K-Pax (3 page)
Whil
e
w
e
waite
d
I
reviewe
d
hi
s
medica
l
record
:
Temperature
,
pulse
,
bloo
d
pressure
,
EKG
,
and bloo
d
value
s
wer
e
al
l
withi
n
th
e
norma
l
range
,
accordin
g
t
o
ou
r
chie
f
clini
c
physician
,
Dr
.
Chakraborty. N
o
denta
l
problems
.
Neurologica
l
exa
m
(muscl
e
strength
,
coordination
,
reflexes
,
tone
)
normal
.
Left/right
discriminatio
n
normal
.
N
o
proble
m
wit
h
visua
l
acuity
,
hearing
,
sensin
g
ho
t
o
r
col
d
o
r
a
ligh
t
touch,
handlin
g
platoni
c
solids
,
describin
g
pictures
,
copyin
g
figures
.
N
o
difficult
y
i
n
solvin
g
comple
x
problems
an
d
puzzles
.
Th
e
patien
t
wa
s
quick-witted
,
observant
,
an
d
logical
.
Excep
t
fo
r
hi
s
peculia
r
delusio
n
and
tota
l
amnesia
,
h
e
wa
s
a
s
health
y
a
s
a
horse.
Bett
y
cam
e
i
n
wit
h
tw
o
larg
e
apples
.
Sh
e
glance
d
a
t
m
e
fo
r
approva
l
and
,
whe
n
I
nodded
,
offered
the
m
t
o
th
e
patient
.
H
e
too
k
the
m
fro
m
th
e
littl
e
tray
.
"Re
d
Delicious!
"
h
e
exclaimed
.
"M
y
favorite!
"
After
offerin
g
u
s
a
taste
,
whic
h
w
e
declined
,
h
e
too
k
a
large
,
nois
y
bite
.
I
dismisse
d
m
y
assistan
t
an
d
watched
a
s
"prot
"
devoure
d
th
e
fruit
.
I
ha
d
neve
r
see
n
anyon
e
enjo
y
anythin
g
more
.
H
e
at
e
ever
y
bi
t
o
f
both
apples
,
includin
g
th
e
seeds
.
Whe
n
h
e
ha
d
finished
,
h
e
said
,
"Thank
s
an
d
thanks,
"
an
d
waite
d
fo
r
m
e
to
begin
,
hi
s
hand
s
o
n
hi
s
knee
s
lik
e
a
littl
e
boy's.
Althoug
h
psychiatri
c
interview
s
ar
e
no
t
normall
y
recorded
,
w
e
d
o
s
o
routinel
y
a
t
MP
I
fo
r
research
an
d
teachin
g
purposes
.
Wha
t
follow
s
i
s
a
transcrip
t
o
f
tha
t
firs
t
session
,
intersperse
d
wit
h
occasional observation
s
o
n
m
y
part
.
A
s
usua
l
durin
g
initia
l
interview
s
I
planne
d
simpl
y
t
o
cha
t
wit
h
th
e
man
,
ge
t
to
kno
w
him
,
gai
n
hi
s
trust.
"Wil
l
yo
u
tel
l
m
e
you
r
name
,
please?"
"Yes.
"
Evidenc
e
fo
r
a
sens
e
o
f
humor?
"Wha
t
i
s
you
r
name?"
"M
y
nam
e
i
s
prot.
"
H
e
pronounce
d
i
t
t
o
rhym
e
wit
h
"goat,
"
no
t
"hot."
"I
s
tha
t
you
r
firs
t
nam
e
o
r
you
r
last?"
"Tha
t
i
s
al
l
o
f
m
y
name
.
I
a
m
prot."
"D
o
yo
u
kno
w
wher
e
yo
u
are
,
Mr
.
prot?"
"Jus
t
prot
.
Yes
,
o
f
course
.
I
a
m
i
n
th
e
Manhatta
n
psychiatri
c
institute."
I
discovere
d
i
n
du
e
cours
e
tha
t
pro
t
tende
d
t
o
capitaliz
e
th
e
name
s
o
f
planets
,
stars
,
etc.
,
bu
t
not
thos
e
o
f
persons
,
institutions
,
eve
n
countries
.
Fo
r
th
e
sak
e
o
f
consistency
,
an
d
t
o
bette
r
depic
t
the
characte
r
o
f
m
y
patient
,
I
hav
e
adopte
d
tha
t
conventio
n
throughou
t
thi
s
report.
"Good
.
D
o
yo
u
kno
w
wh
o
I
am?"
"Yo
u
loo
k
lik
e
a
psychiatrist."
"That'
s
right
.
I'
m
Docto
r
Brewer
.
Wha
t
da
y
i
s
it?"
"Ah
.
You'r
e
th
e
actin
g
director
.
Wednesday."
