2 Jul 2024, 20:44
Recovering His and What was Him
Forward dating to: July 10th, 2024
Lansdale's Lollipops had been nearly Galton free for most of the teen's Hogwarts career. It wasn't that Galton wasn't welcome, the boy just chose to stay away whenever he had the chance. From his side, returning home meant navigating a complicated web of interactions that left no room for error, else he get in trouble. Or so he thought. Most of his fear came from the irrational thought that if his parents saw that Toad, his cat, had any hair, they would take it away for fear of another health code violation. A repeat of the toads, actual toads this time, when he was all but 11 years old. Many questions may be raised from the naivety - or plain stupidity - of such a belief, but you have to understand that some aspects of Galton's personality had not progressed passed a certain incident. A diet (an indulgent one at that) of Hogwarts' food combined with his clinging to beliefs that were "familiar" had kept parts of him in his own world.
Galton set aside, there is still the issue of the other Lansdales. How could parents let their son drift so far away they didn't realize he still held some odd juvenile fear of them? Because it was easy. Galton's first bout in St. Mungo's led to nasty few months for the family. A feral child who had attacked his fellow classmate and slowly came back to reality. Visits to the boy were often cut short by outbursts of his uniquely cloying disposition, sending the pair home in tears. There were reassurances that he would return to the old Galton from the healers, but all they could do was wait. And once the wait was over they were told that returning to normal would be the best plan for integration. They definitely should not keep him home a semester and alienate him anymore from his life. There was even ministry advisories for it. Which meant that their son would return to Hogwarts, return to a diet that would help him forget, return to all his old ideas and fears. And keep them.
When he would return home, he would act his "usual" self, if a little cold, but that was to be expected of someone who had lived through something so... terrible, right? They did not know the true, idiotic reason behind it. Galton certainly wouldn't be telling. His preference for only short vacations to the house was explained away as him fully reintegrating into society. Loving school, his friends, being a teenager. It was easier to believe all of those things than to believe that their child still carried scars from that night many a years ago. They surely had no reason to talk about it, unless Galton wanted to.
And this summer's return was going to develop in much the usual manner. He would stay locked in his room, or out most of the day. Only truly conversations with his family at dinner or when he came to raid the stock room, for fear of somehow outing something he shouldn't have. Or, it would have gone as usual, if a late spring cleaning hadn't dragged out into the summer. Hospital records left atop one-of-many stacks of documents would catch the teen's eye. Seeing a file with your name on it would excite anyone, especially when it seemed so official. And so he read.
All of this brings us back to St. Mungo's on this warm summer day. Galton's home-away-from-home that he had forgotten he had. As confident as the teen carried himself at school, he was having a hard time doing it now. A seventeen year old may have been an adult in the eyes of the ministry, but he still felt a child outside of Hogwarts. Approaching the front desk he had certainly never felt smaller. Nervous hands found his summer robe, patting it a few times before swiping down to rid himself of any last minute wrinkles as he closed in. A brief cough once he was at the desk, hoping to get the attention of the receptionist.
"Hello there. My name is Galton Lansdale, I am looking to view some medical records related to an... extended stay here of mine a few years. Possibly even talk to a healer or mediwizard that assisted in my care. Can you help me?" And said with only a taste of the nerves he was dealing with. He prepared to answer any and all questions needed to verify his identity and specify the stay in question.
3 Jul 2024, 01:57
Recovering His and What was Him
Galton never truly comprehended the curse of those crones. The vessel that carried his shame and doom was merely a symbol of his sin—a weakness that, had Galton been truly introspective, he would have realized was not of their making. The hags were not creators; they were instigators, maliciously picking and prodding at the vulnerabilities they unearthed in others, amplifying shortcomings and insecurities until they festered like a terrible wound.
Galton Lansdale was a true glutton.
Galton could blame the tainted sweets and their insidious magic, but he could never escape the truth of what he truly was: an addict, a boy turned man with a pernicious addiction. The most humiliating aspect was that his addiction commanded no respect. Imagine the CA meeting with day old doughnuts and cheap coffee that served as the background for the same repetitive speech: I am Galton Lansdale, and I have an addiction to candy. It lacked the dark allure of other vices. It seemed comical.
The food was laced with drugs—palliative measures that masked the real cancer within. He could suppress it for a time, make things seem normal enough to secure his release from that mental ward those years ago. Yet there were sinister intruders in his care: a tall, thin man in a brimmed hat, always clad in an expensive suit. This man observed him in silence, known only by the name: Mr. Athanatos. Occasionally, curse breakers would arrive, only to depart in disheartened silence. Was there no curse to break, or was the curse simply too strong for the wizards? The young man would be left with no answers, he was the subject.
Galton might have recognized the name, at least the surname. The wealthy are rarely addressed by their first names, not that a first name would have held any significance to a teenager. If he had known the boy in the trenchcoat's name, he might have made the connection. But at the time, it was improbable, and even if he did know, he was likely too dosed to decipher the situation before him. in the years that followed however, the family's infamy might have made their rounds during lunchtime conversations.
Now, returning to St. Mungo's Hospital, not to the mental health ward but to the records department, Galton approached a young, pretty receptionist. The receptionist behind the hospital desk was a vision of sugary charm, her appearance reminiscent of a delightful confection. Her auburn hair cascaded like spun caramel and her deep green eyes sparkled like mint candy drops. Her skin was as smooth and creamy as the finest white chocolate and her lips, a soft shade of raspberry pink, curved into a welcoming smile that was as sweet as a sugared berry. If his gaze was cast downward, he would read the name emblazoned on the desk -- Candice Cherry.
Apparently there was some sort of cosmic joke and Galton was on the wrong end of it.
"Hello there. My name is Galton Lansdale, I am looking to view some medical records related to an... extended stay here of mine a few years. Possibly even talk to a healer or mediwizard that assisted in my care. Can you help me?"
"Uh huh" she looked up, somewhat disinterested. Her white blouse under a light grey blazer, reminiscent of vanilla frosting with a hint of silver sprinkles shimmered with her movement as she reached for a quill. "When was the stay?" She exhaled the question, not quite sighing but also not nearly as invested in the answers that Galton sought.
She would write down whatever answer Galton gave. Around her neck, a delicate silver necklace shimmered like strands of rock candy swayed. "Date of birth?"
She would again write down his reply if he gave one. Her hands, with neatly manicured nails painted a pale, cotton-candy pink, moved gracefully as she wrote down his date of birth.
"ID?"
Expecting something with his name, confirmation of his identity. It was not as if just anybody could request records of anybody else.
"OK," assuming she was given what she needed to know. "We will mail you a copy of your records in six to eight weeks," she claimed. Not once did she make eye contact. It was unlikely she even really looked at the identification she was handed if an ID ever entered her ownership even briefly.
Some stories should never be told...
Galton Lansdale was a true glutton.
Galton could blame the tainted sweets and their insidious magic, but he could never escape the truth of what he truly was: an addict, a boy turned man with a pernicious addiction. The most humiliating aspect was that his addiction commanded no respect. Imagine the CA meeting with day old doughnuts and cheap coffee that served as the background for the same repetitive speech: I am Galton Lansdale, and I have an addiction to candy. It lacked the dark allure of other vices. It seemed comical.
The food was laced with drugs—palliative measures that masked the real cancer within. He could suppress it for a time, make things seem normal enough to secure his release from that mental ward those years ago. Yet there were sinister intruders in his care: a tall, thin man in a brimmed hat, always clad in an expensive suit. This man observed him in silence, known only by the name: Mr. Athanatos. Occasionally, curse breakers would arrive, only to depart in disheartened silence. Was there no curse to break, or was the curse simply too strong for the wizards? The young man would be left with no answers, he was the subject.
Galton might have recognized the name, at least the surname. The wealthy are rarely addressed by their first names, not that a first name would have held any significance to a teenager. If he had known the boy in the trenchcoat's name, he might have made the connection. But at the time, it was improbable, and even if he did know, he was likely too dosed to decipher the situation before him. in the years that followed however, the family's infamy might have made their rounds during lunchtime conversations.
Now, returning to St. Mungo's Hospital, not to the mental health ward but to the records department, Galton approached a young, pretty receptionist. The receptionist behind the hospital desk was a vision of sugary charm, her appearance reminiscent of a delightful confection. Her auburn hair cascaded like spun caramel and her deep green eyes sparkled like mint candy drops. Her skin was as smooth and creamy as the finest white chocolate and her lips, a soft shade of raspberry pink, curved into a welcoming smile that was as sweet as a sugared berry. If his gaze was cast downward, he would read the name emblazoned on the desk -- Candice Cherry.
Apparently there was some sort of cosmic joke and Galton was on the wrong end of it.
"Hello there. My name is Galton Lansdale, I am looking to view some medical records related to an... extended stay here of mine a few years. Possibly even talk to a healer or mediwizard that assisted in my care. Can you help me?"
"Uh huh" she looked up, somewhat disinterested. Her white blouse under a light grey blazer, reminiscent of vanilla frosting with a hint of silver sprinkles shimmered with her movement as she reached for a quill. "When was the stay?" She exhaled the question, not quite sighing but also not nearly as invested in the answers that Galton sought.
She would write down whatever answer Galton gave. Around her neck, a delicate silver necklace shimmered like strands of rock candy swayed. "Date of birth?"
She would again write down his reply if he gave one. Her hands, with neatly manicured nails painted a pale, cotton-candy pink, moved gracefully as she wrote down his date of birth.
"ID?"
Expecting something with his name, confirmation of his identity. It was not as if just anybody could request records of anybody else.
"OK," assuming she was given what she needed to know. "We will mail you a copy of your records in six to eight weeks," she claimed. Not once did she make eye contact. It was unlikely she even really looked at the identification she was handed if an ID ever entered her ownership even briefly.
Some stories should never be told...
3 Jul 2024, 02:25
Recovering His and What was Him
A letter would arrive addressed to Galton Lansdale the next morning by owl. The parchment too heavy to be conventional office stationary. The words written too beautifully with looping G's and a grandiose L.
The scroll was sealed with a bit of yellow wax. Embossed on the pliable surface, the symbol of St. Mungos hospital. This would be reiterated when the seal was ultimately broken and he was met by the hospital letterhead. Again, too striking, the lines too thick and dark. Not that his eyes were any better than that of the average man's, but he had other senses that one would argue were a bit more acute. The thickness and heft of the paper. The strange scent, not spicy but instead a bit herbaceous that he might sense coming from the paper.
The letter would address him simply as Mr. Lansdale.
Some stories should never be told...
The scroll was sealed with a bit of yellow wax. Embossed on the pliable surface, the symbol of St. Mungos hospital. This would be reiterated when the seal was ultimately broken and he was met by the hospital letterhead. Again, too striking, the lines too thick and dark. Not that his eyes were any better than that of the average man's, but he had other senses that one would argue were a bit more acute. The thickness and heft of the paper. The strange scent, not spicy but instead a bit herbaceous that he might sense coming from the paper.
The letter would address him simply as Mr. Lansdale.
Perhaps it was all a dream. A false memory. That his parents and his peers were wrong. That he was never there, perhaps somewhere else or perhaps nowhere at all.Dear Mr. Lansdale,
We hope this letter finds you well. Following your recent inquiry regarding your alleged stay at St. Mungo's Hospital, we have conducted an exhaustive search through our records. We regret to inform you that there are no documents, entries, or any other form of record indicating that you were ever admitted or treated at our facility.
We understand that your memories of your time with us may feel vivid and real; however, our extensive records review confirms that you were never a patient here. Such an absence of records can be perplexing, and we acknowledge the distress this may cause and realize that your condition has likely left you with such false memories.
It is also possible that you may have been treated at another facility. We suggest considering the following institutions, where you might find the information you are seeking:
The Janus Thickey Ward: This specialized unit for long-term residents sometimes refers patients to other facilities. They may hold records independent of our main archives.
The Frog's Tail Infirmary: Known for treating complex and unusual cases, particularly those involving potent enchantments and hexes.
The Avalon Institute of Magical Healing: Located in the remote regions of the British Isles, this institute is renowned for treating rare and severe magical maladies.
The Whispering Pines Asylum: A discreet facility that often deals with highly confidential cases, sometimes bypassing standard record-keeping protocols for security reasons.
We recommend contacting these institutions directly to inquire about their patient records. Enclosed are the contact details for each facility to assist you in your search.
We wish you the best of luck in uncovering the details of your medical history and hope you find the answers you seek.
Yours sincerely,
Dr. Serena Phillips, MD
Director of Psychiatry
St. Mungo's Hospital for Magical Maladies and Injuries
Some stories should never be told...
3 Jul 2024, 23:57
Recovering His and What was Him
This path is not a dead end, it is just not the expected journey. Your memories, hazy. Time and elixir had faded your memories and left nothing more than a saccharine haze. Fuzzy images, flashes of recollection muted by reason and suppressed madness.
Dark Offer - one door loses and another opens.
I have prepared for you a mini CYOA. You may find a true dead end, but you might also find the answers that you are looking for.
Options:
A. Walk away"You were never there." Even if you are certain this is untrue, who or whatever had this sort of pull is someone that you do not want to mess with. You choose top leave things as they are, closing the door completely.B. Acquire access to patient files or those involved in your care those years ago as an employee.This can be a lot of things, but sadly not "go to medical school for a few years and become a doctor of mediwizardry unless you want to resume this in a few years. No, you are either going to have to cleverly infiltrate the hospital or take on a job that "does not ask too many questions" and then get in and get out before anything goes wrong (because it will).C. Acquire access to patient files or those involved in your care those years ago as a volunteer.Did you know that hospitals accept volunteers. Well, they do. Usually they just hand out fresh pillows and keep the long term residents company so you wont be too close to the prize, but you would at least get in the door and likely without (much) lying.D. Seduce someone and have them get you the files.Probably not Galton's strong suit. This would require finding a single girl with access to what you need and successfully seducing her. This will probably not happen quickly, but if you got the time, surely you will find a girl (or boy) that would swoon over his charm.
Some stories should never be told...
21 Jul 2024, 00:26
Recovering His and What was Him
It is assumed that you have discovered a way to get the files through trickery, thievery or some other method. Below you will find the a copy of your files.
Some stories should never be told...
Medical Note - Psychiatry
Patient Name: Galton Lansdale
DOB: 10/09/06
MRN: 10702202489
Date of Exam: 10/13/19
Clinician: Dr. Serena Phillips, MD, Psychiatry
Subjective:
Galton Lansdale presented to the clinic from Hogwarts via emergency use of the floo network with persistent delusions, believing himself to be the "King of Candy" after assaulting his peers during the fall ball. This belief has been ongoing since yesterday with an acute onset, this condition has significantly impacted his daily functioning and social interactions. He reports frequent thoughts about ruling a candy kingdom and expresses a desire to impose candy-related laws and customs on those around him. He also exhibits paranoia, believing that others are plotting to overthrow his candy kingdom.
He was brought into the clinic in an acute state of psychosis with destructive and violent behaviors, including but not limited to the consumption of inanimate objects, other students and staff and illusionary items. Due to his severe detachment from reality he has been admitted to the Crisis Unit.
Objective:
Stabilization for transfer to inpatient psychiatry.
Mental Status Exam:
Appearance: Disheveled attire, appears younger than stated age.
Behavior: Cooperative, though somewhat guarded.
Speech: Hasty rate and rhythm. Words rapid.
Mood: Euphoric at times when discussing delusions, otherwise anxious.
Affect: Constricted but reactive when discussing delusions.
Thought Process: Disorganized, tangential.
Thought Content: Persistent delusions of grandeur (believing he is the "King of Candy"); fixation on ruling and a desire to consume copious amounts of his subjects.
Perceptions: Auditory and visual hallucinations reported, patient does not recognize illusions as not being real.
Insight: Poor; does not recognize delusional thoughts as false.
Judgment: Impaired; decisions are heavily influenced by delusional beliefs.
Assessment:
Diagnosis:
F20.0 - Schizophrenia, paranoid type, with prominent delusions of grandeur.
Z65.3 - Problems related to other psychosocial circumstances (delusional belief of being the "King of Candy").
Plan:
Medication:
Initiate Risperidone 2 mg daily, titrating up to 4 mg daily as tolerated to target delusional thoughts.
Monitor for side effects, including extrapyramidal symptoms and metabolic changes.
Lorazepam 1 mg as needed for acute anxiety.
Calming drought, BID.
Potion for sleep, HS.
Psychotherapy:
Initiate Cognitive Behavioral Therapy (CBT) to address delusional thinking and improve reality testing.
Schedule weekly sessions with a licensed clinical psychologist specializing in psychotic disorders.
Occupational Therapy:
Engage in structured activities to promote socialization and reality orientation.
Encourage participation in group activities to reduce social isolation.
Psychoeducation:
Educate the patient and family about schizophrenia, its symptoms, and treatment options.
Develop a crisis plan to manage acute exacerbations of symptoms.
Social Support:
Connect with community resources for schizophrenia support groups.
Involve social services to assist with potential housing or education support if needed.
Additional Consultations:
Dietary consult - concern for dietary malnutrition with caloric overabundance.
Prognosis:
Galton’s prognosis is cautiously optimistic with adherence to the treatment plan. While delusional beliefs in schizophrenia can be persistent and challenging to treat, the combination of antipsychotic medication, psychotherapy, and strong social support can significantly improve his quality of life and functionality. Continued monitoring and adjustments to the care plan will be necessary to address any emerging symptoms or side effects. While in this acute phase, he is a threat to himself and others.
Plan to admit to Crisis and then transfer to inpatient psychiatry when patient stabilizes.
Follow-Up:
Schedule follow-up appointment in 2 weeks post discharge to assess response to medication and overall progress.
Weekly therapy sessions.
Signed:
Dr. Serena Phillips, MD
Psychiatrist, St. Mungo's Hospital
Nursing Notes: Crisis Unit
Patient Name: Galton Lansdale
DOB: 10/09/06
MRN: 10702202489
Date of Admission: 10/13/19
Unit: Inpatient Psychiatry Crisis Unit
Day 1 - 10/13/2019
08:00 AM
Assessment: Patient admitted to unit with delusional belief of being the "King of Candy." Presents with euphoric mood and grandiose delusions. Initial blood pressure, pulse and respirations elevated.
Behavior: Intermittently cooperative; frequently talks about his "candy kingdom" and attempts to give orders to staff and other patients. Prone to periods of aggression and anxiety, considered to be dangerous to self and others and they are to remain in the crisis unit until the acute phase of their condition has passed.
Intervention: Provided orientation to the unit. Patient educated on unit rules and schedule. Safety precautions initiated.
Plan: Continue monitoring, administer Risperidone 2 mg and calming drought as prescribed.
02:00 PM
Behavior: Became agitated when another patient did not "obey" his orders. Redirected to quiet room. Provided reassurance.
Intervention: Offered PRN Lorazepam 1 mg; patient accepted and calmed within 30 minutes. Engaged in coloring activity afterwards but crayons needed to be taken away when he tried to eat them.
Day 2 - 10/14/2019
09:00 AM
Assessment: Patient slept well overnight. Mood remains elevated, continues to express delusional thoughts.
Behavior: Insisted on leading a "candy parade" in the common area. Redirected to a therapeutic activity.
Intervention: Participated in group therapy session but remained distracted by delusions. Engaged briefly in reality orientation.
Plan: Continue medication regimen and therapeutic activities.
04:00 PM
Behavior: Attempted to "crown" another patient as "Duke of Chocolate." "Ch0colate" obtained from the lavatory. Redirected by staff, minor agitation noted. Hygiene provided.
Intervention: Engaged in one-on-one session with a nurse to discuss appropriate social interactions. Reinforced reality orientation techniques.
Day 3 - 10/15/2019
10:00 AM
Assessment: Mood slightly less euphoric, still delusional. Insight remains poor.
Behavior: Refused breakfast, claiming "candy only" diet.
Intervention: Nurse provided education on the importance of balanced nutrition. Patient eventually ate with encouragement as long as the food was colorful.
03:00 PM
Behavior: Participated in music therapy, sang about his "kingdom." Less agitated, more engaged.
Intervention: Positive reinforcement given for participation in therapy. Encouraged to continue attending group sessions.
Day 4 - 10/16/2019
08:30 AM
Assessment: Patient reports feeling "powerful" and "in control." Continues to refer to self as "King of Candy."
Behavior: Periods of hyperactivity, attempting to organize "royal meetings." Redirected successfully.
Intervention: Provided sensory modulation tools to help calm and focus. Engaged in puzzle activity.
01:00 PM
Behavior: Mild agitation when redirected from delusional conversation. Accepted redirection after brief discussion.
Intervention: Continued with Risperidone 2 mg daily. Added Risperidone 0.5 mg PRN for breakthrough agitation.
Day 5 - 10/17/2019
09:00 AM
Assessment: Mood stable but still delusional. No adverse reactions to medication noted.
Behavior: Engaged in arts and crafts, created "candy kingdom" drawings. Less intrusive with staff and peers.
Intervention: Encouraged expression through art. Positive reinforcement given.
03:30 PM
Behavior: Cooperative during medication administration. Discussed the importance of therapy and medication compliance.
Intervention: Scheduled one-on-one with therapist for further reality orientation and coping strategies.
Day 6 - 10/18/2019
08:00 AM
Assessment: Patient appears calmer, less euphoric. Insight remains limited.
Behavior: Participated in group therapy with minimal redirection. Shared delusional beliefs but listened to feedback.
Intervention: Continued with current medication and therapy plan.
02:00 PM
Behavior: Brief agitation when another patient challenged his "title." Resolved with staff mediation.
Intervention: Provided PRN Risperidone 0.5 mg. Engaged in physical activity in the gym.
Day 7 - 10/19/2019
08:30 AM
Assessment: Slight improvement in mood stability. Still expresses delusions but less insistently.
Behavior: Spent time reading and journaling about his "kingdom." Interactions with staff and peers more appropriate.
Intervention: Encouraged journaling as a therapeutic outlet. Planned for family meeting to discuss progress and discharge planning.
04:00 PM
Behavior: Calm and cooperative during evening medication administration. Discussed future goals in therapy.
Intervention: Scheduled follow-up with psychiatrist to ease transition to inpatient unit. Transfer planned for the next day with close outpatient follow-up.
Signed:
Nurse Rachel Taylor, RN
Inpatient Psychiatry Unit, St. Mungo's Hospital
10/20/2019
Nursing Notes: Inpatient Psychiatry Unit
Patient Name: Galton Lansdale
DOB: 10/09/06
MRN: 10702202489
Date of Admission: 10/13/19
Unit: Inpatient Psychiatry Unit
Week 1 - 10/20/2019 to 10/27/2019
Day 1 - 10/20/2019
08:00 AM
Assessment: Patient transferred from the crisis unit after a week-long stay. initial admission for severe delusions of grandeur, believing himself to be the "King of Candy." Displays erratic and agitated behavior that was considered to be dangerous to self and others. Vital signs are presently stable.
Behavior: On arrival demanded to be addressed as "Your Majesty" and attempted to "command" staff and patients.
Intervention: Provided orientation to the unit. Safety precautions initiated. Risperidone 2 mg daily continued.
Plan: Monitor closely, establish safety protocols, and initiate medication regimen.
02:00 PM
Behavior: Became aggressive when another patient refused to "bow" to him. Threatened to "banish" staff members.
Intervention: Administered PRN Lorazepam 1 mg for agitation. Placed in seclusion room for safety. Continuous observation initiated.
Day 3 - 10/22/2019
10:00 AM
Assessment: Patient remains agitated, with persistent delusions and aggressive behavior.
Behavior: Attempted to barricade himself in the common room, claiming it as his "throne room."
Intervention: Security called to assist. Patient de-escalated with verbal redirection and medication adjustment (increased Risperidone to 4 mg daily). Attempted to retransfer to the crisis unit due to persistent agitation and risk to staff, no bed availability.
03:00 PM
Behavior: Less aggressive but still delusional. Cooperative during medication administration.
Intervention: Engaged in individual therapy session to discuss delusions and coping mechanisms.
Day 7 - 10/26/2019
09:00 AM
Assessment: Mood slightly more stable, but delusions persist. Insight remains poor.
Behavior: Participated in group therapy but dominated conversation with delusional topics.
Intervention: Continued current medication regimen. Scheduled daily one-on-one sessions with therapist.
Week 4 - 11/10/2019 to 11/17/2019
Day 24 - 11/12/2019
08:30 AM
Assessment: Patient exhibits periods of calm interspersed with severe agitation and delusions.
Behavior: Attempted to "construct" a candy throne using furniture, resulting in property damage.
Intervention: Administered PRN Olanzapine 10 mg for acute agitation. Transferred to high observation area for increased supervision. Crisis unit refuses transfer.
01:00 PM
Behavior: Verbally aggressive towards staff, demanding "royal respect." Threatened physical harm if demands not met.
Intervention: Security and de-escalation team intervened. Physical restraints applied for safety. Patient monitored closely.
Day 28 - 11/17/2019
10:00 AM
Assessment: Continued aggressive behavior and delusional thinking. Little improvement noted.
Behavior: Engaged in a physical altercation with another patient, believing them to be a "traitor."
Intervention: PRN Haloperidol 5 mg administered. Seclusion room utilized for safety. Athanatos family contacted for emergency meeting.
Week 7 - 12/o1/2019 to 12/08/2019
Day 43 - 12/2/2019
10:30 AM
Consulted Curse Breakers at the request of the Athanatos family. Guardians for Galton appear concerned about the patient's slow recovery and have submitted a complaint regarding the sharing of medical information with private parties. Family has been referred to the patient advocate and Bartholomew Prewett, a member of the Athanatos legal team has requested a meeting with the board of directors regarding access and patient confidentiality.
Day 46 - 12/5/2019
08:00 AM
Assessment: Patient became agitated after blood was drawn. He claims we have stolen his "royal cherry filling."
Behavior: Destructive and paranoid behavior. Stole bloodwork phials from other patients and attempted to consume the contents.
Intervention: Code 10 called. Restrained. Blood recovered but unable to use for laboratory testing due to contamination.
Week 8 - 12/08/2019 to 12/15/2019
Day 50 - 12/09/2019
08:00 AM
Assessment: Patient’s mood remains unstable with persistent delusions of grandeur and dangerous behaviors. An altercation between Galton and Mr. VanCleaf (MRN 0852113) resulted in isolation as well as minor injuries to both parties.
Behavior: Attempted to "commandeer" the nursing station, causing significant disruption.
Intervention: Administered Risperidone Consta injection. Continuous observation maintained. Staff debriefed on de-escalation techniques.
03:00 PM
Behavior: Less physically aggressive but verbally abusive, making threats about "candy retribution."
Intervention: Intensive psychotherapy initiated with a focus on reality orientation and coping strategies. Family meeting to discuss possible long-term care options.
Day 53 - 12/12/2019
14:00 AM
Severe allergic reaction post potion administration - generalized rash, shortness or breath and swelling of the face. RRT called, antihistamines and sleeping draught administered. 1:1 supervision. Parents notified.
21:00 AM
Symptoms of allergic reaction resolved. Parents notified.
Day 56 - 12/15/2019
09:00 AM
Assessment: Slight reduction in physical aggression but delusions remain strong.
Behavior: Compliant with medication but continues to make "royal proclamations."
Intervention: Occupational therapy introduced to channel energy into productive activities. Monitored closely for any signs of escalation.
Day 60 - 12/19/2019
08:30 AM
Assessment: Some improvement in mood stability, but delusions of being the "King of Candy" persist.
Behavior: Engaged in arts and crafts, creating "candy kingdom" drawings. Less intrusive with staff and peers.
Intervention: Continued Risperidone Consta injections and supportive therapy. Plan for gradual reintegration into less restrictive unit areas with ongoing monitoring.
04:00 PM
Behavior: Cooperative during evening medication administration. Discussed future goals in therapy, with some insight into the impact of his behavior.
Intervention: Scheduled follow-up with outpatient psychiatrist. Discharge planning initiated with close outpatient follow-up and support services.
Discharged 12/23/19 to the care of his parents.
Signed:
Nurse Malia Winters, RN
Inpatient Psychiatry Unit, St. Mungo's Hospital
12/20/2019
Consult Note
Patient Name: Galton Lansdale
DOB: 10/09/06
MRN: 10702202489
Date of Exam: 10/13/19
Date of Consultation: 12/02/2019
Consulting Team: Cursebreakers Unit, St. Mungo's Hospital
Primary Consultant: Master Cursebreaker Elara Thorne, Lead Cursebreaker
Reason for Consultation:
Patient referred for evaluation and potential removal of a suspected curse related to persistent delusions of grandeur, specifically the belief that he is the "King of Candy."
History of Present Illness:
Galton Lansdale, a Hogwarts student, has been experiencing severe delusions of grandeur, believing himself to be the "King of Candy." These delusions have an acute onset the day prior to admission and have persisted since admission and have significantly impacted his daily functioning. Despite ongoing treatment with antipsychotic medication and psychotherapy, his delusional beliefs remain strong. Previous interventions, including conventional psychiatric treatments, charm use, and potion utilization have been unsuccessful in alleviating his symptoms.
Assessment:
Mental Status Exam:
Appearance: Sloppy attire, cooperative but guarded.
Mood: Euphoric and grandiose when discussing delusions.
Affect: Constricted but reactive.
Thought Process: Disorganized, tangential.
Thought Content: Persistent delusions of grandeur.
Insight: Poor.
Judgment: Impaired.
Physical Examination: No physical abnormalities noted. Vital signs stable.
Magical Assessment:
Conducted thorough diagnostic spells and curse-detection charms.
No evidence of standard curses or hexes detected.
Subtle magical residue suggestive of dark magic influence noted, though its precise nature remains unidentified.
Findings:
Our evaluation did not reveal any detectable curse or hex that could be removed using conventional curse-breaking techniques. However, there are subtle traces of dark magic that seem to be influencing the patient's mental state. The exact nature of this dark magic is elusive, suggesting that it may be a complex and insidious enchantment rather than a straightforward curse.
Recommendations:
Given the subtle and persistent nature of the dark magic influencing Mr. Lansdale, we recommend consulting a Potions Master with expertise in antidotes and mind-altering enchantments. A specialized potion may be required to counteract the dark magic's influence and restore the patient's mental clarity.
We suggest reaching out to:
Constantine Abbot, renowned Potions Master with extensive experience in dark potions and antidotes, for a comprehensive evaluation and potential formulation of a counter-potion.
Follow-Up:
Arrange a consultation with Constantine Abbot at the earliest convenience.
Continue current psychiatric treatment regimen to manage symptoms.
Monitor for any changes in mental status or behavior following the consultation.
Information has been conveyed to admitting physician Serena Phillips as well as Mr. Lansdale's parents. His parents have requested that we not share our findings with the Athanatos family despite significant funding.
Signed:
Master Cursebreaker Elara Thorne
Lead Cursebreaker, St. Mungo's Hospital
12/02/2019
ADDENDUM: 12/04/2019 - Phillipa Harmon of Improper Use of Magic Division subpoenaed a copy of this medical record for use in an ongoing investigation. Files supplied 12/04/2019 at 04:55 PM. Subpoena Number : 34-2011-00112344.
Consult Note
Patient Name: Galton Lansdale
DOB: 10/09/06
MRN: 10702202489
Date of Consultation: 12/05/2019
Consulting Team: Potions Masters Unit, St. Mungo's Hospital
Primary Consultant: Professor Elara Mortis, Lead Potions Master
Reason for Consultation:
Patient referred for evaluation of a suspected potion influence related to persistent delusions of grandeur, specifically the belief that he is the "King of Candy."
History of Present Illness:
Galton Lansdale, a Hogwarts student, has experienced severe delusions of grandeur, specifically believing himself to be the "King of Candy." These delusions have persisted for several weeks and have significantly impacted his daily functioning. Despite ongoing treatment with antipsychotic medication and psychotherapy, his delusional beliefs remain strong with limited intermittent relief. He spent a week in crisis before transfer to the inpatient psychiatry ward. Due to violent, anxious outbursts, petitions to transfer the patient back to Crisis have been rejected as the patient has been fully admitted. Previous interventions, including conventional psychiatric treatments and curse-breaking, have been unsuccessful in alleviating his symptoms.
Assessment:
Mental Status Exam:
Appearance: Hospital gown, hygiene, uncooperative, guarded.
Mood: Euphoric and grandiose when discussing delusions.
Affect: Constricted but reactive.
Thought Process: Disorganized, tangential.
Thought Content: Persistent delusions of grandeur.
Insight: Poor.
Judgment: Impaired.
Physical Examination: No physical abnormalities noted. Vital signs stable.
Magical Assessment:
Conducted diagnostic spells to detect potion residues and magical influences.
Evidence of a lingering potion influence detected, suggestive of long-term magical alteration. The author has no personal experience with the potential chemical influence, consultations will be made to tenured potions masters to verification and validation of the following assessment.
Findings:
Our evaluation indicates that Mr. Lansdale may be under the influence of a potent, illicit potion known as "Darkest Night." This potion, last seen in use over two decades ago, was known for inducing profound delusional states and a dark yearning to return to those delusions. In Mr. Lansdale's case, this yearning manifests as a compulsion to maintain his identity as the "King of Candy."
None of the present Potions Masters on this team have assessed an actual case of Darkest Night due to its long absence from common use. However, historical records and potion texts describe its effects in detail, aligning closely with Mr. Lansdale's symptoms.
Recommendations:
Given the suspected influence of the Darkest Night potion, we recommend the following:
Intensive Monitoring: Continue close observation for any changes in mental status or behavior. Due to the fact that this condition has not been seen in the past decade, with modern knowledge we plan to study and chronicle this pathology in both cases.
Potion Antidote Research: Initiate a collaborative effort to research and develop a potential antidote. This will involve reviewing historical potion texts and consulting with older potions masters who may have more direct knowledge of Darkest Night. There is presently no known cure, the mental degeneration of darkest night can last up to several months on its own and in some cases be permanent.
Supportive Care: Maintain current psychiatric treatment regimen to manage symptoms and provide supportive care.
We also recommend reaching out to the following specialists:
Professor Elliot Price, a renowned potions master who may have historical knowledge and insights into the Darkest Night potion.
Madam Zeldina Hawthorne, a retired potions master known for her work with dark potions and antidotes, currently residing in Hogsmeade.
Follow-Up:
Schedule a follow-up consultation in two weeks to review progress and any new findings from the antidote research.
Maintain open communication with the psychiatric team to ensure comprehensive care.
Additional Considerations:
Permission granted to the Athanatos family to access records on behalf of the Office of Improper Use of Magic for an ongoing investigation. Subpoena Number : 34-2011-00112345. 12/05/2019.
Signed:
Professor Elara Mortis
Lead Potions Master, St. Mungo's Hospital
12/05/2019
ADDENDUM: Parents requesting an information block and private status on this patient's account. 12/06/2019.
Potions Research and Treatment Attempt Note
Patient Name: Galton Lansdale
DOB: 10/09/06
MRN: 10702202489
Date: 12/12/2019
Consulting Team: Potions Masters Unit, St. Mungo's Hospital
Primary Consultant: Professor Elara Mortis, Lead Potions Master
Background:
Patient Galton Lansdale has been under the influence of a suspected illicit potion known as "Darkest Night," leading to persistent delusions of grandeur over the past several weeks, specifically his belief that he is the "King of Candy." Violent tendency and a detachment from reality have resulted in a lengthy inpatient stay with limited, brief periods of improvement that often last for less than eight hours. This note details the extensive research and multiple attempts to develop a cure, culminating in one successful antidote.
This research was notably funded by Mr. Thaddeus Athanatos.
Research and Development Timeline:
Week 1 - Initial Research Phase:
Literature Review: Extensive review of historical texts and potion manuscripts. Identified potential components and counteragents used in similar dark potions.
Consultations: Reached out to tenured potions masters, including Professor Elliot Price and Madam Zeldina Hawthorne, for their expertise. Successful consult with Madeline Krueger has been a source of information.
Preliminary Antidote Trials:
Trial 1:
Potion Composition: Mandrake root, essence of belladonna, and powdered moonstone.
Outcome: No significant change in Mr. Lansdale's delusional state. Experienced severe nausea and vomiting. Treated with a Pepperup Potion successfully.
Trial 2:
Potion Composition: Dragon's blood, phoenix feather extract, and crushed bezoar.
Outcome: Mild reduction in agitation, but delusions persisted. Patient experienced intense headaches and dizziness which was treated with a dittany mixture.
Intermediate Trials:
Trial 3:
Potion Composition: Wolfsbane, essence of nightshade, and powdered unicorn horn.
Outcome: Temporary improvement in mood stability; however, delusional content remained unchanged. Patient experienced mild hallucinations. Monitored for deterioration.
Trial 4:
Potion Composition: Ashwinder eggs, essence of murtlap, and powdered bicorn horn.
Outcome: No improvement in symptoms. Severe allergic reaction observed, requiring immediate medical intervention. Treated with antihistamines, intravenous fluids, airway management, calming drought and observation.
Advanced Trials:
Trial 5:
Potion Composition: Extract of gillyweed, essence of hellebore, and powdered griffin claw.
Outcome: Minor improvement in insight into delusional beliefs. Increased fatigue and lethargy noted. No additional treatment required.
Successful Antidote:
Breakthrough Trial:
Potion Composition: A unique combination of ingredients including powdered phoenix tears, essence of asphodel, and crushed runespoor eggs, with a stabilizing agent of powdered basilisk fang and infusion of enchanted nightshade.
Outcome: Significant reduction in delusional content observed within 48 hours of administration. Patient exhibited improved insight and a marked decrease in grandiose behavior. Full mental clarity restored over a two-week period with no adverse side effects.
Funding and Support:
This intensive and costly research effort was generously funded by Mr. Thaddeus Athanatos. His financial support enabled the procurement of rare and expensive ingredients, as well as the collaboration with renowned potions masters. Without his patronage, the successful development of the antidote would not have been possible.
Conclusion:
Mr. Lansdale has shown remarkable recovery following the administration of the successful antidote. Continued monitoring and supportive care are recommended to ensure the stability of his mental state. Regular follow-ups with both the psychiatric team and potions masters will be essential in maintaining his recovery.
Potential remedy administer to a second suspected Darkest Night victim - MRN 0852113 with full recovery.
Signed:
Professor Elara Mortis
Lead Potions Master, St. Mungo's Hospital
12/19/2019
ADDENDUM: Guardians are asking for these records to be locked.
Subpoena Number: 34-2011-00112347. Request by Roger Moore to copy records for Office of Improper Use of Magic.
Blood Work Analysis for Patient: Galton Lansdale
Patient Information:
Patient Name: Galton Lansdale
DOB: 10/09/06
MRN: 10702202489
Date of Blood Draw: 12/05/2019
Analyzing Healer: Healer Samuel Mortimer
Test Results:
Blood Panel Overview:
Hemoglobin (HGB): 15.2 g/dL (Normal Range: 13.8-17.2 g/dL)
Hematocrit (HCT): 45% (Normal Range: 41-50%)
White Blood Cell Count (WBC): 6,500 cells/mcL (Normal Range: 4,500-11,000 cells/mcL)
Platelets: 220,000/mcL (Normal Range: 150,000-450,000/mcL)
Specific Magical Toxin and Potion Screening:
Veritaserum: Not detected
Polyjuice Potion: Not detected
Amortentia: Not detected
Felix Felicis: Not detected
Darkest Night (Suspected): Detected
Detailed Findings:
Darkest Night Potion Analysis:
Presence of Darkest Night Components:
Nocturne Essence: Detected (Levels: Elevated)
Shadowroot Extract: Detected (Levels: Elevated)
Lunar Residuum: Detected (Trace Amounts)
Symptoms Correlation:
Delusions of Grandeur: Strong correlation with documented effects of Darkest Night.
Psychotic Episodes: Consistent with historical accounts of potion's impact.
Addictive Behavior: Noted as a common result of prolonged exposure to Darkest Night. Unknown if this is a relevant facet for this patient because it is believed that he did not intentionally consume Darkest Night. However, the addictive nature of this product might be seen in his appetite for sweets.
Comments:
The blood analysis reveals elevated levels of components commonly associated with the illicit potion known as Darkest Night. This potion, notorious for its powerful hallucinogenic properties and its ability to induce a state of delusional euphoria, has not been seen in common use for over two decades. The presence of Nocturne Essence and Shadowroot Extract, both rare and controlled substances, strongly suggests that Galton Lansdale has been exposed to this potion.
The Ministry of Magic has been contracted regarding these findings.
Clinical Implications:
Darkest Night is known to create a profound and persistent delusional state in its users, often centered around a single, consuming fantasy. In Galton's case, his fixation on being the "King of Candy" aligns with the potion's documented effects. The potion’s influence explains his erratic behavior, grandiose delusions, and the intensity of his addictive tendencies towards sweets and candies.
Potions Master Roger Moore suggested that this dark potion might have been sourced by hags.
Recommendations:
Immediate Steps:
Continuous monitoring for acute symptoms of potion withdrawal.
Initiation of a detoxification regimen tailored to mitigate the effects of Darkest Night.
Intensive psychological support to address and counteract delusional episodes.
Long-Term Care:
Regular blood screenings to track the elimination of potion residues.
Engagement with a potions master to explore possible antidotes or neutralizing agents.
Referral to a specialized magical rehabilitation facility experienced in treating potion-induced psychoses. Addendum: there is no magical facility that has active experience in Darkest Night.
Conclusion:
Galton Lansdale’s blood work strongly indicates exposure to the Darkest Night potion, providing a crucial piece of the puzzle in understanding his condition. While the road to recovery will be challenging, identifying the root cause is a significant step towards developing an effective treatment plan.
A notification will be sent to Hogwarts School of Witchcraft and Wizardry regarding the known Darkest Night exposure.
Signed,
Healer Samuel Mortimer
St. Mungo’s Hospital for Magical Maladies and Injuries
ADDENDUM: Parents have requested a sealed record, however due to mandated reporting we have submitted our findings to Hogwarts School of Witchcraft and wizardry. 12/17/19
Subpoena Number: 34-2011-00112349 & 34-2011-00112352, request for records by both Office of Improper Use of Magic and Auror Department. The Auror Department is requesting a block on earlier subpoenas until an internal affairs review has a chance to look into his records. 12/18/19
No copies will be provided of this report, however previous subpoenas have been fulfilled as of this date. 12/20/19
Dietitian's Progress Note
Patient Name: Galton Lansdale
DOB: 10/09/06
MRN: 10702202489
Date: 11/1/2019
Dietitian: Lydia Greenbriar, RD
Subjective:
Galton Lansdale, a patient admitted to St. Mungo’s Hospital with a history of delusional schizophrenia and a severe addiction to sweets, presents significant challenges regarding his nutritional intake. The patient exhibits strong resistance to consuming anything other than candy, complicating efforts to provide a balanced diet necessary for his recovery.
Objective:
Current Diet: Predominantly consists of sugary confections, with minimal intake of proteins, fruits, vegetables, and whole grains.
Assessment:
Galton’s exclusive consumption of sweets has resulted in notable nutritional deficiencies, including:
Vitamin A: Low
Vitamin C: Low
Calcium: Low
Iron: Low
The patient also shows signs of hypoglycemia due to erratic blood sugar levels, mood swings, and weakened immune function. His delusional state exacerbates these issues, making it difficult to introduce new foods.
Plan:
Initial Approach:
Engage with Galton through discussions emphasizing the benefits of balanced nutrition.
Introduce small portions of nutritious foods disguised within familiar sweet flavors to encourage acceptance.
Implementation:
Day 1-7: Introduced fortified fruit smoothies with hidden vegetables and protein powder. Initial resistance observed; however, patient consumed small portions under supervision.
Day 8-14: Incorporated whole grain snacks with a sweet coating. Gradual increase in acceptance noted. Patient began to enjoy yogurt parfaits with honey and granola.
Day 15-21: Added nutrient-dense soups and stews with subtle sweet notes. Continued positive response, albeit with occasional reluctance.
Monitoring and Adjustment:
Conduct weekly nutritional assessments and adjust the diet plan to gradually reduce sugar content while increasing nutrient-rich foods.
Collaborate with psychological support to address underlying delusions related to food.
Education:
Educate Galton about the importance of balanced meals through engaging activities, such as cooking classes and taste tests.
Provide written and visual materials outlining the benefits of various food groups in an appealing and accessible format.
Outcome:
Week 4-6: Significant improvement in the patient’s willingness to try new foods. Successfully transitioned to consuming balanced meals, including lean proteins, vegetables, fruits, and whole grains, while still allowing small amounts of sweets as a treat.
Week 7-8: Galton exhibited improved mood stability, better energy levels, and a healthier complexion. Blood tests indicated a correction in previously noted deficiencies, particularly in vitamins A and C, calcium, and iron levels.
Conclusion:
Galton Lansdale’s journey towards a balanced diet was met with considerable challenges, primarily due to his deep-seated addiction to sweets and his delusional perceptions of food. Through persistent efforts, creative meal planning, and interdisciplinary support, Galton has made significant strides towards adopting a healthier, more nutritious diet. Continued monitoring and gradual dietary adjustments are recommended to ensure sustained progress.
Recommendations:
Continue with regular nutritional assessments and adjust meal plans as necessary.
Maintain interdisciplinary support involving psychological and medical professionals.
Encourage ongoing participation in cooking and food education activities to reinforce positive dietary habits.
Signed,
Lydia Greenbriar, RD
Dietitian, St. Mungo’s Hospital for Magical Maladies and Injuries
Some stories should never be told...