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Bow & Vector · Texas case file

Documenting institutional harm at the University of Texas

When a public medical school writes lies into a permanent record

An evaluation under pressure. Labs minimized. Scores rewritten. A permanent medical stamp. Then institutional silence.

This site documents how Dell Medical School at the University of Texas at Austin conducted a psychiatric / neuropsychological evaluation under conditions of documented financial pressure on consent, produced a clinically and factually damaging permanent report, and was met with a wall of institutional non-response — while public messaging still claims cutting-edge, compassionate, whole-person care. The aim is an accurate public record and institutional accountability — not to humiliate anyone who loves this patient.

Arthur “Brent” Porter · Texas · UT Austin CS 1987 · Independent · last president voted for was G.W. Bush.

December 2024 — evaluation under coercion, report that does not hold

In December 2024, Dell Medical School at the University of Texas at Austin conducted a neuropsychological evaluation under conditions of documented financial coercion. The resulting clinical report contained statements that are demonstrably false, professionally damaging, and directly contradicted by the evaluating institution’s own published research and by contemporaneous emails and labs.

The patient — a UT Austin alumnus (Class of 1987, B.S. Computer Science) whose own test results during this evaluation placed him in the 97th percentile — has been battling Lyme disease and related infections for 19 years while on disability. Dell Medical School’s report did not help him. It made him sicker. And the stress biology their own leadership is known for studying explains why coercion and dismissal are not footnotes.

This website presents the documented evidence across eight chapters. Every major claim is supported by verifiable documentation: emails, lab results, published research, and the evaluation report’s own internal contradictions. Formal complaints have been filed with the Texas Medical Board, the HHS Office of Inspector General, the HHS Office for Civil Rights, and SACSCOC.

OCR closeout (after rights language): federal access path ended in “will not investigate” on this file — not because the underlying record disappeared, but because the process closed while the exhibits remained. See Chapter 7 path · OCR briefing.

Why was this evaluation arranged?

PLAY VIDEO EVIDENCE (VEO)

[Sync: March 17, 2025 · Cuba, NM]

LISTEN: NotebookLM Synthesis

An AI-generated podcast summarizing the coercive timeline and OCR denial.

A note if you are family reading this. This file is not written to condemn you. People who love someone with long illness often act from fear, exhaustion, and a wish for a clear medical answer. Those motives can be real and still produce a process that was not free, not transparent, and not safe. The accountability target on this site is primarily institutional — how Dell and oversight handled a permanent record under pressure — not a scorecard of who is a “good” or “bad” relative.

After 17+ years of battling Lyme disease and related infections, the patient began researching the mind-body connection — peer-reviewed science showing that childhood adversity and chronic stress (including family stress under long illness) can contribute to immune dysfunction and prolonged illness. He shared this research with family, including Bessel van der Kolk’s The Body Keeps the Score and Gabor Maté’s The Myth of Normal — leaving a copy of Maté’s book at a family home during a visit. The book was not taken up as a shared project.

That conversation is hard for any household. Science about stress and family systems can land as care — or as blame — even when the speaker intends the former. Here, the mind-body framing was largely received as personal criticism rather than a research-informed hypothesis. The patient had also repeatedly asked for nervous-system-calming recovery approaches; those asks did not become the shared plan.

In that strained context — with everyone under years of illness load — a path to Dell Medical School was arranged, including use of a personal connection to the Dell Medical Advisory Board. Support for the patient was then conditioned in writing-adjacent and contemporaneous terms on attending: evaluation as the gate to continued financial and medical support. Whatever the intent (help, clarity, safety, control, fear), that structure is what ethics calls pressure on consent. Dell accepted the case under those conditions and produced a permanent report.

What the process showed — without writing anyone out of the family

The coercion itself was real-time evidence of the very dynamic the patient’s research described. A family that responds to peer-reviewed science about stress and illness by creating more stress and coercion is demonstrating — not refuting — the pattern. Dell Medical School’s psychiatrists were trained to recognize this. They chose not to. The permanent report then locked the narrative.

A household under long medical stress can create more pressure while trying to “fix” things. That is a systems pattern, not a cartoon villain story. The patient had been pointing at stress biology; the path that followed added evaluation load, side-channel clinical logistics, and a lasting stamp. Clinicians trained to see stress and consent dynamics had a duty to pause and protect voluntary process. They did not. The permanent report locked a narrative the emails and labs still contradict.

What Dell Medical School promises — and what they did

Read straight down. First their public words. Then what the record shows they did. No columns to choose between.

Summary: They sell whole-person, compassionate, evidence-based care.

1 · What their website says

Dell Medical School promises “cutting-edge” behavioral health care that treats “the whole person” with “compassion” and “the latest evidence-based approaches.”

Their public messaging emphasizes patient-centered care, integrative treatment, and a commitment to the mind-body connection in mental health.

Summary: Dell ran an evaluation under pressure on consent, minimized labs, rewrote Superior scores, took collateral input the patient was not fully party to, and locked it in a permanent record.

2 · What they actually did

  • Consent. Conducted a psychiatric evaluation while the patient’s participation was under documented financial pressure (attend or lose support) — conditions APA ethics treat as incompatible with free, voluntary consent.
  • Labs. Dismissed or minimized objective laboratory evidence of active tick-borne infections in a patient with 19 years of documented illness and disability.
  • Scores. Downgraded 97th-percentile cognitive scores from the standardized “Superior” classification toward “above average” language that better fit a predetermined narrative.
  • Collateral. Received family input outside a fully transparent, co-equal process with the patient — then later left that path hard to reconcile with what the chart admits.
  • Record. Committed the result to a permanent medical record — under stress-biology knowledge their own institutional tradition studies — where process pressure is not a footnote.

OCR: rights language — then “will not investigate”

After you know what Dell did, read the federal closeout the same way: first what they said about rights, then what they did on this file. Full image below — pinch-zoom or open full size.

Summary A: Your complaint is part of OCR’s enforcement story.

“Your complaint is an integral part of OCR’s enforcement efforts.”

Summary B: On this file — will not investigate. Closed. No further action.

“We have reviewed your allegations against UT Health Austin / Dell Medical School Department of Psychiatry & Behavioral Sciences and have determined that OCR will not investigate your complaint. Therefore, OCR is closing this complaint with no further action, effective the date of this letter.”

OCR correspondence: rights language contrasted with will not investigate closeout
Exhibit · OCR flip (tap/click for full size · pinch-zoom on phone)

More on this closeout: OCR briefing page + video · Chapter 7 in the eight-chapter path.

Eight chapters — read in order

Full narrative path — then primary exhibits (emails, videos, OCR still). Open the chapter book first.

  1. 01

    The foundation of truth

    Consent void under financial coercion. Everything after rests on that crack.

  2. 02

    The sincere request

    467 chronological emails — Mom, Dad, Sister, BIL, Dell. Scroll if you doubt the volume.

  3. 03

    The backdoor deal

    Side-channel family–admin email while the patient was speaking hard truths mid-evaluation.

  4. 04

    The financial ultimatum

    Attend or lose support. Involuntary / coerced consent — the accurate ethics spine.

  5. 05

    The shadow record

    What the permanent report did with scores, labs, and narrative under pressure.

  6. 06

    Harm of the process

    Body under load — spasms, recovery, stress biology. Labeled fact vs inference.

  7. 07

    The wall of silence

    OCR rights language, then “will not investigate.” Short video + visual exhibit.

  8. 08

    If they did this to me — and to the republic

    Same grammar: private table → public square. Oversight, party loyalty, Grassley irony.

Open all eight chapters →

Dell’s grammar is not only clinical. It is institutional and national.

Read chapters 1–7 first as what was done to one patient under a permanent record. Then notice the same moves at scale: care language without engagement; process that never answers the content; side channels that route around the speaker; closeouts that declare the matter closed while the exhibits remain.

This is not “both sides.” It is pattern recognition: performance of care or republic over the hard duties of either. Davy Crockett refused to be any man’s dog. The film and this file are a promise to the record — not a threat. Officials write the plot with every choice.

Phones (DC): Cornyn (202) 224-2934 · Cruz (202) 224-5922

Song, briefing video, body under load

Home is evidence and narrative first. Media is here so emotion does not outrun the exhibits.

Texas — No Man’s Dog

~5 min · original · play after you’ve read what Dell did

OCR briefing video

Rights language, then closeout. Full page with quotes: texas-briefing.html

30s — body under process stress

Also on harm of process with recovery and context.

Audio brief (coming)

NotebookLM · radio-style. A short “talk show” or podcast pass over this case — after the written exhibits — can reach people who won’t scroll eight chapters. Drop a public-safe MP3 into media/ (e.g. notebooklm-case-brief.mp3) and we wire it here like the song. Keep it after the file so outrage stays grounded in documents.

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