[continued from previous message]   
      
   > assessment. (Sched 1 & 4 completed). Awaiting confirmation of bed @   
   > Werribee or Alfred.   
   >   
   > #10 - On Discovering Patient's [past medical] Status -- 1730 HOURS 21   
   > AUGUST 1999: "While awaiting confirmation of OOA bed, police spoke   
   > further to this man & obtained possible I.D. of DOLPH BOEK of North   
   > Melbourne. This man reports also that he is [diseased].   
   >   
   > SECTION 9 -- RECOMMENDATION FOR ADMISSION OF A PERSON AS AN INVOLUNTARY   
   > PATIENT: "Dolph is psychotic & expresses delusions re his role in the   
   > end of the world. He was apparently catatonic earlier in interview. He   
   > is insight-less re his SITUATION... This is all in the setting of   
   > [diseased status] for 15 years and could be organic lesion, refusing to   
   > be assessed."   
   >   
   > #11 - Prehospital Notification (psych-liaison) -- 1910 hours 21 august   
   > 1999: "Spoke to consultant ANNE MIJCH. She thinks that [disease] related   
   > mania/psychotic episode cannot be excluded however she is happy for   
   > patient to come in under Infectious Diseases with a Psychiatry consult.   
   > Patient has been sectioned as involuntary patient and is refusing to   
   > stay--needs to be involuntary [as behavioural disorder]... Ordered all   
   > the feds(?) on the preceding page and wrote request for [disease]   
   > genotype, [determine it virulent status]"   
   >   
   > And provides the following history of the present illness: "The patient   
   > presented with mild mania with ideas of grandiosity about being the POPE   
   > OR BEING ABLE TO CAUSE EARTHQUAKES (note: ALLEGED FACTITIOUS   
   > CHARACTERISATION). Insight was impaired. No obvious precipitating   
   > factor. The patient was kept under observations for any exacerbation of   
   > mania and prescribed 10 mg Valium, 4 x Paracetamol and Diazepam at   
   > bedtime."   
   >   
   > STATUS REVIEW ON 22 AUGUST 1999: "He stated recent work (jackhammers) on   
   > *TELSTRA* *BUILDING* [WITHIN THE PRIVATE STREET] *ADJACENT* to his home   
   > has awoken him after 4-5 hours sleep. Patient is polite / co-operative.   
   > Affect elevated. Thought content grandiosity: 'I HAVE DISCOVERED A   
   > PREDICTIVE NUMERICAL NOMENCLATURE FROM DEAD SEA SCROLLS' [as PROOF OF   
   > THE ASSERTION OF AUSTRALIANS BEING POSSESSED OF AN INHERENT ANTI-   
   > SEMITISM AS DISEASED MIND ENCAPSULATED BY IRISH CATHOLIC ANZAC   
   > JINGOISTIC PROPAGANDA]. Religiousity themes of spirituality / mysticism.   
   > Paranoid ideas. Repeatedly stated concerns re implications for minority   
   > groups, with regard to religious beliefs / culture / sexuality with   
   > themes of victimisation. eg: concerns re treaty Australia signed   
   > recently. No suicidal or homocidal ideas. Form flight of ideas.   
   > *INSIGHT* *IMPAIRED*. *JUDGEMENT* *IMPAIRED* as alleged organic   
   > affective disorder--hypomania (21 AUGUST 1999: needs full medical work--   
   > to exclude organic process). Involuntary admission--ongoing investigation."   
   >   
   > NURSING NOTES AT 2030 HOURS ON 22 AUGUST 1999: "Was seen by Infectious   
   > Diseases DR. ENG. Superficially polite, mood settled, however grandiose,   
   > expressing themes (religious), power struggle: ie. states that 'you need   
   > to speak to me as an equal' to DR. ENG during interview. Has reassured   
   > staff that he is not at risk to himself or others. Conversation tends to   
   > be articulate / intelligent, and feels that he is here to help everyone.   
   > Has socialised with co-patients, ventilated around ward, watching news   
   > on T.V. and reading newspaper to occupy time. During conversation with   
   > DR ENG has suggested strongly that he might sue Alfred hospital for   
   > keeping him here as an involuntary patient.   
   >   
   > Believes that there are no sufficient medical grounds to keep him at   
   > hospital (psych). Cooperative and pleasant, with no unusual behaviour   
   > presented this shift. Requested and given 10mg Diazapam to settle him   
   > for bed."   
   >   
   > STATUTORY REVIEW AT 1435 HOURS ON 23 AUGUST 1999: "Was seen by the   
   > consultant DR. K. JENKINS on Statutory Review. Client's section was   
   > upheld as Sec IR. Dr. Jenkins explained and discussed client's diagnosis   
   > of hypomania.   
   >   
   > Referred to the Infectious Diseases people whom interview client early pm."   
   >   
   > NURSING NOTES AT 1525 HOURS ON 23 AUGUST 1999: "The patient was seen by   
   > the Infectious Diseases unit today (DR ANNE MIJCH). The patient might   
   > require a lumbar puncture for his condition. Since the patient is an   
   > involuntary patient at this stage the procedure will need to be carried   
   > out in the ward at Alfred Psychiatry. However could be managed at   
   > Infectious Diseases and coordinated psychiatric liaison if pending   
   > voluntary status."   
   >   
   > NURSING NOTES AT 2030 HOURS ON 23 AUGUST 1999: "Dolf has been nursed on   
   > category observation to monitor his mental state, whereabouts, safety   
   > and any impulsive behaviour. Dolf has made no attempt to leave ward   
   > environment without authorization and has been socialising selectively   
   > with fellow client. Quite warm and reacting upon approach and was seen   
   > by his Dr along with Dr from Infectious Diseases Unit. Whom have ordered   
   > a Lumbar puncture for tomorrow depending on what DR. JENKINS decision on   
   > his status (legally). Dietary and fluid input has been adequate and has   
   > appeared to attend to activities of daily living [such as shaving]."   
   >   
   > CATS ASSESSMENT ON EXPECTATION OF DISCHARGE 25 AUGUST 1999: "Warm and   
   > appropriate throughout interview. Denies any current suicidal ideation   
   > and overt sign of hypomania. Very bright and talkative, but this appears   
   > to be Dolf's usual presentation and he himself describes that he is a   
   > person who lives life. Did concede that his 'protest' was not overly   
   > appropriate and agreed that actions are taken seriously and there are   
   > consequences to same.   
   >   
   > Doesn't appear to be a role for CATS, but given Warratah Clinic Triage   
   > CATS number and I will alert Warratah CATS of Dolf. Will probably   
   > discharge today. PIC to DR K JENKINS (consultant) to discuss outcome of   
   > assessment."   
   >   
   > FOLLOW-UP ARRANGEMENTS: "The patient was advised to follow up   
   > appointments with: PSYCHIATRIST FIONA JUDD, at The Alfred's Infectious   
   > Disease Clinic on WEDNESDAY 8 SEPTEMBER 1999 at 10 am and DR ANNE MIJCH   
   > on THURSDAY 9 SEPTEMBER 1999 at the Infectious Diseases Clinic. He was   
   > also advised to contact his general practitioner with a recommended need   
   > to monitor for further episodes of alteration in mood--depression/   
   > hypomania."   
   >   
   > As FIONA JUDD was not present at the Alfred's Infectious Diseases Clinic   
   > at 10 am on 8 SEPTEMBER 1999 to give substantiation of her confirmed   
   > diagnosis of hypomania and to fulfill her professional responsibilities   
   > regarding an explanation as to the questionable lawfulness of the   
   > involuntary admission--And being unhappy with the explanation given to   
   > me, then terminated the appointment and left. The date of the   
   > appointment with DR ANNE MIJCH corresponds with her own research   
   > opportunism and misrepresentations as telephone call entry made to   
   > access patient’s medical records situated at the Melbourne Health Clinic   
   > occurring after the discharge date: "DOLF PRESENTLY IN THE PSYCHIATRIC   
   > UNIT AT ALFRED. NO DIAGNOSIS MADE YET."   
   >   
   > The lack of any precipitating factor as exacerbation of symptoms is   
   > confirmed by the discharge summary's treatment and progress statement:   
   > "The patient was submitted as an involuntary patient and kept under   
   > observation for any exacerbation of symptoms of mania and also for sleep   
   > depravation. The patient settled down well. Condition at discharge --   
      
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    * Origin: you cannot sedate... all the things you hate (1:229/2)