It was a strain, fighting things no one else saw. Once her sisters watched as Sandy wandered into the street and looked up at the sky. She asked God to take her.
But that February afternoon in 2006, it was the police who took Sandy. Arrested for shoplifting, the 38-year-old college graduate from Aston was ordered held on $10,000 bail and taken to the Delaware County jail.
Within the first hours of Sandy's incarceration, a physician's assistant guessed she might be mentally retarded. Within a day, a doctor diagnosed her as schizophrenic. Within eight days, a psychiatrist declared her incompetent to stand trial.
While the court waited for a competency report, Sandy waited in jail. For five weeks, she saw no visitors. She never went outside. She hid under covers and stared at the walls.
She went two weeks without a shower because the nurses were afraid to go near her.
"Time to get out!" Sandy told a nurse after a week in jail. After two weeks, "Are you here for Jesus?" After a month, "Is [that] a horse over there?"
If a local hospital hadn't released Sandy from its psychiatric ward weeks earlier, she might not have been arrested. If she had threatened to kill the Wal-Mart employees, or herself, the police could have taken her to a hospital.
If jail officials had called Sandy's family, they might have known what was wrong when she collapsed in her cell, her arms and legs flailing, her body cold.
But Sandy wasn't lucky like that.
A grim diagnosis
Later, Sandy's story would come out slowly, in dozens of depositions, after her family sued the jail, the company that runs it, and the hospital that released her weeks before her arrest.
There would be many sides to the tale, a tangle that a jury is scheduled to work out next week.
But it started in 1985, when Sandy was 17 and heading off to York College. That's when her family noticed something was wrong.