Posted: December 19th, 2022

Bipolar Disorder Lucas Callahan Shadow Health Transcript

Transcript

Started: Jun 25, 2022 | Total Time: 210 min
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Hello. My name is XXXX, I will interview and examine you

Greet
06/25/22 12:27 PM EDT

Lucas Callahan.
Hey! What’s up?
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Whats your name?

Question
06/25/22 12:28 PM EDT

Lucas Callahan.
My name is Lucas Callahan, and don’t wear it out! Unless you want to! Unless your hobby is wearing names out!
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.

Educate
06/25/22 12:31 PM EDT

Lucas Callahan.
Listen, I KNOW Im at risk for injury! Remember what I was telling you earlier, about the government agents following me because they know, in their weasely little weasel-minds, that Im an enlightened threat? So, yeah. Were on the same page.
Your Avatar.
.

Educate
06/25/22 12:31 PM EDT

Lucas Callahan.
Right, right, you gotta keep me safe like a little babe swaddled in the manger of life. Totally agree with you! Im all baby blanket and pacifier. Life is beautiful, glorious, radiant — gotta preserve it at all costs. Im a national treasure. Kiss my feet if you want.
Your Avatar.
.

Educate
06/25/22 12:31 PM EDT

Lucas Callahan.
Yeah, lets do this thing. Im game. Youre game. All were missing are the cheerleaders. Hey, Lucas! Hes our man! If he cant do it, no one can! Rah rah rah! Sis boom bah bah bah!
Your Avatar.
What brings you here today?

Question
06/25/22 1:46 PM EDT

Lucas Callahan.
Those idiot cops brought me here. I don’t need to be here but the front desk guy said that they have to check me out. Like I’m some sort of book in the history of atlases.
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Why did the cops bring you here?

Question
06/25/22 1:50 PM EDT

Lucas Callahan.
So, I was running around trying to find out what car they — so these government agents, I get this feeling they’re after me sometimes, and when I feel really good, especially, I’m more in touch with when they’re after me — so I was checking out some cars, like, I just KNEW they were hiding in one of them — I mean, it was a grocery store parking lot, I’m sure I looked crazy running around and stuff.
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What did the government agents want? (Clarified to Why do government agents want to contain you?.)

Question
06/25/22 1:51 PM EDT

Lucas Callahan.
I am in possession of certain secrets that certain people would die to protect. I can’t go into detail. They could be listening, but agents were coming for me. All the fruit and hot dogs were sleeping in the grocery store. But outside the grocery store, there they were. Agents. They imprison, it’s what they do. They wanted to “contain” me, but I cannot be contained. (Clarified to why the agents wanted to contain me.)
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Are you anxious or paranoid?

Question
06/25/22 1:52 PM EDT

Lucas Callahan.
Listen, I’m not paranoid or anything. I’m telling you facts. Cold, hard facts. Put ’em in your pocket and feel that weight. That’s right. Government agents were chasing me and it’s a good thing that they never got me.
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Am sorry about that

Empathize
06/25/22 1:53 PM EDT

Lucas Callahan.
Thanks a million, but I’m all good, I promise!
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Are you anxious?

Question
06/25/22 1:55 PM EDT

Lucas Callahan.
I’m not anxious or paranoid or whatever. I mean, I just have a really really fine-tuned sense of, like, OK, now they’re coming for me, the government agents, and I have to be on the look out, ’cause no way am I being snatched up, not a chance.
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Any hallucinations?

Question
06/25/22 1:56 PM EDT

Lucas Callahan.
No way. I don’t see junk that’s not there or anything.
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Any recent substance use?

Question
06/25/22 1:57 PM EDT

Lucas Callahan.
I haven’t been anything but sober for like, four days. I know I seem like I’m on something, but I’m just this way naturally.
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Which substance did you last use? (Clarified to What was the last substance you used?.)

Question
06/25/22 1:58 PM EDT

Lucas Callahan.
I haven’t been anything but sober for like, four days. I know I seem like I’m on something, but I’m just this way naturally. (Clarified to what the substance I used most recently is.)
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Do you get enough sleep?

Question
06/25/22 1:59 PM EDT

Lucas Callahan.
Well, there’s not much of it, but I get a couple hours in usually, and I never feel, like, unrested or anything. Recently, I haven’t had to sleep for like, four days. It’s sick, completely bangin’.
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Am sorry about that

Empathize
06/25/22 1:59 PM EDT

Lucas Callahan.
That’s super cool of you, thanks!
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What is your energy level?

Question
06/25/22 2:00 PM EDT

Lucas Callahan.
Awesome! I mean, I’m just a high energy kind of guy, a lot of the time. But this week especially I’ve felt, like, crazy up and up, and I love it. I just love it. I feel like I could lift a horse.
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What is your current mood?

Question
06/25/22 2:00 PM EDT

Lucas Callahan.
I am 100% letting the good times roll. Couldn’t be better.
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When did your high energy begin?

Question
06/25/22 2:05 PM EDT

Lucas Callahan.
I didn’t mark it on a calendar or anything, but a week ago sounds right. It’s the greatest thing ever. You wouldn’t believe all the stuff you can get done with a ton of energy. It’s like: yes! yes! yes! I should be the mascot for a battery company or something. It doesn’t hurt that I’m good-looking.
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Have you had euphoria? (No matching questions found.)

Question
06/25/22 2:06 PM EDT

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How long have you had a good mood? (Clarified to How long has your mood been this good?.)

Question
06/25/22 2:06 PM EDT

Lucas Callahan.
I’ve had the jazz in my blood for a week, I’d say. It’s been all trumpets and horn ever since. Gosh, I always knew it could be this way. Me, being the best version of myself. The world, parting its lip like a dang oyster for my consumption. What a life! Ain’t it a song? (Clarified to how long my mood has been this good.)
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Any current health problems?

Question
06/25/22 2:07 PM EDT

Lucas Callahan.
Not really. They diagnosed me with depression, but I’m really not worried about that anymore. I’m just really not in that headspace right now.
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What are your typical moods?

Question
06/25/22 2:07 PM EDT

Lucas Callahan.
You’ve got Option A and Option B. With A, we’re talking about a bottomless rat hole. With B, we’re talking good vibes that don’t disappoint. I’ll stick with B, thanks.
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What are your typical energy levels?

Question
06/25/22 2:16 PM EDT

Lucas Callahan.
Arg! Picture this: a ship on the sea. The waves go up and down. The ship bobs. What’s normal if the ship’s a’bob? You tell me. I’ve been high and I’ve been low.
Have you experienced depression or suicide attempts in the past?

Question
06/25/22 3:44 PM EDT

Lucas Callahan.
Well, yes, I have felt that way before, but that was, what, a couple months ago? I really feel fine and dandy these days. Dandy and dandy, even.
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Am sorry you’ve been through a lot.

Empathize
06/25/22 3:45 PM EDT

Lucas Callahan.
Hey, I appreciate the good vibes.
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 Assessed vitals

Exam Action
06/25/22 3:47 PM EDT

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 Inspected right eye

Exam Action
06/25/22 3:55 PM EDT

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 Inspected left eye

Exam Action
06/25/22 3:55 PM EDT

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 Performed otoscopic examination of right naris

Exam Action
06/25/22 3:56 PM EDT

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 Performed otoscopic examination of left naris

Exam Action
06/25/22 3:56 PM EDT

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 Inspected top of arms

Exam Action
06/25/22 3:56 PM EDT

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 Inspected right forearm

Exam Action
06/25/22 3:56 PM EDT

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 Inspected right wrist

Exam Action
06/25/22 3:56 PM EDT

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 Inspected left forearm

Exam Action
06/25/22 3:56 PM EDT

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 Inspected left wrist

Exam Action
06/25/22 3:56 PM EDT

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 Inspected top of arms

Exam Action
06/25/22 3:57 PM EDT

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 Inspected chest

Exam Action
06/25/22 3:57 PM EDT

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 Inspected legs

Exam Action
06/25/22 3:57 PM EDT

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 Inspected back

Exam Action
06/25/22 3:57 PM EDT

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 Auscultated breath sounds

Exam Action
06/25/22 3:58 PM EDT

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 Auscultated heart sounds

Exam Action
06/25/22 3:58 PM EDT

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 Palpated abdomen

Exam Action
06/25/22 3:58 PM EDT

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 Palpated right and left radial pulse

Exam Action
06/25/22 3:58 PM EDT

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 Palpated right and left dorsalis pedis pulse

Exam Action
06/25/22 3:58 PM EDT

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 Palpated capillary refill on right and left hand

Exam Action
06/25/22 3:59 PM EDT

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 Performed EKG

Exam Action
06/25/22 3:59 PM EDT

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 Assessed lab results

Exam Action
06/25/22 3:59 PM EDT

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 Assessed general appearance: posture is bent or hunched, clothing is dirty and disheveled, grooming and self-care are otherwise adequate, eye contact is direct

Exam Action
06/25/22 3:59 PM EDT

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 Assessed attitude: displays frequent distrust and evasiveness

Exam Action
06/25/22 3:59 PM EDT

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 Assessed speech: rate of speech is rapid, but at an appropriate volume, and no issues with articulation

Exam Action
06/25/22 4:00 PM EDT

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 Assessed mood and affect: frequent mood changes throughout interview; excessively expansive or cheerful affect

Exam Action
06/25/22 4:00 PM EDT

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 Assessed thought process: presence of rapid thinking, disorganized or illogical flow of thought, “word salad,” neologisms, echolalia, and clanging associations

Exam Action
06/25/22 4:00 PM EDT

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 Assessed thought content: presence of delusions; no presence of perceptual disturbances or hallucinations

Exam Action
06/25/22 4:00 PM EDT

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 Confirmed orientation

Exam Action
06/25/22 4:00 PM EDT

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What is your name and date of birth?

Question
06/25/22 4:01 PM EDT

Lucas Callahan.
Lucas Callahan, born . . . [Mr. Callahan reports his correct date of birth.]
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What building are you in now?

Question
06/25/22 4:01 PM EDT

Lucas Callahan.
The hospital. Shadow General.
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What is the date and year?

Question
06/25/22 4:01 PM EDT

Lucas Callahan.
The date is . . . [Mr. Callahan reports the correct date and year.]
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 Assessed cognition

Exam Action
06/25/22 4:02 PM EDT

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Count backwards from 100 by 7 until you get to the 60s.

Question
06/25/22 4:02 PM EDT

Lucas Callahan.
Easy! 100, 93, 86, 79… [Mr. Callahan finishes the sequence.]
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 Assessed cognition

Exam Action
06/25/22 4:03 PM EDT

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How are apples and oranges alike?

Question
06/25/22 4:03 PM EDT

Lucas Callahan.
They’re both fruits, of course!
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How are a lake and an ocean alike?

Question
06/25/22 4:03 PM EDT

Lucas Callahan.
They’re both bodies of water.
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How are a trumpet and a flute alike?

Question
06/25/22 4:04 PM EDT

Lucas Callahan.
They’re both instruments. And they both are way underused in modern post-punk.
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 Assessed cognition

Exam Action
06/25/22 4:04 PM EDT

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Repeat and remember burger, tulip, nose, and tea.

Question
06/25/22 4:06 PM EDT

Lucas Callahan.
Burger, tulip, nose and tea. Yep, I got this.
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How did you celebrate your last birthday?

Question
06/25/22 4:07 PM EDT

Lucas Callahan.
Oh, it was actually really awesome! Me and some friends did the Bake-a-Cake Blindfolded Challenge. Then we just went out to a couple of my favorite bars. It actually wasn’t as rowdy as you’d think, but it was just great vibes all around.
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Repeat the four words from before.

Question
06/25/22 4:08 PM EDT

Lucas Callahan.
OK . . . burger, tulip, nose, and tea. Ha! Nailed it.
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Copy the shapes exactly as you see them.

Question
06/25/22 4:08 PM EDT

Lucas Callahan.
Right on. Let’s do this!
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 Assessed insight: demonstrates limited awareness of illness and is unwilling to seek treatment

Exam Action
06/25/22 4:09 PM EDT

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 Assessed judgment: demonstrates good judgment

Exam Action
06/25/22 4:09 PM EDT

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What would you do if you found a stamped envelope on the sidewalk?

Question
06/25/22 4:10 PM EDT

Lucas Callahan.
Probably put it in a mailbox, if I saw there was one nearby.
Your Avatar.
Based on your presentation today, I believe you are at risk of injury.

Educate
06/25/22 5:02 PM EDT

Lucas Callahan.
Listen, I KNOW Im at risk for injury! Remember what I was telling you earlier, about the government agents following me because they know, in their weasely little weasel-minds, that Im an enlightened threat? So, yeah. Were on the same page.
Your Avatar.
My goal is to keep you safe and injury free until you can be seen by the next provider. I will put you in a private room where you will be safe from danger and we will check on you frequently. I’ll do a quick physical exam later.

Educate
06/25/22 5:05 PM EDT

Lucas Callahan.
Right, right, you gotta keep me safe like a little babe swaddled in the manger of life. Totally agree with you! Im all baby blanket and pacifier. Life is beautiful, glorious, radiant — gotta preserve it at all costs. Im a national treasure. Kiss my feet if you want.
Your Avatar.
Are you ready to move forward with the care plan?

Educate
06/25/22 5:06 PM EDT

Lucas Callahan.
Yeah, lets do this thing. Im game. Youre game. All were missing are the cheerleaders. Hey, Lucas! Hes our man! If he cant do it, no one can! Rah rah rah! Sis boom bah bah bah!

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