Emergency room | "The Keyword of the Week" | [es-en]

Se trata de un hombre de unos 40 años que ingresa al servicio de emergencias, traído por una patrulla policial. Los oficiales refieren que fue encontrado deambulando en estado de alta excitación, gritaba que había escapado tras estar secuestrado por los líderes religiosos de una secta.

El examen médico, revela barba de unos 4 días, sangre seca en ropa y cara, sin heridas en su cuerpo, solo escoriaciones recientes en pecho y espalda.

Saliva espesa y otros signos de deshidratación. Evidencia notorio hematoma en la frente y mejillas, marcas de abrasiones y hematomas (¿sogas?) en muñecas y tobillos. Ante lo cual refiere que estuvo amarrado a un banco de la iglesia de los adoradores de Selene.

Estado mental, de confusión, pensamiento desorganizado y logorrea. Aunque logra calmarse para relatar los hechos ocurridos. Se resumen:

Refiere haber estado en el servicio religioso del domingo en la mañana, cerca del final del mismo siente un toque en su espalda, que asume fue provocado por el “viento del espíritu de la diosa”, pues se vio empujado y cayendo en cámara lenta fue a dar contra la pared a su izquierda, golpeándose la cara. Cree haber perdido el conocimiento, el último pensamiento que recuerda es que creyó haber sido drogado.

Recuerda haber despertado amarrado de pies y manos a una punta del banco, a su alrededor vio a seis de los líderes del culto, sentados en sillas y, vestidos todos con uniforme militar camuflado y lentes oscuros.

Refiere haberles dirigido muchas preguntas, pero ninguno le contestaba. Solo lo miraban como estatuas de cera, casi sin moverse. Refiere que la intensidad de las lámparas le hizo perder el sentido del tiempo.

Cree haber estado “al menos un año en esa posición y lugar”. Sus supuestos cuidadores se empezaron a rotar en parejas por guardia. Lo tenían todo el tiempo vigilado. Solo una de las secuestradoras hizo algún intento de responderle en lo que creyó era el final del tercer mes.

Esta le señaló en la pared el lugar donde había estrellado su cara. Al fijarse en el lugar, notó unos signos raros parecidos a los iconos de las fases de lunas, vio líneas y vio un párrafo.

En sus propias palabras, dice haberse dedicado en cuerpo y alma durante seis meses, a estudiar esos símbolos. Y lo hizo, en ese momento del relato sus ojos se pusieron en blanco, y empezó a convulsionar. De su garganta surgía una voz espectral que decía que él era la reencarnación del hijo de la noche.

Entró en alta excitación psicomotora, comenzó a destruir el consultorio y desmayar al enfermero de turno. Se requirió de la fuerza de 4 guardias de seguridad, para reducirlo, sedarlo y llevarlo al servicio de psiquiatría. Para valoración.

DX: Descartar episodio psicótico en fase maníaca.

This is a man of about 40 years old who enters the emergency room, brought by a police patrol. The officers report that he was found wandering, around in a state of high excitement, shouting that he had escaped after being kidnapped by the religious leaders of a sect.

The medical examination reveals a beard of about 4 days, dried blood on clothes and face, no wounds on his body, only recent abrasions on his chest and back.

Thick saliva and other signs of dehydration. There is a noticeable bruise on his forehead and cheeks, abrasion, marks and bruises (ropes?) on his wrists and ankles. He says he was tied to a bench in the church of the worshipers of Selene.

He had a mental state of confusion, disorganized thinking and logorrhea. Although he managed to calm down to recount the events that occurred. They are summarized as follows:

He says he was at the Sunday morning religious service, near the end of it he felt a touch on his back, which he assumed was caused by the “wind of the spirit of the goddess”, because he was pushed and falling in slow motion he hit the wall to his left, hitting his face. He believes he lost consciousness, the last thought he remembers is that he thought he had been drugged.

He remembers waking up tied hand and foot to the edge of the bench, around him he saw six of the cult leaders, sitting in chairs, all dressed in camouflage military uniforms and dark glasses.

He says he asked them many questions, but none of them answered. They just looked at him like wax statues, almost without moving. He says that the intensity of the lamps made him lose track of time.

He thinks he was “in that position and place for at least a year.” His supposed caretakers began to rotate in pairs per guard. They had him under surveillance all the time. Only one of the kidnappers made any attempt to answer him, at what he believed was the end of the third month.

She pointed out the spot on the wall where his face had crashed. When he looked at the spot, he noticed some strange signs similar to the icons of the phases of the moon, he saw lines and saw a paragraph.

In his own words, he says that he had devoted himself body and soul for six months to studying these symbols. And he did so. At that point in the story, his eyes rolled back in his head and he began to convulse. A spectral voice came from his throat, saying that he was the reincarnation of the son of the night.

He became highly psychomotor-excited, began to destroy the office and make the nurse on duty faint. It took the strength of 4 security guards to restrain him, sedate him and take him to the psychiatric ward for evaluation.

DX: Rule out psychotic episode in manic phase.