Entry 60.5

Entry #60.5 - Entry 60.5 On Unfiction

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Summary

Entry #60.5 was posted on July 14, 2012.
It has the description "The documents".
In total, this clip is 6:47 minutes long.

Jay goes through the documents he obtained in Entry 60. These medical records are from Tim's childhood, starting from second grade, and parts of the information are blacked out with marker. This appears to have been done by whoever left the records for Jay to find, rather than the hospital or doctors. In addition to the records, the folder contains a photograph of Tim and Jay from their meeting in Entry 59. "WATCHING" is written on the back of the photo in black marker.

+ Detailed Transcript

[0:03-0:07] White text on black screen.

Entry #60.5

[00:09-00:15]

I've carefully looked through all of the medical
documents that were in the tunnel.

[00:17-00:23]

I'm making this video as a record of the information
I found on them.

[00:26] Cut to Jay, offscreen, coughing. The camera is pointed at a wall. His shadow briefly appears on the wall, before he starts talking:
[00:33] "Alright. Huh, first of all… Some of the information on these forms, uh, has been redacted…"
[00:37] Whilst still talking, he holds up a form as an example.
[00:42] "And I don't think that the hospital where these came from were responsible for this, I think whoever left these for me in the tunnel was the one responsible, but…"
[00:49] Jay holds up the folder cover, which displays the Operator Symbol, and the form again for comparison.
[00:50] "Because the marker that redacted it looks to be the same thickness as the one that wrote on the folder itself."
[00:59] He shows both sides of the folder cover to the camera, before tossing it onto a surface below.
[01:03] Jay holds up another form: "The first form is a pediatric admission profile from 1995. Source of information is listed as Tim's mother… Uh, reason for admission/chief complaint is 'insomnia, headaches, possible disorder'. I have no idea what that means, it's… really vague."
[01:20] He turns the form over to show the camera the next one, and flips the page again, displaying Tim's redacted name.
[01:28] "Uh, he's listed here as on an anticonvulsant as a 'seizure precaution', and it says here he has a history of falls, which I'm assuming has something to do with seizures."
[01:40] He turns the page again.
[01:43] "Uh, under 'pain history assessment', on a scale of one to ten, it says his pain is at a six, uh, from, frequent headaches."
[01:53] Jay zooms in on something. “There’s also an, uh, emotional barrier to learning. I’m not sure what that could be.”
[02:00] Jay closes the Pediatric Admission Profile and sets it down below.
[02:01] Cuts to the Pediatric Admission Assessment. “Filled out on the same day… It’s a Pediatric Admission Assessment.”
[02:04] He moves down on the page. “Uh, first two chief complaints are the same, headaches, insomnia, and a third one. Was it more specific than ‘possible disorder?’ I don’t know. I guess I’ll never know.”
[02:17] He mumbles something and flips the page.
[02:19] “Uh, down here it says ‘Do you feel safe in your home?’ and ‘Are you afraid of anyone?’ Apparently, uh, he answered yes at first then changed it to no.”
[02:27] He flips the page and scans it.
[02:33] He flips the page again.
[02:36] “Alright, under, uh, comfort/rest/sleep it says he’s unable to fall asleep easily and sleeps about four hours a night. Um, pain is still listed as a six out of ten it says. Location is the head, duration is two to four hours. Chronic, greater than six months. Aggravated by talking. I don’t know what that could possibly signify.”
[02:54] Whilst talking, he flips the page.
[03:00] “Uh, the next to last page, near the bottom, it makes note that he ran away from home, two… somethings ago.”
[03:06] It could have been days, weeks, months, hours, minutes. I don’t know. But it does say he was found at Rosswood Park.”
[03:15] He flips the page.
[03:18] Last page is a Fall Risk Assessment with checks next to ‘confused, disoriented, hallucinating, combative.’ And also, um, medical history of seizures, postural hypotension, with ‘seizures’ underlined.”
[03:33] Jay flips the page and sets it down.”
[03:36] Cuts to another form. “What’s next is a ‘Delayed Therapy Communications Form’ from 2002 for a ‘monthly session.’ Only reason given here is ‘patient/family uncooperative.’
[03:47] He holds the paper further away. “Everything else that could possibly be of use to me has been redacted.
[03:51] He puts the single sheet away, sighs and begins to pick something up. His shadow is visible for a moment.
[03:54] Cut to “Brief Operative Progress Note.” “Next is a Brief Operative Progress Note.” He holds it back, revealing a Operator Symbol in the upper right corner. “Everything on it is entirely redacted, except for the month and day, January tenth.”
[04:04] “And this symbol, which, obviously I’ve seen many, many times before.”
[04:09] “But everything else is gone, redacted.”
[04:11] He turns the paper over and back. “I’m trying to figure out why this one was in here. Was the person just trying to intimidate me with the symbol, or trying to tell me something of some kind of… surgery? So what was it for? I don’t know.”
[04:26] He sets the paper down and sighs. “I don’t know.” His shadow comes into view and he lifts another form. “The last form is a ‘Suicide or Self Harm Assessment Tool.’”
[04:33] He moved the bottom of the paper closer “Uh, Tim scored a 14, which was considered, uh, high risk.”
[04:39] He moves the top of the paper closer. “Uh, it says here ‘Unwilling to contract -OR- Unable to contract because of impaired reality testing. ‘Hallucinations’ is underlined.
[04:49] He moves the paper to show a chart of symptoms. “Symptoms: hopelessness, anger or rage and anhedonia, which I looked up and is apparently the inability to experience, uh, happiness or pleasure.”
[05:00] He points to a box near the bottom of the page. “Uh, also, replies were questionable, so who knows if he was lying or not about anything on here.”
[05:09] Cuts to the wall. “And then, under all those forms were-was this picture.” He holds up a picture of a parking lot at night with two men standing in front of a car.
[05:13] “It’s kind of blurry but it’s of… Tim and I… the night that Tim found out all that I’d been doing without telling him.
[05:23] He zooms out and turns it around. “This is written on the back.” The word “WATCHING” is written in sharpie, and the area above and below is filled in.
[05:29] He turns it back over. “I don’t remember seeing anyone else out there that night but, of course, I wasn’t really super aware of my surroundings after being (accusatory tone) punched in the face.
[05:39] Cuts to wall. Jay holds up the folder. “There isn’t really anything else written on the folder itself, besides this, on the front, and-”
[05:46] He turns it around, revealing three horizontal ovals, two above and one below. “this on the back.”
[05:50] He opens the folder. “Nothing on the inside.” He flips it over a few times and sets it down
[05:57] Cuts to Jay holding the Slender Doll. “There’s nothing really special worth noting about the doll that was down there either.” He examines it, turning it around.
[06:04] Cut to a stack of medical-documents “These forms, and this picture.” He picks up the picture. “And that’s… all I get.
[06:12] Fade to black.
[06:16-06:22] White text on black screen.

After reading through everything, it looks
like Tim was dealing with this stuff for
most of his life.

[06:25-06:30]

And I might have made it worse.

[06:33-06:42]

I’m still not sure what to do from here.
I don’t like being on my own again like this,
but there’s nothing I can do about it now.

medical-documents

Here is a full transcript of all the available information on the medical documents, including the items which Jay chose not to highlight. All redacted material is marked as such. Only information filled out on the forms in the video is listed. ~Starkley

+ Tim's Medical Records:

Pediatric Admission Profile

Page 1

Timothy W_

Date: 12/20/95

Valuables
Hearing Aid: N/A
Clothing: Sent Home
Other: N/A
Other: N/A
I fully understand that HUMC (REDACTED - because location is wrong OOG) is not responsible for any personal property brought in or retained at the bedside at any time. I fully understand that HUMC provides a safe for my valuables should I wish to place them there for the hospital stay.

Section I
Source of Information: Janet W_
Relationship: Mother
Reason for Admission/Chief COmplaint: insomnia, headaches, possible disorder:

Allergies:
Medications: Amoxicillin, codeine
Explain reaction: Hives

Medications: N/A

Able to swallow pills? Yes

Page 2:

Section II - Health History
Source of Information Section II-XII: Janet W.
Relationship: Mother
Actual Weight: 21 kg
Actual Height/Length: 107 cm

Advance Directive: Less than 18 years old, N/A
Transferred From/Admitted From: Home

Recent Infections or Exposures: Denies

Immunizations Up-To-Date: Yes
Outpatient Services: Not Applicable
Vascular Access: Not Applicable
Blood/Blood COmponent Transfusion History: Not Applicable

Section III: Psychosocial History
Tobacco: No
Has patient or someone in your house smoked in the last year? Yes
If yes, would you like: Patient/Family refused
Alcohol: No
Illicit Drug Use: No
Cultural needs/considerations affecting hospitalization/plan of care: Denies

[There is no Section IV]

Page 3:

Section V - Growth and Development
Prior to admission able to complete ADL: Yes

Section VI - Activity/Safety
Seizure precautions: anticonvulsant

Morse Fall Scale
History of Falls: Yes 25
Secondary Diagnosis: No 0
Ambulatory Aid: None/Bedrest/Wheelchair/Nurse 0
IV/Saline Lock: No 0
Gait Transferring: Normal/Bedrest/Immobile
Mental Status: Oriented to Own Ability 0
Total: Moderate Risk 25-20

Page 4:

Section VIII - Elimination
Toilet Trained (Redacted): Yes
History of Diarrhea (Redacted): No
History of Constipation: (Redacted)

Section IX - Cognitive/Sensory Perception
Vision: Glasses
Hearing: No difficulty reported
Speech: Appropriate for age

Section X - Pain History Assessment
Do you have pain now? Yes
How does your child express pain? Screaming
Pain Scale: 0-10
Pain intensity/Score: 6
Describe: Headaches (frequent)

Section XI - Teaching
Readiness to Learn: Yes
Preferred Learning Style: Visual
Potential Barriers to Learning: Emotional
Learning Needs: Medications

Section XII - Initial Discharge Assessment:
Previous Home Care Services: No
Who does child live with? Mother
Who will care for the child at home? Mother
Based on obtained child patient information and nursing assessment - referral related to discharge needs made to: Case Management

Pediatric Admission Assessment:

Page 1:

Date: 12/20/95
Time: 11:45 A.M.

Person to Notify in Case of Emergency:
Name: Janet W
Phone: Redacted
Relationship: Mother

Admitted From: Home
Admitted via: Ambulatory

Orientation to Nursing Unit: [All listed are checked off.]
Nurse Call System
Crib/Side Rails
Bathroom
Phone
No Smoking
No leaving children unattended
Bed Controls
ID Bracelet
TV Controls
Visiting Hours
Patient Information

Cribs must have rails up at all times when occupied (Not checked)
No toys or objects to create sparks or friction if in croup tent (not checkted)
Bed/crib must be kept in lowest position at all times (Not checked)

Immunizations Current? Yes

Chief Complaint: Headaches, insomnia, (REDACTED)

Disposition of Valuables (REDACTED)
Caldwell County Hospital (REDACTED, but probably for consistency's sake since the location isn't right.) will not assume responsibility for lost or damaged valuables, clothing, or personal items kept in the patient's possession. Valuables should be taken home or secured by the hospital.
Patient/Family Signature:
Witness Signature:
Date: 12/20/95
Time: 12:01 P.M.

Valuables picked up by: Janet W.
Witness: (Cant read)
Date/Time: 12/20/95 12:01 P.M.

Health Profile: Other, Janet W.

Have you been hospitalized at our facility in the past 7 days? No
If yes, has there been any changes in your status since last admission? No (Someone can't read directions…)

Page 2:

Medical History and Previous Surgery:
Ever had a blood transfusion? No

Social/Environmental Assessment: (Only checked items shown)
1. Patient lives: With family

2. Habits: Tobacco
Member of household uses tobacco (Note: It is listed such that Tim himself does not use tobacco at this age, but rather, a member of his family does.)

3. Education: Last grade in school attended: 2
Can read? Yes
Can write? Yes
Is Home Health involved in your Care? No

5. Assistance required for Care
Toileting: Goes to bathroom alone, Independent
Medication: Taken best as: Liquid
Who else besides parents might be staying with child? N/A
Emotional Support: Has your family had any recent changes in your life? (moved, divorce, birth, death, new job, etc.): No

6. Abuse/Neglect/Exploitation Screen
Do you feel safe in your home? No (Originally Yes)
Are you afraid of anyone? No (Originally Yes)
Have you ever been physically, sexually, or emotionally abused? No
Within the past year, have you ever been hit, slapped, kicked, or otherwise physically hurt? No (REDACTED)
Have you ever been touched in a manner that makes you feel uncomfortable? No (REDACTED)
Evidence of neglect by self? No
Evidence of neglect by caretakers? No
Evidence of abuse by self or others? No

Skin:
Color Impairment: None
Temperature: Warm
Turgor: Good

Page 3:

Oral/Denatal/Nasal
Teeth Condition: Good
Gums: Pink,
Nose: No problems

Hygiene
Bathing: Partial Assist
Condition on arrival: Good
Oral Hygience: Self
Hair Condition: Good

Neuro Status
Conscious
Oriented To: Person, Place (Time is left unchecked)
Weakness/Paralysis: None
Range of Motion: Independent

Pupils/Eyes
Pupils: Equal
Eyes:

Vision (All listed here checked)
Adequate
Glasses/Contacts: With Patient

Speech/Sqallowing
Speech: Clear
Swallows: Without Difficulty

Hearing/Ears
Hearing: Adequate

Mobility
Independent

Respiratory/Cardiovascular
Respiratory Problems:
Cough
Cardiovascular Problems: None

Page 4:

Frequency of BM (REDACTED): Daily
Abdomen: Soft

Urinary Status:
Problems: None

GU (REDACTED)

Comfort/Rest/Sleep
Sleep
Unable to fall asleep easily
Avg # Hrs Slept Each Night: 4 #Pillows used: 2
Sleeps with Night Light On

Comfort/Pain
Is the patient currently having pain or admitted a pain related diagnosis? Yes
RATING ON PAIN SCALE: 6
Location: Head
Duration: 2-4 Hrs
Chronic, dull
Relieved by Rest
Aggravated by Talking
Do you have any personal, cultural, spiritual, and/or ethnic beliefs that may affect the way your pain is treated? No

Page 5:

Psychological Status
Body Image/Self Concept Problems: Signs/Symptoms of Depression
Spiritual Needs: No Requests Minister, etc. be notified: No
Observation of Patient Behavior/Interaction: Cooperative, Restless

Developmental/Other Needs Assessment

School Age Child, 6-12 Years

Social
Engages in group activities with same sex peers (UNCHECKED)

Cognitive
Wide Range of Vocabulary
Learns to read
Learning math skills
Begins collections (Hobbies) (UNCHECKED)

Physical
Exhibits physical endurance (plays sports, games) increased time motor ability (writing, painting drawing) (UNCHECKED)

Discharge Needs
Transportation

Plan of Care Reviewed With:
Family

Other Notes: Ran away from home 2 _(REDACTED)_ ago. Found at Rosswood park.

Page 6:

Is this child's condition affected by the family? No

Is the family affected by this child's hospitalization? No

Fall Risk Assessment
Confused, disoriented, hallucinating, combative - 20
Hx of syncope, seizures (underlined), postural hypotension - 20
Total: 40 (High Risk)

OOG there is another page on the blank version of this form (see sources), but Jay states that it isn't there. Given the nature of the information shown in the blank document, however, this is most likely unimportant.

Delayed Therapy Communication Form

Person Documenting Delay: REDACTED
Routine: REDACTED
Stat: REDACTED
Person Responding to Delay: REDACTED
Date: 7/8/02 Time (Military Time): 15:10
Name of Procedure: Monthly Session
Date Ordered: REDACTED

Tracking Codes
Patient/Family Variance Codes
P4 - Patient/Family Uncooperative

Delay Description: REDACTED
Intervention: REDACTED
*Intervention: REDACTED

Brief Operative Progress Note

An Operator symbol is on the top right of the page.

Date: 1/10/(REDACTED)
To be conducted by: Dr. (REDACTED)

Anaesthesia: General (A note next to the checkbox is redacted)

Wound: Clean

Procedure: (Wound prep, incision, Findings, pathology, closure, etc.)
A description may be present, but the entirety of the dedicated space is redacted, as is the remainder of the document.  See PDF for more details on redacted info.

Suicide/Self-Harm Assessment Tool

High Risk - 2 Points
Moderate Risk - 1 Point
No Precautions - 0 Points

Question I.
Is the CURRENT ADMISSION precipitated by a SUICIDE ATTEMPT? No (1 point)

Section II.
CONTRACT FOR SAFETY: Unwilling to contract -OR- Unable to contract because of impaired reality testing (hallucinations, delusions, dementia, delirium, disassociation) (2 points)

SUICIDE PLAN: Has plan with actual or potential access to planned method (2 points)

PLAN LETHALITY: Highly lethal plan (gun, hanging, jumping, carbon monoxide) (2 points)

ELOPEMENT RISK: Low elopement risk (1 point)

SUICIDAL IDEATION: Constant suicidal thoughts (2 points)

ATTEMPT HISTORY: No previous attempts (0 points)

SYMPTOMS: 3-4 symptoms present (1 point)
HOPELESSNESS
[Helplessness left unchecked, interestingly]
ANHEDONIA
ANGER/RAGE

CURRENT MORBID THOUGHTS: Frequently (1)

Section III.
RN's SUBJECTIVE APPRAISAL OF PATIENT'S RELIABILITY
Replies Not Trustworthy = 4 points
Replies Questionable = 3 points
Replies Trustworthy = 0 points

Pt. Replies questionably, trustworthy; at least one nonverbal cue (3 points)

Total Score: 14 (10 or more = High-risk Precautions (1:1))

Assessed by (RN): [Unreadable]

Date: 7/8/02

Time: 8:45

+ Original Medical Forms (Blank Sources):

Pediatric Admissions Profile: http://hospital-forms.com/633.pdf

Pediatric Admissions Assessment: http://www.hospital-forms.com/704.pdf

Delayed Therapy Communication Form: http://www.hospital-forms.com/272.pdf

Suicide/Self-Harm Assessment Tool: http://www.hospital-forms.com/57.pdf

Brief Operative Progress Note: http://hospital-forms.com/1281.pdf

~Starkley

Main Theories and Observations

• Jay coughs in this video.
• A number of pieces of information within the documents point to the idea that Tim has been involved with the Operator for a very long time:
  • According to the documents, the last grade Tim had completed by 12/20/1995 was 2nd. This means that he was probably in the 3rd grade and between ages 7 and 8.
  • In the forms from 1995, it says that he was suffering from a cough.
  • It notes in the forms that he had ran away 2 (somethings) prior.

Further Speculation

Could the Brief Operative Progress Note actually involve the Operator? Since all the information is redacted (and as Jay says, it was by whoever left the folder for him), and there's an Operator symbol at the top, maybe the Operator has something to do with whatever was on that sheet. ~jcal94

I think totheark is Tim and this proves it. The large "LIAR" written on the folder is related to how Jay lied to Tim about Marble Hornets, and the at first, random circles on the back represent Masky's mask without the eyebrows. ~ slenderoperator

I believe Tim is Masky, but that does not necessarily mean that he is without a doubt ToTheArk. If anything, ToTheArk is trying to expose Tim lying about being fine, hence the "LIAR" on the back of the folder. I think that yes, it is possible the circles could represent the eyes from Tim's Masky persona. They could also represent ToTheArk watching Tim, watching Jay, and watching everything unfold in general. -Blackest Bambi

This is likely a coincidence, but, I just noticed while studying that Tim's therapy schedual was monthly and totheark seems to post videos about one month at a time. Due to inconsistencies having about two videos a month before the time skip this is likely irrelevant. KM

So Jay has these docs for 2 weeks before presenting them, and then doesn't even tweet that he's posted the video? That seems odd.

According to the documents, and by doing some simple observations, the last grade Tim had completed by 12/20/1995 was 2nd. This means that he was probably in the 3rd grade and between ages 7 and 8. Also, in the forms from 1995, it says that he was suffering from a cough. It also said he had ran away 2 time codes prior, which I assume are days or weeks. Isn't it obvious? The coughing, headaches, and claimed "hallucinations?" He wasn't hallucinating anything, he was seeing the Operator. He never ran away, he was taken! And these events and side effects caused lifelong struggle. Tim was the first to be affected by the Operator. It's Tim's presence that brought the Operator onto everyone else. Tim isn't Totheark, Tim is The Ark!

Just clarifying that Alex-Kralie would have been connected with The Operator before Tim. Enttry #37 took place in 1991, four years prior. -Kaylee2014