Carter Greyson/Medical Record

< Carter Greyson
Revision as of 01:09, 4 October 2014 by Zephyr (talk | contribs) (added counselor's assessment as of 239109.25)
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GREYSON, CARTER

MEDICAL RECORD
  • Height: 6'2"
  • Weight: 75 kilos
  • Blood Type: AB Negative
  • T/E Rating: T0/E0

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions: None
  • Sexual/Reproductive History: None, not sexually active

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • 239106.15: Explosion from a shorted out tactical console blew shrapnel into his chest, gave him second degree burns along the right side of his neck and right hand, ruptured eardrum on right side, and grade 1 concussion.

PAST SURGICAL HISTORY

  • 239106.15: Shrapnel extracted from torso.
  • 239106.21: Given a 10cc dose of hypercoagulin to stop the bleeding, then treated the burns with kelotane gel.
  • 239106.25: Burn treatments complete, treatment to his ear complete. No chance of entering a coma from the concussion.

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: None
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Mother: Clean bill of health. Current status -- Deceased.
  • Father: Clean bill of health. Current status -- Deceased.
  • Siblings: None

SOCIAL HISTORY

  • Marital status: None
  • Children: None he's aware of
  • Occupation/Assignment: Tactical Officer, USS Garuda
  • Diet: Fairly healthy
  • Exercise: Mile run 3x per week.

PHYSICIANS' NOTES

  • Medical Officer: Dr. Chythar Skyfire
  • Medical Assessment: I kept him sedated but conscious for a duration of the surgery until Vaala and I could determine the extent of the concussion. No chance of him slipping into a coma. I will be following up with him once time permits. -- SD 239106.25

COUNSELORS' NOTES

  • Counselor: Dr. Raissa Moonsong
  • Psychological Assessment: Patient appeared to be suffering from the initial stages of Post Traumatic Stress Disorder. Further examination and observation suggests his diagnosis is Fear Aversion, a phobia to the object that cause such traumatic injury. Patient was able to face the source of his fear and has taken the steps to get beyond it. Final recommendation: Patient has the tools to allievate the effects on him. No further consultation required.
  • SD 239109.25