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Hallowsgate Hospital,
1507 Slaughters Creek,
Cabin Creek, WV



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Patient::Garrett Sutherland

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Patient::Garrett Sutherland

Post  Garrett Sutherland on Mon Feb 14, 2011 2:22 am


__________________________________________

–Sutherland, Garrett-.


    Date of Birth: September 9th 1985
    Age: 25 years old
    Gender: Male
    Address: 8704 Emporia Ave. Ft. Lauderdale, FL 33301
    Physical Appearance: Garrett is a little under 6 ft tall and weighs around 180 pounds. He is described by many as scrawny or lanky. He has a slightly tanned complexion, messy blonde almost brown hair and bright blue eyes. He has scars on both of his wrists from one of his suicide attempts since his mother and brother's deaths that will be described below.



-Medical History-

Do you suffer from any ongoing medical conditions such as heart conditions, diabetes, asthma or other long-term physical disabilities, diseases or afflictions?

Garrett has no physical illness at this time.

Do you have any allergies to foods, inhalants or medications? Please list allergies and age of onset below.

Garrett has no known allergies.

Does your family have a history of any ongoing medical conditions such as heart conditions, diabetes, asthma or other long-term physical disabilities, diseases or afflictions?

Garrett’s family on his father’s side has a history of heart disease. But so far tests on Garrett have shown that his heart is in healthy condition for someone his age.

-Psychological History-

Do you, or have you ever suffered from a mental affliction, or do you feel that you have problems with your state of mind? Examples could be anxiety, depression, seeing or hearing things that are not there, suffering from uncontrollable impulses, or entertaining damaging thoughts such as wanting to harm/kill oneself or do something damaging to another person. Have you ever abused controlled substances, alcohol, or prescription medications?

Garrett is a troubled young man who has been through a lot in his young life. The neighborhood that he lived in wasn't the safest of places and was known for its gangs, but despite that, his early life was very normal. It seems that all of Garrett's major issues have stemmed from a traumatic event that occurred two weeks after his 20th birthday. He was out on a family trip with his mother and his younger brother, Christopher when two gangs started to fight and when it escalated they withdrew their weapons and started firing in all directions. All three of them sustained injuries due to the shoot out but Garrett was the only one who survived. His mother and brother both died from their injuries.

It was then Garrett was noted to gone into a depression and began to abuse alcohol. I believe that the alcohol abuse was his way of trying to cope with the situation at hand. It was noted by family members that he wasn’t quite himself anymore. That he wasn’t as outgoing and friendly as he used to be. They said he had turned very sullen and withdrawn. They also stated that he didn’t want to do any of the things that he used to love to do. He only wanted to lay around the house all day. His father also noted that he had reoccurring nightmares about the shootout and that every time he would hear a loud popping noise (or anything that sounded like gunfire) he would either freeze up or panic. His general practitioner had started him on 50 mg of Zoloft in an attempt to combat the depression, but it wasn’t until his first suicide attempt that the severity of the depression came to light. The two suicide attempts are described in detail below....

~~Incident One: (October 4th 2006)
Shortly after his 21st birthday, Garrett had been admitted to the local emergency room with several deep wounds to both of his wrists. His dad had found him in the bathroom unconscious and with blood pooling out from the wounds. Garrett had three slash marks across each wrist that required anywhere from six to eight stitches. And it was later found out that they were self inflicted. Garrett had admitted to trying to kill himself with a razor blade and after a week long stay at the medical hospital, he was put into a psychiatric hospital which is where I first met him. He was in the hospital for four months before being deemed stable and was released. However I still see him twice weekly for counseling.

~~Incident Two: (January 11th 2011)
Once again Garrett’s dad was the difference between Garrett living and dying. He found the young man in his room barely breathing. There were several empty wine bottles (how he got those we have not found out nor has he told us either) and a once full bottle of over the counter ibuprofen that was also emptied. He was taken to the hospital were he had his stomach pumped and was given a dose of charcoal to help fight the effects of the medicine and alcohol combination. He was hospitalized for two weeks while recovering. For a while it looked as if Garrett’s kidneys were trying to shut down on him due to the ibuprofen overdose but everything soon returned to normal after supportive care.

Have you ever seen someone for these problems or addictions? Or have you been hospitalized or housed in an institution or home for people who suffer from mental afflictions, or admitted to a drug rehabilitation centre? If so, for how long, and what was your diagnosis?

After his first suicide attempt, Garrett was put into local psychiatric hospital where I first met him. And after a complete psychiatric evaluation, I diagnosed him with clinical depression, PTSD, and alcoholism. I kept him on the prescription Zoloft that he was already on (which has since been upped to 100mg once a day) and have been seeing him every since that incident.

-Personal History-

Where were you born, and where did you grow up? Were there any complications during your birth? What was your infancy like?

Garrett was born in Ft. Lauderdale, Florida. His birth held no complications and his infancy was as normal as could be.

Did you ever have any long-term separation from your parents?

There had never been any long term separations until his mother died.

Do you have any siblings? If so, did you get along well with them?

Garrett had only one brother. Christopher was three years younger then Garrett but that didn’t mean anything to either one of them so I was told. The two brothers were very close.

Did you attend public or private school, and if so, what were your grades like and how did you feel about it?

Garrett was in public school and his grades were average. They weren’t perfect but he wasn’t failing either. He was an outgoing child and very friendly. He wasn’t much of a troublesome kid his father says and he hardly got into trouble.

Do you have an interest in the opposite or same sex, and if so, when did you become aware of this interest?

His father told me that he became interested in girls at 13. And that he has never shown interest in the same sex.

Were you ever admitted to a psychiatric or correctional facility for juveniles, and if so why were you admitted, and how did you feel about it?

Garrett had never been admitted to any juvenile facility. He was of average health (mental and physical) during his childhood.

-Criminal History-

Have you ever been convicted of a crime? If so, what was the conviction, and was the sentence served, or fine paid?

Between the years of 2007 and 2010, Garrett has been convicted of DUI three times.
The 1st time he had his license suspended for six months and had to pay a fine.
The 2nd time he had his license suspended for a year and spent 3 months in jail.
The 3rd time he had his license revoked, had to spend 6 months in jail and had to undergo a court mandated alcohol education class.

Have you ever taken or abused controlled substances? Have you ever had an addiction to prescription medications, or have you abused alcohol?

Yes. Garrett has a major problem with alcohol abuse. He sees it as his source of comfort. The only way he can cope with his losses. And without it, he gets very sullen and moody.

-Personal Interview-

What are your goals in life?

I cannot say for sure what Garrett's goals are for himself but I would like to see him go dry. To be able to cope with his grief without feeling like he has to turn to alcohol.

How do you hope that our facilities might help you in achieving those goals?

I am hoping that this facility can help Garrett overcome his depression and alcoholism and to help him become a productive member of society.

Finally, tell us a bit about yourself.

Garrett can be a very withdrawn man. He doesn't like to talk to people he doesn't want to. And when you try to force him to talk, he gets stubborn, sarcastic and moody. But don't let that put you off. If you prod him a little more, he usually opens up a bit.

-Legal Documentation-

    By agreeing to admission to our facilities, you hereby agree to abide by all rules and terms of service outlined in patient or resident handbooks, rules and codes of conduct. You hereby agree to waive your right to voluntary dismissal from our facilities until such a time as facility heads of staff sign paperwork for your release. You hereby agree to comply with facility staff recommendations, demands, or outlines for treatment. You hereby waive your right to informed medical consent before medication changes or medical procedures. You hereby agree to waive your right to hold Crane Pharmaceuticals and its Subsidiaries responsible for any personal harm or distress incurred during treatment. Crane Pharmaceuticals and its Subsidiaries reserve the right to add or amend these terms of service at any time.


Please sign and date below.


    Dr. Bram Derringer
    02/12/2011






Crane Pharmaceuticals ®2009, 2010


Garrett Sutherland

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Re: Patient::Garrett Sutherland

Post  Admin Aubrey on Wed Mar 02, 2011 4:24 am



. Your Admission Form Is Pending .

__________________________________________

Your admission form is pending, regarding the subject below. Please read the suggestions or requests carefully and edit your form appropriately.

  • Garrett is showing a ton of potential and hopefully it will just take a few changes to have him ready for life here at St. Matilda's.

  • Gangs - First and foremost, slight problem with Garrett's hometown and his background. Fort Lauderdale is not known for it's gang activity. Granted there are some illustrious gangs in Florida, ie The Latin Kings, however they are not centered in this portion of Florida. Fort Lauderdale is known for it's airport, museums and more notably, the area's tourism. At one point Fort Lauderdale was known to pack in over 300,000 students for spring break. Though the area has cut down on the more raucous party reputation that it once held, it is still known for being a tourist location for much LGBTQ population. A place like this wouldn't have as many gangs as would probably be needed to back up Garrett's background of gang violence which killed his mother and brother.

  • Medication - You have Garrett starting out on 50 mg of Zoloft as recommended by his general practitioner. This seems rather high considering that Garrett had yet to be diagnosed with depression. At this point in time, he had yet to have any psychiatric counseling, nor had he shown any suicidal thoughts, or none that were mentioned in the application. After his first suicide attempt his medication was not increased; it was only after his second suicide attempt that his medication was increased and it was doubled in strength, to a daily dose of 100 mg; a high dosage for someone who is not under psychiatric care. (I can only assume that he isn't under psychiatric care since there is no mention of it in the application after the second suicide attempt.)

  • Suicide attempts - Alright so the first one makes sense. Razorblade to the wrists - classic. However Garrett's second suicide attempt makes no sense to me. He is on a strong antidepressant and a decently high dosage - Zoloft 50 mg as stated earlier in the application. Dr. Derringer also states that by this time, Garrett has been classed as an alcoholic. However, he purchases wine, an alcoholic beverage with a very low alcohol content, generally around 10-12%, as opposed to a heavy liquor. Assuming that he still lives with his father, since his father was the one who found him for both suicide attempts, I would hope that he would be attempting to curb his son's alcohol abuse. Having him walk in with "several bottles of wine" probably wouldn't go over well. Instead he could have combined his bottle of Zoloft with a harder form of alcohol, ie Everclear which comes in at a whopping 151 proof/75.5% alcohol, which would have provided a much more effective solution. Dr. Derringer also states that he has no idea where Garrett procured the alcohol. Garrett at this point in time is 25, more than above the legal age to buy alcohol and Fort Lauderdale is known for it's nightlife and bars so a local ABC store wouldn't be too hard to find.

  • Details details details. You know how it goes, but the saying still stands - we need flesh around your character to help him stand in this place. Some questions that might help you expand on several parts of the application: Was his family in Fort Lauderdale when they were caught in the firefight? Were they in a different part of Florida? Is that why there was gang involvement? Was Garrett in college during the time his depression began to sink in? How did his lethargy and apathy affect his schooling? If he wasn't in college, was he working? Does he live at home or does his Dad come to visit him a lot instead? Has no one tried to get him off of the alcohol? Has he been admitted into any rehabilitation programs?

  • One last tiny thing - grammar. Love it, live by it.


One you have completed your changes to the admission form, please respond to this thread to inform us that you are done so that the form may be reviewed again. Thank you for your patience.

Crane Pharmaceuticals ®2009, 2010
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