INDEX FOR THE YEAR 1994


June 23 Annual Physical Examination. Danny is on Propranolol 120 mg/day and Tegretol 600 mg/per day. Flushing his ears to remove wax build up to prevent infections.
June 24  Danny�s worker asks Dr. Huggins for Danny�s �own prescription of Ativan�.
 (It is not written the time of the day for this request)
June 24  At about 2:30pm Danny banged his head through back window of van. Nose bleed after hitting head. Taken to York Central Hospital.


July  3.   Lab monitoring all within acceptable levels.

Sept. 8    Seems to be favoring a sore throat. Losing his voice. Throat infection? WIC visit more Rx Amoxil

Oct. 21  Cerumol? Antibiotics in ear drops?

Nov. 3.  Head banging frequently for the past 3 days. Suspected sore throat.  Given Amoxil at Walk in Clinic (WIC).
Nov. 4.  Too many times Danny is given antibiotics. (It is my objection). Dr. Huggins wants to see if he is treated for a middles ear infection (Otitis media), an external ear infection (Otitis externa) or both. Still problems with earwax build up.
Nov.  11. Temperature of 102 o. Currently on Amoxillin for suspected ear infection.
Nov. 15   Ears normal.
Nov. 20. Worker report an increase of SIBS (headbanging) and hyperactivity since ear infection. (A reaction to Amoxil?) Concerned about his head banging. Dr. Huggins increases Propranolol to140 mg and to continue recording his pulse rate.
Nov. 22.  Head banging, abrasions and bruises. WIC Doctor prescribed Auralgan.
Nov. 25.  Three SIB with head banging in one week, workers wonder if it could be toxicity from Carbamazepine, by now 700 mg? Dr. Huggins says, quote: �His observed SIBS, etc. must be of �Central� origin�.
Nov. 25  Head bangs, crying, suspected ear/throat infection. WIC Doctor recommends checking drug level in blood.




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