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Last Meeting With Psychiatrist Dr. Al Shulz Transcript of January 1998 Important
Last Meeting With Psychiatrist Dr. Al Shulz Transcript of January 1998 Important
Dr. Albert J. Shulz, M.D. Well where is it going to go? Where is it going to get you?
Stan J. Caterbone Why is that your business Al? That is my business. That is not your business where
they go.
Dr. Albert J. Shulz, M.D.. Stan J. Caterbone its over
Stan J. Caterbone I will, thank you
Dr. Albert J. Shulz, M.D. But
Stan J. Caterbone I will fight for the truth Al. This is for the truth. That is all I am fighting for. If
everyone is afraid for the truth, that is on them. I did not do anything wrong. If other people did
something wrong then that is on them. I am not bearing the burden of responsibility for that. That is all.
I did nothing wrong. I had everything taken from me. And I have rights that were violated. It is as
simple as that. It is not a big deal.
Dr. Albert J. Shulz, M.D. As far as adding any medicine you day no?
Stan J. Caterbone I dont need anything, No.
Dr. Albert J. Shulz, M.D. You should add ..
Stan J. Caterbone And why would you add that?
Dr. Albert J. Shulz, M.D. Because you really look wound up.
Stan J. Caterbone Do you think this conversation is wound up?
Dr. Albert J. Shulz, M.D. Yes, you
Stan J. Caterbone OK. I am here for your opinion, and that is fine. I will always
Dr. Albert J. Shulz, M.D. You are really not yourself, you are just not yourself.
Stan J. Caterbone Well, when am I myself? Am I a lower tone, more mono? Do I ask more questions,
less questions? What do you mean? Help me out there.
Dr. Albert J. Shulz, M.D. When your not obsessed with that stuff.
Stan J. Caterbone I go to work ever day, and I do a helluva job at work. Is that being obsessed? Is it?
I am asking you a question. Why am I.. I am sane from 9 to 5 when I work for Dave Pflumm, but in the
off hours I am insane when I deal with my issues. I dont feel upset about anything. I dont think I am
obsessed with anything, Al.. It is just my rights, Its not
Dr. Albert J. Shulz, M.D. It is just going to tear you apart.
Stan J. Caterbone Yea, and it will tear other people apart that did wrong to me, too. That is just right.
It is not going to tear me up. I dont let it control my life, Al.
Dr. Albert J. Shulz, M.D. Are You.. How about increasing lithium.
Stan J. Caterbone Al I am really fine, I have been fine for four years, on this. I am fine. I dont need to
change just because I see attorneys. I did not mean to offend so many people, sheesh. I guess the
hospital didnt screw up with Tommy either? Huh?
Dr. Albert J. Shulz, M.D. It doesnt help you to get into what Tommy..
Stan J. Caterbone He was my brother, Al. What do you mean it doesnt help me? I am just concerned,
thats all. Dont worry I have no parts of that. That is Phil. All I want is what is mine. That is all I ever
asked for. How would you like it if you were locked out of here Al, and you lost your career, and your
money, and your home? How would you like it? You wouldnt fight back? Any reasonable person would
fight back.
Dr. Albert J. Shulz, M.D. If there is anything to get back.
Stan J. Caterbone How do you determine what there is to get back?
Dr. Albert J. Shulz, M.D. All right, all right.
Stan J. Caterbone Well no, I am just asking a question.
Dr. Albert J. Shulz, M.D. It sounds like there is nothing to get back.
Stan J. Caterbone And who told you that?
Dr. Albert J. Shulz, M.D. Nothing but pain and misery.
Stan J. Caterbone What if I have evidence otherwise? How would you know what I have? How do you
know what my business was?
Dr. Albert J. Shulz, M.D. Its not, Im not. The guy that brought you most is sitting in jail. What the
hell.
Stan J. Caterbone Who? Jim Guerin? Al, Jim Guerin has nothing to do with this. Nothing?
Dr. Albert J. Shulz, M.D. Who are the guys that did this to you?
Stan J. Caterbone Al, that is up to investigators. Who violated my rights? Who arrested me for stealing
my own files out of my own office. Lets start there. Who repossessed my airplane thirty days before my
first payment was due? Who took my business away from me? Who took my credit, my reputation?
Dr. Albert J. Shulz, M.D. Okay, so you will not
Stan J. Caterbone Al I thought this is America, you fight for what is yours, you fight for what is taken
from you, I mean it is not no big complicated thing. I mean there was so much taken from me. I have all
the evidence. I have all the tapes. Its all on one disc. Six hundred fifty documents, all the
conversations. That is the factual. It is not what I think. It is not what I perceive. That is a fact. And
that doesnt change. And that is what I go by. That is how I make my decisions and my judgments, on
the facts. It is not what I think, or what I want to think. Its just the facts.
Dr. Albert J. Shulz, M.D. You need anymore prescriptions?
Stan J. Caterbone Yea, you know what else I need, Creatin and what are the others? I guess I should
have had them this time? I dont really need any scripts for the meds. I need them for my insurance.
They always break them out, but. They wont give me anymore than thirty days worth, so. Al let me ask
you a question, legally has my right to enter into contract ever been rescinded?
Dr. Albert J. Shulz, M.D. - No
Stan J. Caterbone So what does my mental illness have to do with anything?
Dr. Albert J. Shulz, M.D. I am just telling you, you are not yourself. I cant tell you not to do this, all Im
saying it can tear you up inside.
Stan J. Caterbone Al, I know. If I stay out of it it tears me apart. What people did to me. I get no
respect. People think I am an insane criminal. Thats not true. I have never been convicted of anything
and have been in jail five times. That is not a setup?
Dr. Albert J. Shulz, M.D. Here is your..
Stan J. Caterbone Alright.
Education, patient graduated from Millersville University. Work history, patient has
been involved in Financial Services For years. He initially was involved with IDS.
Ultimately, put together a company on his own. D and A history is negative. Legal
History was negative until events leading up to the patient's coming to the hospital.
MEDICATIONS for ALLERGIES; Not dictated.
REVIEW OP SYSTEMS; No complaints, other than the patient said he had a URI a week or two
before being admitted to this inpatient unit.
PHYSICAL examination; (Vital signs - See Nursing Assessment)
GENERAL: The patient is in no physical distress.
HEAD/EYES/EARS/NOSE/THROAT: No acute abnormalities.
NECK: No lymphadenopathy.
CHEST/LUNGS/BREASTS; Lungs clear to Auscultation.
HEART; Regular rhythm, no murmurs.
ABDOMEN: Soft, no tenderness, no masses.
PELVIC/RECTAL/GENITALIA: Rectal not done.
NEUROLOGIC/PSYCHIATRIC: No focal deficit.
EXTREMITIES: Normal.
MENTAL Status: The patient is cooperative; he is totally resistant to the thought that he is
suffering from any manic symptoms. He has some pressured speech. He is obsessed
and preoccupied with his litigation involving his company and the bank loan for his
airplane. The patient discounts and discredits anyone that has expressed concern
for his emotional well being. Friends mentioned, family are all discredited, saying
they really are not close to him and do not understand what is going on. The
patient also discredits me, saying that I mean well, but that I am bias by what I
have learned from friends and relatives and that I do not understand what the
patient is enduring with regard to his present legal involvement. The patient does
not have any formal thought disorder. He does not present any secondary
psychotic symptoms in the form of delusions or hallucinations. The patient denies
any suicidal ideation whatsoever and denies any feelings of impulses to harm
anyone else. He talks at length of the conspiracy against him that will very soon be
revealed by the legal action that he is taking. The patient has no organic disturbance
with regard to seamy, orientation, reasoning and judgment.
ASSESSMENT: Bipolar mood disorder.
!
PLAN: In view of the patient's history and response to Lithium, he has been advised
that he absolutely, at present, should be taking Lithium carbonate. The patient
adamantly denies the need for such at present, refuses to accept the diagnosis or
recommended treatment When it was first presented in a phone conversation with
the patient, it was rejected initially, was rejected after he was admitted. The patient
requested an independent psychiatric evaluation, this has been accomplished by or.
Nutter. Dr. Nutter concurs with the diagnosis of bipolar mood disorder. He concurs
with the recommended treatment of Lithium carbonate. The patient cannot accept
either. I told the patient that in view of his inability to accept either the diagnosis or
the treatment, I feel I have nothing else to offer him in terms of keeping him in the
hospital. I have requested that he meet with myself and a family member so that I
can pass on my diagnosis and recommendations. He -is willing to do this, hopes to
leave the hospital after that and is willing to leave against medical advise.
JAS:bk
D: 09/11/87
T: 09/14/87
Signature:
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