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// 1. From the patient files of Ponyville Hospital, 'Unknown unicorn male', supplemental record; written spring 1377. 
// Story: Silver Eyes and Rainy Skies 
// by Roadie 
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	From the patient files of Ponyville Hospital, 'Unknown unicorn male', supplemental record; written spring 1377.

The patient presents as a unicorn colt of unknown age, apparently in early adolescence or preadolescence. Further demographic information about him is not directly available due to his condition. His appearance and the results of a preliminary medical examination, along with what appears to be an extensive history of dental work, suggest a generally healthy upbringing with ready access to medical care.

The patient states himself as "a single adult bald ape who works on stuff that you wouldn't understand or give a crap about, unless I'm just crazy, in which case that doesn't actually apply". He claims a lower middle class upbringing with a healthy but high-stress current living situation, and asserts his background as lacking any significant medical or psychiatric history beyond the aforementioned dental work. He has refused to give a name, saying that he has a "human name" that "wouldn't feel right to use", but no "pony name".

The patient is suffering from an extreme delusion of unknown origin. He believes himself to originally be a "human", an apparently invented creature that (by his own description) resembles a large, mostly hairless omnivorous ape adapted for a large range of environments. This delusion includes an elaborate fantasy world that holds humans as the only intelligent species, from which he claims his origin. He is unable or unwilling to supply any information about his actual past, even as a hypothetical.

The patient's general pattern of behavior indicated his delusion as genuine rather than the kind of practical joke that might be expected of a colt of his age. In particular, he shows extremely limited conscious knowledge of Equestrian society, such as an inability to supply knowledge of more than a few cities, knowledge of any part of the structure of government beyond the Princesses, or even trivial knowledge of the sort that would be expected of a colt of his age, such as the names of favored books or musicians. Perhaps most notably, he shows a near-complete lack of knowledge of pony foods, able to name only "hay fries and daisy sandwiches, I guess".

In contrast, his knowledge of his fantasy world is extremely detailed, if in places obviously derivative (for example, the fictional city of "New York", containing the borough of "Manhattan"). This world is inventive and imaginative,  showing a mix of positive, negative, and in some cases almost disturbing elements. While sometimes this kind of fantasy may represent an attempt to mentally escape from past abuse, the generally healthy nature of the colt's demeanor and his relaxed attitude tentatively suggest some other reason for his delusion.

The patient's cooperative nature sets him apart from most ponies who have experienced similar delusions, whether purely psychological or magically-induced. While he insists that he fully remembers being human, he has also willingly admitted that he may actually be a colt suffering from a complex delusion (but that, so far, he has seen no evidence that has convinced him to the contrary). He has shown no opposition to physical or psychiatric evaluation, and while he has claimed to be an adult, he readily accepts the role of a colt "on practical merit" in regards to his lack of conscious knowledge about Equestria and displayed inability to use any unicorn magic.

The patient came to the attention of Ponyville Hospital after reporting himself to the Mayor's office in the late evening as a 'missing foal'. He says that he has no memory of life in Equestria before waking up on a bench in the town square of Ponyville slightly after dawn. He claims that all his memories before this are of being a human, with no obvious reason for the sudden transition. The Mayor, who says that he reported himself as amnesiac, brought him to the Ponyville Hospital when he confirmed that he has no memories of an Equestrian family or place to live.

At the Hospital, he was given a basic physical examination as well as a test of his magical ability, the latter of which he seemed disappointed at failing completely despite the lack of magical control commonly shown by ponies his age. After his psychiatric evaluation, given the lateness of the hour, he was remitted to the foal's ward to spend the night.

Given the contrast between the thorough nature of the patient's delusion and the lack of obvious reasons for his condition, it's recommended that he be given a full thaumaturgical scan by a specialist unicorn physician to examine for any magical condition, or physiological condition undetected by Ponyville Hospital's equipment, that may be affecting him.

Barring an external cause for his condition, in light of the patient's apparently stable nature and his cooperative attitude, he seems suited for reintroduction into Equestrian society, supportive reality therapy, and extended observation. His condition presents an obvious complication with the normal process of care for lost foals, as he could become uncooperative with a caregiver or foster parent who doesn't suitably handle his condition.