Other current treatments include HPN, colonic irrigation, iv various fluids and meds.
No medication or other serious allergies.
Past Medical History
Other history includes Many! 3 times this year for Hickman/PICC line infections and once with pneumonia. Family history includes . Previous medications tried include Aciclovir, eye drops, hydroxychloriquine, methacarbamol, midodrine, mirtazapine, olanzapine, oxycodone, picolax, trazodone, Zopiclone, lorazepam, ondanzotron, iv paracetamol. All the above without side effects. Just come off cyclizine, which was highly addictive and I grew dependant on it. Now finally off of it (this week). Other treatments tried include Emdr therapy which was quite effective for parts of my trauma. Restarting this next week. Patient feels HPN and emdr for the complex ptsd helped the most.
PHQ9: 23 SevereGAD7: 16 SevereFatigue Symptom Severity Score (FFS): 37 SignificantFEMALE OPIOID RISK: 10 HighPAIN: 70Sleep: 2QOL: 35
Smoking: Smoked for 0 years, cigarettes per day. Stopped . Other substance use No. They consume 0 cigarettes, 0 vape liquid daily.
Diet: Yes history of eating disorder. Yes food intolerance or cravings. Current diet is Other. They consume daily 4 sweetened drinks, 1 caffeinated drinks daily and consume 0 units of alcohol weekly.
Sleep: Sleeping issues include Restless / disrupted sleeping, Waking feeling unrested, Nightmares, Early morning waking, Snoring, Difficulty waking in morning. The total hours they spend in bed each day is 10 and they rate their overall sleep quality as 2 / 10.
Exercise: Current exercise includes Walking, they exercise for 1 hours weekly.
Stress: Sources of stress are PTSD and current chronic pain, they cope with stress with Prayer, medication and Sex, cooking, walking, my husband brings them joy. They rate their sense of purpose and meaning in life as 2 / 10 and their quality of life as 35 / 100
No unstable cardiac problems, No history of anaphylaxis to cannabis.
In last 12 months, No history of heart attack, stroke, TIA, unstable angina, unstable or new cardiac arrythmia, uncontrolled high blood pressure, syncope, COPD or pregnancy/breastfeeding.
No history of alcohol abuse, Yes history of prescription medication abuse, Yes history of substance abuse disorder.
Yes history of ADD, OCD or depression, No history of bi-polar/mania, Schizophrenia or psychosis, No first degree relatives with bi-polar/mania, Schizophrenia, psychosis or schizoaffective disorder.
Yes history of past self harm or suicide attempts, Yes current thoughts about self harm.
Consents and other checks
Yes consents to sharing with GP. Informed of UK cannabis and unlicensed drugs regulations and consents to treatment: Yes. Patient has previously tried at least 2 treatments: Yes. Previously tried cannabis and found helpful for symptoms: No
The London Resilience Clinic85 Great Portland StreetLondon, W1W 7LT
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