So, what are you thinking?
Schizophrenia.
Yeah, that was my initial thought, but now I'm not so sure.
Seriously? His, uh, paranoia that there's something living inside him, and his attempt to remove it, is literally a textbook definition of a somatic delusional disorder.
I'm stuck on the level of premeditation. You know, sterilization with Betadine, the clean incision, doing it near a hospital... all that kind of forethought, it's just not consistent with schizophrenic psychosis.
So he's a germaphobe with a steady hand. It doesn't mean he's not schizophrenic.
Mm, could be true, too.
So, um... start him on anti-psychotics and reassess when his mind's clear?
I'm just not there yet. My gut tells me it's chemical. You know, like maybe a methamphetamine overdose. Before we go any further, let's run a tox screen, see if he's just... high.
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