Bipolar Disorder Lucas Callahan Shadow Health Transcript
Transcript
Started: Jun 25, 2022 | Total Time: 210 min
All Lines (176)Interview Questions (127)Statements (15)Exam Actions (34)
Hello. My name is XXXX, I will interview and examine you
Greet
06/25/22 12:27 PM EDT
Hey! What’s up?
Whats your name?
Question
06/25/22 12:28 PM EDT
My name is Lucas Callahan, and don’t wear it out! Unless you want to! Unless your hobby is wearing names out!
.
Educate
06/25/22 12:31 PM EDT
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.
.
Educate
06/25/22 12:31 PM EDT
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.
.
Educate
06/25/22 12:31 PM EDT
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!
What brings you here today?
Question
06/25/22 1:46 PM EDT
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.
Why did the cops bring you here?
Question
06/25/22 1:50 PM EDT
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.
What did the government agents want? (Clarified to Why do government agents want to contain you?.)
Question
06/25/22 1:51 PM EDT
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.)
Are you anxious or paranoid?
Question
06/25/22 1:52 PM EDT
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.
Am sorry about that
Empathize
06/25/22 1:53 PM EDT
Thanks a million, but I’m all good, I promise!
Are you anxious?
Question
06/25/22 1:55 PM EDT
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.
Any hallucinations?
Question
06/25/22 1:56 PM EDT
No way. I don’t see junk that’s not there or anything.
Any recent substance use?
Question
06/25/22 1:57 PM EDT
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.
Which substance did you last use? (Clarified to What was the last substance you used?.)
Question
06/25/22 1:58 PM EDT
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.)
Do you get enough sleep?
Question
06/25/22 1:59 PM EDT
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’.
Am sorry about that
Empathize
06/25/22 1:59 PM EDT
That’s super cool of you, thanks!
What is your energy level?
Question
06/25/22 2:00 PM EDT
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.
What is your current mood?
Question
06/25/22 2:00 PM EDT
I am 100% letting the good times roll. Couldn’t be better.
When did your high energy begin?
Question
06/25/22 2:05 PM EDT
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.
Have you had euphoria? (No matching questions found.)
Question
06/25/22 2:06 PM EDT
How long have you had a good mood? (Clarified to How long has your mood been this good?.)
Question
06/25/22 2:06 PM EDT
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.)
Any current health problems?
Question
06/25/22 2:07 PM EDT
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.
What are your typical moods?
Question
06/25/22 2:07 PM EDT
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.
What are your typical energy levels?
Question
06/25/22 2:16 PM EDT
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.
Have you experienced depression or suicide attempts in the past?
Question
06/25/22 3:44 PM EDT
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.
Am sorry you’ve been through a lot.
Empathize
06/25/22 3:45 PM EDT
Hey, I appreciate the good vibes.
Assessed vitals
Exam Action
06/25/22 3:47 PM EDT
Inspected right eye
Exam Action
06/25/22 3:55 PM EDT
Inspected left eye
Exam Action
06/25/22 3:55 PM EDT
Performed otoscopic examination of right naris
Exam Action
06/25/22 3:56 PM EDT
Performed otoscopic examination of left naris
Exam Action
06/25/22 3:56 PM EDT
Inspected top of arms
Exam Action
06/25/22 3:56 PM EDT
Inspected right forearm
Exam Action
06/25/22 3:56 PM EDT
Inspected right wrist
Exam Action
06/25/22 3:56 PM EDT
Inspected left forearm
Exam Action
06/25/22 3:56 PM EDT
Inspected left wrist
Exam Action
06/25/22 3:56 PM EDT
Inspected top of arms
Exam Action
06/25/22 3:57 PM EDT
Inspected chest
Exam Action
06/25/22 3:57 PM EDT
Inspected legs
Exam Action
06/25/22 3:57 PM EDT
Inspected back
Exam Action
06/25/22 3:57 PM EDT
Auscultated breath sounds
Exam Action
06/25/22 3:58 PM EDT
Auscultated heart sounds
Exam Action
06/25/22 3:58 PM EDT
Palpated abdomen
Exam Action
06/25/22 3:58 PM EDT
Palpated right and left radial pulse
Exam Action
06/25/22 3:58 PM EDT
Palpated right and left dorsalis pedis pulse
Exam Action
06/25/22 3:58 PM EDT
Palpated capillary refill on right and left hand
Exam Action
06/25/22 3:59 PM EDT
Performed EKG
Exam Action
06/25/22 3:59 PM EDT
Assessed lab results
Exam Action
06/25/22 3:59 PM EDT
Assessed general appearance: posture is bent or hunched, clothing is dirty and disheveled, grooming and self-care are otherwise adequate, eye contact is direct
Exam Action
06/25/22 3:59 PM EDT
Assessed attitude: displays frequent distrust and evasiveness
Exam Action
06/25/22 3:59 PM EDT
Assessed speech: rate of speech is rapid, but at an appropriate volume, and no issues with articulation
Exam Action
06/25/22 4:00 PM EDT
Assessed mood and affect: frequent mood changes throughout interview; excessively expansive or cheerful affect
Exam Action
06/25/22 4:00 PM EDT
Assessed thought process: presence of rapid thinking, disorganized or illogical flow of thought, “word salad,” neologisms, echolalia, and clanging associations
Exam Action
06/25/22 4:00 PM EDT
Assessed thought content: presence of delusions; no presence of perceptual disturbances or hallucinations
Exam Action
06/25/22 4:00 PM EDT
Confirmed orientation
Exam Action
06/25/22 4:00 PM EDT
What is your name and date of birth?
Question
06/25/22 4:01 PM EDT
Lucas Callahan, born . . . [Mr. Callahan reports his correct date of birth.]
What building are you in now?
Question
06/25/22 4:01 PM EDT
The hospital. Shadow General.
What is the date and year?
Question
06/25/22 4:01 PM EDT
The date is . . . [Mr. Callahan reports the correct date and year.]
Assessed cognition
Exam Action
06/25/22 4:02 PM EDT
Count backwards from 100 by 7 until you get to the 60s.
Question
06/25/22 4:02 PM EDT
Easy! 100, 93, 86, 79… [Mr. Callahan finishes the sequence.]
Assessed cognition
Exam Action
06/25/22 4:03 PM EDT
How are apples and oranges alike?
Question
06/25/22 4:03 PM EDT
They’re both fruits, of course!
How are a lake and an ocean alike?
Question
06/25/22 4:03 PM EDT
They’re both bodies of water.
How are a trumpet and a flute alike?
Question
06/25/22 4:04 PM EDT
They’re both instruments. And they both are way underused in modern post-punk.
Assessed cognition
Exam Action
06/25/22 4:04 PM EDT
Repeat and remember burger, tulip, nose, and tea.
Question
06/25/22 4:06 PM EDT
Burger, tulip, nose and tea. Yep, I got this.
How did you celebrate your last birthday?
Question
06/25/22 4:07 PM EDT
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.
Repeat the four words from before.
Question
06/25/22 4:08 PM EDT
OK . . . burger, tulip, nose, and tea. Ha! Nailed it.
Copy the shapes exactly as you see them.
Question
06/25/22 4:08 PM EDT
Right on. Let’s do this!
Assessed insight: demonstrates limited awareness of illness and is unwilling to seek treatment
Exam Action
06/25/22 4:09 PM EDT
Assessed judgment: demonstrates good judgment
Exam Action
06/25/22 4:09 PM EDT
What would you do if you found a stamped envelope on the sidewalk?
Question
06/25/22 4:10 PM EDT
Probably put it in a mailbox, if I saw there was one nearby.
Based on your presentation today, I believe you are at risk of injury.
Educate
06/25/22 5:02 PM EDT
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.
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.
Educate
06/25/22 5:05 PM EDT
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.
Are you ready to move forward with the care plan?
Educate
06/25/22 5:06 PM EDT
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!
