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February 02, 2009 |
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An Evaluation
FOUND by Murdoc Hansen Houlander
in Santa Monica, CA
I found this laying face up in a heap of papers and documents. "Beast" was scribbled repeated on the back. There were other documents along with this one, mostly insurance information.
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Office She-yit February 13, 2007 |
Baby Jesus October 10, 2007 |
Dragon Yard Sale January 27, 2008 |
To Prevent a Horse... September 30, 2005 |
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We collect FOUND stuff: love letters, birthday cards, kids' homework,
to-do lists, ticket stubs, poetry on napkins, telephone bills, doodles -
anything that gives a glimpse into someone
else's life. Anything goes...
I'd try an escape route too if my early childhood had been like that. What am I saying, I did try an escape route but it didn't work any better than heroine.
trying to eliminate/control the "beast" within? poor guy.
I know this guy! He used to dance at our college dorm parties in Kanab House out in Utah!
What was his name? Pedro? Pablo? Paul something! That was it: PAUL!
Murdoc Hansen Houlander is an awesome name.
But what a sad find.
"Lying face up on a heap of papers and documents"--where? on the street? In an office? Did you perhaps lift this from the office of the rehab facility for "extended residential and sober living"?
This is a case history of the kind I translate all day. Well, I say "all day"--when I have work.
Fidgerty!
Found in Santa Monica...whew...doesn't surprise me.
Poor guy...hope he was able to get better and not end up someplace worse, like Hollywood.
Umm..feeling a bit odd about this find.
Really personal, you know?
I am of the opinion that medical records are confidential and shouldn't be in a place for someone to find "laying face up in a heap of papers and documents."
This is Dms critera for addicts clearly he was a dual diagnosis client...I know this since I was a chemical dependency major
it looks more like a project than medical records.
I agree with Sammy Davis Junior Jr.
I think this is too confidential to post as a find. Even if the document was found in a heap of papers somewhere on the street, I don't think it's okay to put it on the internet for anyone to see.
How can it be confidential? It doesn't mention a name anywhere.
I'm concerned that the wording is quite unprofessional. I tend to agree with Jolenesummer in NY that this is a student's project.
For every addict whose excuse is an unhappy childhood, I'm hoping that there are at least three survivors who endured their pasts without turning to hardcore drug escapism. It can be done.
I also think this is not real; What kind of professional would mention as part of the interview notes that the person is tall and good-looking? Irrelevant to treatment.
I'm with Encased on this one; the white-coats have their own jargon. "Smart" would be expressed as "intelligent". "We agreed to wait on meds"? No, that should read, "Final decision on medication pending re-evaluation."
"He looks good but has been quite sick in his addiction" doesn't sound like psychiatrist-speak either.
There is no HIPAA confidentially breach - as their is no PHI on the notes.
there - oops
jolesummer, that's DSM criteria. what kind of major are you?
http://allpsych.com/disorders/dsm.html
What does
III 0
and
V 53
mean???
...man I'm glad I never got picked off burning ants or setting my model cars on fire...
@constant obs in Ward K: I think that people who come from bad childhood circumstances fall into two categories. Victim or survivor.
I don't know that you have a lot of control over which category you fall into without the help of a good counselor. I DO know, from experience, that deep down inside every victim is a survivor; and deep down inside every survivor is a victim.
This find made me feel sad. Even if it is just a project.
@ hiplainsdrifter ... That's okay. While one is drinking at a bar, how does one know a contraction is being used incorrectly during a spoken conversation? I mean, who can tell the difference between 'their' and 'there' while in a random dive bar?
(with apologies/acknowledgements to Fooch)
@ Librarian - I don't think this kid cares about using contractions at the bar. He trying to stay sober and get out of the heroin biz :)
Hey Fooch: There is nothing wrong with Hollywood.
Also, I don't think this should have been posted, which makes me rethink the whole idea of posting people's personal items, even if they are found on the floor.
I do definitely think there's a difference, though, between a doodle or random post it note about what items to pick up at the grocery store and someone's psychological history.
I can't comment on the contents of the paper because I didn't read it. 'Just seems unethical.
This dude needs methadone.
How can this be a breach of confidentiality? There is no name on it. Besides, I think it is either a project or it is really really old material used to study off of. Who uses words like FIDGETRY? What does that even mean?
"he was embarrassed by being called to the front of the class to take stimulants which he did til age 13."
WTF?! This is extremely clumsy and unprofessional wording.. (I hate that word "til" in there.) but really .. it's mystifying. Even if he's taking some kind of stimulant script for the ADHD, it's not likely that he'd be "called to the front of the class" to take his meds in front of God and everyone-- ir is it?
Does heroin need to be capitalized? (not capitalized in paragraph 2, capitalized in paragraph 3.) doesn't seem like it'd be a proper noun.
If this somehow IS the genuine article, I think whoever took the notes wants to do him. She kinda gushes toward the end there.
I'm kinda sad for the guy. :(
Um... found face-up in a stack of papers and documents? Is it really a find then?
Hey, look at this piece of paper where it's supposed to be!
Anyway, anyone who thinks this is a fake or student-written because of the unprofessional language has obviously not worked in the social work field. I see stuff worse than this all the time.
Taking medication in public schools is an embarrassing ordeal. Kids aren't allowed to carry any medication, even OTC stuff, much less prescription meds. To get your meds you have to give them to the school (at my high school, it was Dean's office, but at elementary/middle school, it might well have been the kid's teacher) and have the school dispense them. So yeah, it's reasonable that he might've been called up to the front of the room to take his meds.
If he's real and not just a project.
At least he had no allergies.
At my school, teachers are not allowed to have any type of meds at all in class, unless it's an Ipi-pen for emergencies. All dispensing is done in the privacy of the health room, via the nurse. And it's been that way for many years.
I am a medical transcriptionist, and worked for more than a year for an in-patient behavioral center typing notes exactly like this (though hopefully without the typos).
There's nothing out of the ordinary about any of the phrasing here. The reference to the patient as being "tall and good-looking" is a reference to the patient's strengths/abilities - as is the remark about insight and intelligence. These are things that the team will emphasize to the patient as a sort of "building block" in early treatment before there are any real accomplishments - "Hey, you're a tall, healthy, good-looking guy, you're smart and charming - if you can get your head together, you've got a very bright future in front of you."
The recommendation section is phrased perfectly naturally for a provider who's been doing this job for a long time; the jargon and convoluted gobbledygook usually comes from the newly minted evaluators who want to sound ultra-professional.
And, Hiplains, Axis 3 refers to other medical problems that may affect treatment (in this case, the patient has none, is physically healthy), and Axis 5 is a global functioning assessment or something like that, on a scale of 1-100 - what the interviewer expects as far as an ultimate outcome. The "good looking, charming" details are used to help reach that assessment, by the way.
I don't see any reason to think this was a test or project; it appears to be part of an actual person's legitimate medical record. As such I agree that it should probably not be posted here, even if there's not any specifically identifying information. In addition to the unlikely event of the person being recognized or recognizing himself, the provider group who "lost" it could be in a world of trouble with HIPAA.
Why is it more personal to be in the rehab than in someone's house? Yeah, it's a sucky place, but it was in my house, too, and you'd look at photos of me growing up there if they were posted on here.
For those of you who've never been in the rehab and pity us poor sick fools, some of us get out and get better. I did. Been clean ten years. Nary a toke, nor a pill, nor a swig, nor a swallow, nor a shot. And no, I don't need your, 'Congratulations,' and 'Keep up the good work,' but you can say it if you're uncomfortable now and don't have anything else to say.
Man, I see a lot of myself in the description of the kid. I never did drugs, I had other destructive outlets, but the descriptions of his home life and school experiences and so on are very sad.
I hope he does okay. I'm rooting for him.
@ pfft ... makes sense when you describe it that way. Except this is the conversation I'm picturing at the clinic:
"Hey, Jules, which drug-addled loser are you working with after lunch?"
"The tall good-looking one."
"Well, good luck with that."
fyi these kinds of typos are common and usually not our fault. the records are dictated over the phone to a medical transcription service just after an appointment usually
to "Librarian in the woodwork"
those conversations are unprofessional and unfortunate, but I can tell you that they happen all the time. we're only human beings after all
I kinda think that my evaluation would say:
Axis I. Evil
I agree with everyone who thinks this is real, typos and all. I work in the mental health field and was slightly offended when Medical Records came to our team meeting with 2 "perfect" examples of documentation. They both were riddled with spelling and grammatical errors, but all the necessary info was there. Also, Axis V is the Global Assessment of Functioning. A score of 53 would indicate that he is having moderate difficulty with symptoms and/or functioning. I don't feel this is a HIPAA violation as there is no identifying information on here, such as his name, etc.
Booge, I really don't know why it should be considered more private, but it is. I'm just reporting what federal law states - that letting this type of report get out into the public eye, even without patient identifying information, is a violation of privacy.
I don't think there's anything wrong with sharing the funny thing that happened during the office visit I just finished transcribing, either, especially given the multiple layers of anonymity (you not only don't know the patient I'm talking about, you also don't know ME). But I DO know that if I did share it, and got caught, I'd be fired. That's just how it is.
By the way, you might not be aware of this, but it's possible to continue to be an a$$hole even after/during recovery. With an attitude like yours, no wonder you're inclined to dismiss/disparage encouragement before it's offered - makes it much easier to deal with the disappointment when you realize no one actually cares, huh? GOYS.
This seems to be a project, not an actual medical report. What professional uses language like this? Unless Walmart is now in the psychoanalysis/drug counseling business.
And taking meds in front of everyone? I think not. No public school in the US would ever permit or condone that kind of behavior. Meds are given to the school nurse or the parents come in and give the meds ... privately. Unless you got to school in Hungry Holla, Tennessee or Whitetrash Lake, Mississippi...
Lord help us all if this IS a "professional" document.
Thirty days inpatient treatment at Discovery. Pretty good insurance, I must say.
This document is not some kind of project. This is the real thing. And, actually a fairly good example compared to many I have read.
I maintain complete privacy for my students when they take their medications, but it makes me so sad to hear about long term angst caused by in-school medication administration.
P.S.
FYI
Pharmacists dispense medications.
Nurses administer medications.
Nice dig at the South, Jersey.
I love how all the medical professionals and transcriptionists emerge from the woodwork to educate the masses. Yeah. Thanks.
Hungry Holla, Tennessee or Whitetrash Lake, Mississippi?
Francie in Jersey needs to get out more and explore this amazing place that is America. (maybe after taking a sensitivity training course.)