Ricky Medical File

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:

Demographics

Name: Dallas Flaherty

Address: 61 Drake Ave Stoughton MA 02072-2236

Date of birth: 11/3/1994 Legal sex: Male

Ethnicity: Not Hispanic, Latino, Latina, Latinx, Race: White

or of Spanish or Latin American origin

Mobile: 781-588-2221

Relationships

Name

Flaherty,Terry

Immunizations

No documentation.

Patient

Gender identity: Male

Language: English

Relation to Patient

Other Relationship

Phone Number

Mobile: 781-815-8001 (primary)

Printed on 4/10/26 10:45 AM Page 1

CEN

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION.

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994, Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

Notes

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit

Discharge Summary by Jared K Trout, MD at 2/24/2026 1117

Inpatient PSY Discharge Summary

Admission Date: 2/18/2026 11:19 PM

Discharge Date: 2/24/26

Admitting Provider: Ajay Mehta, MD

Discharge Provider: No att. providers found

Admitting Diagnosis/Reason for Admission:

MANIA

Discharge Diagnoses:

Principal Problem:

Bipolar disorder with depression (CMS/HHS/HCC)

Active Problems:

Cannabis use disorder

Treatment, Response, Hospital Course: Mr. Flaherty is a 31 year-old man BIBA on a sec 12 after his mother called the

police reporting that pt kicked in her door, was yelling at her and threatening to kill her. Pt's mother states he woke

up "angry" today. Pt denies HI/AH/VH, reports passive SI, feeling so overwhelmed "I can't take it anymore".

He presents after a high-risk domestic incident involving threats to kill his mother and a reported knife threat. Even

though he minimizes intent and describes it as accidental and sheathed, the reported behavior represents significant

acute risk given escalation, impulsivity, agitation, and access to a weapon during conflict. His presentation is

characterized by marked irritability, hyperverbal speech, severe anxiety, poor sleep, appetite reduction, and impaired

behavioral control. He denies current psychotic symptoms and denies current suicidal ideation. He has a history of a

suicide attempt, chronic psychosocial stressors, and limited supports.

Agitated, irritable, labile, threatening, demanding to be discharged. He is showing marked irritable and manic

symptoms. He insisted on being discharged immediately and was becoming quite agitated but was with effort able to

be redirected by staff and accepted olanzapine 10 mg PO and lorazepam 2 mg PO. He denies HI but still appears quite

angry with his mother, although at the same time hoping she sill pick him up and bring him home. We will increased

Printed on 4/10/26 10:45 AM Page 2

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994, Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

olanzapine to 10 mg at bedtime. We will add lorazepam as needed for anxiety and manic symptoms. We will

consolidate depakote to 1500 mg daily. We will follow up depakote level tomorrow. We will get collateral as able. We

will provides structure and support.We will continue to observe.

Three day letter expires on 2/23/26.

PSYCHIATRIC HISTORY (E.g, past diagnoses, hospitalizations, self-harm)

He reports diagnoses of PTSD and bipolar disorder with at least one prior psychiatric hospitalization, including

treatment at Westborough Hospital. He reports a past suicide attempt in 2014 by attempted strangulation with a belt.

He denies recent self-injurious behavior. He denies current outpatient therapy and reports only psychiatric medication

management.

SUBSTANCE / ALCOHOL/ ТОВАССO USE HISTORY

He reports daily/regular cannabis use and intermittent alcohol use. He denies cocaine and opioids. Urine toxicology is

positive for cannabinoids. He reports tobacco use with current cravings.

SOCIAL/TRAUMA / DEVELOPMENTAL HISTORY (E.g, employment, housing, interpersonal supports)

Pt and his mother report pt was born with the cord wrapped around his neck 4 times, 0 APGAR and required brain

surgery/a shunt. Pt's mother reports this led to some developmental/cognitive delays and pt has also struggled with

mental health issues throughout his life. Pt reports he grew up in the Bridgewater area, he has 3 older sisters who he

"hates". Pt reports he and his mother "butt heads all the time..she does nothing to help me". Pt's mother reports he has a

lot of close cousins his age and has struggled to see them get married/have kids/hold jobs/drive while he has not been

able to do any of that.

Mr. Flaherty was initially agitated, labile, intense, tearful, demanding to leave the hospital immediately. Yet he was able

to remain in gross behavioral control, accepted medications, and agreed to cooperate with the treatment team. We

gave olanzapine for manic symptoms and mood stabilization and titrated to olanzapine 10 mg BID. We also resumed

depakote ER 1500 mg daily. He had reproted a depakote level in the 100s as an outpatient and is following up with his

outpatient psychiatrist. Depakote level was 74.9 by our measurement on 2/20/26 on a dose of depakote ER 1500 mg

daily, though he will want to follow up with his outpatient psychiatrist as well.

Mr Flaherty responded well to this regimen. He became more calm and rational and less impulsive. He consistently

denied SI/HI. He agreed to outpatient care. He signed a three day letter expiring on 2/23/26. This was the day of the

Blizzard of 2026 and he rationally agreed to revoke his three day letter and sign another three day letter with the

understanding that he would be discharged the next day.

Printed on 4/10/26 10:45 AM Page 3

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

On day of discharge (2/24/26), Mr. Flaherty was pleasant and engaging. He said that things were "Going pretty well."

He denied SI/HI and AVH. He said "I need to go home." He appeared much improved from presentation. Although

there was still some intensity of mood he was more calm and in better behavioral control. He willingness to retract his

three day letter the previous day also showed his restraint and rationality. He said that he was looking forward to

shoveling snow at home. He did not appear acutely manic or psychotic. He did not appear to be a threat to himself or

others. Overall, we are comfortable discharging him with strong family and outpatient support. Protective factors

include strong family support (including from his mother), stable place to stay, DDS services, referral for BAMSI Adult

Day Treatment, outpatient appointments, medication regimen, and positive attitude.

We discussed side effects of depakote such as weight gain.

We discussed side effects of olanzapine such as weight gain. He was also advised that tobacco smoking can lower the

concentration of olanzapine and render the medicine less effective.

We also counseled against cannabis use.

There was a ban on nonessential travel by executive order of the governor in Plymouth County at this time. Road not

completely plowed and there was a possible $500 fine for nonessential travel. He said that his mother lives in

Stoughton and would come drive to the hospital and pick him up. I call his mother and informed her of the travel

band, the risk of using the roads, and the possibility of the $500 fine. She acknowledged this and said she still wanted

to come and pick up her son. Accordingly, she arrived at the hospital and Mr. Flaherty was discharged and she was

avised to drive safely.

Medical Issues Addressed During Hospitalization:

Labs (see Results Review Activity for complete result history):

No results found for this visit on 02/18/26 (from the past 96 hours).

Mental Status Exam:

General Appearance: well groomed

Behavior: Cooperative

Mood(describe in patient's own words): "Going pretty well."

Affect: Euthymic and Full Range

Printed on 4/10/26 10:45 AM Page 4

CENA

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION.

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

Speech: fluent, normal rate, normal tone, and normal volume

Relevance: relevant

Thought Process: Coherent and Goal Directed

Thought Content

Perception: Normal

Delusions: None

Suicidal Ideation: No

Violent Ideation: No

C-SSRS DISCHARGE SCREENER (will automatically populate if completed)

C-SSRS Discharge Screener

1) Wish to be Dead: While you were here in the program, have you wished you were dead or wished you could go to

sleep and not wake up?: No

2) Suicidal Thoughts: While you were here in the program, have you actually had thoughts about killiung yourself?: No

6) Suicide Behavior: While you were here in the program, have you done anything, started to do anything, or prepared

to do anthing to end your life?: No

Discharge Suicide Assessment and Safety Intervention:

Formulation of Suicide Risk at Discharge (Explain Changes in Clinical Status, Risk Factors, and Risk Mitigation): Suicidal

ideation was not part of the patient's presenting complaint. He consistently denied SI on the inpatient unit. There

were no incidents of SIB on the inpatient unit. He was cooperative with the team and improved markedly with

treatment. He was less impulsive and more organized and rational. He was looking forward to going home and

following up with his care. We were also able to make a referral for adult day treatment. On day of discharge

(2/24/26), Mr. Flaherty was pleasant and engaging. He said that things were "Going pretty well." He denied SI/HI and

AVH. He said "I need to go home." He appeared much improved from presentation. Although there was still some

intensity of mood he was more calm and in better behavioral control. He willingness to retract his three day letter the

previous day also showed his restraint and rationality. He said that he was looking forward to shoveling snow at home.

He did not appear acutely manic or psychotic. He did not appear to be a threat to himself or others. On day of

discharge (2/24/26), Mr. Flaherty was pleasant and engaging. He said that things were "Going pretty well." He denied

SI/HI and AVH. He said "I need to go home." He appeared much improved from presentation. Although there was still

some intensity of mood he was more calm and in better behavioral control. He willingness to retract his three day

letter the previous day also showed his restraint and rationality. He said that he was looking forward to shoveling snow

at home. He did not appear acutely manic or psychotic. He did not appear to be a threat to himself or others.

For patients who expressed suicidal thoughts or engaged in suicidal behaviors prior to admission or during

hospitalization, have factors contributing to patient's suicidal ideas or behaviors improved during hospitalization?No

history of suicidal thoughts or behavior

Firearms, if identified, have been disposed of, or efforts made to accomplish this? N/A Information about hot lines and

other crisis information provided to patient? Yes

Printed on 4/10/26 10:45 AM Page 5

CEN

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994, Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

Safety Plan: Yes,

Homicide Interventions: He came to the hospital after yelling at his mother with whom he lives, threatening to kill

her, and brandishing a knife. Yet he consistently denied HI on the inpatient unit. He admitted that he should not have

threatened his mother or picked up the knife and noted that the knife remained sheathed during the incident.Hе

consistently denied HI or thought of hurting his mother. Although he was initially irritable and agitated on the unit and

demanding to leave, he was able to maintain behavioral control and accept treatment. There were no incidents of

violence on the inpatient unit. He improved markedly with treatment and was less intense and labile and more

organized and rational. He was even rational enough and showed enough restraint and capacity for delayed

gratification as to retract his three day letter in order to wait out the blizzard and avoid dangerous travel on that day.

Collateral form his mother was supportive of discharge and she agreed to pick him up from the hospital.

Prognosis: good

Discharge Type: 3-Day Notice

Discharge To: private house/apartment

Active Issues Requiring Follow-up

Test Results Pending at Discharge

Follow-Up Care

Appointment Instructions:

Discharge References/Attachments

BMC ED THRIVE SDOH REFERRAL HANDOUT (ARABIC)

Discharge Medications

Your medication list

START taking these medications

Printed on 4/10/26 10:45 AM Page 6

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

loratadine 10 mg tablet

Commonly known as: CLARITIN

nicotine polacrilex 2 mg gum

Commonly known as: NICORETTE

pantoprazole 40 mg EC tablet

Commonly known as: PROTONIX

Replaces: omeprazole 20 mg capsule

Details

Dose: 10 mg

Quantity: 30 tablet

Refills: 0

Dose: 2 mg

Quantity: 100 each

Refills: 0

Dose: 40 mg

Quantity: 30 tablet

Refills: 0

Instruction

Take 1 tablet (10 mg

total) by mouth daily for

30 days.

Take 1 each (2 mg total)

by mouth every 2 (two)

hours as needed for

smoking cessation.

Chew gum and then

place between cheek

and gum.

Take 1 tablet (40 mg

total) by mouth daily for

30 days. Swallow whole;

do NOT crush, split, or

chew.

CHANGED/REFILLED medications

Details Instruction

divalproex 500 MG 24 hr tablet

What changed:

이 how much to take

when to take this

Dose: 1,500 mg

Quantity: 90 tablet

Refills: 0

Take 3 tablets (1,500

mg total) by mouth

daily.

Printed on 4/10/26 10:45 AM Page 7

CEN

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

melatonin 3 mg Tab

What changed:

medication strength

how much to take

when to take this

reasons to take this

Details

Dose: 9 mg

Quantity: 90 tablet

Refills: 0

Instruction

Take 3 tablets (9 mg

total) by mouth nightly

for 30 days.

OLANZapine 10 MG tablet

Commonly known as: ZyPREXA

What changed:

medication strength

how much to take

when to take this

Dose: 10 mg

Quantity: 60 tablet

Refills: 0

Take 1 tablet (10 mg

total) by mouth 2 (two)

times a day for 30 days.

CONTINUE taking these medications

amLODIPine 10 mg tablet

Commonly known as: NORVASC

busPIRone 10 mg tablet

Commonly known as: BUSPAR

hydroCHLOROthiazide 25 mg tablet

Commonly known as: HYDRODIURIL

Details

Dose: 10 mg

Quantity: 30 tablet

Refills: 0

Dose: 10 mg

Quantity: 60 tablet

Refills: 0

Dose: 25 mg

Quantity: 30 tablet

Refills: 0

Instruction

Take 1 tablet (10 mg

total) by mouth daily.

Take 1 tablet (10 mg

total) by mouth 2 (two)

times a day.

Take 1 tablet (25 mg

total) by mouth daily for

30 days.

Printed on 4/10/26 10:45 AM Page 8

CEN

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

STOP taking these medications

omeprazole 20 mg capsule

Commonly known as: PriLOSEC

Replaced by: pantoprazole 40 mg EC tablet

Where to Get Your Medications

These medications were sent to BMC Brockton

Behavioral Health Center - Brockton, MA - 34 N.

Pearl St.

Phone: 617-638-9320

amLODIPine 10 mg tablet

busPIRone 10 mg tablet

divalproex 500 MG 24 hr tablet

hydroCHLOROthiazide 25 mg tablet

loratadine 10 mg tablet

melatonin 3 mg Tab

nicotine polacrilex 2 mg gum

OLANZapine 10 MG tablet

pantoprazole 40 mg EC tablet

34 N. Pearl St., Brockton MA 02301

Physical Condition at Discharge

Printed on 4/10/26 10:45 AM Page 9

CEN

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION.

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994, Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

Physical Condition Upon Discharge: good

Has Patient Used Tobacco During the Past 30 Days? Yes, Yes

has no history on file for tobacco use.

Is the Patient Discharged on More than One Anti-Psychotic Medication? no

Activity: no restrictions

Electronic Signature:

Jared K Trout, MD

2/24/2026 7:06 PM

Electronically signed by Jared K Trout, MD at 2/25/2026 7:48 PM

Discharge Summary by Nicole Giardino, LICSW at 2/24/2026 0956

SOCIAL WORK DISCHARGE SUMMARY

Diagnosis Upon Discharge:

Principal Problem:

Bipolar disorder with depression

Active Problems:

Cannabis use disorder (per record)

Admission Date: 2/19/2026

Discharge Date: 2/24/2026

TREATMENT COURSE SUMMARY:

The patient was admitted to inpatient psychiatric level of care/hospital at BMC Brockton Behavioral Health Center due

to concerns of the patient presenting as aggressive, threatening to kill his mother and reporting passive Sl.

During the patient's admission here, per the inpatient provider, "....On day of discharge (2/24/26), Mr. Flaherty was

pleasant and engaging. He said that things were "Going pretty well." He denied SI/HI and AVH. He said "I need to go

home." He appeared much improved from presentation. Although there was still some intensity of mood he was more

calm and in better behavioral control. He willingness to retract his three day letter the previous day also showed his

restraint and rationality. He said that he was looking forward to shoveling snow at home. He did not appear acutely

manic or psychotic. He did not appear to be a threat to himself or others. Overall, we are comfortable discharging him

with strong family and outpatient support. Protective factors include strong family support (including from his mother),

stable place to stay, DDS services, referral for BAMSI Adult Day Treatment, outpatient appointments, medication

regimen, and positive attitude. We discussed side effects of depakote such as weight gain. We discussed side effects

Printed on 4/10/26 10:45 AM Page 10

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

of olanzapine such as weight gain. He was also advised that tobacco smoking can lower the concentration of

olanzapine and render the medicine less effective. We also counseled against cannabis use. There was a ban on

nonessential travel by executive order of the governor in Plymouth County at this time. Road not completely plowed

and there was a possible $500 fine for nonessential travel. He said that his mother lives in Stoughton and would come

drive to the hospital and pick him up. I call his mother and informed her of the travel band, the risk of using the roads,

and the possibility of the $500 fine. She acknowledged this and said she still wanted to come and pick up her son.

Accordingly, she arrived at the hospital and Mr. Flaherty was discharged and she was avised to drive safely." During

the patient's admission here, with this writer, the patient engaged in case management, limited willingness to attend

multiple offered group therapy sessions, ensured connection to community resources, discussing coping skills and

setting up aftercare appointments. The patient reports planning to discharge to and reside with his mother in

Stoughton, MA. During the patient's admission, this writer contacted collaterals of Terry Flaherty (mother), Ricky

Stebbins (advocate) and Christine (DDS/Baycove case worker - verbal consent obtained only) during the

hospitalization, at the pt's request. Patient's mother denied any safety concerns at the time of discharge and

expressed comfort with the current discharge and aftercare plan moving forward.

The patient was provided a patient survey. Writer met with pt in a private room on the unit to discuss the pts discharge

plan, alongside LIP, Dr. Trout. LIP explained that pt's Depakote level was a bit higher than prior. Pt reported struggling

in this environment, feeling stable and safe, to be discharged. Pt reported having fair appetite and reported impaired

sleep the night prior. LIP explained confirming the d/c with pt's mother and reported she plans to pick him up; (of note,

LIP informed pt's mother of the current travel ban due to the snow storm, all fines and risks involved with currently

traveling.) Pt denied any further concerns. Pt denied any current suicidal ideation and acknowledged contributing

factors to this admission. Pt expressed a willingness and desire to continue to receive treatment and to abstain from

illicit substance use. Pt completed and review a safety plan with this writer, of which the pt expressed understanding

of the pt's safety plan. Pt denied having any access to weapons or firearms, stockpiled medications, or any lethal

means to end pt's life or someone else's in pt's residence or the wider community. Writer provided pt with local crisis #

in the region the pt will be living in. Patient was strongly recommended to call 911 or go to nearest emergency room or

call suicide hotline in case of any acute medical or psychiatric crisis. Pt reported feeling safe about leaving the facility.

Pt continues to be in agreement with this plan and denies any questions at this time.

Pt presented as alert and oriented, fair in appearance, normal eye contact, speech normal rate and rhythm,

appropriate in mood with congruent affect, denies suicidal and homicidal ideation, denies auditory and visual

hallucinations, no overt indication of psychosis evident, insight, judgment, and impulsivity appear to be within normal

limits.

Pt discharged to his mother to provide transportation (of note, inpatient provider informed pt's mother of the current

travel ban due to the snow storm, all fines and risks involved with currently traveling.) Pt provided discharge paperwork

and prescriptions. Patient's discharge summary was faxed to the appropriate parties. Patient has been scheduled with

the following aftercare appointments:

966 Park St # B6,

Centered Primary Care Stoughton, MA 02072

Phone: (508) 356-7011 Fax:

508-365-2042

Next Steps: Go on 2/25/2026

Instructions: Patient is scheduled for a hospital follow up appointment with PCP Roberto Amado, MD on 2/25/26

at 11:30 AM.

Printed on 4/10/26 10:45 AM Page 11

CEN

BOSTON MEDICAI

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994, Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

BAMSI Adult Day Treatment Phone: 508-587-5594 Fax:

Center 508-584-4217

www.bamsi.org

Next Steps: Call

Instructions: Referral form and records emailed on 2/20/26 for Adult Day Treatment. Recomending completion

of a partial hospitalization program (PHP) prior to acceptance. (Please call the day program following

completion of a PHP.) Monday - Friday 8:30 a.m. - 4:30 p.m. (Groups held from 9:45 a.m. - 2:45 p.m.) We

accept most variations of MassHealth/Medicaid

Northeast Health Services

Falmouth

340 Gifford Street Falmouth,

MA 02540 Phone: 774-375-

9993 Fax: (513) 440-8404

Next Steps: Follow up on 2/26/2026

Instructions: Patient is scheduled for a virtual psychiatry appointment with provider Michael Egan, PMHNP on

2/26/26 at 9:20 AM. Note: You've been placed on the wait list for therapy.

DDS Address: 60 Main Street, 3rd

Floor, Brockton, MA 02301

Phone: (508) 427-5731

Direct: (339) 220-7950

Next Steps: Schedule an appointment as soon as possible for a visit

Instructions: Patient's DDS case manager, Christine (339) 220-7950 to reach out post discharge to meet and

reconvene services.

Career Center

MassHire Greater Brockton Address: 34 School Street,

Brockton, MA 02301 Phone:

(508) 513-3400 Fax: (508)

513-3450 Email:

info@masshiregbcc.org Site:

https://masshiregbcc.org/

Next Steps: Go to

Instructions: Patient to follow up with MassHire for job searching, connection to jobs, training opportunites and

resources.

Gosnold Stoughton PHP Address: 909 Sumner St

Stoughton, MA 02072

Phone: 508-540-6550

Next Steps: Call on 2/25/2026

Instructions: Once PHP re-opens, please call to schedule and intake for a partial hospitalization program.

Nicole Giardino, LICSW, 2/24/2026.

Electronically signed by Nicole Giardino, LICSW at 2/27/2026 11:31 AM

Progress Note - Nursing/Adult by Dominique Rival, RN at 2/24/2026 0456

Assumed care at 11:30 pm: The patient is alert and oriented x3, was seen pacing in the early hours. He was compliant

with HS medications. He spent this shift asleep, no concerns voiced overnight. Continue on 10, 11 and Is on aa 15 min

Printed on 4/10/26 10:45 AM Page 12

CEN

BOSTON MEDICAL

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

EXCEPTIONAL CARE. WITHDUT EXCEPTION

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

safety check. Staff to continue to monitor for changes In mood or behavior and provide support as needed. Patient has

a discharge plan for thi morning. He slept for about 5 hrs.

Electronically signed by Dominique Rival, RN at 2/24/2026 7:20 AM

Progress Note - Attending by Jared K Trout, MD at 2/23/2026 1329

BMC Brockton Psychiatry Inpatient Progress Note

CHIEF COMPLAINT ("In the patient's own words")

"I feel better."

INTERVAL HISTORY

Accepting medications, no acute behavioral issues. He is out and about in the milieu and pleasant on approach. He

appears relatively well-kempt. He says "I feel better." He appears more calm and less labile. He was more calm and

cooperative and engaging in the morning and understood that the blizzard conditions make discharge today difficult.

He retracted his three day letter and signed another three day letter. E has hopes of being discharged tomorrow.

He signed a three day letter expiring today and signed another three day letter.

PHYSICAL REVIEW OF SYSTEMS

No acute medical issues reported.

MEDICATIONS

Current Facility-Administered Medications

Medication Dose Route Frequency Provider Last Last

Rate Admin

acetaminophen 650 Oral Q4H PRN Juilet Paul, NP

(Ordered as:

acetaminophen)

tablet 650 mg

amLODIPine 10 mg Oral Daily

(Ordered as:

Patricia Lopes

Varela, NP

10 mg

amLODIPine)

tablet 10 mg

02/23/2

6 0832

benztropine 0.5 mg Oral Q6H PRN

(Ordered as:

Patricia Lopes

Varela, NP

benztropine)

tablet 0.5 mg

busPIRone 10 mg Oral BID

(Ordered as:

Patricia Lopes

Varela, NP

busPIRone) tablet

10 mg

02/23/2

6 0833

Printed on 4/10/26 10:45 AM Page 13

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

divalproex

(Ordered as:

1,500

Oral Daily Jared K Trout,

1,500

mg at

divalproex) 24 hr 02/23/2

tablet 1,500 mg 6 0832

docusate 100 Oral BID PRN Juilet Paul, NP

(Ordered as: mg

docusate) capsule

100 mg

hydroCHLOROthi 25 mg Oral Daily

azide (Ordered

Patricia Lopes

Varela, NP

as:

hydroCHLOROthi

25 mg

02/23/2

6 0833

azide) tablet 25

ibuprofen 600 Oral QID PRN Juilet Paul, NP

(Ordered as: mg

ibuprofen) tablet

600 mg

loratadine 10 mg Oral Daily Juilet Paul, NP 10 mg

(Ordered as: at

loratadine) tablet 02/23/2

10 mg 6 0832

LORazepam 1 mg Oral Q4H PRN Jared K Trout, 1 mg at

(Ordered as: MD 02/20/2

LORazepam) 6 2057

tablet 1 mg

melatonin tablet 3 3 mg Oral PRN

Patricia Lopes

Varela, NP

melatonin tablet 9 9 mg Oral At bedtime

Patricia Lopes

Varela, NP

9 mg at

02/22/2

6 2022

⚫ nicotine polacrilex 2 mg Oral Q2H PRN

gum 2 mg

Patricia Lopes

Varela, NP

OLANZapine 10 mg Oral BID

(Ordered as:

Jared K Trout,

OLANZapine)

tablet 10 mg

10 mg

02/23/2

6 0833

5 mg Oral BID PRN Jared K Trout,

OLANZapine

(Ordered as:

OLANZapine)

tablet 5 mg

pantoprazole

(Ordered as:

pantoprazole) EC

tablet 40 mg

sodium chloride

40 mg Oral

Printed on 4/10/26 10:45 AM

Daily Patricia Lopes

Varela, NP

40 mg

02/22/2

6 0609

Nasal Q4H PRN Juilet Paul, NP

Page 14

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994, Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

0.65% nasal spray

spray 1 spray

ALLERGIES

No Known Allergies

VITALS

Vitals:

02/23/26 0832

BP: 138/89

Pulse:

Resp:

Temp:

SpO2:

LABS

Vitals:

02/23/26 0832

BP: 138/89

Pulse:

Resp:

Temp:

Sp02:

MENTAL STATUS EXAMINATION

Patient is awake, alert, and oriented x 3. Appearance is disheveled. He denies suicidal ideation. He denies homicidal

ideation. He denies auditory hallucinations. He denies visual hallucinations. Mood is irritable and labile. Affect is

congruent, irritable, labile, intense. Thought process is disorganized and circumstantial. Thought content shows

marked paranoid ideation. Speech is rapid and pressured and loud. He appears psychomotor agitated, yelling and

pacing the unit and pointing at staff members. Insight is poor. Judgment is poor.

ASSESSMENT/TREATMENT

Mr. Flaherty is a 31 year-old man BIBA on a sec 12 after his mother called the police reporting that pt kicked in her

door, was yelling at her and threatening to kill her. Pt's mother states he woke up "angry" today. Pt denies HI/AH/VH,

reports passive SI, feeling so overwhelmed "I can't take it anymore".

He presents after a high-risk domestic incident involving threats to kill his mother and a reported knife threat. Even

though he minimizes intent and describes it as accidental and sheathed, the reported behavior represents significant

acute risk given escalation, impulsivity, agitation, and access to a weapon during conflict. His presentation is

characterized by marked irritability, hyperverbal speech, severe anxiety, poor sleep, appetite reduction, and impaired

behavioral control. He denies current psychotic symptoms and denies current suicidal ideation. He has a history of a

suicide attempt, chronic psychosocial stressors, and limited supports.

Printed on 4/10/26 10:45 AM Page 15

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

Accepting medications. More calm and cooperative today. Less labile and irritable. More rational - he understands that

the blizzard makes discharge today treacherous and he retracted his three day letter expiring today and signed

another. Plan is for discharge tomorrow (2/24/26) when the weather clears. We will continue olanzapine to 10 mg at

BID. We will continue lorazepam as needed for anxiety and manic symptoms. We will consolidate depakote to 1500

mg daily. We will follow up depakote level tomorrow. We will get collateral as able. We will provides structure and

support. We will continue to observe.

He signed a three day letter expiring today and signed another three day letter.

DIAGNOSIS(ES)

Principal Problem:

Bipolar disorder with depression (CMS/HHS/HCC)

Active Problems:

Cannabis use disorder

LEGAL STATUS:

Legal Status Orders

Legal

Section 10 & 11, 3 day letter

FRESH AIR:

Eligible for Fresh Air

I certify that the inpatient psychiatric facility services furnished since the previous certification or recertification were,

and continue to be, medically necessary for irritability, lability, erratic behavior, and manic symptoms. Hospital records

indicate that the services furnished were either: intensive treatment services, admission and related services

necessary for diagnostic study, or equivalent services. I certify that the patient continues to need, on a daily basis,

active treatment furnished directly by or requiring the supervision of inpatient psychiatric facility personnel.

I estimate 10 days of hospitalization is necessary for proper treatment of the patient. My plans for post-hospital care for

this patient are TBD.

Jared K Trout, MD 2/23/2026 1:29 PM

Electronically signed by Jared K Trout, MD at 2/23/2026 1:35 PM

Progress Note - Nursing/Adult by Albert Smith III, RN at 2/23/2026 1059

Diagnosis:

Bipolar disorder with depression

Cannabis use disorder

Maintained Q 15 Min Checks

Printed on 4/10/26 10:45 AM Page 16

N32

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

Legal: 10/11CV

Days:

Denies SI/HI/SIB/AH/VH

In room - out for needs

Calm and cooperative on approach

Minimal engagement

Looking forward to discharge

Community Meeting:

Groups:

Fresh Air:

Medications:

A/O

PRN:

Did not utilize

New Orders:

N.N.O.

Nursing Communication:

Cardiac Diet

VS parameters - notify provider

Vitals:

02/23/26 0832

BP: 138/89

Pulse:

Resp:

Temp:

SpO2:

Discharge Plans:

3 Day Notice

Electronically signed by Albert Smith III, RN at 2/23/2026 6:32 PM

Progress Note - Attending by Chuck Ogbodo, NP at 2/22/2026 1211

BMC Brockton Psychiatry Inpatient Progress Note

CHIEF COMPLAINT ("In the patient's own words")

"Feel a lot better than when I came in; feel like I'm ready to go home."

INTERVAL HISTORY

2/22/26- provider met with pt in his room and easily awaken. He reports coming out for breakfast. Pt endorsed feeling

anxious because he is unsure if he will be discharged on his 3days that is up tomorrow, he consistently asked provider

Printed on 4/10/26 10:45 AM Page 17

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

to decide if he will be discharged tomorrow due to snow and not willing to wait till tomorrow to discuss with treatment

team.

2/21/26-Accepting medications, no acute behavioral issues. patient reports significant improvement compared to prior

presentation and expresses readiness for discharge.

He is calm and cooperative and engaging during session. He stated his mother wants to talk about him coming home

with primary team. He denies SI/HI and AVH.

He signed a three day letter expiring on 2/23/26.

PHYSICAL REVIEW OF SYSTEMS

No acute medical issues reported.

MEDICATIONS

Current Facility-Administered Medications

Medication Dose Route Frequency Provider Last Last

Rate Admin

acetaminophen

(Ordered as:

acetaminophen)

tablet 650 mg

650 Oral Q4H PRN Juilet Paul. NP

amLODIPine 10 mg Oral Daily

(Ordered as:

Patricia Lopes

Varela, NP

amLODIPine)

tablet 10 mg

10 mg

02/22/2

6 0924

benztropine 0.5 mg Oral Q6H PRN

(Ordered as:

Patricia Lopes

Varela, NP

benztropine)

tablet 0.5 mg

busPIRone 10 mg Oral BID

(Ordered as:

Patricia Lopes

Varela, NP

10 mg

busPIRone) tablet 02/22/2

10 mg

divalproex 1,500 Oral Daily

(Ordered as: mg

Jared K Trout,

6 0925

1,500

mg at

divalproex) 24 hr 02/22/2

tablet 1,500 mg 6 0925

docusate 100 Oral BID PRN Juilet Paul, NP

(Ordered as:

docusate) capsule

100 mg

hydroCHLOROthi

azide (Ordered

25 mg Oral Daily Patricia Lopes

Varela, NP

as:

25 mg

02/22/2

Printed on 4/10/26 10:45 AM Page 18

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

hydroCHLOROthi

azide) tablet 25

6 0925

ibuprofen 600 Oral QID PRN Juilet Paul, NP

(Ordered as: mg

ibuprofen) tablet

600 mg

loratadine 10 mg Oral Daily Juilet Paul, NP 10 mg

(Ordered as: at

loratadine) tablet 02/22/2

10 mg 6 0925

LORazepam 1 mg Oral Q4H PRN

(Ordered as:

LORazepam)

Jared K Trout,

1 mg at

02/20/2

6 2057

tablet 1 mg

melatonin tablet 3 3 mg

Oral PRN Patricia Lopes

Varela, NP

melatonin tablet 9 9 mg Oral At bedtime

Patricia Lopes

Varela, NP

9 mg at

02/21/2

6 2102

⚫ nicotine polacrilex 2 mg Oral Q2H PRN

gum 2 mg

Patricia Lopes

Varela, NP

OLANZapine 10 mg Oral BID

(Ordered as:

Jared K Trout,

OLANZapine)

tablet 10 mg

10 mg

02/22/2

6 0924

5 mg Oral BID PRN Jared K Trout,

OLANZapine

(Ordered as:

OLANZapine)

tablet 5 mg

pantoprazole

(Ordered as:

pantoprazole) EC

40 mg Oral Daily Patricia Lopes

Varela, NP

40 mg

02/22/2

tablet 40 mg 6 0609

sodium chloride 1 Nasal Q4H PRN

0.65% nasal spray

spray 1 spray

tuberculin

injection 5 Units

5 Units Intradermal Once

ALLERGIES

No Known Allergies

VITALS

Vitals:

Printed on 4/10/26 10:45 AM

Juilet Paul, NP

Patricia Lopes

Varela, NP

Page 19

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION.

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

02/22/26 0928

BP: 123/91

Pulse: (!) 127

Resp: 18

Temp: 98 °F (36.7 °C)

SpO2: 98%

LABS

Vitals:

02/22/26 0928

BP: 123/91

Pulse: (1) 127

Resp: 18

Temp: 98 °F (36.7 °C)

SpO2: 98%

MENTAL STATUS EXAMINATION

Patient is awake, alert, and oriented x 3. Appearance is disheveled. He denies suicidal ideation. He denies homicidal

ideation. He denies auditory hallucinations. He denies visual hallucinations. Mood is irritable. Affect is congruent,

irritable, intense. Thought process is perseverating, and circumstantial. Thought content shows marked paranoid

ideation. Speech is rapid and loud. Insight is poor. Judgment is poor.

ASSESSMENT/TREATMENT

Mr. Flaherty is a 31 year-old man BIBA on a sec 12 after his mother called the police reporting that pt kicked in her

door, was yelling at her and threatening to kill her. Pt's mother states he woke up "angry"today. Pt denies HI/AH/VH,

reports passive SI, feeling so overwhelmed "I can't take it anymore".

He presents after a high-risk domestic incident involving threats to kill his mother and a reported knife threat.

Even though he minimizes intent and describes it as accidental and sheathed, the reported behavior represents

significant acute risk given escalation, impulsivity, agitation, and access to a weapon during conflict.

2/22/26- pt is anxious, mildly irritable and lacks patience, remains impulsive and appears to minimize

symptoms, he reports incident with his mother was a mistake nit intentional. there is some increased intensity

noted when asking about possible discharge, he is preoccupied and perseverating on discharge. He denies

AVH/SI/HI.

2/21/26-Today pt calm, cooperative good behavioral control. Patient reports mood is good and sleep is good.

Denies auditory hallucinations today and denies visual hallucinations. Denies suicidal ideation and denies

homicidal ideation.

He has a history of a suicide attempt, chronic psychosocial stressors, and limited supports.

Three day letter expires on 2/23/26.

DIAGNOSIS(ES)

Printed on 4/10/26 10:45 AM Page 20

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

Principal Problem:

Bipolar disorder with depression (CMS/HHS/HCC)

Active Problems:

Cannabis use disorder

LEGAL STATUS:

Legal Status Orders

Legal

Section 10 & 11, 3 day letter

FRESH AIR:

Eligible for Fresh Air

I certify that the inpatient psychiatric facility services furnished since the previous certification or recertification were,

and continue to be, medically necessary for irritability, lability, erratic behavior, and manic symptoms. Hospital records

indicate that the services furnished were either: intensive treatment services, admission and related services

necessary for diagnostic study, or equivalent services. I certify that the patient continues to need, on a daily basis,

active treatment furnished directly by or requiring the supervision of inpatient psychiatric facility personnel.

estimate 10 days of hospitalization is necessary for proper treatment of the patient. My plans for post-hospital care for

this patient are TBD.

Chuck Ogbodo, NP 2/22/2026 12:11 PM

Electronically signed by Chuck Ogbodo, NP at 2/22/2026 6:40 PM

Progress Note - Nursing/Adult by Vincent Sweeney, RN at 2/22/2026 1153

Patient is alert and oriented. Taking prescribed meds. Reports mood as being anxious. Has 3 day notice that expires

tomorrow and expresses concern that impending snow storm will interfere with discharge. States that events leading

to admission were a mistake and will not happen again. Will continue to monitor for safety.

Electronically signed by Vincent Sweeney, RN at 2/22/2026 11:55 AM

Progress Note - Nursing/Adult by Sandra Alves, RN at 2/20/2026 1413

Legal Status: 10/11 3 day notice exp Mon 2/23/26

Safety Checks:

Subjective:

Patient reports no current thoughts of self-harm or harm to others. Denies auditory or visual hallucinations. Denies

Printed on 4/10/26 10:45 AM Page 21

CEN

BOSTON MEDICAL

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

EXCEPTIONAL CARE. WITHDUT EXCEPTION

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

delusions or paranoia. Patient expresses feeling "I just want to go home" and reports sleeping and eating adequately.

No new complaints voiced.

Objective:

Patient observed to have irritable edge. Affect appropriate to content, mood-angry. Speech clear and coherent.

Thought process linear and goal-directed. No overt signs of internal preoccupation or responding to internal stimuli.

Patient engaging appropriately with peers and staff. Eating meals and drinking fluids without difficulty. Has not been

participating in groups/programming. No behavioral concerns noted. Medications taken as prescribed without

resistance. Pt had VPA labs done today, results pending.

Assessment:

No evidence of SI/HI/AH/VH. Compliant with treatment plan and medications. Meeting basic needs. No acute distress

observed.

Plan:

Plan of care will be ongoing, no acute concerns at this time. Encourage continued engagement in therapeutic

activities. Support discharge planning as appropriate.

Electronically signed by Sandra Alves, RN at 2/20/2026 2:18 PM

Progress Note - Attending by Jared K Trout, MD at 2/20/2026 1152

BMC Brockton Psychiatry Inpatient Progress Note

CHIEF COMPLAINT ("In the patient's own words")

"I don't belong in a place like this."

INTERVAL HISTORY

Accepting medications, no acute behavioral issues. He was more calm and cooperative and engaging in the morning

and was saying he could leave on "Monday or Tuesday." Mother does appear to be willing to have him back in the

home. He also consented to outpatient appointments. He denies SI/HI and AVH.

Later in the afternoon he became more intense and tearful, saying "I don't belong here" and asking to be discharged

immediately. He was agitated but less so than yesterday. He agreed to take olanzapine 10 mg PO and lorazepam 2

mg PO.

He signed a three day letter expiring on 2/23/26.

PHYSICAL REVIEW OF SYSTEMS

No acute medical issues reported.

MEDICATIONS

Current Facility-Administered Medications

Medication Dose Route

⚫ acetaminophen 650 Oral

Printed on 4/10/26 10:45 AM

Frequency Provider Last Last

Rate Admin

Q4H PRN Juilet Paul, NP

Page 22

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994,Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

10 mg Oral Daily

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

(Ordered as:

acetaminophen)

tablet 650 mg

amLODIPine

(Ordered as:

amLODIPine)

tablet 10 mg

Patricia Lopes

Varela, NP

10 mg

02/20/2

6 1033

benztropine

(Ordered as:

benztropine)

tablet 0.5 mg

0.5 mg Oral Q6H PRN Patricia Lopes

Varela, NP

busPIRone 10 mg Oral BID

(Ordered as:

Patricia Lopes

Varela, NP

10 mg

busPIRone) tablet 02/20/2

10 mg 6 1033

divalproex

(Ordered as:

1,500

Oral Daily Jared K Trout,

1,500

mg at

divalproex) 24 hr

tablet 1,500 mg

02/20/2

6 1033

docusate

(Ordered as:

100

Oral BID PRN Juilet Paul, NP

docusate) capsule

100 mg

hydroCHLOROthi 25 mg Oral Daily

azide (Ordered

Patricia Lopes

Varela, NP

as:

hydroCHLOROthi

azide) tablet 25

25 mg

02/20/2

6 1033

ibuprofen 600 Oral QID PRN Juilet Paul, NP

(Ordered as: mg

ibuprofen) tablet

600 mg

loratadine 10 mg Oral Daily Juilet Paul, NP

(Ordered as:

loratadine) tablet

10 mg

02/20/2

6 1033

LORazepam 2 mg Oral

(Ordered as:

Q4H PRN Jared K Trout,

LORazepam)

tablet 2 mg

melatonin tablet 3 3 mg

Oral PRN Patricia Lopes

Varela, NP

melatonin tablet 9 9 mg Oral

At bedtime Patricia Lopes

Varela, NP

9 mg at

02/19/2

6 2041

Printed on 4/10/26 10:45 AM Page 23

CEN

BOSTON MEDICAL

EXCEPTIONAL CARE. WITHDUT EXCEPTION

BMC Yawkey

850 Harrison Ave.

Boston MA02118-4001

Flaherty, Dallas

MRN:3394094

DOB:11/3/1994, Sex:male

SSN:[REDACTED]

Visit Date:2/18/2026

(Ordered as:

OLANZapine)

tablet 10 mg

OLANZapine

(Ordered as:

OLANZapine)

tablet 5 mg

pantoprazole

(Ordered as:

pantoprazole) EC

5 mg

40 mg Oral

02/18/2026 - Admission (Discharged) in Brockton 3 Behaviorall Health Inpatient Unit (continued)

Notes (continued)

⚫ nicotine polacrilex

gum 2 mg

OLANZapine At bedtime Jared K Trout,

2 mg Oral Q2H PRN Patricia Lopes

Varela, NP

10 mg Oral 10 mg

02/19/2

6 2041

Oral Q8H PRN Jared K Trout,

Daily Patricia Lopes

Varela, NP

tablet 40 mg

40 mg

02/20/2

6 0613

sodium chloride 1 Nasal Q4H PRN Juilet Paul, NP

0.65% nasal

spray 1 spray

spray

tuberculin

injection 5 Units

5 Units Intradermal Once Patricia Lopes

Varela, NP

ALLERGIES

No Known Allergies

VITALS

Vitals:

02/20/26 1035

BP: 175/94

Pulse: 86

Resp: 18

Temp: 98.3 °F (36.8 °C)

SpO2: 97%

LABS

Vitals:

02/20/26 1035

BP: 175/94

Pulse: 86

Resp: 18

Temp:

SpO2:

98.3 °F (36.8 °C)

97%

MENTAL STATUS EXAMINATION

Printed on 4/10/26 10:45 AM Page 24