20/37
(continuation of note of 8/25/97)
mood symptoms.
 - once patient no longer delirious &
medically stable will reassess
need for psychiatric admission - 
- will continue to follow with you
                 (Signature of Psychiatric Resident Mary Bongiovi, M.D.)
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8/25/93      ICU Attending
             Mr. Speken is a 23 year old male with history of Crohn's
disease & Panic attacks.  He had been treated with
benzodiazepines but was recently treated with Elavil for
possible depression.     He was admitted Status Post witnessed
generalized seizure.  He has been treated for presumed
Benzodiazepine withdrawal &  is now transferred to
the ICU for sedation & close monitoring.
           Neuro and Psych are following.
           CT & LP are negative
                Patient now is sedated with stable vital signs.  Plan
is to continue sedation    as per psych  with monitoring 
of Vital Signs, oxygenation and mental status.
                                        (Signature of Attending Deborah Aronson, M.D.)
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            4PM
8/25/93  -  Neurology
          Best yet - speech clearer  -   knows this
is a hospital - knows   "August '93" - 
denies hallucinations.  Back ache  secondary
(to)  prolonged immobilization.
Rec(ommend):    start use of bedside chair  (in
                                restraints)
                                                               David L. Sagman, M.D.
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