Essay about Symptoms And Treatment Of Chronic Pain Syndrome
Diagnosis: chronic pain syndrome primary OA-L ankle and foot, MDD, Single Episode and Generalized Anxiety disorder.
12/08/15 progress note by Mehtani documented that the claimant had been seeing Dr. Desai for a period of time. She has been on a complex medication regimen. The provider is trying to cut down the use of Klonopin and Ambien. The patient was told this was her last prescription. In the meantime, he will try her on Vistaril 25 mg 2-3 times a day for anxiety and panic attacks #90 and trazodone 50 mg at bedtime #30. She will stay on Geodon 80 mg at bedtime #30 and Lexapro 20 mg a day #30. The patient will be seen once a month for medication and psychotherapy. The patient needs ongoing psychiatric care. She remains totally disabled from employment.
A prior review from 12/16/15 indicated, a12/15/2015 2:56 PM Phone conversation with Dr. Mehtani. He stated that the current plan is to keep the patient on Ziprasidone, as this is effective to control the patient 's symptoms. However, the physician also stated that clonazepam and zolpidem needed to be weaned and discontinued. He requested reducing the medications by 50% and stated that these will not be prescribed anymore, this being the last prescription. Therefore, an agreement was reached to proceed with a modified treatment plan, consisting of Clonazepam tab 0.5 mg #30, Zolpidem 10mg #15, Ziprasidone cap 80 mg #30. No further…