Patient Assessment Log: Do not remove from wing

[exile]

Hashkar 130, day 117

Case Number 137781
Name: Lazarus (no family name provided)
D.O.B.: Uncertain, presumed to be in fifth decade

Admission Note

Patient Summary: Lazarus is a human male with no previous history in our care and no apparent factional associations. He was rendered into our custody by a loose associate in the Hive after a particularly protracted episode of anxiety and psychosis. He is thought to be a beggar with no known family in Sigil. We were unable to ascertain any further information from the associate.

On examination the patient is acutely disoriented and minimally responsive. He gives no indication to the effect that he is aware of his identity or his surroundings. He appears chronically malnourished and mildly dehydrated. There is a strong smell of tobacco about the patient.

The patient has suffered extensive bodily injury in the past. His left arm is amputated above the elbow and his left eye is destroyed. He has multiple scars across his visible skin, none of which appear recent.

The patient is seen to engage in largely unintelligible conversation with a non-present individual and is extremely emotionally labile. His affect is frequently inappropriate to the situation. In addition, he startles readily and withdraws from touch.

It is my provisional assessment that the patient is acutely suffering from a dissociative fugue, manifest on a chronic background of dementia praecox of the paranoid type or what might potentially be soldier’s heart. I am admitting him as a ward of the Gatehouse until such time as he is fit to be released, or a kinsman petitions for his custody. The patient is to be placed under constant supervision until the current episode subsides. I have authorized the use of a valerian tincture as a sedative.

Signed and Endorsed,
Hadrian

[exile]

Hashkar 130, day 118

Case Number 137781
Name: Lazarus

Follow Up Note

I had the opportunity to meet with Lazarus again this morning. It would seem that a sound night’s rest and a few warm meals have done him some good. Although he continues to be agitated I was able to coax some information from him concerning his past and current ailments. The poor sod claims to originally hail from Torch in the Outlands. He is unsure of how or when he arrived in Sigil.

When asked directly about the injuries sustained to his arm and his eye, Lazarus reacts fearfully and has on at least one occasion struck out at an attendee. I have instructed those in charge of his care to refrain from such questions for the time being.

The patient’s discourse with his imagined participant continues intermittently. His language is fraught with nautical terms and I am beginning to suspect that he may have been a sailor at one time, although he denies this.

An interesting observation, Factotum Maeli, herself a tiefling of Baatorian descent, has relayed to me that the patient “stinks to high hells of Tanar’ri”. I myself cannot distinguish the scent, but I trust her intuition in this regard.

I have given permission for the patient to be escorted out into the exercise yard under supervision.

Signed and Endorsed,
Hadrian

[exile]

Hashkar 130, day 120

Case Number 137781
Name: Lazarus

Follow Up Note

An unfortunate incident has been brought to my attention today. After a little over an hour’s uneventful recreation in the courtyard this morning, Lazarus became suddenly and inexplicably agitated. Repeated attempts to calm him failed and indeed his behavior became increasingly more erratic. I am told that without provocation he began to swing wildly at any persons unfortunate enough to be in proximity to him, and was heard to shout “I’m not going back there” repeatedly. Thankfully he was subdued before any significant injuries were sustained.

I am concerned not only for the safety of the patient but for the wellbeing of those around him. However, I am hesitant to render Lazarus into solitary confinement because his behavior is largely manageable outside of these fits. For the time being, I am suggesting that his recreation in the courtyard be limited to low volume periods when he is unlikely to feel crowded or claustrophobic.

I will be reviewing this case again shortly.

Signed and Endorsed
Hadrian