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KDH PHI NO. 07-16-00 - NATHANIEL

Ryanark

Level 119
Ryanark
Ryanark
Rich+
NOTE: I RECOMMEND YOU LOOK AT THIS GOOGLE DOC INSTEAD;

CASE FILE NO. 0716-00

E-mail: █████@kdh.co.jp
Phone: (+81) 302-864-759
Dr. ███ ████ ████ P.h.D
MRU00695 (06/06/16) - PROTECTED HEALTH INFORMATION (PHI)

Patient’s Name: Nathaniel I█████ G███████
Date of Birth: 07/16/2000
Age: 19
Ethnicity: African American
Nationality: American
Citizenship: Japanese, American
SSN: ███-████-█████
Height (CM): 177 centimeters
Weight (KG): 107,7 kilograms
☑ right-handed / ☐ left-handed / ☐ ambidextrous


1 - Overview of Document

The following medical documents have been compiled for easy reading for display by medical professionals for the use of future evaluation, record-keeping, and medical student assignments, several words and or phrases within the document have been redacted and or blacked-out for the sake of preserving the privacy of the patient, as he/she may still be alive at the time of evaluation. Examinees reserve the right to read the following documents under Japanese Penal code 31-D § 9.1 Privacy and freedom of information act of 1981.

The following medical documents are prohibited from being used to collect and form private medical profiles and journals of alive individual examinees and may be punishable by law if done so. Presiding/authoring doctors as well as expert medical staff reserve the privilege to form public medical profiles of examinees by court requests or hospital requests.





ORIGINAL: Medical or Billing Record COPY: Patient or Patient’s Legal Representative


2 - Physical evaluation of the patient

Extensive testing and thorough examinations of the patient’s body through tests like the Cooper test, testing the ability of the patient’s fitness and their body’s ability to transport oxygenated blood cells to prevent oxygen starvation-induced hypoxia. With a time of eight minutes running a 2km lap, the test places the patient among the higher ladder of fitness, showing exceptional fitness and ability to oxygenate blood and oxygen saturation levels observed through the patient’s hand shows no signs of cyanosis. With adequate intervals and rest, the patient was put through a 200m swim which the patient completed successfully, further solidifying the patient’s high-ranking physical ability the cause of which comes from years of physical training and rigorous football activities, which the patient has participated in activities since the age of fourteen. In a sterilized environment, chief practitioner Dr. [REDACTED] conducts a clinical examination of the patient; auscultation performed on the patient reveals calm breathing routines and efficient breathing in high physical stress. HEENT examination shows neck good, extraocular movements intact. No cervical lymphadenopathy, no thyromegaly, no bruit, no pallor, fundus within normal limits, oropharynx within normal limits, the tympanic membrane within normal limits, and no neck yielding. Heart examination and blood pressure show within normal limits, blood pressure at [REDACTED] mmHg. The abdomen is soft, nontender, nondistended, with an absence of pain, no hepatosplenomegaly, and active bowel movements. The exterior shows no clubbing, cyanosis, or edema present. The neurological examination shows A&Ox3, CN II-XII grossly intact, sensation intact in all four extremities, [REDACTED] bilateral, Romberg negative, cerebellar reflexes within normal limits, and normal gait is present. Conclusively, the patient has passed the physical examination with no major issues present.




ORIGINAL: Medical or Billing Record COPY: Patient or Patient’s Legal Representative


3 - Psychological evaluation of the patient

Resident psychologist Dr. [REDACTED] examines the patient psychologically, discussing the patient’s childhood and past medical history is essential to the evaluation, and patient Nathaniel will be examined from the five essential psychological perspectives - psychodynamic, behavioristic, humanistic, cognitive, and the biological perspective.


3.1 - Childhood

Discussion with the patient reveals a troubled childhood and [REDACTED], the patient was born an African American, in the deepest parts of the American southern states with a family living in the lower-class, however, the patient was enrolled into an all-white private school, gracefully enrolled by his parents for an [REDACTED] imaginable. All of these factors contributed to the patient developing a distaste for his own ethnicity, not only from his peers in school but including his teachers and superiors also giving the younger version of the patient the impression that his ethnicity is a sort of pest to the south, constant berating, and antagonization led to the patient struggling with bullying and severe emotional trauma, causing cognitive dissonance, his mind would essentially be rewired during his younger years leading to his incredible distaste of African Americans at the time of writing the examination, there is not a moment in which the patient does not mention the African race or any slurs of the like. As a result of which the patient shows extreme hostility toward the African American ethnicity, however, when confronted with a high-stress environment, the patient does not escalate to physical contact but instead retreats to verbal abuse of his target as a defensive mechanism which is a sign of empathy and the presence of moral obligations prove that the patient wants no harm to be done, possibly a catharsis to his childhood trauma.




ORIGINAL: Medical or Billing Record COPY: Patient or Patient’s Legal Representative


3.2 - Summary of the full psychological evaluation
The patient displays extreme hostility against other ethnicities, developed during his social and mental development as a child which was distorted by severe psychological trauma and which led to his erratic and eccentric behavior. Despite the patient himself being of the African American ethnicity, the patient inherently denies his existence as African American, a deception which he has developed from his developmental psychology through his teen years through hostile heuristic thoughts perpetuated by the people around him which the patient obeyed as a defense mechanism in fear of further antagonization and trauma, regressing to a more primitive state which was positively reinforced stimulus and encouraged by his peers, the patient was habituated to this state and eventually developed and adopted the minds of his peers, cultivating to the patient’s white supremacist views and constancy. Freudian psychology would suggest psychotherapy or CBT- cognitive behavioral therapy for the patient, however, the examination has concluded that it may be too late for any treatment, as the patient has already developed cluster C schizotypal personality disorder as a result, and thus has caused irreparable damage to his amygdala and behavioristic moral functions.


3.3 - Psychological addendum

Following the psychological examination, a treatment for the patient’s psychological trauma was suggested, either CBT, psychotherapy or medicinal treatment for his personality disorder has been offered to the patient, however, the patient has denied any treatment and therefore cannot be given any, if problems arise surrounding his psychological health - the patient may be placed into forced psychological treatment thus confining him to a mental asylum or hospital until the patient is fully treated. No such action has been taken.




ORIGINAL: Medical or Billing Record COPY: Patient or Patient’s Legal Representative


 

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