1 New Patient
Today was one of those days when the Psychiatric Hospital of Seoul was a total caos. With the arrival of a several new patients and the lack of staff, it was a headache for the owner and doctor Min Yunki.
Min Yunki was a tall, pale skin, handsome man. With straight black hair, his cat like eyes and a serious look that made him more mysterious.
Currently it was 3:15 PM, Yunki was in his office finishing the paperwork that requires his authorization for the new patients who would be admitted today. Normally it was Seokjoon the one doing it, hes right hand and friend, but the older was in the section D today, so he didn't had no choice but to do it.
He heard a knock on his door which he answered with a "come in" without looking up from his papers.
-Dr. Min, the patient transferred from Busan is here. -Said the nurse who enter recently.
-Good, go tell Sung-Ho, is his patient. -answer with his eyes still fixed on the papers.
-Dr. Sung-Ho is in section B, sir.
Yunki sighed, putting the pen on the desk. Got up and put on his white lab coat to walk to where the nurse was standing.
-Do you have the file? I would check it just for today.
The boy nodded, handing him the yellow folder containing the patient's information.
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Patient: 00729
Name: Park Jaemin
Eyes: Light Brown
Section: C
Room: 15
Date of admission: August 6, 2016 (Busan)
Time of admission: 5:25 PM
Sex: M
Age of admission: 17, 10
Height of admission: 5' 7"
Weight on admission: 52kg
Actual age: 21, 09
Actual height: 5' 8"
Actual weight: 64kg
Date of birth: October 13, 1998.
Marital status: Single
Education: First year of high school.
Clinical diseases: Asthma
Addictions: None
Parent/Guardian information
Mother/Guardian: Park Yang-Mi
Age:48 years old
Status: Alive
Contact number: 972-390-****
Father/Guardian: Park Young-Soo
Age:56 years old
Status: Alive (In prision)
Contact number: N/A
Reason for admission: The patient was a victim of physical abuse by his father from the age of 14, which caused him to develop schizophrenia. He was never treated by a doctor and when he turned 17 he preceded the murder of an 8-year-old boy, the cause of his post-traumatic stress disorder. The patient's mother decided to admit him to the Busan psychiatric hospital two months after the incident, as the patient presented daily panic attacks, hallucinations, both auditory and visual, hyper-vigilance and reactivity, and several times attempted against his own life. Upon admission, the patient entered a severe catatonic state and does not usually communicate verbally.
Clinical diagnosis:
F20.05 - Delusional schizophrenia and visual and auditory hallucinations. Cognitive dysfunction (disorientation) and isolation.
F08.03 - Catatonia associated with schizophrenia: Catalepsy (awkward positions) and chronic flexibility (staying in the same position).
F41.83 - Depression
F40.950 - Post-traumatic stress disorder (PTSD)
F60.3 - PTSD associated revival (mentally reliving the traumatic event over and over again, including with physical symptoms such as heart palpitations or sweating. Nightmares or terrifying thoughts.
F01.55 - Avoidance associated with PTSD (staying away from places, events, or objects that bring back memories of the traumatic experience. Avoiding thoughts or feelings related to the traumatic event.
F38.0014 - Cognitive and mood symptoms (trouble remembering important details of the traumatic experience, negative thoughts about oneself or the world, feelings of guilt or remorse, and loss of interest in pleasant activities.
Current mental exam: Medium level of consciousness. Tend to have delusional episodes once or twice a day. Poor verbal communication, sometimes says incoherent words. He doesn't like being touched by staff and he tends to panic if he sees sharp objects. His mood changes with the days, he is mostly in a neutral state. He can isolate himself, entering in a trance where only he exists. Hallucinations have not improved, they tend to be more visual.
Medications:
Clozapine- (antipsychotic) 1 tablet a day, 5mg at 12 PM.
Risperidone- (antipsychotic) 1 tablet a day, 15mg at 12 PM.
Haloperidol- (Atypical antipsychotic) 1 tablet twice a day,10 mg at 8 AM and 8 PM.
Citalopram - (Antidepressant) 1 tablet a day, 15mg at 8 AM.
Sertraline- (Antidepressant) 2 tablets a day. 8mg at 3 PM.
He also receives psychotherapy once a week (exposure and cognitive restructuring)
Observations you should take care of:
-He doesn't like sharp objects.
-He doesn't like to be call "Minnie"
-He can't interact with other patients.
-He's not allowed to leave the room without a doctors supervision.
-He likes the color yellow.
-The music can calm him down.
-He likes to bath at least two times a day.
-He can't sleep with the lights off.
-Keep him in the padded room, always.
-There are hallucinations that can become violent.
-There are hallucinations that he can identify as not real.
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Min read everything carefully, it was a interesting case. He felt a little sad because of the background story of that kid, but is not the first time he had seen a patient like that.
-Okay, is he already in his room? -ask to the nurse.
-Yes, sir. The other nurses prepare the padded room for him and he seem confortable with it. They paint the walls baby yellow and make sure to put soft music in the speakers to keep him calm. -explain the guy.
-Perfect, I'll go visit him now. Make sure to send the prescriptions to the pharmacy, we need all the medications for this patient as soon as posible.
Yunki abandone his office to walk directly to section C, room 15. This was a normal day of work for him, but what he didn't know, was that Park Jaemin was not ordinary patient. This probably was going to be the challenge of his live and i can asure you that he is not prepare for it. But what can go wrong? is Min Yunki, the best psychiatric in the whole country of South Korea.
Today the "Perfect Doctor" will meet the wrong patient.
