The following is a copy of Sam's medical report, to skip right to go to Prologue simply scroll past it. Please keep in mind I am not a medical professional and therefore this is not going to be perfecto! I have no beta either so I tried to correct myself as much as possible. As Always enjoy and if you want more you must feed the beast.

. . . . . .

April 14th 2011

3:00 PM

Offices of Michael Horton University Medical Center

South Dakota

Diagnosis Report for Samuel Morgan Patient #32469-20

Patient appears 100% incapacitated for all intensive purposes and has been deemed invalid by the findings of I Dr. Michael Horton and my staff Our findings are as follows:

Voluntarily and involuntarily Motor functions

Voluntarily Motor control is non-existent although upper and lower extremities spasm and seize at random intervals with no apparent pattern or trigger. Head and neck movements are strained Patient often allows head to droop to the left or downward until chin rests against chest, appearing as though neck muscles are to weak or strained to hold weight. However when prompted with guidance of touch Mr. Morgans head will remain where placed and held by his own doing. No need for neck or head restraints at this time, believe it may be harmful do to seizing and spasms if attempted. Patient is to be confined to wheelchair or bed at all times.

Involuntary functions such as Breathing, blinking, chewing and swallowing are preformed mechanically without much assistance. Motions are slow and rhythmic and should be monitored due to possibility of choking or aspiration. Patient produces drool and during absent spells may need prompting to swallow by the placement of fingers against throat muscles while applying gentle pressure in a circular motion until self-swallowing resumes.

Bladder and bowel functions appear uninhibited although due to other physical limitations collection bags and other accommodations are required at this time.


Shows no attempt or ability for verbal communication through word. No ability to mimic sound when coaxed or prompted. Random episodes of verbalizations have occurred during fits of screaming or unidentified emotional distress on multiple occasions exceeding more than five a week. lasting between three to thirty six minutes. It is during these fits that the only signs of any awareness at all can be found. (See Mental State Section) Patient also makes involuntarily sounds throughout day without underlined prompting or reasoning without awareness or consent of patient.

Neurological & mental

Patients shows limited cognitive awareness and aside from two separate incidences (listed below) has not shown any reaction to sight or sounds produced by environment or the company of loved ones, brain scans show moderate activity. Does not respond to colors, shapes of visual stimulation, eyes do not appear dilated and therefore are believed to be functional. Eyelids will close when the patient is tired and will rise when his body wakes.

Mental state is currently unknown due to inability to communicate. But is most likely Bran damage on severe levels is present and profound due to lack of ability to respond to surroundings whether through sight, touch, sound smell or taste, Does not respond to name or familiar words of faces, gaze generally appearing dazed and absent except during 'fits' (see Verbal) when appearance is distressed and/or painful therefore supporting our findings until proven otherwise.

Long Term Care Plan

Family has declined doctors recommendation to institutionalize patient at this time. Brother and Uncle have completed the required courses to be able to care for patient on minimal levels and will provide basic care with moderate accommodations, physical therapist will provide in home servicing tri-weekly to help slow muscle atrophy in unused limbs and decrease possible painful cramping that immobilization can cause.

Patient will be seen by Dr. Michael Horton Bi-monthly to monitor progression and for general care needs. Patients family has been provided with equipment necessary for home care and has been taught to use it accordingly, provided with numbers needed in case of emergency and have been informed of complications that may arise.


Incident 1: 3rd of March 2011 13 days after admittance, 8:42 AM. Patient rouses self from sleep as pattern has shown at expectant time. Brother Dean Morgan is placed at the left side of his bed and once Samuel's eyes open Dean begins to speak in a soft whisper while moving his left arm up to stroke patients head in a show of affection.

When brother removes his hand from patients forehead a few moments later, patients brows crease his head jerking in a swift and negative movement to the left as his lips part and his eyes appear to show recognition of the man standing beside him in a moment of clarity.

Recognition however is not retained . Once brother's hand resumes to stroking motion lucidity has seized. By 8:46 am Samuel Morgan is once again unresponsive. Attempts to repeat actions are unsuccessful.

Result: Inconclusive

Incident 2: 17th of March 2011 two weeks after admittance, 6:21 PM. During assisted evening feeding, patients uncle and brother alert nursing staff of voluntary eye, neck and facial movements. Apparently when uncle began to stroke patients head and speak to him about an undisclosed past event (a common practice by his family during his time here), Samuels head and neck jerked when uncle removed hand to adjust ball cap. In a deliberate movement his eyes his brother says "became clear searching almost frantically for something. I called to him and stroked his cheek... He held my gaze and then... He was gone."

Brother and uncle approximate this event as lasting short of two moments. Attempts to recreate were unsuccessful.

Results: Both episodes of lucidity have resulted from absence of touch, and were to brief to make substantial conclusions.