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Treatment for bipolar disorder essay
Treatment for bipolar disorder essay
Treatment for bipolar disorder essay
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CHIEF COMPLAINT
Seizure disorder.
SUBJECTIVE
Mr. Lafountain is here for followup after switching from Depakote to Topamax. His Depakote was discontinued due to intolerable side effects. He is currently taking Topamax 50 mg twice daily. He reports that he is also having intolerable side effects from this medication including moodiness, irritability, anxiety, and insomnia. He feels that the medication is intolerable. He has not had any seizure activity.
OBJECTIVE
Generally, well-appearing male, pleasant, cooperative. Pounds 248, temp 98.7, blood pressure 128/85, pulse 59, respirations 18, 99% on room air. No focal neurological deficits.
ASSESSMENT
Seizure disorder.
PLAN
Mr. Lafountain is hesitant to take any seizure medication at all.
Anti-Kickback Statute prohibits anyone knowingly or willfully offering, paying or soliciting or receiving remuneration, directly or indirectly; in cash or kind; in exchange for; patient referrals or furnishing or arranging a good or service for a Federal healthcare program including Medicare or Medicaid. Stark would also apply to Hanlester as well but Stark was not enacted until after the Hanlester case. Stark is strict liability, does not require the knowingly/willfully element, and is not prosecuted criminally.
FACTS: Dr. Robert Lee Berry (Defendant) was a practicing anesthesiologist, who practiced with Dr William Preau and Dr. Mark Dennis. He was also shareholder in Lakeview Anesthesia Associates, LAA (defendant). Berry also had staff privileges at Lakeview Medical Center (LMC) (Defendant). In Nov 2000, Lakeview (Defendant) investigated Dr. Robert Berry after nurses concern. In March 2001, Berry was found groggy, unfit to work and sleeping in a chair, Based on this incident and suspicions that Barry was stealing Demerol from the hospital, he was terminated from LAA and Lakeview and his LMC staff privileges were withdrawn. Afterward, Berry applied for job as anaestheologist in Kadlec Medical Center (plaintiff). Before employing Kadlec, the facility sent a letter to Lakeview requesting recommendations and included a questionnaire with specific questions to be answered.
Gary Dougherty was paroled from Northeast Correctional Complex on 11/15/2017. Mr. Dougherty has a Tennessee Sentence of Attempted First Degree Murder and is currently under minimum supervision level. Mr. Dougherty was paroled to Steps Halfway House. On 04/16/18, Case Manager Ron Stephens advised me that Mr. Dougherty was discharged from Steps for several rule violations. Mr. Stephens advised that since Mr. Dougherty had been at Steps he has failed three drug screens, offered drugs to another resident, ask residents for clean urine, brought a prostitute in the house, and threatened a resident.
Anne is a seventy-four year old female with multiple comorbidities. The patient I interviewed is a sixty five year old male with a past medical history of hypothyroidism and no other reported medical conditions. Additionally, Anne requires assistance with completing her activities of daily living such as shopping, transportation and managing her finances. Also she rarely leaves her home, and is inactive due to chronic pain. The patient I interviewed is able to care for himself independently and is rather active. The patient I interviewed continues to work outside his home and routinely
The court will likely hold that Andrew Keegan’s (“Mr. Keegan”) actions were a product of a law enforcement officer in influencing his conduct therefore establishing an entrapment defense.
The applicant Mr. Arthur Hutchinson was born in 1941. In October 1983, he broke into a house, murdered a man, his wife and their adult son. Then he repeatedly raped their 18-year old daughter, having first dragged her past her father’s body. After several weeks, he was arrested by the police and chargedwith the offences. During the trial he refused to accept the offence and pleaded for innocence. He denied accepting the killings and sex with the younger daughter.
Team owner Fay Sollenberger was pleased that the team was recognized at their awards banquet.
Robert Baltovich was wrongly convicted of the murder of his girlfriend, Elizabeth Bain, in Scarborough, Canada. He was arrested on November 19, 1990, and charged for first-degree murder. On March 31, 1992, he was convicted of second-degree murder. Finally, on April 22, 2008, he was found not guilty of the murder.
On October 24th 1993 in Saskatoon, Saskatchewan, Robert Latimer was convicted of second degree murder for the intentional killing of his 12 year-old daughter, Tracy Latimer, who suffered a severe form of cerebral palsy since she was born. Tracy endured seizures five to six times a day, could not take pain medication because it would interfere with her epilepsy medication, and underwent painful surgeries throughout her life to stabilize her body weight and correct spinal abnormalities. Just weeks before her death, her doctors planned to surgically remove her hipbone, which had become dysfunctional as a result of a previous surgery and spinal complication, and would have taken at least a year of recovery and been extremely painful. Her father,
Facts: A number of cases of liquor and a tool and die set were stolen from the bar and storeroom located in the Colony Arms Hotel in Glen Cove. Mr. Lerhinan was staying at a local motel and was several weeks late in payment. According to Chapter 10 in our textbook Hotel Restaurant and Travel Law, “guests rights to exclusive use of the room ends if the guest fails to pay as agreed or if the occupancy period expires” (Cournoyer, 368). The hotel manager entered Mr. Lerhinan’s room with the purpose of collection. When Mr. Lerhinan was found not to be in his motel room the manager decided to move all of his belongings to the basement and re-rent the room. The Chapter 10 states that, “the right to occupy the room reverts from the guest to the innkeeper, who is then entitled to enter the room, prepare it for the next visitor, and remove any remaining property of the guest” (Cournoyer, 368). While collecting Mr. Lerhinan’s belongings he came across the stolen liquor in the defendant’s closets; he immediately called the police. The defendant was arrested the next day and charged with the theft of the stolen items. Mr. Lerhinan moved to suppress the evidence found in the motel room, due to the fact that he claimed that the motel manager violated his fourth amendment to privacy by entering his motel room.
Depression: It is used at the dose of 20 mg per day, usually given at bedtime. The dosage may be increased to 40 mg per day after one week. The maximum dose is up to 60 mg/day which should be reserved for treatment of refractory patients who have had a 4 to 6 week trial at 40 mg/day.
Francis Latanowich one of the sears several bankruptcy customers decided he wanted to reopen his case. Latanowich begged the court to reopen his case. In 1996 Judge Carol Kenner discharged Latanowich’s debt but Latanowich agreed to repay sears 1, 161 he owed for a tv, car battery, and other goods. Latanowich received a letter that said he was at risk of losing his possessions if he didn’t continue to keep his credit card open.
His blood pressure today is 101/62. His pulse is 90. His respiratory rate is 20. [Name] is afebrile.
Natalia is a 33yo G4 P1112 who was seen for an ultrasound evaluation and consultation. The patient is interested in genetic screening. She has a history of opiate use disorder and has been using 20 mg of methadone every other day taken from the streets, per her report. She reportedly has anxiety and depression and has been told that she has bipolar disorder in the past. She also does have a history of a previous 32-week preterm delivery with premature rupture of the membranes, though she gave that baby up for adoption. The baby did stay in the NICU for about 2 weeks. She also has a history of having GDM in that pregnancy with HTN in both previous deliveries in 2011 and 2013. In addition, based on her height and weight at the start of the pregnancy, her BMI was 37.
Mrs. D. was admitted to the unit in 2011. She is 84 years old widow who was diagnosed with dementia, diabetes mellitus type II, hypertension, high cholesterol