Former Evaluations:

Sep 14, 2012 18:15

Patient: Jinki Lee (진기 이)
D.O.B: December 14, 1989 - Registered D.O.B: December 14, 1989
Case No.:  56214
Date of Admittance: January 29, 1998
Patient Information: Nine year old, East Asian, Korean. Brought into Seoul General Hospital at 1:37am by his parents from Gwangmyeong, Gyeonggi Province; due to complaints of voices and moving shadows.
Date of test results: January 29, 1998
Diagnosis/Discharge: Upon given a physical exam it was found he had slight traces of blood on the External Auditory Canal. Patient was given sleeping-aids for nighttime problems and eardrops; sent home that same morning.
Date of Admittance: April 12, 1998
Reason for Admittance: Patient has developed slight Anthropophobia. Sleeping aids 
seem to have no effect on him. Complaints of voices persist. Patient has symptoms of insomnia; will be kept under observation.
Date of test results/Diagnosis/Discharge: After a week of observation it has come to our attention that the patient suffers of constant migraine attacks. We recommend him to be seen by a neurologist; given new sleeping aids. Patient discharged April 19, 1998. 
[No data 1999-2000]
Date of Admittance: June 28, 2001
Reasons for Admittance: Ibuprofen overdose. Patient was uncooperative; stomach pump was needed. Put on full body anesthetics for 2 hours. Patient will be transferred to Dr. Cho Eunhye.
Diagnosis/Date of test results/Discharge: Three hours after waking up patient was given a psychological profiling exam by Dr. Cho Eunhye. Patient shows signs of Bipolar Disorder and will be kept under observation. He also shows signs of Mixed Affective episodes; seems to try to seclude from everyone around him besides parents. Given mood stabilizers and sent home on July 12, 2001.
[No data 2002]
Date of Admittance: November 27, 2003
Reasons for Admittance: Panic Attack episode. During class attacked one of his fellow classmates as he tried to escape the classroom; classmate currently in the ER. Brought in unconscious.
Diagnosis/Date of test results/Discharge: Kept under observation for a month had several Panic Attacks; frequent complaints of Auditory Hallucinations and frequent migraines. Patient will be scheduled for shots of every two weeks to deal with Auditory Hallucinations.
Date of Admittance: January 9, 2004
Reasons for Admittance: Shots seem to have stopped working. Patient was brought in under restraints. Attacked two classmates; when asked why he replied ‘They said it was okay’; when asked whom he replied ‘The voices’. The patient will be kept under observation.
Diagnosis: January 9, 2004 - June 14, 2004: After about five months of checkups and observations we have concluded that the patient suffers from Bipolar Disorder with Auditory Hallucinations due to Psychosis. Increase of dosage for shots for the Auditory Hallucinations and medication for his mood changes is needed. He will be scheduled for monthly check ups with Dr. Cho Eunhye; discharged on June 14, 2004.
Date of Admittance: July 16, 2004
Reasons for Admittance: Scheduled monthly checkups. Patient was irritable during session. He got annoyed when asked a question twice or if he was asked to repeat what he said, occasionally doing aggressive gestures. The patient kept complaining of hearing voices.
Diagnosis: Patient seems to have problem controlling his temper and keeps having Auditory Hallucinations. We will continue to give him mood stabilizer and shots.
Date of Admittance: August 19, 2004
Reasons for Admittance: Scheduled monthly checkups. Patient was quieter during session and kept spacing out. However, he still was irritated easily.
Diagnosis: The patient continues to be having mood problems; he will be kept on medication.
Date of Admittance: September 15, 2004
Reasons for Admittance: Scheduled monthly checkups. Patient began to show progress. Auditory Hallucinations seem to have decreased significantly.
Diagnosis: Dosage for mood stabilizer has decreased as well as the shots for Auditory Hallucinations.
Date of Admittance: October 17, 2004
Reasons for Admittance: Scheduled monthly checkups. Patient keeps showing signs of progress. He was more talk active during the session and had complained only once of having Auditory Hallucinations.
Diagnosis: Patient will be kept on medication. 
Date of Admittance: November 20, 2004
Reasons for Admittance: Scheduled monthly checkups. Patient seems to be in a good mood. He has gotten better on his social skills and spoke of his social interaction with classmates.
Diagnosis: Patient seems to be getting better. We will take in consideration the possibility of reducing his scheduled visits.
Date of Admittance: December 15, 2004
Reasons for Admittance: Scheduled monthly checkups. The patient has been getting better grades. He no longer complains of Auditory Hallucinations. 
Diagnosis: We will stop giving the patient the shots for the hallucinations. Starting from next session the patient will be scheduled for visits every three months.
Date of Admittance: March 14, 2005
Reasons for Admittance: Scheduled three month checkups. Patient continues to show sign of progress.
Diagnosis: --
Date of Admittance: June 18, 2005
Reasons for Admittance: Scheduled three month checkups. No abnormalities in the patient's behavior.
Diagnosis: Considering taking him off the medication.
Date of Admittance: September 20, 2005
Reasons for Admittance: Scheduled three month checkups. Patient had an ill temper during the session due to sleeplessness caused by insomnia.
Diagnosis: Dosage of sleeping aids will be increased.
Date of Admittance: December 14, 2005
Reasons for Admittance: Scheduled three month checkups. Patient appears to be in a better mood. Sleeping aids seem to be working.
Diagnosis: We have taken the patient off the mood stabilizers. Patient will be scheduled for visits every six months.
Date of Admittance: June 16, 2005
Reasons for Admittance: Scheduled bi-annual checkup. Patient keeps showing progress. No odd behaviors.
Diagnosis: --
Date of Admittance: December 18, 2005
Reasons for Admittance: Scheduled bi-annual checkup. Patient seems to have a constant pattern in his behavior. Visits will be kept bi-annually.
Diagnosis: Therapy is working correctly patient has increased his social skills.
Date of Admittance: June 19, 2006
Reasons for Admittance: Scheduled bi-annual checkup. The patient was attentive and talk active during session.
Diagnosis: --
Date of Admittance: December 15, 2006
Reasons for Admittance: Scheduled bi-annual checkup. No commentary.
Diagnosis: --
Date of Admittance: June 17, 2007
Reasons for Admittance: Scheduled bi-annual checkup. Patient continues to show progress.
Diagnosis: --
Date of Admittance: December 15, 2007
Reasons for Admittance: Scheduled bi-annual checkup. Patient seemed nervous, he did not listen during the session. When tried to be approached he showed signs of aggression. He took a 15 minute break during session. Patient pushed a nurse down the third floor staircase. Claimed the voices told him he was dangerous and would harm him. Afterwards, he refused to cooperate and come back into therapy; refused to take medication again. The patient was put under surveillance for period of 3 months.
Diagnosis: Patient had a relapse. After 3 months of surveillance patient begun cooperating and taking his medication; he was discharged on March 5, 2008. Patient will be scheduled for monthly checkups. He will be kept on medications.
Date of Admittance: April 8, 2008
Reasons for Admittance: Scheduled monthly checkups. The patient refused to interact during session.
Diagnosis: Patient seems to be having mood problems. Dosage of medication will be increased.
Date of Admittance: May 5, 2008
Reasons for Admittance: Scheduled monthly checkups. May 5: Patient needed tranquilizers, suffered a panic attack episode. No other abnormalities.
Discharged: May 5, 2008
Date of Admittance: June 9, 2008
Reasons for Admittance: Scheduled monthly checkups. The patient was very tense during session. He did not talk much.
Diagnosis: --
Date of Admittance: July 6, 2008
Reasons for Admittance: Scheduled monthly checkups. No commentary.
Diagnosis: --
Date of Admittance: August 9, 2008
Reasons for Admittance: Scheduled monthly checkups. The patient seemed to be spacing out often, but when focused, he behaved aggressively.
Diagnosis: --
Date of Admittance: September 10, 2008
Reasons for Admittance: Scheduled monthly checkups. Missed appointment.
Diagnosis: --
Date of Admittance: October 4, 2008
Reasons for Admittance: Scheduled monthly checkups. Missed appointment. 
Side note:  If he misses anymore appointments he will be put under surveillance.
Diagnosis: --
Date of Admittance: November 11, 2008
Reasons for Admittance: Scheduled monthly checkups. Showed up. The patient showed no signs of abnormal behavior. 
Diagnosis: --
Date of Admittance: December 3, 2008
Reasons for Admittance: Admitted to the hospital, arrived unconscious on an ambulance. Passed out due to a severe migraine attack. CT Scans show no sign of brain abnormalities. 
Diagnosis: Migraine attack.
Date of Admittance: January 8, 2009, ----
Reasons for Admittance: Scheduled monthly checkups. Missed appointment.
Side note: January 15: Tried to contact parents to no avail. Two nurses, two officers and I, Dr. Cho Eunhye, went to the patients home at 5pm; we were received by his mother. We informed her about the patient’s absences to appointments and the multiple phone calls. Patient’s mother claimed that she didn't knew the patient had missed appointments and both the patient's parents had lost their cell phones. Patient arrived around 6pm to his home; he was not comfortable with our presence at his house. Began to get anxious and agitated when tried to be approached, had a violent outbreak. The patient had to be restrained and taken to the hospital. Locked in the Hospital’s Psychiatric ward. Later that day we were informed he had attacked another classmate. Patient claimed to have hidden his parent’s phones for his own security. Patient will be kept here for a year.
Date of Admittance: January 16 - March 29, 2009
Progress: Patient has had repeated violent outbursts followed by depressive episodes; kept isolated and restrained to prevent any harm to himself or any other patient. 
Date of Admittance: April 5 - June 1, 2009
Progress: Every few nights he would cry out for his parents; cursing at them for sending him to ‘hell’. Patient is still restrained. 
Date of Admittance: June 11 - August 8, 2009
Progress: Shows less signs of irritability; began drinking his medications willingly. Will be unrestrained.
Date of Admittance: August 20 - September 30, 2009
Progress: Patient has become quieter. Still takes medications willingly.
Date of Admittance: October 4 - December 27, 2009
Progress: Under consideration of being put with other patients.
Date of Admittance: January 3, 2010 - January 23, 2011
Progress: Progress during the year:
-Patient has been moved with others in the psychiatric ward. Everything seems to be in order.
-No violent outbreaks have been reported.
-Patient had grown ever more silent. Gives short replies, never full sentences.
-He seems a bit more sociable.
-Patient will be sent home; scheduled for bi-weekly visits.
Date of Admittance: February 4-18, 2011; March 10-24, 2011; April 8-29, 2011; May 13-27, 2011; June 10-24, 2011; July 8-22, 2011; August 11-31, 2011; September 9-23, 2011; October 7-21, 2011; November 11-25, 2011; December 9-23, 2011
Reason for Admittance: Scheduled bi-weekly checkups. Progress during the year:
-March 24: Patient was given sleeping aids.
-September 23: Patient seems irritable, but in control.
-November 11: The patient seems to be getting better academically and socially.
-December 9: Patient will be schedules for monthly visits.
Date of Admittance: January 28, 2012
Reason for Admittance: Scheduled monthly checkups. Patient came inside the office, he awkwardly stood by the door and waited to be offered a sit. He never opted to start the conversation.
Date of Admittance: February 27, 2012
Reason for Admittance: Scheduled monthly checkups. Patient seems bothered by something, however he didn't offer an explanation. He bit his nails off during the session.
Date of Admittance: March 29, 2012
Reason for Admittance: Scheduled monthly checkups. He indicated he felt uncomfortable; session ended early.
Date of Admittance: April 27, 2012
Reason for Admittance: Scheduled monthly checkups. Patient refuses to speak.
Date of Admittance: May 22, 2012
Reason for Admittance: Scheduled monthly checkups. Missed session.
Date of Admittance: June 23, 2012
Reason for Admittance: Scheduled monthly checkups. Missed session.
Date of Admittance: July 20, 2012
Reason for Admittance: Scheduled monthly checkups. Missed session. On July 25: We tried to contact the patient's parents; no reply. We tried to contact the patient's father at his work place, but they had lost contact with him for nearly a week. We informed the police and went to patient's house. The patient opened the door of his home for us to come in. We asked him where his parents were. He seemed calm, but refused to speak. When we asked again about his parents he pointed us to their room. Both parents were found dead. Morgue indicated no more than a week since time of death. The patient will be restrained until the day scheduled to go to court.
Date: August 15, 2012
Side note: In the scheduled day of the court the patient stayed silent and spaced out event when interrogated. We exposed the patient's medical record. The court assignated a psychiatrist to verify the patient's conditions in the medical record.
Date: September 9, 2012Side note: The patient did not spoke after been found in his household, except once. The court's psychiatrist and I, Dr. Cho Eunhye, were in a daily session with the patient when we asked him about his parent's incident. At first he remained silent, however, after a few minutes of silence he whispered 'They told me they were suffering. They told me to free them from despair.' After a throughout analysis the court's psychiatrist and I have concluded that the patient suffered a Hallucination when he attacked his parents. Upon hearing our testimony, the court has decided that the patient should be moved to an asylum.

shawol, au, mvp, lee jinki, onew, jinki, shinee, dubu, psychological

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