4.Sonya Petri — Direct (Recall)

SONYA PETRI: Good afternoon.

SONYA PETRI: Correct.

SONYA PETRI: Correct.

SONYA PETRI: Yes, it appears so.

SONYA PETRI: I believe it's four pages.

SONYA PETRI: Yes. It's a summary of treatment records for Anzor Tsarnaev.

SONYA PETRI: I did.

SONYA PETRI: It is.

SONYA PETRI: Yes, I did.

SONYA PETRI: Yes, it is.

SONYA PETRI: I can read it that way.

SONYA PETRI: So on May 15th, 2006, Dr. Martirosyan notes that patient returns to treatment after stopping all medications. Symptoms returned about a month ago, and include panic attacks, insomnia, nightmares, memory problems and concentration, unstable mood. Feels differently at different times of the day. Thinks he hears someone calling his name and feels presence next to him. The diagnosis was PTSD, panic attacks with agoraphobia. And the medications prescribed were Lexapro and Trazodone.

SONYA PETRI: This is March 12th, 2007. Provider is Dr. Martirosyan. Notes: The patient and wife are at the appointment. Patient reports feeling very anxious. Unable to control himself and wants to cry. Has frequent awakenings at night with flashbacks. Wife confirms his complaints and seems very supportive and caring. The diagnosis is PTSD and in moderate distress. Medications prescribed is Zyprexa, Lexapro, Ativan and Ambien.

SONYA PETRI: On January 13, 2009, Dr. Mashkovich -- that's M-A-S-H-K-O-V-I-C-H -- notes that patient reports having auditory hallucinations (voices screaming his name or whispering) and some visual hallucinations (little lizard-like creatures) for past two to -- sorry, part three to four weeks. Says they are more intrusive than before. Inpatient admission advised, but patient wants to see if medication can help. Believes being in own home more beneficial mentally. The diagnosis is psychosis NOS, and the medications is Trilafon.

SONYA PETRI: On August 8th, 2009, at around 10 p.m., Anzor is assaulted and battered at Arbat Restaurant. On August 9th, 2009, at 2:45 a.m., Anzor arrives by ambulance to the Cambridge Hospital where his condition deteriorates and he is intubated. On August 9th, 2009, at 5:30 a.m., a CT scan shows acute left parietal skull fracture depressed about eight millimeters associated with subarachnoid hemorrhage, pneumocephalus involving posterior parietal lobe and extending to left posterior convexity, mild cerebral edema and mild intervertebral disk space narrowing noted at C5-C6. And the diagnosis is subarachnoid hemorrhage, depressed skull fracture, and pneumocephalus.

SONYA PETRI: On August 11th, 2009, Anzor has surgery for the repair of his skull fracture at 7:10 p.m. And on August 12th, 2009, Anzor observed to have alternated motor function, decreased recall, altered gait pattern -- there's a spelling error there; it should be G-A-I-T -- impaired mental and cognitive function, and impaired visual and sensory function.

SONYA PETRI: On August -- I'm sorry -- October 15th, 2009, the provider is Dr. Eydelman who notes: The patient reports unsteady gait, visual changes, tremor, auditory hallucinations, multiple voices screaming his name, and visual hallucinations (animal faces). "I am scared." Depressed, anergastic, irritable, angry, and talkative. And the diagnosis is psychosis NOS. Medications prescribed are Cogentin, Risperdal and Ambien.

SONYA PETRI: On May 6th, 2010, the provider is Dr. Eydelman who notes: The patient reports headaches, decreased vision, hearing problems, nosebleeds, depressed mood, flashbacks, confusion at times. Continues to experience auditory and visual hallucinations (multiple voices) and paranoid ideations. The diagnosis is psychosis NOS and organic delusional disorder NOS. Medications: Cogentin, Risperdal, Ambien and Neurontin.

SONYA PETRI: On October 25th, 2010, Dr. Fridman of neurology notes: New patient intake. General symptoms include pain in left side of head, hearing loss, numbness in face, decreased vision lasting 30 minutes with gradual disappearance (several times a week). Neurological symptoms include headaches, syncopal episodes, tremors, migraines, vertigo, tingling, numbness, seizures, loss of feeling/power, loss of consciousness, confusion, weakness, insomnia, visual changes, dizziness, memory loss, gait abnormality, sleep problems, headache. No fainting spells. No sciatica. The diagnosis is chronic posttraumatic headache, depression with anxiety, and hyperlipidemia. The medications are Cogentin, Risperdal, Neurontin and Ambien.

SONYA PETRI: On February 17th, 2011, the provider is Dr. Smurawska, who notes: Anzor Tsarnaev reports feeling quite overwhelmed. Appears depressed, tearful, having difficulty functioning, upset with minor things. "If I am not getting better, my wife would divorce me." Agreed that meeting together with wife next week would be good idea. Feeling weak physically, refused inpatient stay. Diagnosis is psychosis NOS, PTSD, organic delusional disorder NOS. Medications are Zyprexa, Risperdal, Cogentin, Ativan and amitriptyline.

SONYA PETRI: On September 23rd, 2011, the provider is Dr. Smurawska who notes: The patient came in -- sorry -- patient came for following up -- or follow-up with wife. Pleasant and cooperative. Feels better but easily overwhelmed and fluctuating. The diagnosis is psychosis NOS, PTSD, organic delusional disorder NOS, R/O mood disorder secondary to brain injury. Medications are amitriptyline and Ativan.

SONYA PETRI: On April 3rd, 2012, a letter from Dr. Smurawska from the St. Elizabeth's Medical Center addressed to whom it may concern. It says: Patient suffering from mental illness. Not able to work. Needs constant supervision and support. And a visit note from April 3rd, 2012. Dr. Smurawska notes: Patient stopped coming to clinic six months ago. Divorced his wife. Stopped taking all meds. Psychotic. Will start Haldol and Depakote today. Very close follow-up. And diagnosis is psychosis NOS, PTSD, organic delusional disorder NOS, R/O mood disorder secondary to brain injury. Medications are Haldol, Cogentin and Depakote.

SONYA PETRI: Thank you.