Note to GP 27 November 2017
Monday 27 November 2017
Patrick
1. Dr appointment this morning. Dr Ho removing staples etc at offices at Newtown
2. Pain has increased - rather pain has not changed from the period between trial and permanent surgery. So NS is fixing unbearable pain - however pain levels are high. Something happened in that period to make pain worse? Perhaps another fracture or shift in old one. Using high level of voltage on NS and taking endone 4 times daily. Still 8/10 pain at times. Hoping it will settle eventually.
3. Not sleeping well - better than before however. Can you prescribe 2 diazepam for a while? I am sleeping often only 3 hours and I need to catch up.
4. Lupus flare continues. Tried to come down but flare worsened so still on 35mg. Will try again on Wednesday . Feeling miserable from it.
5. Saw endocrinologist last Wednesday. Said I have autonomic neuropathy. Explains a lot. Changed metformin to 250mg morning and 250mg lunchtime. Please rewrite scrip as pharmacy has it wrong - times should be 06:00 and 12:00. Changed frequency of Vit D inj to 9 monthly. Recommended I use vibrating platform for legs cellulitis and bones. Aboriginal funding is buying this for me. High blood pressure from autonomic neuropathy as is numb fingers etc.
6. Had fainting fits on Friday and Sunday. Felt very light headed and lost consciousness briefly whilst sitting in chair . First time from pain others from standing. Light headedness very common lately Have been very careful so no accidents.
7. Finished AB today. Klebbsiella still present albeit greatly reduced. Urine still cloudy and SPC wound still exuding pus. Action?
8. Have had headaches at back of head and pain in shoulders and feeling head will burst from blood pumping (like I’m having a stroke?) is this autonomic neuropathy as well?
9. BP has improved slightly. Range 155 to 180 systolic. Pulse now range 80 to 90. Can you ensure Nicorandal prescription says to take at 06:00 and 12:00.
10. Summary scrips:
Change metformin
Change nicorandal
Write diazepam
Maintain endone for a while
Patrick
1. Dr appointment this morning. Dr Ho removing staples etc at offices at Newtown
2. Pain has increased - rather pain has not changed from the period between trial and permanent surgery. So NS is fixing unbearable pain - however pain levels are high. Something happened in that period to make pain worse? Perhaps another fracture or shift in old one. Using high level of voltage on NS and taking endone 4 times daily. Still 8/10 pain at times. Hoping it will settle eventually.
3. Not sleeping well - better than before however. Can you prescribe 2 diazepam for a while? I am sleeping often only 3 hours and I need to catch up.
4. Lupus flare continues. Tried to come down but flare worsened so still on 35mg. Will try again on Wednesday . Feeling miserable from it.
5. Saw endocrinologist last Wednesday. Said I have autonomic neuropathy. Explains a lot. Changed metformin to 250mg morning and 250mg lunchtime. Please rewrite scrip as pharmacy has it wrong - times should be 06:00 and 12:00. Changed frequency of Vit D inj to 9 monthly. Recommended I use vibrating platform for legs cellulitis and bones. Aboriginal funding is buying this for me. High blood pressure from autonomic neuropathy as is numb fingers etc.
6. Had fainting fits on Friday and Sunday. Felt very light headed and lost consciousness briefly whilst sitting in chair . First time from pain others from standing. Light headedness very common lately Have been very careful so no accidents.
7. Finished AB today. Klebbsiella still present albeit greatly reduced. Urine still cloudy and SPC wound still exuding pus. Action?
8. Have had headaches at back of head and pain in shoulders and feeling head will burst from blood pumping (like I’m having a stroke?) is this autonomic neuropathy as well?
9. BP has improved slightly. Range 155 to 180 systolic. Pulse now range 80 to 90. Can you ensure Nicorandal prescription says to take at 06:00 and 12:00.
10. Summary scrips:
Change metformin
Change nicorandal
Write diazepam
Maintain endone for a while
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