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Patient has been hospitalized on numerous occasion related to injury suffered during this type of sexual activity. Her last hospitalization was approximately six months ago on January 29, 2004. She required a blood transfusion because of sever internal bleeding from wounds received vaginal and anally. She was hospitalized for ten days, at which time she was released, and instructed to stay bedridden for the next week; she was then scheduled for a follow-up. She did not go to the follow-up, but appears to have made a full recovery, and states she is experiencing no current pain or problems related to the injuries. 2Presenting problem: Patient states that she has realized that her behavior has become progressively more self-destructive. She states that she nearly constantly feels the need to be hurt, and no longer just for sexual arousal. For the last year and a half, patient reports that she has been “cutting” on herself (301.83 Borderline Personality Disorder) as a way to control. Yes. She complied as the disappointment showed on her face. I thought briefly about making her add Ã,sir, but that didnt strike me right. You wanted to see me Dr. Cole? Yes, Shannon, please send this sample to the lab for the tests indicated on the form. Yes Dr. Cole, will that be all? Actually, Shannon maybe you could answer a question the doctor and I have been debating. Do you think that roast beef is the best meal you could ever eat? Shannon gave me an odd look before immediately answering. I dont like roast beef so I would have to say no. But if I brought in a dish of roast beef, made with my very own personal recipe, would you eat it all if I asked, for me? For you, yes. Was her reply, flat and with out reservation. Even though you hate roast beef. Yes. Why, if you hate roast beef? I dont know, because you asked, I guess. Dr. Cole said that you hate the Beatles too, is that correct? That caused her to give Dr. Cole a questioning look before she turned back to me. Yes, I.
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