Dyrovaske, Sano K.

[Sano Kemosiri Dyrovaske]

Name: Sano Kemosiri Dyrovaske

Age: Seventeen

Date of Birth: November 27th, 1992

Race: Middle-eastern (Egyptian)

Blood Type (optional): A +

Medical History

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Allergies[/u]
None known

Current medications[/u]
BuSpar (Anxiety medication)
Dalmane (Sleeping medication)
Remeron (Depression medication)

Family History
Nothing Medically.

Surgeries[/u]
None

Visit history[/u]

27 NOVEMBER 1992
Born 8:32 PM. Eight pounds, three ounces. Eighteen inches long. No complications.

30 NOVEMBER 1993
Routine check-up. Slight cold. No other abnormalities. Seems healthy.

12 APRIL 1995
E.R. Visit with a broken arm. Patient's father claimed he fell down the stairs. No reason to assume otherwise. Follow-up appointment in three weeks.

3 MAY 1995
Follow-up on his broken arm. Healing well. Patient has a busted lip, says he bumped into the counter. No reason to assume otherwise.

9 MARCH 1996
Check-up. Patient seems normal, though very quiet and nervous. Bruises and scratches on his body. Patient claims he likes to adventure with his friends. No reason to assume otherwise.

10 JUNE 2001
Check-up. Some of the patient's joints are swollen. Bruises on his skin. Patient is underweight and very quiet; does not answer questions well. Many cuts, some very old, others fairly new. Patient shows signs of abuse. Recommended psychological treatment. Many bones are improperly healed, but patient refuses treatment. Guardian complies to patient's wishes. No reason to assume guardian is mistreating patient.

15 JULY 2005
Patient came complaining of headaches. No medical reason found. Recommended pain medication. Guardian requested testing for depression. Follow-up required.

29 JULY 2005
Patient is chemically imbalanced and prescribed anti-depressants. Psychological help recommended.

9 JANUARY 2007
Check-up. Patient seems strangely nervous. Slight cold.

16 FEBRUARY 2008
Patient taken to the E.R. After losing consciousness. Patient is underweight, but not severely, as well as dehydrated. Patient's brother says he hasn't seen him eating, but that's not anything new. Suicide-watch.

9 NOVEMBER 2008
Check-up. Patient is much less nervous, but less comfortable with answering questions.

10 MAY 2009
Patient taken to the E.R. Again after losing consciousness. Patient is more underweight than before, but not dehydrated. Suicide-watch.

1 FEBRUARY 2010
Patient shows extreme signs of abuse, and some self-mutilation. He is extremely calm, most likely due to the medications. Patient is underweight and talks very little.

Slight suicide-watch.

Psychological help recommended, but not required.

[Sano Kemosiri Dyrovaske]

Name: Sano Kemosiri Dyrovaske

Age: Seventeen

Date of Birth: November 27th, 1992

Race: Middle-eastern (Egyptian)

Psychological History

[/u][/b]


Current medications[/u]
BuSpar (Anxiety medication)
Dalmane (Sleeping medication)
Remeron (Depression medication)

Family History
Father showed signs of being bi-polar and a chronic-depressant.
Mother suffered from depression.
Brother suffers from slight body dysmorphic disorder (BDD).


Visit history[/u]

31 JULY 2005
Patient shows basic depression due to chemical imbalance. Prescribed anti-depressants fit for his age. Patient avoids talking about his family and seems overprotective of his brother. Patient is also slightly vain, shown in the pride he has in the way he dresses, and his stiff disposition. He does not like answering questions.

28 SEPTEMBER 2005
Patient is still quiet and is still depressed. He does not seem to be taken his pills at all. When asked why, patient says he does not want to feel or seem weak by taking pills to make him 'feel better' (quotations implemented by sarcasm). Patient answers even less questions than before. He does not talk about his brother as often, but seems more protective of him.

20 JANUARY 2007
Patient seems unnerved and jittery. Seems anxious about something. When asked about what, he doesn't seem to know. He just is. Patient refuses to talk about his brother at all, and is very vague about his new guardians. Patient asked about his family life in Egypt. Refuses to answer. Patient asked about his sleep habits. He answers he doesn't sleep very well. Doesn't answer why. Patient prescribed anti-anxiety medication, to help with his anxiousness and insomnia.

16 MARCH 2007
Patient is less anxious but still doesn't sleep well. When asked about his hospital visit to the ER, he refuses to acknowledge that he was suicidal. He claims he forgets to eat sometimes—gets caught up in things and simply forgets. Unlikely. Patient is prescribed more anti-depressants, and will hopefully take them.

4 DECEMBER 2008
Patient seems just as depressed as before, but much less anxious. Medication seems to be working. His sleep pattern, however, has gotten worse. Patient claims to be taking all of his medications this time. Seems convincing. Prescribed harder anti-depressants, and insomnia medication.

22 MAY 2009
Patient asked again about his new visit to the ER, and still refuses to believe he did it on purpose. He claims the same story as before: forgot to eat. Doubtful, but impressive he remembers exactly what he said the last time. Patient asked about the impact of his forgetfulness on his guardians and his brother. Patient seems unwilling to think about it, as he still claims it was an accident. Seems disconnected with his guardians and his brother, but is still irrationally protective of the latter.

Patient is less nervous but more depressed. More anti-depressants are prescribed. Sleep deprivation unchanged.