Bipolar Disorder Lucas Callahan Shadow Health Transcript
Transcript
Started: Jun 25, 2022 | Total Time: 210 min
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Hello. My name is XXXX, I will interview and examine you
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Greet |
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Hey! What’s up?
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Whats your name?
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My name is Lucas Callahan, and don’t wear it out! Unless you want to! Unless your hobby is wearing names out!
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Educate |
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Listen, I KNOW Im at risk for injury! Remember what I was telling you earlier, about the government agents following me because they know, in their weasely little weasel-minds, that Im an enlightened threat? So, yeah. Were on the same page.
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Right, right, you gotta keep me safe like a little babe swaddled in the manger of life. Totally agree with you! Im all baby blanket and pacifier. Life is beautiful, glorious, radiant — gotta preserve it at all costs. Im a national treasure. Kiss my feet if you want.
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Yeah, lets do this thing. Im game. Youre game. All were missing are the cheerleaders. Hey, Lucas! Hes our man! If he cant do it, no one can! Rah rah rah! Sis boom bah bah bah!
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What brings you here today?
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Those idiot cops brought me here. I don’t need to be here but the front desk guy said that they have to check me out. Like I’m some sort of book in the history of atlases.
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Why did the cops bring you here?
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So, I was running around trying to find out what car they — so these government agents, I get this feeling they’re after me sometimes, and when I feel really good, especially, I’m more in touch with when they’re after me — so I was checking out some cars, like, I just KNEW they were hiding in one of them — I mean, it was a grocery store parking lot, I’m sure I looked crazy running around and stuff.
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What did the government agents want? (Clarified to Why do government agents want to contain you?.)
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I am in possession of certain secrets that certain people would die to protect. I can’t go into detail. They could be listening, but agents were coming for me. All the fruit and hot dogs were sleeping in the grocery store. But outside the grocery store, there they were. Agents. They imprison, it’s what they do. They wanted to “contain” me, but I cannot be contained. (Clarified to why the agents wanted to contain me.)
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Are you anxious or paranoid?
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Listen, I’m not paranoid or anything. I’m telling you facts. Cold, hard facts. Put ’em in your pocket and feel that weight. That’s right. Government agents were chasing me and it’s a good thing that they never got me.
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Am sorry about that
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Thanks a million, but I’m all good, I promise!
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Are you anxious?
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I’m not anxious or paranoid or whatever. I mean, I just have a really really fine-tuned sense of, like, OK, now they’re coming for me, the government agents, and I have to be on the look out, ’cause no way am I being snatched up, not a chance.
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Any hallucinations?
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No way. I don’t see junk that’s not there or anything.
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Any recent substance use?
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I haven’t been anything but sober for like, four days. I know I seem like I’m on something, but I’m just this way naturally.
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Which substance did you last use? (Clarified to What was the last substance you used?.)
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I haven’t been anything but sober for like, four days. I know I seem like I’m on something, but I’m just this way naturally. (Clarified to what the substance I used most recently is.)
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Do you get enough sleep?
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Well, there’s not much of it, but I get a couple hours in usually, and I never feel, like, unrested or anything. Recently, I haven’t had to sleep for like, four days. It’s sick, completely bangin’.
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Am sorry about that
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Empathize |
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That’s super cool of you, thanks!
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What is your energy level?
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Awesome! I mean, I’m just a high energy kind of guy, a lot of the time. But this week especially I’ve felt, like, crazy up and up, and I love it. I just love it. I feel like I could lift a horse.
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What is your current mood?
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I am 100% letting the good times roll. Couldn’t be better.
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When did your high energy begin?
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I didn’t mark it on a calendar or anything, but a week ago sounds right. It’s the greatest thing ever. You wouldn’t believe all the stuff you can get done with a ton of energy. It’s like: yes! yes! yes! I should be the mascot for a battery company or something. It doesn’t hurt that I’m good-looking.
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Have you had euphoria? (No matching questions found.)
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How long have you had a good mood? (Clarified to How long has your mood been this good?.)
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I’ve had the jazz in my blood for a week, I’d say. It’s been all trumpets and horn ever since. Gosh, I always knew it could be this way. Me, being the best version of myself. The world, parting its lip like a dang oyster for my consumption. What a life! Ain’t it a song? (Clarified to how long my mood has been this good.)
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Any current health problems?
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Not really. They diagnosed me with depression, but I’m really not worried about that anymore. I’m just really not in that headspace right now.
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What are your typical moods?
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You’ve got Option A and Option B. With A, we’re talking about a bottomless rat hole. With B, we’re talking good vibes that don’t disappoint. I’ll stick with B, thanks.
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What are your typical energy levels?
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Arg! Picture this: a ship on the sea. The waves go up and down. The ship bobs. What’s normal if the ship’s a’bob? You tell me. I’ve been high and I’ve been low.
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Have you experienced depression or suicide attempts in the past?
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Well, yes, I have felt that way before, but that was, what, a couple months ago? I really feel fine and dandy these days. Dandy and dandy, even.
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Am sorry you’ve been through a lot.
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Empathize |
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Hey, I appreciate the good vibes.
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Assessed vitals
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Inspected right eye
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Inspected left eye
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Performed otoscopic examination of right naris
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Performed otoscopic examination of left naris
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Inspected top of arms
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Inspected right forearm
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Inspected right wrist
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Inspected left forearm
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Inspected left wrist
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Inspected top of arms
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Inspected chest
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Inspected legs
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Inspected back
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Auscultated breath sounds
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Auscultated heart sounds
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Palpated abdomen
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Palpated right and left radial pulse
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Palpated right and left dorsalis pedis pulse
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Palpated capillary refill on right and left hand
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Performed EKG
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Assessed lab results
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Assessed general appearance: posture is bent or hunched, clothing is dirty and disheveled, grooming and self-care are otherwise adequate, eye contact is direct
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Assessed attitude: displays frequent distrust and evasiveness
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Assessed speech: rate of speech is rapid, but at an appropriate volume, and no issues with articulation
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Assessed mood and affect: frequent mood changes throughout interview; excessively expansive or cheerful affect
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Assessed thought process: presence of rapid thinking, disorganized or illogical flow of thought, “word salad,” neologisms, echolalia, and clanging associations
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Assessed thought content: presence of delusions; no presence of perceptual disturbances or hallucinations
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Confirmed orientation
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What is your name and date of birth?
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Lucas Callahan, born . . . [Mr. Callahan reports his correct date of birth.]
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What building are you in now?
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The hospital. Shadow General.
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What is the date and year?
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The date is . . . [Mr. Callahan reports the correct date and year.]
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Assessed cognition
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Count backwards from 100 by 7 until you get to the 60s.
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Easy! 100, 93, 86, 79… [Mr. Callahan finishes the sequence.]
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Assessed cognition
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How are apples and oranges alike?
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They’re both fruits, of course!
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How are a lake and an ocean alike?
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They’re both bodies of water.
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How are a trumpet and a flute alike?
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They’re both instruments. And they both are way underused in modern post-punk.
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Assessed cognition
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Repeat and remember burger, tulip, nose, and tea.
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Burger, tulip, nose and tea. Yep, I got this.
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How did you celebrate your last birthday?
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Oh, it was actually really awesome! Me and some friends did the Bake-a-Cake Blindfolded Challenge. Then we just went out to a couple of my favorite bars. It actually wasn’t as rowdy as you’d think, but it was just great vibes all around.
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Repeat the four words from before.
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OK . . . burger, tulip, nose, and tea. Ha! Nailed it.
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Copy the shapes exactly as you see them.
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Right on. Let’s do this!
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Assessed insight: demonstrates limited awareness of illness and is unwilling to seek treatment
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Assessed judgment: demonstrates good judgment
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What would you do if you found a stamped envelope on the sidewalk?
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Probably put it in a mailbox, if I saw there was one nearby.
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Based on your presentation today, I believe you are at risk of injury.
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Educate |
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Listen, I KNOW Im at risk for injury! Remember what I was telling you earlier, about the government agents following me because they know, in their weasely little weasel-minds, that Im an enlightened threat? So, yeah. Were on the same page.
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My goal is to keep you safe and injury free until you can be seen by the next provider. I will put you in a private room where you will be safe from danger and we will check on you frequently. I’ll do a quick physical exam later.
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Educate |
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Right, right, you gotta keep me safe like a little babe swaddled in the manger of life. Totally agree with you! Im all baby blanket and pacifier. Life is beautiful, glorious, radiant — gotta preserve it at all costs. Im a national treasure. Kiss my feet if you want.
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Are you ready to move forward with the care plan?
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Educate |
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Yeah, lets do this thing. Im game. Youre game. All were missing are the cheerleaders. Hey, Lucas! Hes our man! If he cant do it, no one can! Rah rah rah! Sis boom bah bah bah!
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