A personal record, grounded in the sources
The details behind years of complex care. Psychiatric admissions, major surgery, a sibling donor transplant, and the course that followed.
THE RECORD BASE Three clinical source collectionsPlus supplemental outpatient history
01 / MENTAL HEALTH
The central focus of this historyThe records document severe mood episodes, suicidal thinking, reported attempts, and repeated need for intensive treatment.
Severity is described at the time of care. Improvement at discharge and periods of functioning are included in the same history.
February 25 – March 9, 2017
Recurrent major depression, severe, without psychotic features. Suicidal thinking, self injury concerns, and impaired impulse control, insight, and judgment were documented.
Medication changes and gradual improvement; partial hospital follow up arranged.
November 21 – 27, 2020
Approximately five suicide attempts were reported in the preceding two months. The inpatient diagnosis was bipolar depression, severe, without psychotic features.
Voluntary treatment, daily reassessment, medication changes, and improvement before discharge.
October 8 – 9, 2021
Months of depression and suicidal thinking led to psychiatric screening, 15 minute checks, and a recommendation for voluntary inpatient care.
Transfer disposition documented; the receiving hospital’s complete course is unavailable.
Two inpatient stays have discharge documentation. The 2021 record establishes a crisis, inpatient recommendation, and transfer disposition. These historical records do not assess present mental health.
How to read the findings ↗02 / INPATIENT CARE
Dated care and documented episodesPsychiatric symptoms, treatment changes, observed episodes, and recovery, connected to the original records.
Open an admission to read its daily entries.
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The PDF and Word downloads contain the earlier overview. The expanded daily chronology and procedure details are available here on the website.
03 / CHRONOLOGY
The major events, in sequenceExplore the milestones, then open an event for context and its original source references.
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04 / THE AVAILABLE HISTORY
Overview PDF ↗Read the full source based synthesis. Diagnoses, treatment, functioning, complications, and uncertainties remain connected to the records.
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05 / SOURCES & SCOPE
What supports this historyClinical chapters cite original pages or numbered scans. The January 2023 Bright Harbor entry is supplemental history; its underlying clinical records are unavailable.
Transplant, childhood care, renal pathology, and later embedded entries.
Abstract of the February–March 2017 adolescent psychiatric admission.
149 page visit export, 288 pages of preserved legacy scans, and a two page echocardiogram.
January 9, 2023 outpatient withdrawal. Underlying clinical records unavailable; included as supplemental history.
THE LIMITS MATTER
The available collection does not include every lifetime record. Of 326 RWJ legacy items in the inventory, 269 were not reviewed. The original splenectomy operative report, complete receiving hospital chart after the 2021 transfer, and a current psychiatric assessment are unavailable.
Read coverage and discrepancies ↗