Part 1:

Mature Content

Psych Evaluation: Couvade Syndrome [1/4] by Transviscera

Part 2:

Mature Content

Psych Evaluation: Couvade Syndrome [2/4] by Transviscera

Part 3:

Mature Content

Psych Evaluation: Couvade Syndrome [3/4] by Transviscera

Part 4:

Mature Content

[DARK] Psych Evaluation: Couvade Syndrome [4/4] by Transviscera

Part 5:

Mature Content

Couvade Syndrome Ending: In Sickness And In Health by Transviscera

Around 22:25, patient Thomas Dumas approached the nurse’s station complaining of soreness in his chest. On visual examination, I noted Mr Dumas’ breasts were significantly engorged, with large, puffy, leaking nipples.
Mr Dumas is normally milked twice daily for his hyperlactation, following his recent bout of mastitis. A check of the patient record indicated both of these treatments were not administered by the previous shift.
The student nurses who normally assist Thomas with his pump were otherwise engaged at the time. Due to my good working relationship with this patient, and his acute distress, I opted for assisting him myself. I escorted him back to his room, collecting the breast pump. In the room, I closed the door for patient privacy before helping Mr Dumas to disrobe his maternity gown. His breasts were indeed exceedingly engorged, and he appeared happy as the suction cups were affixed over his distended nipples. Upon activating the suction, Mr Dumas immediately expressed a large quantity of milk to his great relief. Over the 10 minutes that the pump maintained suction, he became visibly aroused, making several low moans that may have indicated orgasm, while maintaining a level of eye contact that I found uncomfortable. Once his immediate discomfort was alleviated, I approached to deactivate the pump, at which point the patient wrapped his arms around my neck and forcibly kissed me, placing his tongue inside my mouth.
While I immediately attempted to extricate myself as forcibly as possible without harming the patient, the patient’s delicate physique and habitus (appearing as that of a heavily pregnant woman) made this difficult. Furthermore, Mr Dumas is stronger than he first appears, and was able to maintain the invasive encounter for 30 to 40 seconds. When I at last removed him from my person, he began to cry, claiming that I, his supposed ‘husband’, no longer found him attractive in his 'pregnant' state.
The charge nurse was immediately informed of this encounter. In future, I would prefer to have a female chaperone when dealing with Mr Dumas, for both his and my safety. If Mr Dumas is now incorporating others into his delusion, this clearly indicates a deterioration of his mental state.
Additionally, I’d like to reiterate my objections to hosting this patient on an all-male psych ward at all. Not just for his outward appearance, given the nature of his condition, would it not be appropriate to transfer him to a ward specialising in female or obstetric medicine, where I’m convinced his needs would be better met. I understand Dr Akram has a vested interest in this patient, but it needs reiterating.
The patient produced around 300ml of milk during this encounter, which I have stored in the staff fridge for collection by his wife on monday.