CO - James Holmes Trial Discussion - Begins April 27, 2015 #14

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  • #121
  • #122
Jen's Trial Diaries ‏@TrialDiariesJ · 3m3 minutes ago
JH was seen by psychiatry due to acute symptoms of being psychotic by Denver Health #theatershooting

Larry Ryckman ‏@larryryckman · 3m3 minutes ago
Lowdermilk saw JH at Denver health on Nov. 18, 2012. #TheaterShooting
he Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Dr Lowdermilk saw JH in AM after he had been up to eat and shower. Responding to ?’s, making sense. Somewhat oriented
 
  • #123
Talking about voices yet he never mentioned these Dr Reid in his interviews. Even if a person is medicated surely they would remember something as serious as this?


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  • #124
The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

Speech at normal rate/volume, didn’t appear pressured, good eye contact, not agitated, cooperative.

The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

Answered ?’s but didn’t initiate them. Answers made sense. Reported auditory hallucinations, several voices

The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

One voice was coming from behind wall, difficulty telling people talking to him or the voices.
The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

He had been in hosp 3 days at this point.

The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

Delirium resolving. Review of chart seemed consistent w. someone who became psychotic/delirious from not eating
The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Medical team looks for causes of delirium. No big physical issues causing it.

Larry Ryckman ‏@larryryckman · 2m2 minutes ago
Lowdermilk: He appeared organized, reported hearing several voices, one sounded like it was coming from behind the wall. #TheaterShooting

The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting
Delirium waxes and wanes. Goes in and out. Can come on suddenly
 
  • #125
Larry Ryckman ‏@larryryckman · 2m2 minutes ago
JH said it was hard to ID real voices vs. others. Voices sometimes told him to do things, like walk or move. #TheaterShooting

Jen's Trial Diaries ‏@TrialDiariesJ · 1m1 minute ago
Elizabeth is explaining delirium to the jury and how it comes and goes #TheaterShooting #TheaterTrial
The Gold Patrol® ‏@thegoldpatrol · 47s48 seconds ago
#theatershooting

He was still reporting symptoms when she saw him. He had been medicated with Haldol initially. Then lorazepam (agitation)

The Gold Patrol® ‏@thegoldpatrol · 47s48 seconds ago
#theatershooting

He was still reporting symptoms when she saw him. He had been medicated with Haldol initially. Then lorazepam (agitation)
 
  • #126
The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

When witness saw him she didn’t think he was suffering from delirium. Later that day he seems confused again

The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Afternoon- back in 4 point restraints (4 limbs), didn’t recognize her, said contacts not in eyes

The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Delayed réponse to ?’s & seemed more confused. When prompted he could recall some of the earlier convo but not all

Jen's Trial Diaries ‏@TrialDiariesJ · 1m1 minute ago
JH was restrained to the bed and he didn't recognize Elizabeth and had delayed responses to questions asked #TheaterShooting #TheaterTrial

The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Could indicate delirium came back. Natural course of wax and wane.

The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Restraints could make him more confused as well.

The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

She concluded he had psychosis and delirium.
 
  • #127
The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Auditory hallucinations - primary symptom of psychotic disorder.

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Jen's Trial Diaries ‏@TrialDiariesJ · 1m1 minute ago
Elizabeth says she saw psychosis and delirium in JH #theatershooting #TheaterTrial

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The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

Jh indicated they began the voices came while in jail before going to hospital (bbm---while in JAIL----how does this relate to JULY??? MOO)

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Larry Ryckman ‏@larryryckman · 2m2 minutes ago
Dr. Elizabeth Lowdermilk testifies on Day 40 in Aurora #TheaterShooting trial. JH said voices told him to stop eating

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The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

He stopped eating/drinking in jail. Why
- Voices told him to stop
- Behavior disorganized
- Said he wasn’t hungry/thirsty

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The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

JH told Dr he was in hospital because he had fallen and hit head and felt woozy 1 day before fall.

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The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Jail said he hit head repeatedly on wall and bed fall 2x

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The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

On Sunday - JH had “flavor” of paranoia

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The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Indication of psychosis.

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Cathy ‏@courtchatter · 2m2 minutes ago
Dr. Lowdermilk on the stand in #theatershooting trial. http://www.courtchatter.com/#!james-holmes
 
  • #128
Talking about voices yet he never mentioned these Dr Reid in his interviews. Even if a person is medicated surely they would remember something as serious as this?


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Remember Maisie..this was all during the timeline of giving some sort of psychotic evidence that could be used for his defence. This interview by this witness took place on the 18th November after his trip to hospital .

JH is very knowledgeable about what symptoms were necessary ( did a lot of reading up in his first 3+ months of incarceration ) to demonstrate psychosis ...I am just not buying this ..BUT these doctors can only tell what they saw, heard and has to assume what they are seeing is actual. Self-reporting of patient's is assumed to be honest..But so many cases (especially murderer's on trials for their life) exaggerate or feign systems and report hallucinations..and it's next to impossible for any therapist to say Liar liar pants on fire.. BUT in JH's case he has a long track record of abusing that system starting with Social worker Roth (?spelling) onto Fenton. He was in appearance to want help..but in practice he was not participating ..He wanted them to wave magic wand?????
 
  • #129
I wonder if people with anorexia suffer the kind of episodes as JH. Sometimes they can go days without eating or drinking much at all.


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  • #130
The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

She changed his meds.
Anti-psychotic treats delirium and psychosis. Risperirdone dose changed.

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The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

She changed his meds.
Anti-psychotic treats delirium and psychosis. Risperirdone dose changed.

-----------------------------------------------------
The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

CT scan done die to hitting head on wall and fall. Looking for causes of presentation. NORMAL CT scan

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The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

On CT mainly look for brain tumor or bleed, things that take up space and contribute to altered mental status

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The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

CT doesn’t show mental illness

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The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

She didn’t see delusions with JH

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The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Delusions would take careful questioning about common themes, paranoia, feeling safe.
 
  • #131
The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

She didn’t do Q/A for delusions with him in hospital

The Gold Patrol® ‏@thegoldpatrol · 54s54 seconds ago
#theatershooting

Pros up for cross
 
  • #132
Remember Maisie..this was all during the timeline of giving some sort of psychotic evidence that could be used for his defence. This interview by this witness took place on the 18th November after his trip to hospital .

JH is very knowledgeable about what symptoms were necessary ( did a lot of reading up in his first 3+ months of incarceration ) to demonstrate psychosis ...I am just not buying this ..BUT these doctors can only tell what they saw, heard and has to assume what they are seeing is actual. Self-reporting of patient's is assumed to be honest..But so many cases (especially murderer's on trials for their life) exaggerate or feign systems and report hallucinations..and it's next to impossible for any therapist to say Liar liar pants on fire.. BUT in JH's case he has a long track record of abusing that system starting with Social worker Roth (?spelling) onto Fenton. He was in appearance to want help..but in practice he was not participating ..He wanted them to wave magic wand?????

Yes I understand what you are saying. It just confuses me how JH was saying he heard voices in Nov 2012 yet two years later he said he had never heard voices.

I do believe he has been told or learned how to act this way. It seems awfully convenient that he has this big episode after being perfectly average in jail beforehand.


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  • #133
The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Dr didn’t see JH until 3 days into hosp stay. 15 min in AM 15 min in PM
The Gold Patrol® ‏@thegoldpatrol · 57s58 seconds ago
#theatershooting

No knowledge of affect, etc. other than other people’s notes.
 
  • #134
The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

As psychiatrist you would do a history. You didn’t take history with JH since July 20?

a: Some history, not all

Jen's Trial Diaries ‏@TrialDiariesJ · 1m1 minute ago
Another mental health care provider that saw JH for 20 minutes total. Defense is not convincing with these witnesses #theatershooting

The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Dr says she didn’t have info about how long symptoms were present. Would help with diagnosis
 
  • #135
Yes I understand what you are saying. It just confuses me how JH was saying he heard voices in Nov 2012 yet two years later he said he had never heard voices.

I do believe he has been told or learned how to act this way. It seems awfully convenient that he has this big episode after being perfectly average in jail beforehand.


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He said he started hearing voices IN JAIL......
 
  • #136
  • #137
The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Pros: Person isolated in jail for 5 months could cause psychotic?

A: Stress can result in symptoms

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The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Pros bringing up being in jail, facing death penalty could bring on psychotic symptoms as well as not eat or drink

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Jen's Trial Diaries ‏@TrialDiariesJ · 1m1 minute ago
State suggests JH facing DP and being locked up could have caused this psychosis #TheaterShooting #theatertrial

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The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Pros - also driving home that being in jail, not eating, could bring on metabolic disruption that could trigger this

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Jen's Trial Diaries ‏@TrialDiariesJ · 1m1 minute ago
Elizabeth agrees to States suggestion and State also says not drinking or eating can also cause these symptoms...YES #TheaterShooting

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The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

Pros: You didn’t see him respond to auditory hallucinations?

A: No

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Larry Ryckman ‏@larryryckman · 1m1 minute ago
JH reported auditory hallucinations, but Lowdermilk did not see him respond to any. Only evidence was his own word. #TheaterShooting

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The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Pros: Visual hallucinations?

A: No, said voices told him to do things

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Jen's Trial Diaries ‏@TrialDiariesJ · 2m2 minutes ago
JH says he heard voices but he didn't answer them in front of mental health care providers #TheaterShooting #TheaterTrial

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The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

Pros: Did he deny visual hallucinations?

A: Not clear I asked specifically

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Jen's Trial Diaries ‏@TrialDiariesJ · 2m2 minutes ago
JH says the voices told him to "walk around" a lot different than killing people #theatershooting #TheaterTrial

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The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

JH had been sedated which can cause confusion and slow responses
 
  • #138
The Gold Patrol® ‏@thegoldpatrol · 1m1 minute ago
#theatershooting

Pros: Dr’s spent limited time with JH. Waxing and Waning of symptoms could be when he’s seen

A: Yes

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  • #139
Before this episode?


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I believe he was asked during the Nov. hospitalization----I truly believe he is making it up as he goes along--(I do believe he has some mental illness--just not to the extent that they are trying to get jury to believe)
 
  • #140
Before this episode?


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The Gold Patrol® ‏@thegoldpatrol · 2m2 minutes ago
#theatershooting

Jh indicated they began the voices came while in jail before going to hospital (bbm---while in JAIL----how does this relate to JULY??? MOO)
 
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