Patient Name: Teele, Melodie

Age: 26
Gender: Female
Birthdate 08/04
Admit Date: 09/04
Weight: 123 lbs
Height 51
Eye Color: Brown
Hair Color: Black

Triage Notes:
Patient suffered major paranoia before being admitted. Was heavily sedated by
spouse, who stated that she was extremely violent and had just calmed down
after what appeared to be a manic episode. Does not currently take medication
to control her condition. Does not seek counseling. Has not received any
treatment prior to this incident. Was considered hysteric through previous
doctor visits. Denied treatment at previous sanatorium. Refused treatment. Was
unresponsive to questioning. Was admitted upon arrival and placed in a
holding room until further questioning.

Patient appears well-fed and well groomed. According to her spouse, patient
takes a high pride in her appearance. Vain by standards. Has not woken up in
several hours. Blood pressure normal, temperature normal, and pulse is

current.

Upon awakening, patient shall meet with a clinician to determine

which ward is appropriate.

Patient has awoken, and is confused. Unaware of her surroundings, she was
assigned a number, and met with Dr. Warwicke, who confirmed the presumed
diagnosis of bipolar disorder, and pathological lying. Her bipolar is manic,
with varying signs of auditory hallucinations with the onset of a manic
episode. Patient is placed in the young womens ward, until further notice.
Because of the shortness in staff, she will have to wait until her full
evaluation is completed. For now, the doctor on hand is recommending we begin
bleeding her, considering her lack of respect for anyone on the staff. It is
unknown who will be in charge of care for this patient, seeing as how
rebellious she is proving to be. If this becomes a problem, she will surely be
moved into solitary confinement.

Treatment Notes:
Bipolar Disorder:
After a thorough observation, it can be confirmed that the Patient indeed
suffers from bipolar disorder. She shows the average highs and lows of
depression, paired with several bouts of manic activity. Patient is known to
partake in reckless behaviors, stemming from her promiscuity. Is extremely
self destructive. Has not yet been screened for suicidality, and has yet to make

any threats. Patient will be monitored consistently for changes in moods and
behaviors, following treatment.

Trial One: Bleeding

Once an ancient art, bleeding has made a triumphant comeback, upon the
realization that certain disorders can be quite literally be in the blood. This
procedure begins by placing the patient in an exam room, sterilizing the
injection site, usually the arm, finding veins large enough for a proper
sample, injecting the needle, and quickly removing it. Then, thereafter, a nurse
carefully collects as much blood as she can, ensuring the safe transfer of fluid
to collection bin. The key here is to never go over a certain amount. While
there still is bad blood within the patient, this gives the body a chance to
produce healthier, illness free blood as the body recovers. All new patients
start with this treatment, while we begin to craft their own, personalized
treatment plan.

Trial One cont.

Patient was very rowdy and disobedient. Refused to listen to any of the staff,
used profanities, and caused a fair amount of chaos. After much restraint,
patient was finally settled enough to correctly drain. Patients negative
reaction to treatment was almost unexpected on behalf of the staff. The nurses
punctured the vein and collected the sample, which was to be tested later that
afternoon. The treatment left the patient ill and dizzy. Vitals are a bit less
than average. Patient shall be left for further monitoring.

Upon testing, nothing out of the ordinary was to be found. Patients blood
appeared normal, which baffled myself, and other doctors on call. Purging, at
this point is to be ruled out, considering the loss of so much bodily fluid will
be harmful in the long run. Patient was confirmed unconscious upon further
inspection. Treatment shall be halted until patient has made a full recovery.

Trial One cont.

It has been a few days since the first round of bleeding. Patients behavior has
not changed. There are still extremely drops in overall mood, most of which
appear to be erratic, with no real signs of stabilizing. There are days in which
patients overall mood is considerably upbeat, but when provoked, theres
almost no way of judging what will ultimately happen. Patient is still
restricted to the ward, and may not have any visitors, which doesnt seem
likely, considering the state in which this patient was brought to the
sanatorium. Expect another series of trials to begin, once we reevaluate notes.

Trial Two: Trepanation

Trepanation is the act of drilling small holes within the skull, in order to
relieve pressure, create a state of relief in patients. In this case, it will be
used to allow for a much more sedated, less agitated state of mind. We believe
that the patients problems stem from something much deeper, given the medical
history we received upon arrival. According to triage, Melodie Teel was an

extremely docile, feminine, and very humble child, growing up. Nothing out of
the ordinary, until one day, around late teenage years, Teel began changing in
ways that didnt quite suit the personality Teels parents had once thought
their daughter upheld. Teel was rude, disobedient, and began ignoring the
constant sense of modesty typically held within girls her age.

Allegedly, Teel ran away from home at the age of nineteen, refused the marriage
deal arranged by her mother, and attempted to strip herself of the humble
nature she was accustomed to. Would suffer bouts of extreme rage, suicidality,
and, on occasion, would succumb to homicidal ideation. Teele shows signs of
childhood trauma, particularly from a father gone missing, and constantly
being singled out due to differentiating beliefs from Teels peers.

Up until this point, it is hard to pinpoint exactly why this is happening to

Teele. Hopefully, this trial shall prove to be successful.

Trial Two: Cont.

This revealed a bit more into the brain of the patient. A slight mishap within
the procedure caused a major change within the patients mentality. A tear into
the frontal lobe, much like that of a lobotomy, caused a shutdown of emotion
within the patient. Upon awakening, the patients mood appeared completely
stablized, and almost barely there.

Teele would barely speak, had little to no regard toward the surroundings, the
staff, and so on. While some may call this a misfortune on Teeles behalf, we
consider this triumphant. For now, things appear completely under control.
The patient shall receive a small amount of opium, for a continuous sense of
relief. Constant monitoring shall go underway, as the patient is now
undergoing intensive therapy in order to further investigate the underlying
causes of the condition the patient is suffering through.

Trial Two: Cont.

Upon discovery of one of the nurses, the patient has died. An investigation has
been brought up through the hospital, in order to decipher the cause of death,
presumably from the damage to her brain. The family has yet to be notified, all
things considered. The body has undergone an autopsy, which has revealed the
full extent of the damage.

Alongside the massive buildup of medication within her system, it appears as

though the holes through her skull managed to puncture through, creating
internal damage to both the frontal and temporal lobes, as new holes had been
made a few weeks after the expected recovery time.
Trial Three: Medically Induced Coma
Recovery time for the patient has been very slow. It has taken much time and
much thought, but we have come to the decision to place Teele into a coma, in
order to both speed the healing process, and hopefully find a cure for this
malady.

This process involves injecting a patient with a large amount of glucose,

typically intravenous over the course of a few hours, in order to have the
brain shut down, and, once the patient is removed from this, essentially
restart.

Unfortunately, the results from the trepanation werent entirely exceptional.

We have high hopes that some time under shall allow Teele to have a slight
increase in her behavior overall.

The process began earlier this morning, the patient of course, refused to follow
the attention of the doctors, and was sedated, after much restraint. The patient
received a steady flow of 20 mL of glucose straight through the veins hourly, in
order to maintain that amount throughout.

The patient reacted extremely negatively to the treatment. Once the sedation
wore off, the patient was very irritable, and a bit ill. The glucose, while being
pumped throughout her body, caused a jump in her heart rate, before spiking
blood pressure, and making the patient unable to breathe correctly without
assistance. The dosage shall not be dropped, though, as once the body is used to
the new substance, the symptoms should cease as well.

Trial Three: Cont.

The coma was a success, so to speak. The patient is currently unconscious. Vital
signs shall be monitored throughout the night, and presumably, Teele shall be

under for a period of three days. Hopefully, the time away from her mind should
allow the patient to relearn from the mistaken ways she picked up, and begin
anew.