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Hallowsgate Hospital,
1507 Slaughters Creek,
Cabin Creek, WV



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 Bruce Goddard

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Bruce Goddard

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Join date : 2012-12-25

PostSubject: Bruce Goddard   Tue Dec 25, 2012 2:07 am



Goddard, Bruce



This form will be filled out entirely by myself, Dr. Kenneth Bradmore, NVMHI. As Mr. Goddard has been a patient at Hallowsgate before, a copy of his first application will be attached, and the relevant information within reiterated as necessary.


      D.O.B: 04/14/1973
      AGE: 39
      GENDER: M
      STREET ADDRESS: 3302 Gallows Rd.
      TOWN/CITY: Falls Church
      STATE: VA
      HEIGHT: 5'11"
      WEIGHT: 145lbs.
      ETHNICITY: Caucasian
      DISTINGUISHING MARKS: Right eyetooth noticeably crooked, bridge of nose canted to the left after recent break, assorted trauma scars from car accident.


_____________________________________
Medical History

Do you have any ongoing medical issues for which you require treatment or medication?:

Five months ago Bruce was diagnosed with pulmonary tuberculosis, for which he has just recently stopped taking Pyrazinamide and Ethambutol, and will still need to take 500mg of Isoniazid and 400mg Rifampicin once daily until January 12th, 2013. He has consistently tested negative since early November, and will not be at risk of infecting other patients, but by policy must complete a six month regimen of antibiotics.

It should be noted that the former two medications have exacerbated Bruce's chronic musculoskeletal pain, and that he has been permitted 500mg of Vicodin at intervals of four to six hours when pain grows particularly severe. Now that his treatment has concluded these symptoms should abate, but he should be weaned off the narcotics slowly to avoid worsening his psychiatric symptoms through withdrawal, and his access to these medications should be regulated strictly by a health professional.

Are you aware of any allergies? If so, please list allergy, age of onset and any medications or treatments you require or receive:

Bruce suffers from mild-to-moderate seasonal allergies, for which he takes over-the-counter anti-allergens when needed.

Have you had any surgeries or invasive procedures in the past? If yes, please list reason and approximate age of procedure:

Various reconstructive surgeries were required to repair Bruce's right hip after a self-induced car accident in May of last year. A copy of all relevant medical records will be enclosed with this application.

Do you take any medications or supplements daily? Do you follow any treatment plans? Please list medications or treatments, and reasons below:

Isoniazid, Rifampicin, and Vicodin, as mentioned above.

Do you use tobacco, consume alcohol, or use any other drugs including street drugs and/or prescription medications not prescribed to you? If yes, please list number of packs a day, number of drinks a day, and/or drugs consumed below:

Bruce has not been permitted to smoke since returning to Inova Fair Oaks, given the risk to his respiratory health, and has yet to express an interest in returning to the habit, though this may be the result of his narcotic regimen. He relapsed into his alcoholism during his brief transition to outpatient care following his medical clearance to leave quarantine in late November, inducing alcohol poisoning and requiring a stomach pump - he has since been sober for three weeks.

_____________________________________
Psychiatric Screening

Please describe, to the best of your ability, your emotional and mental state of wellbeing:

Upon his return to my care, I initially noted a marked improvement in Bruce's emotional well-being. It was clear that he still had not begun to confront his self-defeating attitudes or crippling guilt, but he seemed more open to social interaction, and more willing to connect to others - likely the result of the friendships he has described to me with fellow patients Jonah Gallagher and Juliet Devereux. Given their shared status as psychiatric patients, I believe Bruce saw less potential to do them harm, allowing himself to become closer to them than he normally would have, and when I first saw him again he seemed reasonably optimistic, despite his new diagnosis.

He has since deteriorated significantly, however. The increased pain caused by his antibiotic treatment, as well as his separation from his newfound relationships left him notably depressed, which was regrettably compounded upon his discovery that his ex-wife had become engaged in the time since their divorce. He was initially pleased, if seemingly wary of himself when she brought his daughter Emily to visit him in the hospital, but his mental state quickly devolved when she began to speak to him about her mother's new fiance. I believe her glowing opinion of him induced feelings of inadequacy and hopelessness in Bruce - he told me during one of our sessions that he had always harbored a hope that he and Laura might reconcile if he managed to recover, and that he finds himself unable to cope with the rage and despair losing that possibility inspired.

Bruce has been plagued by grief and depression since, but was particularly affected by an episode of rage induced when his ex-wife brought her fiance with her during a visit in August. Despite his weakened condition, Bruce managed to injure the nurse who attempted to restrain him, and his ex-wife has not allowed him to see his daughter since, which did little to assuage Bruce's guilt and obvious self-loathing over the incident.

Have you been diagnosed with any psychiatric or psychological ailments? Please list any diagnoses below, and the treatments or medications prescribed to you. Please include name of medications, dosage, and number of doses per day:

Bruce's diagnosis of Type II Bipolar Disorder and IED stand, and I have continued his dosage of 600mg of Lithium three times daily, though I have been considering increasing this or switching him to another medication - it still seems to give him some relief, but obviously less than I would like.

Have you ever been hospitalised or referred to regular outpatient care due to these ailments or associated incidents? If so, please note where, and at roughly what age:

To date Bruce has been hospitalized three times for major incidents related to his poor mental health, and treated in the short term following more minor injuries caused by his outbursts. Specific dates and in-depth description provided below.

How have these ailments affected you and your life? Are there any major life instances you feel have been directly affected by these ailments, such as suicide attempts, criminal activities, etc?:

On May 8th of 2011, after an altercation with his ex-wife and daughter, Bruce drove in front of an eighteen-wheeler while heavily under the influence in an attempt to take his own life, resulting in the injury to his hip and marking his first brief stay in psychiatric care during his time on suicide watch. His second stay at NVMHI and then Hallowsgate followed an Oxycodone overdose five months later, where he remained committed until July of this year, at which time he began to complain of chest pain, weakness, and frequent coughing producing excessive sputum. As your files will indicate, this led to his diagnosis of tuberculosis and his subsequent transfer back to Inova Fair Oaks for proper treatment. It should be noted that, despite extensive testing, the staff at IFO were unable to determine where Bruce might have contracted the illness - given your facility's assurance that no other cases have been noted, I have been led to believe it may have been latent for some time, and that Bruce was likely unwittingly infected some time ago.

He was briefly allowed to attempt closely-monitored outpatient care after being given a clean bill of health in November, but was readmitted shortly after with severe alcohol poisoning - an admitted third attempt at suicide. I have since come to the conclusion that returning to Hallowsgate would be best for Bruce's mental health, as he showed the greatest degree of improvement following his treatment there - with his illness under control, he can hopefully return to intensive treatment as soon as possible.

What is your social life like? Do you have many friends or relationships? How are your family relationships?:

As mentioned above, Bruce's friendship with two of the patients he met during his previous stay at Hallowsgate proved beneficial to his well-being, providing him with a sense of hope in his ability to function again. Indefinite separation from them caused a downturn in his outlook, and having the possibility of life with his ex-wife and daughter shut off completely pushed him into a state of despair that has caused him to shy away from relationships again. His trust in me has been the only thing allowing him to be helped at all in his apathetic state, and regaining his previous state of improvement may be difficult. He currently shows little interest in human interaction.

Do you believe your life circumstances have contributed to any ailments? If so, what circumstances, and why do you feel they have contributed?:

As was noted in his first application, Bruce's childhood left him with a disposition toward self-blame and a resistance to accepting help from others. Additionally, spending the first half of his life undiagnosed and untreated seems to have reduced his faith in the ability of medication and therapy to provide him relief.

If you could change one past event that has happened to you, what would it be, and why?:

At this point I do not think Bruce could pick just one, and I believe asking him at present would only cause distress. He still holds suicidal ideations, and I have little doubt his answer would relate to them.

Do you wish to rehabilitate from your ailment(s)? If so, how do you feel this would best be accomplished?:

I believe Bruce did at one time want to rehabilitate, but by now only wishes for relief by whatever means he can acquire it - namely by killing himself. He believes that suicide would be the quickest and easiest way to escape his problems, and has been difficult to convince otherwise.

_____________________________________
Environmental History

Where did you grow up? Please list the location(s) and describe what it was like growing up there:

Bruce was raised alone by his father in the Bronx in New York City after the unfortunate death of his mother when he was very young. He had little stability growing up, as his father's income was minimal, and was forced to change homes and schools frequently, allowing him to form few friendships and find few positive role models.

What was your family life like? Did you spend much time with your parents? Do you have any siblings? If so, what are your relationships like?:

Bruce's father never remarried, and as such he had no siblings. Given the high-stress nature of his various jobs, his father was not home often, and when he was, was often too exhausted or irritable to care for Bruce adequately. He was often neglected and left to his own devices, though he does not seem to see it that way; he obviously had a rich inner life and a vivid imagination, which provided him solace in isolation, and he interpreted his father's frequent absence and cool attitude as hard work in order to support them. He seems to have idolized the man, and his means of coping with his feelings and traumas reflects how strong an influence he had on Bruce's development.

What was school like? Did you have any problems? Did you enjoy school? What were your grades like?:

From what Bruce has told me, he was a habitual loner throughout his school years, with little motivation to expend effort. I would not take this as true laziness on his part - his introverted nature is tempered by intense creativity, and he likely found existing within his own mind safer than interacting with others he would only have to leave the next time he moved. His grades were usually decent, even good in such subjects as english and history, and when he was able to focus on what he enjoyed in college he did markedly better.

Did you engage in any extracurricular activities, such as academic, artistic, or sporting clubs?:

Bruce made several attempts at submitting his writing during his highschool years, which were received favorably, though his self-doubt appears to have kept him from pursuing it further.

What was work like? Did you have any problems? Did you enjoy your work? What were your coworker relationships like?:

Bruce's first full-time job was as a busboy while he was in college, and after graduation he accepted a corporate position at an insurance company, neither of which he enjoyed, stating that they were simply a means to pay the bills. His marriage to Laura Goddard provided him with the encouragement he needed to truly pursue his passion for writing, and by all accounts his first few years writing professionally were perhaps the happiest of his life; he stated that he wrote what he felt, and was enthused by his success until the pressure to continue doing well began to mount. His alcoholism worsened, and he describes his work after that as 'soul-selling', saying that he wrote 'trash that would sell', and hated himself for it.

By now he is well-off financially, but has showed little interest in continuing his career since his first suicide attempt. I was originally encouraged when he began to write again as entertainment during the early stages of his treatment, but he appears to have lost his motivation.

Have you ever been convicted of a crime or misdemeanour? If yes, please explain, list conviction, and list any sentences associated with convictions:

Bruce's criminal record consists of several DUI's and domestic disturbance calls to his home before the end of his marriage, but he has never been convicted of a felony. The closest he has come is the altercation that instigated his first suicide attempt, when during an argument with his ex-wife regarding his work and refusal to seek psychiatric help, he unintentionally broke his daughter's arm. From what I have gathered, she was upset by her parents' fighting and broke a stack of plates, and Bruce pulled her to her room by her left arm, using too much force and breaking her humerus.

His ex-wife has agreed not to press charges provided he remains in psychiatric care until rehabilitated, but Bruce has made no attempt at seeking joint custody of their daughter; the incident has become his main source of guilt and self-hatred, and to this day any mention of it inspires intense remorse and disgust at his actions.

Lastly, please tell us about yourself. How do you feel about yourself and what you have done with your life? If you have committed crimes, how do you feel about those now? What are your hopes for the future?:

When asked such questions, Bruce rarely speaks of himself with anything other than self-flagellation and distaste, and he has expressed on multiple occasions that he holds no hope for the future. At this point he sees death as the only option.

_____________________________________
Out of Character Section

What are they not telling us? What secrets do they have to hide? What back story are we not hearing? This is where you can tell us all the things your character wouldn't put on an application, or others don't know.:

What you see is what you get, here. It's no secret that he's ready to cash out whenever he gets the chance.

Your Nickname: Lore
Your Chatango Screen Name: GalacticLore
Your Character's Playby: Adrien Brody
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PostSubject: Re: Bruce Goddard   Thu Dec 27, 2012 11:43 pm



________________________________________________________________________

GODDARD, BRUCE


    DIAGNOSIS(ES): Bipolar, IED
    WARD: Male
    DORMITORY: 08
    BED: 03
    THERAPIST: Dr. Benjamin Graham


________________________________________________________________________

OOC - BEFORE YOU BEGIN PLAY

Before you begin play, you must complete the few steps listed below:

  • Sign up for the Hallowsgate Patient membergroup HERE.
  • Sign up for the who plays who list HERE.
  • Sign up your play-by on the face claim HERE.


Don't forget to familiarise yourself with the pertinent patient handbooks and other in character information that you'll need to reference for play, and have fun!
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