The writer spoke to pt. about attending Dr. Siva's office. She informed the writer she was going to attend her Dr. Silva
The writer spoke to pt. about attending Dr. Siva's office. She informed the writer she was going to attend her Dr. Silva
help stabilize her moods has also been on an antidepressant to treat the bipolar. Client has cycles…
MEDICATIONS: Prednisone 7.5 mg p.o. daily, estradiol 0.5 mg p.o. q.a.m., Mobic 7.5 mg p.o. daily, recently discontinued because of questionable allergic reaction, HCTZ 25 mg p.o. every other day, and oral calcium supplements. In the past she has been on penicillamine, azathioprine, and hydroxychloroquine but she has not had Azulfidine, cyclophosphamide, or chlorambucil.…
Alison was seen today following her trial of Symbicort. She has had a great response to this and has certainly reduced her Ventolin use to about 4-5 times per week from her 4-5 times per day. She still, however, believes she has mild limitation with exercise and is having occasional nocturnal symptoms which are relieved by Ventolin.…
She is doing a little bit better. She has been taking some anxiety medication and sleep medication that has been helpful. She is also taking Norco. She alternates gabapentin with Lyrica and takes tramadol with good relief and tolerates it well. Lyrica provides better relief, but it was mentioned that she will take gabapentin since she was difficulty getting her prescriptions. She has aching pain from the elbows down to the wrist with numbness and tingling in the 4th and 5th ginger and hypersensitivity of the entire arm as well as weakness. Pain levels are 7-8/10 without medication, coming down to 2-3/10 with medication. Her pain is worse with walking, bending, and lifting. It is decreased with sitting, standing, lying down, and medication. Functional improvements, she has been more active this past month. She has been exercising more with her medication. She can use her arms and hands and do her household chores and stay active. Previous medications that have been tried and failed are Cymbalta and Lexapro which caused significant side effects. The patient also experiences migraines, numbness, and…
He is currently not prescribed with any CNS medication. He is on the waitlist to see a psychiatrist. The client is aware that should he be prescribed with any medication to notify the HOI medical team. Addressing the dosing –the client reported that he is comfortable with his current dose. He reported past withdrawal symptoms as an issue. This writer encourages the client that if he continues to have to any future issue with withdrawal to notify the medical team at HOI, at which the client agreed to do so. The client reported of having chronic medical issues and is encouraged by this writer to continue to follow through with MD recommendation to address his…
PAST MEDICAL/SURGICAL HISTORY: Her past medical history is remarkable for a single seizure. Migraine x 1, some 12 years ago. DJD urinary bladder spasms. She has had a previous tonsillectomy, appendectomy, hysterectomy, bilateral salpingo-oophorectomy.…
could be causing the symptoms. I would review the vital signs, is the patient having hypo-…
Her vital signs are normal. Weight is 170 pounds. The HEENT exam shows her fundi are benign. Pupils and EOMS are intact. She has a fairly large linear…
significant spasticity. The history of seizure activity has resolved and Kim no longer takes medication.…
Claude’s mother shared, "This will be Claude's last appointment because he is scheduled to see a new psychiatrist for medication in October."…
how the meeting should take place. “Ashley” was told that upon her arrival to the specified…
The patient in the past has been diagnosed with hypothyroidism. She was diagnosed in 2011 and took prescription levothyroxine for approximately three months and then was told that she could stop it upon the recommendation of her physician. Since then, she has not been on any medication. She did recently do laboratory studies for me today, which she is here to discuss. They do show an elevated TSH of 5.01. She wanted to talk about medication therapy before starting it. She does admit to some fatigue, intermittently. She says she has myalgias on and off. Sometimes feels a little bit shaky and dizzy as well. She is not sure if that is related to her thyroid or not. She has not had any unusual rashes. There has been no blurred or double vision. No headaches. No feeling of off balance per se. Occasionally will have dizziness. She occasionally will have the feeling of palpitations but no specific chest pain, shortness of breath, dyspnea on exertion. . She has not had any weight gain without trying, in fact, she is losing weight. She as lost a couple of pounds when she has been trying to gain weight. She off and on will have issues with constipation and that is not a predominant…
checked her blood system and they found no traces of substances, so the only possible answers is that…
Secondly, “this doctor he knows his stuff?” this is used to show that the doctors are corrupt. Ida uses sarcasm plus rhetorical question as she knows that the medical report isn’t true. The way “this doctor” is separated from the “he knows his stuff? Suggest to us the confusion Ida was having in her mind.…
Two weeks had passed and it was getting closer to time for Amber’s next doctor’s visit. The phone rang, it was for me; it was Amber saying, “Keaton has soccer practice today.…