INDEX FOR THE YEAR 1996


Jan. 23.  KP staff observed that Danny has been very �fidgety�. A lot of compulsions, twisting, spinning, touching, etc. These are very frustrating for him and staff. Could there be a medical cause?  Dr. Huggins recommends increase by one 250 mg of Epival.

April 16.  Head banging. Suspected ear infection. WIC Doctor right ear infection. Px tylenol and reports of bruises on scalp and above left eye.
April 30.  Head banging.  Ear/throat infection? WIC Doctor Rx (?)

May 2.  Head banging against a wall. WIC  Dr. recommends a follow up with  family MD. No ear infection.

Aug. 2 Examination due to frequent upsets of unknown origin. Impacted wisdom teeth could be the cause?  Dr. Huggins increases Depakene to 750 mg.

INDEX FOR YEAR 1997


Jan. 26.  Lab monitoring findings. His random blood sugar is in the hypoglycemic range   it could trigger his explosive behaviour. At one hour of taken Valproid Acid is shown 603 umol and ammonia 71.

April 9. Dr. Huggins recommends his Pro-Active D&T Model Flowchart. Danny Diagnosis: Autistic Disorder/ Seizure Disorder/ Psychiatric Disorder/ OCD/ Atypical Rapid Cycling Bipolar Mood Pattern/ Central +Peripheral Causes/Alpha and Beta Adrenergic Over-reactivity.  Medication�s dosage: Risperdal for Psycosis control 0.25 mg to up to 2 mg. Decrease Tegretol and continue Valproid Acid to 1250 mg. Switching Epival to Depakene, etc. On Dr. Huggins D&T Page 9 �Routine use of Ativan is contraindicated.�


 INDEX FOR THE YEAR 1998


August 7.  KP staff and family are concern about the effects of the new medication Risperdal. Dr. Huggins recommends a lower dose at some times and higher at another, a
Baseline Laboratory Monitoring, adjusting Depakene according to a level of 350 to 550 umol. and a re-evaluation of the Behavioural Strategies.

Oct. 14.  Because of urinary incontinence and frequency, muscle tremors and episodic shaking. Risperdal would be discontinued.




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