Monday, May 14, 2012

Friday, I got quite frustrated at work.  The terms, meds, and management differences started to get to me.  I think the fact that I had 3 new patients that were elderly with long problem and med lists contributed to the irritabilty.  Today, I saw 19 patients (1 no show) and did a procedure, and it all went smoothly; kept me quite busy, but it was enjoyable.
Some of the med stuff:
Monofeme and Levlen Ed   levonorgestrel 150mcg, ee 30 mcg
Noriday                                norethisterone
Pintarsol                               pine tar soap for dermatitis
Menthol 0.5% in Nutraplus Cream
Gees Linctus                        cough med with morphine and squill
Dermol for eczema              clobetasol
Duride Cr                             isosorbide mononitrate
Flixonase                             fluticasone
Glytrin 400 mcg/dose spray prn NTG
colecalciferol 1.25
seretide                                 fluticasone salmeterol propionate
Diastop                                 diphenoxylate, atropine
Diamide                                loperamide
etidronate cyclycally with Ca and cholecalciferol for osteoporosis
dothiepin for depression       TCA
still using triazolam
Mimms said valciclovir was subsidized, but had to change to aciclovir
HoLEP for BPH
saw Urol 2/7 ago
put in the IDC in the theatre (operating room is OT)
Kenacomb ear drops             triamcinolone, nystatin, neomycin, gramacidin
check for STIs
BP^ so commenced bendrofluazide 2.5 1 tab od
grommets                               pe tubes
symptoms were going on for a wee while
Alanase                                  generic Beconase
job done 4 weekly
"Hoffmann's negative"              same as Tinel's?
"cross adductors negative"        what does this test?
I've been studying the "Best Practice" recommendations for treating infections on the EMR here.  Won't list them all, but first line for dental is metronidazole 400bd + Pen VK 500 4x/d x 5 days.  Boils, cellulitis, sinusitis, conjunctivits - all different;  they do use Lotrimin for tinea, but of course it's called Canesten or Clocreme.  Too much on Friday, so I was frustrated.  OK now.
Time to go read about the FODMAP diet for IBS treatment.

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