she can keep him.

I got on a plane and made sure there was no way he could get my home address. Because they can and do follow us. My abuser has contacted me multiple times throughout the years. My social media sites have no identifiable information.

One thing though. Don't judge the other woman for falling for the same crap you did with him. For now she is the reason you are safe. But she doesn't deserve to lose her life to an abuser because HE cheated. She didn't take vows with you HE did. SHE wasn't unfaithful HE was. Don't condemn someone else to the same hell.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
1 hour ago, lovetoos said:


One thing though. Don't judge the other woman for falling for the same crap you did with him. For now she is the reason you are safe. But she doesn't deserve to lose her life to an abuser because HE cheated. She didn't take vows with you HE did. SHE wasn't unfaithful HE was. Don't condemn someone else to the same hell.

I didn't fall for the same crap the other woman is falling for -- I didn't date or "fall for" a married man, a man who was engaged, a man who was in a relationship or any other sort of man who wasn't free to date me.

Being an affair partner -- unless you were duped into believing he was single -- isn't a "mistake". It is wrong. It is immoral. It is deliberately choosing that it is OK to hurt another person so that you can get your jollies/be happy/be with your "true love"/ or any other way you choose to justify it to yourself. Maybe you're hurting several other people -- the wife who truly believes he loves her, and the six little kids who also believe.

But you've just argued that the affair partner owes me nothing because she "wasn't unfaithful." So how in the world can you turn that around to claim that I now owe HER something? That it is worth compromising my safety to warn the woman who was perfectly OK with compromising my safety and security? "Oh, that's just the crazy ex -- can't believe a word she says." Those kinds of warnings don't go well, usually. I don't owe the other woman anything.

But in this particular case, if she didn't learn anything from the fifty plus years she's known him and the other times over the years they've dated and broken up, nothing I can say would influence her.

Here's my public service announcement: Abusers abuse because they have an attitude of entitlement. They feel they are entitled to do whatever it takes to get what they want. Scream at the wife so she's always off balance? Check. Criticize her constantly? Check. Slap her around from time to time because that improves the old memory? Check. All OK -- as long as it gets me what *I* want. That usually translates to affairs as well. So if you're dating a married man, chances are pretty good that he's a personality disordered, entitled wing nut who is also abusive.

Specializes in Geriatrics, Dialysis.
1 hour ago, lovetoos said:

I got on a plane and made sure there was no way he could get my home address. Because they can and do follow us. My abuser has contacted me multiple times throughout the years. My social media sites have no identifiable information.

One thing though. Don't judge the other woman for falling for the same crap you did with him. For now she is the reason you are safe. But she doesn't deserve to lose her life to an abuser because HE cheated. She didn't take vows with you HE did. SHE wasn't unfaithful HE was. Don't condemn someone else to the same hell.

Yes, it's been proven time and time again that a determined abuser will sometimes go to extreme lengths to track down the one that got away. Scary as hell, and sadly not just the plot of a Lifetime movie.

I do have to disagree with not judging "the other woman" though. First off that relationship is shiny and new enough that the abuser probably hasn't come out yet and there's likely no way she'd ever believe any warnings from the "bitter ex." And yes, she did cheat with a married man. Last I checked it takes two to tango. Odds are pretty darn good she knew going into the relationship that he was married. Not that I would wish any harm on her at all, hopefully she's sees him for what he is and ends things before any harm is done.

I had to keep reminding myself to breath.. I hung on to every word.. if you wrote a book I’d buy it! I’m glad you found yourself again this resonates within ❤️ Thanks so much for sharing

Specializes in icu,prime care,mri,ct, cardiology, pacu,.

You are amazing. Keep going on with life. Your humor will return