Good morning says Dr. Lector. The chief of the department is on sabbatical because one of the patients broke his nose in two places. Refrain from speaking freely in the company of chronic schizophrenics. Dr. Wracker, you will help me take up the slack while he is gone.
What about the other interns that came in with me, says Dr. Wracker? There are about five others.
They will work in outpatient psych where they can do the least amount of damage. Admitted patients will be triaged by you says Dr. Lector.
What should I do asks Dr. Wracker.
your dossier says you are a board-qualified physician. You are , aren’t you?
I guess I am Pines Dr. Wracker. I guess I am a little too young
A football player is being admitted for attempted murder. He is well resourced and his lawyer entrusts him to our care. He is very valuable to his team. It seems that one of his family crossed him the wrong way and he threw him through a window five stories up. That family member is in critical condition and hanging on to life. His lawyer wants us to stabilize him until he can be returned to his team. Please do not try and upset him and you will soon know why. Enjoy your day. I have many things to do. I will see you tomorrow morning for rounds.
Dr. Lector appears of average height and a slight build and dresses in a suit and tie underneath his lab coat. He sports dark black hair, possibly dyed, and a mustache and goatee to disguise his looks. His office is a spacious affair with a big hardwood desk a single chair and multitudes of books shelved all around in every direction. For some reason, the office seems dark even with the light on. Dr. Lector moves silently and he appears and disappears without warning. The Wracks think there must be secret passageways at this veteran’s facility which became reality about the time of the Civil War. In the nineteenth century, the people built passageways in their large edifices and the White House had them too but few know where they are. The Wracks takes his notepad, his black pen, and his key which hangs around his neck. Dr. Lector instructs to never take off the key in the facility because it is the master key and all the locks at this Psychiatric lockup will have to be changed if it is lost.
The interview room is a clean, well-lighted place with ample space and two doors both opposed to each other. A large Caucasian attendant who is also a freestyle wrestler waves to the Wracks. He is informed of the new help. Very few people have the size, strength, and dedication to work in a facility like this one and they are in short supply. A large black man sits behind a large Formica table with a lunch chair and it looks like a toy compared to his stature. Mean Joe is at least six feet four inches high and almost that wide and all muscles. He wears a football jersey shirt and denim jeans with Adidas basketball sneakers in an extended size. His eyes are open and orange and the mucosa sags and the Wracks makes a note in his clipboard to have the indirect bilirubin, direct bilirubin, and transaminases assayed. This might be a resultant of the medication or chronic steroid use. He seems alert and Dr. Wracker introduces himself.
Hello, I am Dr. Wracker. I am an intern in Psychiatry at the Veterans and a graduate of the University Autonoma de Guadalajara. Dr. Lector commissions me to be your doctor while you stay at the facility. Is this all right by you?
Yes, he says, do you have an extra smoke?
Yes, I do, and a Bic lighter. Take a cigarette and enjoy yourself. Mean Joe extracts a Marlboro red cigarette from the pack, lights up, and passes the pack back to the Wracks.
Mean Joe, do you know why you are here with me today at the Veterans?
Yes, I hurt someone. I hurt them badly.
He is in the hospital and might die. Do you understand this?
He asked for it says Joe, and he takes another puff and blows the smoke at the Wracks.
It is not legal for a person to hurt someone they do not like. Your team wants you back badly and they accessioned the best lawyer in the city to represent you. Do exactly what he says and nothing more.
Will you bring me my Loxitane asks Joe. It keeps me mellow so I don’t get angry.
The court will demand that you continue to take loxitane until the matter is resolved. They will watch you take it. It might make you sleepy and you will have to take it until the near future. I will get you your loxitane and a glass of water. I would like to see you take it.
I will says Joe.
Thank you very much for this opportunity to interview and ascertain your mental status. I will be here for eight weeks and circulating so If you have any questions or complaints feel free to interrupt me.
See you Doc, says Joe.
Dr. Lector instructs the Wracks never to lose sight of the door when interviewing and if the situation starts to boil over to bolt for the door and shut it behind you. This intern is entrusted with the master key. The holder can run to any room in the facility and lock themselves in. An acute schizophrenic changes composure without notice rapidly and a clinical physician must be aware and act accordingly.
The main focus of a clinical Psychiatrist is to delimit the accurate diagnosis of schizophrenia so the appropriate medication can be prescribed to block the offending neuron network. The Wracks ascribes Joe to be undifferentiated at present and a liver profile and hematology are indicated due to possible drug-induced jaundice. This person is a chronic steroid abuser, is of immense stature, and is noted for his violent demeanor hence his famous nickname. He is admitted until a board of physicians ascertains this patient as stable and of no potential harm to society at large. Then he will be discharged. The Wracks wipes the perspiration from his brow. He is sweating. The concentration needed to evaluate this patient takes a large amount of energy. Now it is time for a public lunch with the crazies and a moment to observe what society impresses upon the unknowing.