after referring to the patient’s history i need to point out to the caregivers that he has been thoroughly examined. physicologically there no damage, however is it possible that biochemically it is quite probable that his serotonin control mechanisms are affected. i can’t make that judgement beyond reviewing. i shouldn’t even be remarking on it.

the patient and his mother had another argument last night. it devolved into the issue of responsibility. she wants him to make decisions for her without her having to accept responsibilty for the decisions. he simply lacks the authority to make those type decisions and she won’t make her own. if he guides her step by step on what to do, as she is asking him to do, he’s accepting responsibility for the decisions and he’s not in a position lgeally to do that. she doesn’t understand that and her lawyer or government agencies aren’t there to have her understand that.