Date: Fri, 19 Jul 2002 15:53:39
Subject: Haldol
From: tabitha_moran@rush.edu
To: debarthelme@rush.edu

Dr. Barthelme,

As expected, Berto Tazar reacted negatively to Monday's transfer of Pedro Vasquez. He claimed that his "captors" were "killing off his allies, one by one," and that he was sure "I'm next." He had to be put in restraints Monday evening after trying to remove the grille from window. We're not sure if he would have jumped out (it is the fourth floor) had he succeeded. He's not otherwise showing any signs of suicidal ideation.

The good news is that the Haldol appears to be showing some positive effects. For instance, while his delusions that he is 14th Century Italy remain in force, he is now communicating with staff (albeit he is alternately aggressive and resigned, and treats us as one would prison guards). But he is speaking to us now, so that's a start.

He continues to read his email at every opportunity. Indeed, we have been able to leverage his computer access as a bargaining chip to rein in his misbehavior. We have encouraged him to write back his friends and relations, but he still refuses to do this.

I'm hopeful however that as we get into the third week of his Haldol prescription and are able to better gauge the dosage, we might see a breakthrough.

We also have high hopes for his brother's upcoming visit.

He's showing the normal side affects: drowsiness, drymouth, and constipation. No nausea or vomiting, abnormal heartbeat, etc.

I would encourage a continuation of his current schedule of medication, and require more individual and small group therapy. I think that once we get him talking and his dopamine levels in check, there is every reason to believe that Berto Tazar will be able to resume a normal life.

Sincerely,

Tabitha Moran, LCSW