8/14/13: Patient presents in a highly-agitated state. He says he is being hounded at all hours on his unlisted cellphone by a certain Mr Vladimir Putin who keeps calling him in order to taunt him about his inadequacies. Patient, who himself appears to be somewhat uncertain of his own abilities, is currently on vacation at Martha's Vineyard and I have been flown in from D.C. by military cargo plane and chopper to the island at the request of Patient's aide, Ms.Valerie Jarrett, who swore me to secrecy and told me, on my arrival, that Patient appeared to have had a psychotic episode this morning and had told Russian President Vladimir Putin, who called him from Moscow, to "f--k off." After examining and questioning Patient, he appears to have had nothing more than an anxiety attack. I prescribed Ativan to help keep his anxiety under immediate control and suggested a much longer consultation at a later date,[explore Patient's state of mind more deeply, look for evidence of underlying paranoia and narcissistic personality disorder]. --Dictated by Dr. S.H.Rink.
