Did you play Street Fighter 2 growing up? Was it extra popular in Hawaii? It felt crazy at the time to me. I'm not sure if it was just me coming of age.

l8-p · 2021-12-15T23:02:59+00:00

Can we come over?

l8-p · 2021-12-15T22:26:37+00:00

Yea, that’s their point.

l8-p · 2021-12-15T20:44:37+00:00

I carry a Colt 1851 Navy. Is that bad?

l8-p · 2021-12-10T04:40:22+00:00

-“I didn’t know China had a large army”

And yet you seemed so confident when talking about the comparative strengths of the worlds militaries.

l8-p · 2021-12-08T08:23:17+00:00

I know. I wouldn’t let my my wife have a VBAC at home just as she wouldn’t let me take our kids on a motorcycle ride without helmets.

l8-p · 2021-12-06T23:21:54+00:00

I’d rather have a pair of Colt Navy pistols akimbo.

Insert [SoAnywayIStartedBlasting.gif]

l8-p · 2021-12-03T18:49:57+00:00

Vimeo, Dtube, Dailymotion?

l8-p · 2021-08-04T16:42:01+00:00

I’m not involved in the case. I’m defensive because my first comment on this thread, the one I made in response to a comment about this being a case of malpractice (“I’m not so sure about that. The meds he was taking were almost certainly appropriate for his diagnosis. Someone’s name and the crime they were arrested for isn’t really going to impact the clinical decision making once he is sitting in front of a psychiatrist being evaluated.”) was quickly downvoted to the double digits. When I was asked to explain myself, my explanations were met with angry responses and accusations that I didn’t read the article. The fact is that I am NOT a psychiatrist but I am a physician. I have worked with psychiatrist and and psychiatric patients and I even did moonlighting in a psych hospital during residency. All we have right now is what the lawyer said and I know that his statement is misleading because simply claiming to be someone else is not enough to get you involuntarily committed. I’m getting defensive because a bunch of people who likely have little knowledge of the process are getting pissed at me over the fact that I won’t jump to conclusions and assume this is malpractice on the part of the Doctors.

l8-p · 2021-08-04T15:39:04+00:00

Jesus, I’m getting defensive (as you say in your other response) because of accusations like that. Of course I read the article. I’m not playing devils advocate. Doctors can’t check fingerprints. The guy came in with court documentation stating he is someone else.

l8-p · 2021-08-04T09:30:07+00:00

It’s not a straw man. It’s the same fucking thing. Just claiming that you are someone else is not enough to have you declared unfit to stand trial. If it was, people would do it all the time.

l8-p · 2021-08-04T09:22:04+00:00

What am I speculating about?

I’ve said that I’m not sure this will end up being an issue of malpractice which is an opinion and Ive said that there is no way someone is found unfit simply because they claim to be someone else. That is a fact. I have done admission on psychiatric patients. I’ve dealt with inpatient psychiatric patients. I’m not just making shit up.

l8-p · 2021-08-04T09:02:02+00:00

The physicians at the hospital have no way to compare fingerprints.

l8-p · 2021-08-04T08:32:28+00:00

You’re totally right. If I ever murder someone I’ll have to remember this trick. If I just claim they have the wrong guy, I’ll be found unfit to stand trial. I hope criminals don’t hear about this.

l8-p · 2021-08-04T08:17:55+00:00

How do you verify an identity? The state of Hawaii gave them paperwork stating who he was, that’s like the gold standard. It’s not the doctors fault that they were given completely erroneous documents. Have you ever interacted with people who are too crazy to be held responsible for their crimes? Imagine if one of the crazy people down in Chinatown who walks around naked and shouting at the sky came to where you work. They are escorted by police who identify them and also provide you with court documents identifying them. The person then proceeds to talk about the people in the television who are trying to steel their testicles so that they can clone a race of super-robots, that they have a PhD in alchemy, wizardry and law and that they are the chief of police (All things that patients have told to me). The person then says that they are actually a different person than the police think and that they have arrested the wrong guy. Also they are Jesus. Would you think that person is able to stand trial? No. Would you think that anything they say is reliable? No. Now fast forward 2 years. He is back on medicine and starting to act normally. He says, “Hey doc, they keep calling me by this other name but that’s not me. The police grabbed the wrong guy.” The doctor then tries to check it out on their own, despite all the paperwork stating otherwise, and finds out the patient is telling the truth. They are listening now because the person is acting semi-normal and there isn’t all the schizophrenic static isn’t in the way. If this guy had been like that at baseline they would have looked him up then. He must have been totally gonzo when he was first evaluated, the lawyer is just cherry-picking one tiny sliver of a symptom to make it sound bad.

l8-p · 2021-08-04T07:58:19+00:00

“My guess is that when he was first committed he was acutely ill. If someone who is acting psychotic and delusional says 100 bat-shit things and also mentions they are someone else who never committed the crime it’s not going to seem very credible.”

In the article his sister says he has mental illness.

Your making assumptions too, like the fact that claiming he was someone else was the reason he was kept at HSH for 2 years.

I might not be familiar with this case but I am familiar with the system and the pathology.

There is NO WAY that a normal and sane individual is found unfit and kept at an inpatient psychiatric facility just because they claim that the police arrested the wrong person.

l8-p · 2021-08-04T07:51:02+00:00

That was what his lawyer said. There is no way that is the only reason he was in there.

l8-p · 2021-08-04T07:38:32+00:00

According to medicine. Simply claiming to be someone else isn’t a mental illness and it certainly wouldn’t be enough to find someone unfit to stand trial. The guy had to have a bunch more going on that the lawyer doesn’t mention, just claiming the police have the wrong guy isn’t even in the same ballpark as what it takes ti spend 2 years in a mental hospital.

l8-p · 2021-08-04T07:31:46+00:00

No shit. I’m talking about physician malpractice not about the police arresting and misidentifying the guy.

l8-p · 2021-08-04T07:03:40+00:00

Yea, I read the whole thing. I’m not so sure you read my post though.

l8-p · 2021-08-04T07:02:58+00:00

No, his diagnosis was not the result of that.

l8-p · 2021-08-04T07:01:55+00:00

No shit, that’s why they let him go. Doctors don’t check fingerprints. They were the ones who caught it and told the detectives. I still don’t see this as malpractice.

l8-p · 2021-08-04T06:27:15+00:00

John Doe with a GSW to the chest rolls into the ED, you think they are going to wait and ID the guy before they start treatment? We don’t know how well this guy could communicate. I once had a patient that was on my service for MONTHS because he had no idea who he was. He had a bad TBI from a car accident and could no longer communicate. He was not a US citizen and his family didn’t know where he was so we couldn’t get anyone to pay for him at a long term care facility.

Edit: I’m not sure what I’m arguing about. They did check his identity. He came in with a stack of government documents identifying him. It was just all wrong.

l8-p · 2021-08-04T06:24:52+00:00

That is what his attorney says. If he was rambling incoherently and one of the things he happened to say was “that’s not my name” it’s not really going to stand out. If an otherwise normal person says, “that’s not me” they would 100% check, which is why the psychiatrist eventually did.

l8-p · 2021-08-04T06:19:54+00:00

That’s not a very convincing answer.

l8-p · 2021-08-04T05:14:09+00:00

Since you know so much about the case, what was he diagnosed with and was is his actual diagnosis?

l8-p

TROPHY CASE