7.) WARD EVENT REPORT – 11/19/05 00:20
Staff on Hall 1, Floor 4 again report loud sounds from room 409. Patient #0017983 found catatonic on floor, with severe self-inflicted scratches on head and neck. Restraints are severed at connection points, with severe bruising on limbs possibly indicating more severe injury at restraint points with patient. Patient #0017802 is found deceased. Severe disfiguring wounds to face, complete with destruction (ORDERLY NOTE: Ingestion?) of patient's eyes. Moved to room 101, locker 2, awaiting autopsy. Patient #0017983 transfered to Isolation, room 626, given injected dose of 100mg Zuclopenthixol on attending physician's orders to control acute psychosis. ORDERLY NOTE: Recommend video observation to allow better control of future outbursts. Stay at least an arm's length away from patient upper body restraints at all times. Just in case.

8.) AUTOPSY REPORT, PATIENT #0017802 – 11/19/05 09:44
PERFORMED BY: Dr. Julius Tweed. Ragged lacerations prominent around subject's head and neck, increasing in severity and depth on the regions of the face itself – at several points, the flesh is cut to the bone. More disconcertingly, subject's eyes appear to be violently removed from their sockets and are missing. CAUSE OF DEATH: Exsanguination from wounds. FINAL JUDGEMENT: Homicide. CORONER NOTE: Recommend consideration of Patient #0017983 as dangerous to staff and facility residents. Urge continued maintenance of restraints and isolation from contact with others in patient population. Also recommend digestive endoscopy to determine fate of missing tissues for staff cohesion purposes – orderlies from Floor 4 suspect cannibalism, promise to refuse Isolation shifts until such belief is disproven.

9.) MEDICAL REPORT, PATIENT #0017983 – 11/19/05 10:07
PERFORMED BY: Dr. Antoinus Cayle. Patient is cooperative, if withdrawn, during examination. No outbursts or threats. Current drug regimen appears effective. No unusual tissue or objects discovered in digestive endoscopy. Radiology tests discover hairline fractures in tibia, fibula of right leg. Severe abrasions evident on skin of restraint points, also head and neck, necessitating topical treatment. Troubling instability in vitals – BP is acutely elevated, pulse rapid and weak for patient's size. Extended stress from anxiety, elevated mood, and insomnia likely cause. PHYSICIAN NOTE: Patient must sleep to begin recovery process. Recommend elevated dosage of Diazepam to encourage this result. Firm contact-point restraints not recommended for this patient due to risk of further injury. Full-body restraint must be considered as alternative.

10.) PSYCHIATRIC EVALUATION, PATIENT #0017983 – 11/19/05 10:39
PERFORMED BY: Dr. George Tulling. Definite evidence indicating disassociation of identity from actions. Patient expresses remorse for death of Patient #0017802, yet refuses to admit responsibility for actions in said event. Instead externalizes blame into antagonistic female "other." Same figure, apparently referenced in prior evaluation, seems to be central actor in patient's paranoid psychosis. Behavior and actions of said "other" justified through magical thinking, despite recognition of depicted individual's illogically-defined capabilities to sustain reported antagonism. As quoted, "I don't know, you don't know, and she doesn't care." Patient requests observation of room be terminated, grows agitated when request is denied, makes threats, refuses to continue interview. DIAGNOSIS: Paranoid schizophrenia manifesting in somniphobia, violent psychosis, and disassociative episodes. MEDICATION ISSUED: Up dosage for Diazepam to 10mg twice daily, on 11/24/05 begin issuing 2.5mg doses of Haloperidol twice daily for psychosis. INTERVIEWER NOTE: Utilize patient observation protocols and ward rounds to check for possible drug interaction effects, followup immediately if found or on 11/30/05 otherwise.

11.) WARD EVENT REPORT – 11/19/05 14:32
During standard rounds Patient #0017983 requests that observation of room be terminated. Warns staff of perceived threat inherent in observation protocol. When request is denied, begins struggling against restraints and screaming warnings to staff, observation camera operator regarding disassociative, antagonistic "other." ACTING PHYSICIAN NOTE: Reject recommendations from orderlies to sedate Patient #0017983 unless medically or procedurally sound. Sedatives are not a safety blanket. ORDERLY NOTE: They say this guy is at his sedative limit, and he was nearly pulling his bed off its bolts. Use double staff if at all possible when dealing with him. Whatever's in his head... it's strong.

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