Patient’s Name: A. N. Gretly
Case Number: 28191
Date of admission: 04/08/1990
Notes by: Dr. Stephen M. Harris M.D.
My first meeting with the patient was actually two months after he was admitted to the mental institution, his case was assigned to me by the Medical Chief himself. After studying a few reports on the case, it came to my knowledge that the patient was admitted to the hospital after a suicide attempt. The patient used a handgun to blow a hole in his head, the bullet went into his mouth, and came out of his right cheek, not breaking his jawbone; Gretly’s sister found him in a pool of blood and rushed him to the nearest hospital. The hospital then transferred him to the mental institution for psychiatric analysis after three weeks. A colleague did the analysis and reported that the patient suffered from delusional thinking, and showed some signs of schizophrenia. In the course of the two months that followed his admission, the patient showed no signs of interaction. Any attempt to communicate with the patient failed miserably, at the same time, the patient showed no signs of violence. The Medical Chief then asked me to his office and assigned this case to me; his reason was because I’ve worked with more than twenty cases that involved delusional thinking.
The psychiatric report was solely based on the patient’s sister’s statement. She stated that her brother had not been mentally stable for the past year; saying that he spoke of fogs, swamps and strange creatures. She also provided a note in her brother’s hand writing, containing these words, along with symbols of some kind. The piece of paper had been soaked in blood (the blood was dry when my colleague received the note) that the patient wrote right before he shot himself, with the words ‘My Death Note’ at the very top.
It seems to be a classic case of delusional thinking, but something about this patient makes me feel uneasy.