I have a couple. The first one was a paitient that I had when I was on my psych rotation. He was schizoaffective and didn't trust anyone on the unit. (locked unit by the way) So they gave him to me, the med student. Well, it turned out that he trusted me for some reason. He particularly didn't like the resident I was assigned to (who also happened to be blind, but that is another story) and had actually thrown a basketball at my resident a couple times when my resident tried to talk to him. And so I was the only one who would see him everyday. Well, the guy was very paranoid with delusions of reference and thought all the other patients were evil because they would laugh at times. He also seemed to have a lot of issues with sex because he had been caught going into womens rooms late at night and just standing over their bed as well as giving love notes to the nurses. He suffered from constant audio and visual halucinations which he would not talk about, except to say that Jesus and Satan talked to him. He also seemed to be almost puritanical when I would actually bring sex up and seemed almost repulsed by it and was very religiously fixated. So to give you the overall picture, except for the love notes and late night staring, he kind of gave the impression of being some deranged priest who was obsessed with purity. So I was surprised when, a few days before my rotation was over he asked me if he had told me what he wanted to do when he got out. I told him no, and he proceeded to tell me that he was planing on becoming a porn star. He also later admitted to me that his visual hallucinations were of people doing sex acts, but would say no more beyond that. (so kind of a constant porn movie with Jesus and Satan as commentators I guess?) He also apparently lives somewhere nearby where I live because I have seen him about five times on the street since then and he once came up and asked me for a cigarette when I was studying outside a coffee shop (he remembered me from the unit).
Oh boy, this next one is a doozy. I never actually had contact with this patient, but heard the story from my attending, so I hope I have all the details straight. There was a 14 yo girl living in a foster home who had been caught offering to give (and giving) blow jobs to the 14 yo boys on the school bus coming home. She had been refered to my attending for counseling. When he first spoke to her, he did not have access to her chart and so did not know any of her history. He talked with her, and she seemed very confused about what she did that was so bad. She said that that was just the way she made friends and they liked it a lot, so what was the big deal? Well, my attending later got ahold of her chart and discovered her very interesting family history. So this girls grandmother had immigrated to the US with her son, the girl's father. When the son was about 13, the grandmother got pregnant with him as the father and had a daughter. The son and the daughter then proceeded to have five more children, three of which did not live past two years due to severe mental ******ation, one was a vegetable in a care home, and then there was this girl, who was the normal one, so to speak. But wait, it gets better. So this "family" had been living outside a little town that was out in the middle of nowhere. They kept to themselves and it was just assumed that this was a couple and thier mother/mother-in-law and child. Somewhere along the way, one of the neighbors had called child protective services because there were kids that would be seen around the house for about a month and would then disappear and not be seen anymore. So child protective services came out and it was discovered that the father had been sexually abusing the daughter since she was born (the guy is messed up, okay? he had children with his sister/daughter for goodness sakes), but the adults denied there ever being any other children. When the daughter was interviewed and asked about the other children, she said that yes, there were other children living in the house, but her father had sacrificed them in the desert. There was no evidence found of this, but all the adults were put away for child abuse and the girl was placed in the foster system. Apparently, the grandmother had been psychotic and had believed that her son was the messiah. Apparently the girl had gone on to meet some nice fellow in the community and got engaged and from there my attending lost contact with her. Who knows how normal she is or what she will do to her own children. Yikes.
............
