HeartDoc Andrew for President in 2020


Campaign Platform: "Always say that "I am wonderfully hungry" in **all** ways including especially caring to 'convince it forward' our need to do this."

A Journalist-led Interview: https://www.youtube.com/watch?v=Kv89xuLjFAI&t

Wonderfully hungry at CNN: Questioning Mr. Donald J. Trump on 12/03/15 while at CNN.


Anticipated Terrible Misbehavior by the Terribly Hungry: http://investigations.blog.ajc.com/2016/08/04/wonderfully-hungry-doc-suspended-by-medical-board/

Bottom line: America really needs a wonderfully hungry President to lead by example how to stop the terrible misbehavior of the terribly hungry (more commonly known as the "hangry").


Ridgeview I N S T I T U T E

TO: Andrew Chung

FROM: Evaluation Team, Ridgeview Institute

DATE: September 15, 2016

RE: 96 Hour Evaluation Summary

Enclosed is a copy of the 96 Hour Evaluation Summary per your request.

The information in our medical records is confidential and is protected by Georgia Code and/or Federal Regulation. Copies released from alcohol and drug records are protected by Federal Regulation (42 CFR, Part 2), which prohibits you from making any further disclosure of the information without the specific written consent of the person to whom it pertains, or as otherwise permitted by such regulation. A general authorization is not sufficient for this purpose. This report is strictly confidential and is for the information only of the person to whom it is addressed. No responsibility can be accepted if it is made available to any other person.


Disclaimer and Caution on Use of this Report:

The conclusions of this assessment process were derived from the information provided by the patient and collateral sources. We have not attempted to ensure the accuracy of all collateral information obtained or provided. The patient was given the opportunity to provide sources for collateral information. The Evaluation Team may choose to contact them and any other collateral sources deemed relevant in order to conduct an objective assessment. Concerned parties, and in particular the referring party, were provided, with the same opportunity.

The diagnostic conclusions, opinions and recommendations contained herein are based upon this data, and are stated with a reasonable degree of medical and psychological certainty unless otherwise indicated. Additional information not disclosed to us by the patient or provided by collateral sources could alter the findings outlined in this report. The team reserves the right to amend its opinions and conclusions in such situations. Natural limitations in the assessment process and our state of knowledge are acknowledged. Therefore, we cannot completely predict the patient’s future behaviors or actions.

Although this report may contain comments about the work environment, the professional’s performance while in that environment, and his/her specific skill set, this evaluation is not an assessment of the professional’s ability to perform the technical tasks associated with his/her profession. This report may not be used to imply any assessment of those technical skills, per se.


If the reader of the attached information is not the intended recipient, you are hereby notified that any review, use, communication, dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify us at the above address via the U.S. Postal Service or Overnight Delivery service at our expense.



3995 South Cobb Drive Smyrna, Georgia 30080 Phone; 770-434-4567, 800-329-9775 Internet www.ridgeviewinstitute.com

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PATIENT NAME: CHUNG, ANDREW
MEDICAL RECORD #: 92206
COTTAGE/PROGRAM: PHP 96 HOUR EVALUATION
DATE OF ADMISSION: 08/29/2016
DATE OF DISCHARGE: 09/01/2016
ATTENDING PHYSICIAN: GARY WEICHBRODT


96 HOUR EVALUATION SUMMARY

IDENTIFYING DATA: A 51-year-old Chinese male, a private practice fellow cardiologist, married x26 years with a 14-year-old daughter. He practices in Mableton, currently predominantly with home health visits. His wife is an AT and T behavioral psychologist. They live with their daughter in Mableton.

Mr. Chung was referred for evaluation, by the medical board due to complaints from a practicing attorney regarding his peculiar and bizarre behavior.

He was noted socially with obsessive, pressured focus on dietary concerns to a socially impairing degree interacting with others. He focuses on a dichotomy between “healthy hunger” and “angry hunger” with ensuing negative and positive behaviors. On social interactions with others, he is noted with obsessive, pressured demeanor, demanding catechism responses to endorsing “healthy hunger” and the virtues of this. His obsessing nutritional focus led to informal meetings with the medical board in 2007 around anonymous complaints regarding his bizarre focus and social interaction. Continued complaints have led to his restriction from practice until further psychiatric 96-hour evaluation.

Indeed, on initial interaction by this evaluator, he obsessively required verbal endorsement of the need for a “healthy hunger” before my evaluation and questioning could continue with him. He maintained congenial but pressured and obsessive focus until completing these endorsements to proceed with his evaluation. He notes his nutritional appetite focus a product of his medical and genetic training background and during the course of my initial 1-1/2 hour evaluation explained his main nutritional based world view. During my interview, he carried a portable food scale and notes the daily limits of 32 ounces of food volume per day, independent of nutritional content, based. on “bariatric evidence and principles.”

On further discussion, he notes the pervasive behaviors of others based on “healthy hunger” versus “angry hunger.”

After successfully completing his internship and cardiology residency, he was briefly in a large cardiology group practice in Florida. He quit after three months due to ethical concerns. He was asked to under-report the patient’s cardiac history, evidently to minimize any preexisting conditions that would preclude physician’s reimbursement for medical care. The cardiology group noted him scaring patients with his nutritional concerns. He thus returned to Mableton in 2001 and began a solo cardiology practice with affiliation at Parkview Hospital. With the hospital’s demise, he has continued a solo “referral” practice. To minimize financial overhead he

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now does his own insurance billing doing home visits to see his patients using family members there as chaperones during his medical appointments. He has a portable electrocardiogram for his visits but denies any other invasive procedures and has no current hospital affiliation.

With his nutritional philosophic stance, he has maintained a nutritional website. He notes recently posting to run for President. He notes his desires to espouse his philosophical and ethical stance, especially in the light of prejudiced presidential candidates currently running for the office. On interview, he minimizes proselytizing of his views, though he notes his wife and daughter carrying their own food scales, and sponsors health fair locally. With family, he notes their nutritional decisions ‘their own” with their own free will. Historically, he notes his nutritional beliefs evolving over his medical training, He minimizes traveling by car, opting for the more healthy and aerobic bicycling, a positive witness to males around him. He notes his ponytail length hair appealing to females who correlate it with his healthy precepts. On close examination, the logic of these connections seems tenuous.

PAST PSYCHIATRIC/ADDICTION HISTORY: He does not have any past psychiatric or addiction history. He denies prior inpatient or outpatient psychiatric treatment, hospitalizations or trials of psychotropic agents. He denies any patterns of use or abuse of addictive agents, noting healthy nutritional lifestyle precluding such patterns. He denies extended periods of depressed mood, despite recent stressors regarding his restricted license. He notes stable sleep pattern without recent overt weight gain or weight loss. He denies any clear history of manic or hypomanic episodes. Despite his obsessive and somewhat pressured focus on my verbal agreement with “healthy appetite,” he denies clear obsessive/compulsive disorder rituals around hand washing, checking or sequencing patterns, nor around germ phobias. He does obsessively focus on his nutritional world in a referential way, attributing other’s behaviors to a healthy/angry appetite dichotomy. He denies any history of Tourette’s but interpersonally repeats nutrtional phrases obsessively in starting and ending conversation. He denies any history of positive psychotic symptoms including auditory, visual or olfactory hallucinations, or somatic delusional phenomenon. However, his explanation of other’s behaviors based on his nutritional beliefs seems at least referential in intensity, if not overtly delusional.

PAST MEDICAL HISTORY: He denies any recent physical exam, his last in 1997 after “suffering assault from the police.” He denies any history of head traumas, loss of consciousness, seizures, thyroid disorders or surgeries. He notes a childhood of robust health.

He denies any family history of psychiatric illness. He denies any family history of bipolar disorder, depression, schizophrenia or addictive disease.

CURRENT MEDICATIONS: None.

Allergies: SULFA DRUGS.

PATIENT PROFILE/SOCIAL HISTORY: Interpersonally, he is heterosexual and began dating as a high school sophomore. He noted his first sexual experience in his early 20s. He married his wife at age 25 after dating for four years. They met at Georgia Tech. He notes their marriage a supportive one. He notes some pressure from extended family regarding his


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nutritional beliefs and recent licensure restriction, to “tone it down." He notes his wife supportive of his position. “She believes in my free speech.” “There is no DSM diagnosis for my beliefs.” He notes a supportive relationship with his 14-year-old daughter.

Mr. Chung was born and raised in Boston, moving to Atlanta at age four. His father was employed at Morehouse University as a physics prof, his mother an accountant. He notes their marriage a positive one. He is the oldest with a 50-year-old brother and 48-year-old sister who is a neurologist. He denies any history of physical or sexual abuse. He grew closer to his mother, his father suffered an inferior wall MI in 1993 which the patient essentially diagnosed over the phone while a resident at Grady Hospital, hastening his father to the nearest emergency room. where he was saved. Thereafter, he notes more closeness with his father. He notes growing up closer to his brother due to their age, a year apart. Now, he notes more communication with his sister.

He was an exceptional student throughout school attending Pleasant Day Elementary and Henderson High School with 4-point grades. He attended Georgia Institute of Technology and Emory Medical School with near 4-point grades. He completed training for medical residency as well as a Ph. D. program in genetics. After a year’s internship, he completed a 4-year cardiology residency at Emory. He notes no difficulties socially with his training. He denies any complaints of truancy or disciplinary issues completing his residency at about age 32.

Occupationally, he briefly practiced in an Ocala, Florida cardiology group. After less than three months, he terminated employment due to “pressures to under-report cardiac disease” by a practice partner. He notes a successful solo practice since in Mableton with referrals from internists in the community.

His daily schedule includes weekdays with his cardiology practice from 9 to 5 p.m. This currently entails home visits with a few office patients. He notes referrals at the behest of referring primary care physicians. In solo practice, he has no cross-coverage but refers any emergencies to the primary care physicians he is working with. He wakens at about 6:30, eats breakfast with his family. His wife takes his daughter to school. The patient, at the office, maintains a regimen of 32 ounces of food per day, skipping supper in the evenings if his consumption is above this volume. In the evenings, his wife returns home with his daughter. He is usually in bed by 10:00 p.m. On weekdays, he notes time away from the office at home, frequently exercising by biking. He notes helping neighbors with their bicycles and notes his exercise and fitness a positive model for those in his community.

He notes his legal history including 02/03/1997 assault while in picking up his wife at GSU, by several police officers. He notes the assault unprovoked with eventual simple battery charges. With ensuing litigation, he attributed the assaults to the time of day, “near noon,” when “angry hunger was at its fullest.” With ensuing investigation and litigation, he attributed the officers with ‘looking for action,” the assault fueled by “their hunger at that time of day. His only other legal history entails a trespassing charge in 2011. He was evidently proselytizing, and member complained. He denies any history of malpractice suits or infractures in practice. He denies any prior patient-fueled complaints regarding boundary issues or impaired practice due to psychiatric issues or patterns of chemical addiction.


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Spiritually, he grew up with his mother a Catholic and his father a Taoist, the latter reluctantly attended some Catholic services with the family growing up. He notes currently attending Woodstock Baptist Church, a practicing Christian. Currently, his leisure activities include ins time with his faniily and bicycling for exercise. In high school, he noted activities with the chess club. He notes time enjoying the internet and maintaining his web site. He attends weekend church as well.

He notes the emotional support of his wife.

MENTAL STATUS EXAMINATION: An Oriental male with normal psychomotor activity, casually dressed with focused eye contact and demeanor, though responsive to questions. On initial interaction, he is dogged regarding responses to “having a healthy appetite.” Indeed, he demanded I repeat the phrase several times to proceed with the interview in an obsessive and somewhat pressured manner. He denied mood symptoms, weight fluctuation or neurovegetative symptoms. Regarding sleep, appetite or weight disturbance, he notes a healthy lifestyle with “a healthy 32 ounces” daily. He denied any periods of despair, depression or suicidal or homicidal ideations in the past. He notes a strong Christian faith with “belief in Jesus as my savior.” Stream of thought seems mildly pressure, and obsessive demanding his nutritional phrases of health be repeated to a socially awkward and off-putting degree. He, however, controlled these interactions selectively and, indeed, acquiesced quietly with the phlebotomist during his blood draw. Thought content revealed no visual, olfactory, or somatic hallucinations, despite recent practice concerns. He denied patterns of persecution. He denied systematized paranoid delusional thoughts. His obsessive nutritional beliefs, however, entailed referential and somewhat magical associations. For example, he attributed his 1997 legal charges to the police “angry hunger in the noon hour.” He connected his long hair to “a healthy demeanor for women” in a system of beliefs and positive modeling. His restriction to “32 ounces per day” is consistent with magical thinking. Intellect included abstract, proverb interpretation and poor insight into his presentation to others, though he took pains to emphasize his avoidance of proselytizing “healthy hunger and healthy appetite precepts” with others, especially his patients. He is grandiose proselytizing beliefs in his nutritional precepts, connected with his campaign for the Presidency”. Sensorium included alert mentation. He was oriented x4 with remote memory, i.e., his age intact. Recent memory was intact with normal immediate digit recall of 7 forward, and 5 backwards. He had 3/4 item recall after five minutes. He could subtract 7’s from 100 to 50 without error. He had a mini mental status score of 30, indicated no overt cognitive unpairment. Rapport, however, seemed limited due to his obsessional nutritional focus, insistence on my repeating key phrases, and his with pressured intensity.

HISTORY AND PHYSICAL AND LAB: Dr. Wolfson’s physical exam revealed no active medical issues. With nonfocal neurologic exam, he still recommended brain imaging. Laboratory data included negative urine drug screening and normal basic metabolic panel save for mildly elevated nonfasting glucose of 111 and creatinine of 1.22. Other lab was unremarkable.

COLLATERAL INFORMATION: Collateral information included information from his wife, his sister, (a practicing neurologist), and a physician colleague who has known Dr. Chung



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since medical internship at Emory University’s medical residency. Dr. Blanchard noted Dr. Chung’s success as an intern, although with acute changes after 1997 police assault. Thereafter she noted his progressive focus on nutritional food issues, with a hyper-religious degree and somewhat hyper-religious orientation. Dr. Chung eventually successfully completed his cardiology residency over the next four years. After graduation, with his failure to work with a Florida cardiology group, Dr. Blanchard noted feedback that he had been terminated due to frightening patients with his focus on nutrition. History from his wife, Mrs. Chung, notes a somewhat detached relationship with Dr. Chung’s nutritional focus. Financially, Dr. Chung notes practicing 40 hours per week and estimates an income of about $200,000 per year. Mrs. Chung notes no knowledge of this money with very little brought in from the medical practice. Their communication seems focused on their daughter. She notes his history of 1997 police assault while attempt to pick her up from Georgia State University. Evidently he refused to leave the car. He was eventually assaulted by several police. Charges ensued for two years before they were dropped against him. He then sought damages from the police department at GSU with a financial settlement after an ensuing three years. By her history, he refused referral to Grady Emergency Room after the assault because he was employed there. History from Dr. Chung’s sister, a practicing neurologist also, notes his focus on the assault and ensuing obsession with nutritional beliefs. His sister notes his intellectual brilliance throughout his academic career, although socially detached from others throughout his childhood, teenage years, and adulthood. During his cliquish high school and teenage years, he was socially ridiculed by peers.

PSYCHOLOGICAL TESTING: Psychological testing by Dr. King essentially entailed full-scale neuropsychological testing revealing no impairing cognitive deficits, and above average IQ commiserate with Dr. Chung's academic achievements. With cognitive testing, Dr. King noted. mild to moderate deficiency in only one area, visual spatial information. Dr. Chung’s over-endorsement of MMPI and personality screening invalidated the scales around this information. Dr. King noted evidence of maladaptive personality traits with schizotypal, narcissistic/grandiose, and obsessive-compulsive features, and evidence of grandiose delusional thinking. Dr. King also felt brain imaging important to rule out frontal temporal lobe abnormalities.

DIAGNOSIS:

1. Delusional disorder, mixed type, continuous, with grandiose features.
2.
Schizotypal personality disorder.

DISCUSSION/RECOMMENDATIONS: Dr. Chung meets criteria for mixed-type delusional disorder with his focus on nutritional precepts to a socially impairing degree. His demands to repeat ritualistic phrases around “healthy hunger” interfere with social interaction and information gathering needed for caregiving by any physician. With his beliefs and “mission,” there is a grandiose evangelical focus which has even led to his campaign for the presidency. Illogical, precepts include nutritional demands for “32 ounces per day” of food, independent of content, as a source of health and restoration. There are mixed elements of delusional thought content. In 1997 when assaulted by police, he gained financial settlement after five years’ litigation. He attributes their behavior a noontime the nutritional state and “angry hunger”, not to concerns with his leaving his car for arrest. Of note, he spent 15 minutes


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with me explaining the dynamics of their anger before lunch. Indeed with rejection of his world view and its logic, he simply attributes other’s skepticism to their “nutritional deficiencies.” I believe his referential logic and world view impaired his joining a private cardiology group practice in Florida. Although he currently notes active cardiology practice, family minimizes any active patient contact or income. As a credentialed cardiologist, he sponsors local health. fairs to espouse his nutritional beliefs. Ebony Barry, a local participant, had some contact with him in seminars and over the internet. In June 2012 she was charged with starving her daughter. The latter died of malnutrition, and Ms. Barry is currently incarcerated. Dr. Chung acknowledges contact with Ms. Barry, although clearly there was no physician-patient relationship between them. In discussing this disturbing case, Dr. Chung attributed the daughter’s death to “disobeying her mother and foraging for food in waste bins.” “She was noted to have suffered a seizure before death, which is more attributable to parasites and infectious cause due to her behavior.” In my discussion with Dr. Chung, there seemed little connection into the impact of his teachings on Ms. Barry’s behavior. This lack of insight connotes concerns with Dr. Chung’s caregiving as a physician. However, again, Ms. Barry had no specific physician- patient relationship with Dr. Chung, having only attended his health fair. It is noted that Dr. Chung’s nutritional obsessive focus was more clearly apparent to colleagues after his 1997 assault. With the incident, he denied any loss of consciousness, although noting at one point with the trauma “feeling detached from my body, floating above the scene and observing.” He had no ensuing neurologic evaluation, but denies any specific neurologic sequelae. He also denies ensuing patterns of posttraumatic stress disorder symptoms or dissociative symptoms. The need for neurologic consultation and brain imaging is indicated even at this late date. Corollary history from Dr. Chung’s family indicates his early introversion and some degree of social isolation amidst his academic success and excellence. His sister notes social peculiarities since childhood with more prominent characteristics now. His social impairment now seems a part of his old nutritional world view with ensuing isolation from his siblings and immediate family. Despite his delusional focus, he was able to complete his internship and four years medical residency in cardiology. Currently, however, his wife notes little patient contact or caregiving save for the health fairs he sponsors. There seems a grandiosity to his delusional focus which he attributes to his caregiving “mission” for other’s health, although there seems a hyper-religious focus as well. Schizotypal interpersonal patterns seem present since childhood progressively more prominent and impairing currently. Dr. Chung denies symptoms of affective mood disorder. There seemed no dramatic psychotic exacerbations consistent with schizophrenia or cyclical mood symptoms consistent with mania or hypomania. He denies any pattern of posttraumatic stress disorder symptoms after his traumatic altercation with the police in 1997. Ensuing legal issues in 2011 (criminal trespassing) seem due to his proselytizing others at a local church.


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I would recommend the following in his treatment:
1. Restriction from medical practice until treatment at a professional physician’s recovery program specializing in psychiatric disorders.
2. Medical follow-up regarding elevated creatinine and recent lab abnormalities.
3. Neurologic consultation given his distant history of trauma with recommendations regarding brain image scanning. Dr. Wolfson, internist, and Dr. King, psychologist emphasized the need for imaging studies.
4. With return to practice, active monitoring of patient feedback regarding medical care under Dr. Chung.
5. Dr. Chung was encouraged to seek another 96-hour evaluation if he disagrees with our findings.


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