Thursday, July 3, 2008

Patient Update

Since being released from the last hospital stay in early June, patient has been experiencing on-going physical problems that make it difficult to get out of bed or out of a chair without assistance. Patient has experienced frequent sleep walking episodes throughout the night in which patient has difficulty moving around without falling/passing out. Patient grumples/groans during these episodes. Cannot recall these episodes the next morning.

Upon leaving the hospital, Patient was prescribed a higher dosage of Zyprexa (10mg) and 150mg of Lamictal, whereas patient was previously taking 7mg and 150mg respectively (no increase). Patient had severe problems walking around and complained of pain in the legs. Could not stand up straight without discomfort. Hallucinations and delusions had not improved. Upon hearing of this, the doctor decreased the medication down to 5mg Zyprexa and 100mg Lamictal. Psychiatric doctor believes patient has been suffering from a temporal lobe problem and has suspected seizures to be a culprit, therefore has prescribed these medications.

Since being reduced to 5mg, the problems with walking decreased. The degree of hallucinations and delusions reduced as well but did not completely go away. Fainting spells started to occur more often. Patient experienced 4 episodes in one day. Patient has been unable to sleep throughout the night for months.

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