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Rita,
Is that the only Neurologist in town?  If he were the only one in
my town I think I'd try calling the Vet!!!!!

As Ever,
Marjorie Moorefield
just another librarian
(with PD)






>1.  List of questions presented to nurse so that it is on top of chart when
>neuro picks up chart in hallway.
>
>Neuro:  How are you doing?
>PWP: I am sliding downward.  My "on" time is now about 30%......I spend most
>of my time each day in a "not on" state.  I don't get a "kick" in the morning
>until my 3rd set of pills (5 hours after I get up)..........see chart
>attached to my questions.
>
>PWP:  second discussion item is drug interaction with........... The MD in
>the emergency room couldn't get in touch with you so we had to ride it out
>again......this is getting tough to do.
>CG: We have talked about the need to address these drug interactions on
>previous occasions.  We need to have some procedure in place to get help.  We
>need help.  We need to figure out what is happening with the drugs so that
>the seizures don't occur with such intensity. We need some suggestions/help
>with the MD in the ER who cannot seem to contact a neurologist familiar with
>the case history.
>
>Neuro: completes neuro exam. I think you are doing great. No changes in meds.
>See you in 3 months.
>
>PWP:  what about the drug interactions........we have had 4 in the past year.
> We have been unable to get any answers or help....
>other than oxygen in the ER and one drug with side effects that continued for
>5 days.  Is that my only choice.
>
>Neuro:  Best recommendation I can make is that you wear a bracelet with an
>emergency phone number on it.
>
>Question to the listserv group:  What would be your response in this
>situation.
>What is wrong with this scene?
>
>List of questions was provided to neuro on this and every previous visit.
>Problem is with other (non-PD) meds is baffling....but exists.
>ER reports are sent directly to neuro.
>Communication can take place in only one direction:  it is called a
>monologue.
>Non-threatening approach is used.....not afraid of MD.
>
>