Side noye from (WAS Re: EMS Challenge (2) continued

[Guest guest]

Try adding the lists address texasems-l@... to your E-Mail White

List.

I don't know how or for that matter if you can do that with an Yahoo E-

Mail Address.

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

LNMolino@...

> Just on a side note, can anyone tell me why I only get about a third

> of the list replies in my in box, the remainder end up in my bulk

> mail? Very frustrating going back and forth trying to make sure I do

> miss anything.

>

> Anyway, I'm really enjoying this great discussion and fascinating

> case. Back to the hunt.

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

>

>

> ok, make that the fourth time, and I've snipped a bunch of old stuff

> out.

>

> third time is a charm. not sure why things were zipped twice but

> here's the

> gist:

>

> from Aggiesrwe03 (Chris) makes the guess:

>

> Sub therapeutic reaction to Lamortigine (used for bipolar disorder),

> benzos

> are used to control acute mania until a therapeutic level is reached

> in

> the blood.

>

> my response:

>

> correct basic diagnosis, correct medication, wrong indication. Why

> would

> you expect a patient on *both* Lamortrigine (Lamictal) AND Lithium

> to display

> manic symptoms if she has (reportedly) been taking her medications as

> prescribed.

>

> Describe the signs and symptoms of acute mania, and compare to what

> this

> patient is displaying.

>

> Besides a base diagnosis of bipolar disorder, what else is going on

> with

> this patient's mental status?

>

> ck

>

>