Community Munchausen's by Internet (Malingerers, Munchies, Spoonies, etc) - Feigning Illnesses for Attention

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She apparently got cancelled on tism twitter. No idea why.
Apparently she bullied some retards
34B48ACD-CD93-45BC-9901-B4AAF93AF185.jpeg
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the story wasn’t available, but the second post was. just a bunch of people whining about how shocked they are that their retard queen sucks
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Ticsandroses put out a fake outpatient diagnostic report that was obviously written in Google Docs.
fakemedicalreport01.png
No address, phone number, or other hospital contact information in the header. No list of medications she's on. Tourette's syndrome improperly listed as "Tourette's." No seizure disorder listed for the cause of her absence (petit mal) seizures. Vasovagal syncope misspelled as "Vasovagal syndrome." Double PTSD. OCD improperly listed as "OCD with anxiety disorder" when OCD is an anxiety disorder and any other anxiety disorder would be both specified and listed separately. Depressive disorder improperly listed as "Depression." Autism spectrum disorder improperly listed as "Autism Spectrum". Nothing about the psychotic disorder she mentioned on Tumblr. Lists her handedness for no reason. Calls her "lady" instead of female or patient.

Even if this was somehow real it would at most be her self-reported medical history given at intake which means fuck all for proving anything.
 
BOOM. She's planning to train the rescue dog for public access and bite work. Why, when she has a program-trained golden, is she going to do this? Who the fuck knows. Munchie logic. None of them can just have pets. Every animal near them has to be a prop in their disability act.

Phoebe is gonna shoot the neighbors dog because it got out of the yard when a special needs adult opened the gate because bully breed bad.

A few weeks later: Phoebe takes both of her dogs including the untested bitework bully breed and what appears to be a cane corso to Disney!
Wow she had so few restrictions and still just managed to fuck it up. If you have a service dog it can not be trained in personal protection/bite work. It is just a mutt in a vest.

Nothing screams munchie like service dog meetups at disney. All my favorite munchies did this.
 
Ticsandroses put out a fake outpatient diagnostic report that was obviously written in Google Docs.
View attachment 2182694
No address, phone number, or other hospital contact information in the header. No list of medications she's on. Tourette's syndrome improperly listed as "Tourette's." No seizure disorder listed for the cause of her absence (petit mal) seizures. Vasovagal syncope misspelled as "Vasovagal syndrome." Double PTSD. OCD improperly listed as "OCD with anxiety disorder" when OCD is an anxiety disorder and any other anxiety disorder would be both specified and listed separately. Depressive disorder improperly listed as "Depression." Autism spectrum disorder improperly listed as "Autism Spectrum". Nothing about the psychotic disorder she mentioned on Tumblr. Lists her handedness for no reason. Calls her "lady" instead of female or patient.

Even if this was somehow real it would at most be her self-reported medical history given at intake which means fuck all for proving anything.
at this point i think this humpty-dumpty is faking this bad on purpose and getting off on the negative attention
 
"Very pleasant 27-year-old left-handed lady", wrote no medical professional, ever
That reads more like a Tinder intro than a medical document.

Also, why emphasise the left-handedness? I'm sure I've seen someone else in this thread mention it within their screed of self-dx illnesses and pronouns (forgive the vagueness, I only dip in and out here). Is that really what these kids are clinging to these days to feel thooper thpecial?
 
Something I’ve wondered about, do Munchies experience *physical* pleasure from medical attention? Like some junkies go for opiates or uppers, but these people just need a hit of Doctors & Nurses Fuss Over Me? What’s the reward the brain is giving them? Is it a craving for gentle and/or competent physical touch? Presumably there have always been illness fakers, so what role does the broad institution of “medical science” have to do with this? How did it manifest, say, 500 years ago? Did they just pretend whatever old shit & get shipped off to a convent so put-upon nuns could sponge-bathe them until they all died of typhoid?
 
at this point i think this humpty-dumpty is faking this bad on purpose and getting off on the negative attention

Either that or she is one truely 'exceptional individual' to think this will be believed by others.

The reason most psych reports often begin with a description of the person's behaviour and appearance at the time of meeting is that it is a part of assessing mental state (are they dressed appropriately, do they have non verbal responses that match up with the situation?) not picking out random crap like being 'pleasant' or left handed with no justification why.

Edit:
Just noticed she lists 'Petit Mal seizures' that way of refering to absence seizures hasn't been used for years and she's only 27, I wonder when she was 'diagnosed' and whether she's seen a neurologist recently. (of course she won't have).
 
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Update on Emerald / Ticsandroses:
She deleted the fake diagnostic report video and has disabled commenting on all her TikTok videos.
She uploaded a video that's just text announcing she is taking an "indefinite hiatus."
hiatusannouncement.png
Her hiatus lasted a couple hours before she came back to leave angry comments blaming the haters.
haterscommentonhiatus.jpg
People were able to figure out the name of the doctor she used for the fake report because of how bad her attempt to redact it was. I've heard she misspelled the doctor's name but I can't make it out enough to confirm that. Angry Redditors are emailing the doctor and the hospital about this.
She has purged her ticsandroses Instagram.

Some other findings about the report:
The logo is wrong. Virginia Mason Franciscan Health updated their logo around March but this report from April used the old logo.
She listed Huntington's Disease with 39 CAG repeats on the report but in 2019 she said she had 41 CAG repeats. This is important because 40 repeats is the point where developing HS goes from a possibility to a near guarantee. She dialed back the severity of her prognosis from "99% doomed" to "might be doomed."
 
Some other findings about the report:
The logo is wrong. Virginia Mason Franciscan Health updated their logo around March but this report from April used the old logo.
She listed Huntington's Disease with 39 CAG repeats on the report but in 2019 she said she had 41 CAG repeats. This is important because 40 repeats is the point where developing HS goes from a possibility to a near guarantee. She dialed back the severity of her prognosis from "99% doomed" to "might be doomed."
there is no hell hot enough for someone who would fake Huntington's Disease. I don't usually get MATI over this shit any more but that did it.
 
It seems like ticsandhoes got themselves exposed. Besides being terrible at faking, looks like they are also terrible at getting rid of their own online information.

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INFO ON A VERY PLEASANT, LEFT HANDED LADY.
Our favourite actress, known for performing as Humpty Dumpty in the movie 'Cat in Boots' and faking Tourette's Syndrome.
Watch out for the backlash, for they have PTSD twice. 
This list is nowhere near complete, anyone's encouraged to contribute. 
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Born in 1994, 27 years old. 

SOCIAL MEDIA:
E-mail address used for the tic social media: ticsandroses@gmail.com
Etsy shop
https://www.etsy.com/people/emyiswild
Facebook
https://www.facebook.com/emerald.ackley
Instagram
ticsandroses
Tiktok
@ticsandroses
Tumblr
emeraldthewitch.tumblr.com 
Redbubble lmao
https://www.redbubble.com/de/people/ticsandroses/shop

NAMES, POSSIBLE NAMES AND ALIASES:

EMERALD ACKLEY
EMERALD ROSE
EMERALD FOLLIETT
EMERALD ROSE FOLLIETT
EMERALD DASH
EMERALD ROSE DASH

PLACES OF RESIDENCE AND POSSIBLE ADDRESSES
Beaverton, OR (appears to be their current city)
Gresham, OR
Portland, OR 

305 Sw Edgeway Dr Apt 406, Beaverton, OR 97006 (their possible address as of present)
140 Sw Eastman Pkwy Apt 6, Gresham, OR 97080
10185 Se 38Th Ave, Portland, OR 97222

FAMILY MEMBERS:
Aura Dash/Phifer - mother
https://www.facebook.com/aura.dash

Gary Walter Dash - grandfather
https://www.facebook.com/profile.php?id=100015722733990

Kyla Jade Dash - sister
https://www.facebook.com/kyla.j.dash

Troy Phifer - stepfather
https://www.facebook.com/troy.m.phifer

PHONE NUMBERS
(503) 762-1702 
(503) 709-1456
They use an Android device, if that's relevant. 

YARN BUSINESS INFO
Stardust Fiber Studio
Service provided by Shopify
https://stardustfiberstudio.com
ig: stardustfiberstudio
fb: https://www.facebook.com/stardustfiberstudio/
EMAIL: stardustfiberstudio@gmail.com
10024 SE 204TH ST, KENT, WA, 98031-1516, UNITED STATES
Owned by themself Emerald Ackley and Rebecca Solem (https://www.facebook.com/rebecca.solem)

I took the time to look up all the links and people and, curiously enough, none of her supposed family members mention anything about Huntingtons disease. At least some awareness posts should show up, considering that Rose herself said there's a "family history" if I remember well.
 
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Edit: an American with greater understanding of their medical transcribing system has offered an alternate explanation further down. Please disregard/read the following with a pinch of salt

When you see diagnoses written in a numbered list like that by medical professionals it's usually ranked from most to least significant in that doctor's pov (if you're a psychiatrist you'll rank mental illnesses higher than physical illnesses; vice versa for those who are being seen for physical complaints). That's what hit me before anything else on here because there's no discernible order to the listed diagnoses. There is no way a doctor listed fibromyalgia as number 2 because it's not a treatment priority for any doctor. I'm not sure what sort of doctor she's pretending to have seen but if it was a neurologist then they would have grouped all those neuro diagnoses together for sure, so would a psychiatrist. See here for a derm template/example.

People have already talked about the diagnoses being out of date and other mistakes so I'll try not to drone on but to add to the list: anemia written on its own is about as useless as she is. This is a huge clue because there are so many types of anemia that have different pathologies (B12 deficiency anemia can be seen with neurological signs so would be pretty important to a neurologist). Migraine would always be written as migraines with/without aura. Finally I zoomed in the video to see what else the letter said and the history of presenting complaint is devoid of medical terminology that makes it actually useful to another professional reading it; it's written like a biography when a competent neurologist could take a paragraph she's written and condense it into "describes childhood verbal and motor tics". She must have had a real ego-stroking session writing this one because you'd have to be pathologically self-absorbed to think her detailed disability fantasies would ever be that relevant.

As a side note, it's very common where I'm from to begin new patient letters with "I had the pleasure of meeting Ms. X" "I met this delightful X year old gentleman" so much so that if that has been omitted then the recipient has to play a guessing game of whether the patient was annoying and pushy or if the sender is the unpleasant one. It's old-fashioned and becoming less commonplace. "Very pleasant lady" therefore didn't throw me off (I agree that handedness was out of place in this part of the letter even if relevant to EEG) but the high formality then degrades into "as a kid" lol. If the Americans here are saying that pleasantries/formality are unusual for US doctors it's making me think perhaps she found a medical letter template off Google that had a non-American source.
 
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When you see diagnoses written in a numbered list like that by medical professionals it's usually ranked from most to least significant in that doctor's pov (if you're a psychiatrist you'll rank mental illnesses higher than physical illnesses; vice versa for those who are being seen for physical complaints). That's what hit me before anything else on here because there's no discernible order to the listed diagnoses. There is no way a doctor listed fibromyalgia as number 2 because it's not a treatment priority for any doctor. I'm not sure what sort of doctor she's pretending to have seen but if it was a neurologist then they would have grouped all those neuro diagnoses together for sure, so would a psychiatrist. See here for a derm template/example.

People have already talked about the diagnoses being out of date and other mistakes so I'll try not to drone on but to add to the list: anemia written on its own is about as useless as she is. This is a huge clue because there are so many types of anemia that have different pathologies (B12 deficiency anemia can be seen with neurological signs so would be pretty important to a neurologist). Migraine would always be written as migraines with/without aura. Finally I zoomed in the video to see what else the letter said and the history of presenting complaint is devoid of medical terminology that makes it actually useful to another professional reading it; it's written like a biography when a competent neurologist could take a paragraph she's written and condense it into "describes childhood verbal and motor tics". She must have had a real ego-stroking session writing this one because you'd have to be pathologically self-absorbed to think her detailed disability fantasies would ever be that relevant.

As a side note, it's very common where I'm from to begin new patient letters with "I had the pleasure of meeting Ms. X" "I met this delightful X year old gentleman" so much so that if that has been omitted then the recipient has to play a guessing game of whether the patient was annoying and pushy or if the sender is the unpleasant one. It's old-fashioned and becoming less commonplace. "Very pleasant lady" therefore didn't throw me off (I agree that handedness was out of place in this part of the letter even if relevant to EEG) but the high formality then degrades into "as a kid" lol. If the Americans here are saying that pleasantries/formality are unusual for US doctors it's making me think perhaps she found a medical letter template off Google that had a non-American source.
Agree the very pleasant lady part is common in Europe but I've seen letters which specifically are only about issues in hands and they don't open like this. It's weird.
 
I took the time to look up all the links and people and, curiously enough, none of her supposed family members mention anything about Huntingtons disease. At least some awareness posts should show up, considering that Rose herself said there's a "family history" if I remember well.
For her to have Huntington's Disease, either her mother or her father would have to have HD as well. Huntington's Disease is an autosomal dominant disorder.
 
When you see diagnoses written in a numbered list like that by medical professionals it's usually ranked from most to least significant in that doctor's pov (if you're a psychiatrist you'll rank mental illnesses higher than physical illnesses; vice versa for those who are being seen for physical complaints). That's what hit me before anything else on here because there's no discernible order to the listed diagnoses. There is no way a doctor listed fibromyalgia as number 2 because it's not a treatment priority for any doctor. I'm not sure what sort of doctor she's pretending to have seen but if it was a neurologist then they would have grouped all those neuro diagnoses together for sure, so would a psychiatrist. See here for a derm template/example.

People have already talked about the diagnoses being out of date and other mistakes so I'll try not to drone on but to add to the list: anemia written on its own is about as useless as she is. This is a huge clue because there are so many types of anemia that have different pathologies (B12 deficiency anemia can be seen with neurological signs so would be pretty important to a neurologist). Migraine would always be written as migraines with/without aura. Finally I zoomed in the video to see what else the letter said and the history of presenting complaint is devoid of medical terminology that makes it actually useful to another professional reading it; it's written like a biography when a competent neurologist could take a paragraph she's written and condense it into "describes childhood verbal and motor tics". She must have had a real ego-stroking session writing this one because you'd have to be pathologically self-absorbed to think her detailed disability fantasies would ever be that relevant.

As a side note, it's very common where I'm from to begin new patient letters with "I had the pleasure of meeting Ms. X" "I met this delightful X year old gentleman" so much so that if that has been omitted then the recipient has to play a guessing game of whether the patient was annoying and pushy or if the sender is the unpleasant one. It's old-fashioned and becoming less commonplace. "Very pleasant lady" therefore didn't throw me off (I agree that handedness was out of place in this part of the letter even if relevant to EEG) but the high formality then degrades into "as a kid" lol. If the Americans here are saying that pleasantries/formality are unusual for US doctors it's making me think perhaps she found a medical letter template off Google that had a non-American source.
I have no doubt she faked this, but it’s a decent enough fake. This looks like an internal document which would be a part of her chart/EMR and would not be provided to the patient, unless specifically requested.

It is common in the US to start out with “Pleasant 23-year-old female presents with xxx” for example. Of note, the diagnoses would be provided by the patient, probably exactly as she said them. No one goes into assessing a patient thinking that it may be a munchie, they just assume the patient is telling the truth (which is a good thing).

As far as the HPI, doctors often use the patient’s own words, although the sentence usually starts with “Patient claims”.

I would really like to see the second or third page of this document, because that’s where you’ll see the test results, the doctor’s prognosis, assessment and plan. That’s where you can figure out if the doctor thinks this is bullshit or not (even if it’s subtle).
 
Ticsandroses put out a fake outpatient diagnostic report that was obviously written in Google Docs.
View attachment 2182694
No address, phone number, or other hospital contact information in the header. No list of medications she's on. Tourette's syndrome improperly listed as "Tourette's." No seizure disorder listed for the cause of her absence (petit mal) seizures. Vasovagal syncope misspelled as "Vasovagal syndrome." Double PTSD. OCD improperly listed as "OCD with anxiety disorder" when OCD is an anxiety disorder and any other anxiety disorder would be both specified and listed separately. Depressive disorder improperly listed as "Depression." Autism spectrum disorder improperly listed as "Autism Spectrum". Nothing about the psychotic disorder she mentioned on Tumblr. Lists her handedness for no reason. Calls her "lady" instead of female or patient.

Even if this was somehow real it would at most be her self-reported medical history given at intake which means fuck all for proving anything.
The comments on all the other videos I scrolled to were turned off. I went back about 10 videos.
223CCFE1-12A6-4010-AF4F-C147F78A8C51.pngDC752E38-B812-4680-B57E-1DC649BFA6BE.png206578C3-5DD7-4276-9D99-B92CBF333D37.pngB7D24365-C9B1-4661-BE54-04A07715E66B.png41D43470-2DF5-4146-BB89-0709BE20DAC2.pngEBFD3D5E-A11E-42A3-B2C0-7A06CCC4A995.png
Edit: somehow didn’t realize @Velcheetah already posted a screenshot from the video, but I’ll leave this up so people can see the response she got lol
 
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Ticsandroses put out a fake outpatient diagnostic report that was obviously written in Google Docs.
View attachment 2182694
No address, phone number, or other hospital contact information in the header. No list of medications she's on. Tourette's syndrome improperly listed as "Tourette's." No seizure disorder listed for the cause of her absence (petit mal) seizures. Vasovagal syncope misspelled as "Vasovagal syndrome." Double PTSD. OCD improperly listed as "OCD with anxiety disorder" when OCD is an anxiety disorder and any other anxiety disorder would be both specified and listed separately. Depressive disorder improperly listed as "Depression." Autism spectrum disorder improperly listed as "Autism Spectrum". Nothing about the psychotic disorder she mentioned on Tumblr. Lists her handedness for no reason. Calls her "lady" instead of female or patient.

Even if this was somehow real it would at most be her self-reported medical history given at intake which means fuck all for proving anything.
I have no doubt she faked this, but it’s a decent enough fake. This looks like an internal document which would be a part of her chart/EMR and would not be provided to the patient, unless specifically requested.

It is common in the US to start out with “Pleasant 23-year-old female presents with xxx” for example. Of note, the diagnoses would be provided by the patient, probably exactly as she said them. No one goes into assessing a patient thinking that it may be a munchie, they just assume the patient is telling the truth (which is a good thing).

As far as the HPI, doctors often use the patient’s own words, although the sentence usually starts with “Patient claims”.

I would really like to see the second or third page of this document, because that’s where you’ll see the test results, the doctor’s prognosis, assessment and plan. That’s where you can figure out if the doctor thinks this is bullshit or not (even if it’s subtle).

As previously said, describing a patient as pleasant is very common practice. Though, I can try to elaborate a bit more on why. This practice prepares doctors and assistants for dealing with patient care. It’s always relieving to review office notes pre-visit and see the patient coming in will not be ... well.. unpleasant. It also serves as a warning for referral coordinators and specialists. When receiving a referral and the notes are straight to the point or even mention prior “incidents”, you know the patient is likely to be unruly or an asshat. The staff can mentally prepare for these patients beforehand as seeing many patients of an unpleasant nature can be very taxing.

As for EMRs, the diagnosis codes are not grouped by ”most concerning issues” or ranked based on severity as someone said previously. Most EMRs automatically group by issues addressed during this visit (for billing purposes), and then diagnoses charted from previous visits that aren’t being addressed today. They can be ranked in these two groups alphabetically or by the order they were entered. This can be as random as going down patient paperwork and entering in diagnosis based on a predefined checklist.

Finally, the reason for informally-written diagnoses such as “Tourette’s” is because those diagnoses are entered by medical assistants, front desk staff, or nurses, and not providers. When a diagnosis is entered in unprofessionally, it’s likely entered by a method called “Free Text” which is when the EMR isn’t aligning the diagnosis with a code, but rather an assistant put it in manually. These are also not official diagnoses, but are considered self-reported and are treated as such.
 
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