Unfamiliar Skin

by darf


Day 19

Ponyville General Patient Admittance Report

Dr. Stable, MD.

Patient admitted in emergency status. Exhibiting extensive signs of malnutrition and mental degradation. Despite physical state, patient persisted in violent resistance until subdued with light tranquilizer. Was admitted to emergency ward in early morning.

Study of charts reveals wildly inconsistent measure of brain chemistry. Further reading suggests a rapid fluctuation of serotonin and dopamine levels, as well as a host of possible neurologically damaging chemicals. Source of imbalance initially unclear. On examination and assistance from the patient’s roommate, searched patient's room to find remnants of candy that appears spoiled. Seems to be contaminated with a mix of magic and toxic ingredients, possibly from automation of preparation process or ingredients themselves. Packaging found after further search indicates the candy is an imported variety from Prance. Will investigate possibility of thaumaturgical manufacturing. From questioning, patient’s roommate speculates that this may have been the only food the patient consumed for the past several weeks. Would explain evidence of malnutrition and suggest reason for wildly fluctuating brain chemistry. Patient known to work at sweet shoppe which explains exposure to product when none has been made available elsewhere in town.

Patient awoke today exhibiting signs of auditory and visual delusions. Thrashed uncontrollably in bed, apologizing while simultaneously resisting attempts to be tended to. Eventually another tranquilizer was applied. Mental state appears unimproved. Patient’s roommate was distraught, but comforted by staff and others in attendance.

Evidence in patient’s possession was given to hospital staff for investigation. Consisted of a book that patient had with her when she was found in the woods north of town. From examination of book, which the patient has titled her ‘log’, the patient appears to have convinced herself she was a creature inhabiting the body of a pony. Frequent references to ‘hive’, ‘swarm’, and ‘Mother’ all suggest identification with Changeling species. 

The book is clear evidence of a series of paranoid delusions and apparent dissociative identity disorder. Have accelerated request for transfer to Canterlot Mental Hospital. Patient’s physical condition can easily be attended elsewhere, but CMH is far better suited to deal with mental requirements of patient.

Despite patient’s aggressively damaged mental state, it is my belief that she can be helped with proper treatment and ongoing care. Induced schizophrenic episodes may have lasting repercussions, but as long as her nutrition levels are returned to normal and she is kept under observation, I see no reason she should not be capable of returning to normal life.

Patient is planned to be released tomorrow. Will monitor further pending reports from CMH.