Follow Ups

Created: 30/05/2022 at 10:50.NC.1981
MOOD: 26.25, ENERGY: 31.25, CLARITY: 27.5, CALM: 31.25, RSCORE:58.125
Anything else:

no


Initial Intakes

22/11/2022 at 13:46, AJI, Male  – heard about us: INTERNET

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of SLEEP/ANXIETY. Their current diagnoses include PANIC ATTACKS PTSD .

HPI

[3615]

Medications and Past Medical History

Their current medications are: NONE           Current supplements include CHARLOTTES WEB CBD ORIGINAL They have previously tried the following treatments: MERTIZAPINE 10/03/2011 07/11/2015 CBT, MINDFULLNESS BASED STRESS REDUCTION, TMS therapy. Their past medical/surgical history is significant for: ACL SURGERY 20/10/2016    . Health problems in the family include SOME ASTHMA, ECZEMA MY SON..

Rating scales

PHQ9: 1 – Low
GAD: 1 – Low
Fatigue Symptom Severity Score (FFS):  28 –
OPIOID RISK: 0 – Low  
 
R Score: 85 – Mood: 8, Energy: 9, Mental Clarity: 9, Calm: 8

Mental Health Risk Assessment

They have previously been diagnosed with the following: Other psychosis . No current or recent thoughts about self harm. No past history of self harm or suicide.  No history of alcohol abuse, no history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Anti depressants, Sleep medication, CBT, Other psychotherapy .They previously  tried cannabis to help their symptoms and found it helpful. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

MY KIDS! EXERCISE AND DOING THE OCCASIONAL CRAZY CHALLENGE (NORMALLY PHYSICAL) winter swimming brings them joy, main sources of stress are IT USED TO BE PAST EXPERIENCES, BUT I HAVE IMPROVED A LOT AND MOST OF THAT IMPROVEMENT IS BECAUSE OF CBD AND TAKING CARE OF MYSELF, cope with stress with/by RESONANT FREQUENCY BREATHING, OM MANTRA MEDITATION, ICE BATHS DAILY AND COLD SHOWERS, EXERCISE, SAUNA AND SPENDING QUALITY TIME WITH MY FAMILY. They rate their sense of purpose and meaning in life as 4/5.  They use They currently are active in the following activities Walking, Running / cardio exercises, Strength exercises, Other [5478] for Less than 1 hour, Less than 1 hour, Less than 1 hour, Less than 1 hour, Less than 1 hour  hours per week. They spend 6-7 hours/night in bed and rate their sleep quality as Perfect, Perfect, Perfect, Perfect. . They consume 0 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  none units per week.  Other current substance use: CBD, 2MG OF MELATONIN AT NIGHT. Previous substance use:

Current cannabis use

Current cannabis use Everyday Ingestion approx 70mg of CBD

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

21/11/2022 at 10:46, LM, Male  – heard about us: Word of mouth

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of HPV positive Squamous Cell Carcinoma of the Neck. Stage 3. Principle concern is to establish whether cannabis is contraindicated for this exact cancer. Secondary interest is for cannabis as a supportive therapy during chemo-radiotherapy.. Their current diagnoses include HPV positive Squamous Cell Carcinoma of the Neck. Stage 3. .

HPI

[3615]

Medications and Past Medical History

Their current medications are:           Current supplements include reishiModified Pectin 15g / day. Turkey Tail, Maitake, Cordyceps, Reishi, Vit C, Vit D, Omega 3 oil, burberine, zinc., Magnesium glysenate. They have previously tried the following treatments: . Their past medical/surgical history is significant for: Panendoscopy and biopsy to throat. 17/11/2022    . Health problems in the family include Nothing significant..

Rating scales

PHQ9: 2 – Low
GAD: 1 – Low
Fatigue Symptom Severity Score (FFS):  31 –
OPIOID RISK: 0 – Low  
PAIN:  0 
R Score: 52.5 – Mood: 4, Energy: 6, Mental Clarity: 6, Calm: 5

Mental Health Risk Assessment

This patient does not have uncontrolled bipolar, Schizophrenia, history of psychosis . No current or recent thoughts about self harm. No past history of self harm or suicide.  No history of alcohol abuse, no history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Will be starting chemo-radiotherapy shortly. .. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

Life, love, friends, productivity. Travel, and riding motorbikes. brings them joy, main sources of stress are Work. The news – fear of the future., cope with stress with/by . They rate their sense of purpose and meaning in life as 4/5.  They use They currently are active in the following activities Walking, Running / cardio exercises, Yoga, Gardening [5478] for Less than 1 hour  hours per week. They spend Was 6-7, currently 9. hours/night in bed and rate their sleep quality as Perfect. . They consume 0 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  Was 2-5, currently nil. units per week.  Other current substance use: No.. Previous substance use:

Current cannabis use

Current cannabis use Never

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

21/11/2022 at 10:35, DJM, Male  – heard about us: Target pharmacy

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of Mobility pain mentality. Their current diagnoses include Stroke .

HPI

[3615]

Medications and Past Medical History

Their current medications are: Clonasipan 2mg x 2 as required          Cream for eczema Current supplements include Edibles and oil pure cannabis They have previously tried the following treatments: Morphine 25/06/2012 18/11/2015 Gabapentine 25/06/2012 18/11/2016 Oromorph 01/01/2015 18/11/2019 Physical therapy Hydropool Motomed. Their past medical/surgical history is significant for: Stroke 18/06/2012  Western general hospital Edinburgh,induced coma for two weeks 18/06/2012  . Health problems in the family include Cancer both parents.

Rating scales

PHQ9: 0 – Low
GAD: 0 – Low
Fatigue Symptom Severity Score (FFS):  0 –
OPIOID RISK: 12 – High 
PAIN:  0 
R Score: 42.5 – Mood: 6, Energy: 3, Mental Clarity: 5, Calm: 3

Mental Health Risk Assessment

They have previously been diagnosed with the following: Depression . Recent thoughts about self harm. There is history of past self harm or suicide attempts.  There is history of alcohol abuse, there is history of illegal drug use, there is history of alcohol abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, Anti depressants, Anti inflammatories, Sleep medication, Other psychotherapy, Physiotherapy Massages.They previously  tried cannabis to help their symptoms and found it helpful. . Yes history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

Music and the Glasgow Rangers brings them joy, main sources of stress are Having to start it all over again when I walked on moray soil !!, cope with stress with/by Music. They rate their sense of purpose and meaning in life as 1/5.  They use They currently are active in the following activities [5478] for Less than 1 hour  hours per week. They spend Oh far too much depends on the careers usually go about 5 till they are back in around 9 hours/night in bed and rate their sleep quality as Terrible. Issues they experience are Falling asleep, Staying asleep, Restless / disrupted sleeping, Waking feeling unrested, Periodic limb movement . They consume 0 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  Maybe that’s a bottle of wine units per week.  Other current substance use: Occasionally a wee dram. Previous substance use: Am

Current cannabis use

Current cannabis use Everyday Ingestion I try to get a level and maintain that level but it’s not easy

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

21/11/2022 at 01:44, DJM, Male  – heard about us: Target pharmacy

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of Mobility pain mentality. Their current diagnoses include Stroke .

HPI

[3615]

Medications and Past Medical History

Their current medications are: Clonasipan 2mg x 2 as required          Cream for eczema Current supplements include Edibles and oil pure cannabis They have previously tried the following treatments: Morphine 25/06/2012 18/11/2015 Gabapentine 25/06/2012 18/11/2016 Oromorph 01/01/2015 18/11/2019 Physical therapy Hydropool Motomed. Their past medical/surgical history is significant for: Stroke 18/06/2012  Western general hospital Edinburgh,induced coma for two weeks 18/06/2012  . Health problems in the family include Cancer both parents.

Rating scales

PHQ9: 0 – Low
GAD: 0 – Low
Fatigue Symptom Severity Score (FFS):  0 –
OPIOID RISK: 12 – High 
PAIN:  0 
R Score: 42.5 – Mood: 6, Energy: 3, Mental Clarity: 5, Calm: 3

Mental Health Risk Assessment

They have previously been diagnosed with the following: Depression . Recent thoughts about self harm. There is history of past self harm or suicide attempts.  There is history of alcohol abuse, there is history of illegal drug use, there is history of alcohol abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, Anti depressants, Anti inflammatories, Sleep medication, Other psychotherapy, Physiotherapy Massages.They previously  tried cannabis to help their symptoms and found it helpful. . Yes history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

Music and the Glasgow Rangers brings them joy, main sources of stress are Having to start it all over again when I walked on moray soil !!, cope with stress with/by Music. They rate their sense of purpose and meaning in life as 1/5.  They use They currently are active in the following activities [5478] for Less than 1 hour  hours per week. They spend Oh far too much depends on the careers usually go about 5 till they are back in around 9 hours/night in bed and rate their sleep quality as Terrible. Issues they experience are Falling asleep, Staying asleep, Restless / disrupted sleeping, Waking feeling unrested, Periodic limb movement . They consume 0 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  Maybe that’s a bottle of wine units per week.  Other current substance use: Occasionally a wee dram. Previous substance use: Am

Current cannabis use

Current cannabis use Everyday Ingestion I try to get a level and maintain that level but it’s not easy

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

21/11/2022 at 01:43, DJM, Male  – heard about us: Target pharmacy

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of Mobility pain mentality. Their current diagnoses include Stroke .

HPI

[3615]

Medications and Past Medical History

Their current medications are: Clonasipan 2mg x 2 as required          Cream for eczema Current supplements include Edibles and oil pure cannabis They have previously tried the following treatments: Morphine 25/06/2012 18/11/2015 Gabapentine 25/06/2012 18/11/2016 Oromorph 01/01/2015 18/11/2019 Physical therapy Hydropool Motomed. Their past medical/surgical history is significant for: Stroke 18/06/2012  Western general hospital Edinburgh,induced coma for two weeks 18/06/2012  . Health problems in the family include Cancer both parents.

Rating scales

PHQ9: 0 – Low
GAD: 0 – Low
Fatigue Symptom Severity Score (FFS):  0 –
OPIOID RISK: 12 – High 
PAIN:  0 
R Score: 42.5 – Mood: 6, Energy: 3, Mental Clarity: 5, Calm: 3

Mental Health Risk Assessment

They have previously been diagnosed with the following: Depression . Recent thoughts about self harm. There is history of past self harm or suicide attempts.  There is history of alcohol abuse, there is history of illegal drug use, there is history of alcohol abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, Anti depressants, Anti inflammatories, Sleep medication, Other psychotherapy, Physiotherapy Massages.They previously  tried cannabis to help their symptoms and found it helpful. . Yes history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

Music and the Glasgow Rangers brings them joy, main sources of stress are Having to start it all over again when I walked on moray soil !!, cope with stress with/by Music. They rate their sense of purpose and meaning in life as 1/5.  They use They currently are active in the following activities [5478] for Less than 1 hour  hours per week. They spend Oh far too much depends on the careers usually go about 5 till they are back in around 9 hours/night in bed and rate their sleep quality as Terrible. Issues they experience are Falling asleep, Staying asleep, Restless / disrupted sleeping, Waking feeling unrested, Periodic limb movement . They consume 0 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  Maybe that’s a bottle of wine units per week.  Other current substance use: Occasionally a wee dram. Previous substance use: Am

Current cannabis use

Current cannabis use Everyday Ingestion I try to get a level and maintain that level but it’s not easy

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

16/11/2022 at 11:21, H E, Female  – heard about us: Daughter

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of Pain. Their current diagnoses include INFLAMMATORY ARTHRITIS LARGE 10 CM HIATUS HERNIA OESTEOARTHRITIS LUMBER CANAL STENOSIS FIBROMYALGIA RESTLESS LEG SYNDROME SECONDARY ADRENAL INSUFFICIENCY TBI.

HPI

[3615]

Medications and Past Medical History

Their current medications are: PREGABALIN 600MG DAY   LANSOPRAZOLE 30mg x2 day   REPINEX 6 MG DAY  MORPHINE They have previously tried the following treatments: . Their past medical/surgical history is significant for: Surgery on foot and handa arthritis related   NJ Tube fitted 11/01/2022  . Health problems in the family include STROKE HEART DISEASE.

Rating scales

PHQ9: 13 – Moderate
GAD: 11 – Moderate
Fatigue Symptom Severity Score (FFS):  63 – Significant
OPIOID RISK: 0 – Low  
PAIN:  102 
R Score: 27.5 – Mood: 2, Energy: 1, Mental Clarity: 5, Calm: 3

Mental Health Risk Assessment

This patient does not have uncontrolled bipolar, Schizophrenia, history of psychosis . No current or recent thoughts about self harm. No past history of self harm or suicide.  No history of alcohol abuse, no history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, Anti inflammatories, CBT, Physiotherapy Steroid injections .They previously  tried cannabis to help their symptoms and found it helpful. . history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

Painting brings them joy, main sources of stress are Pain, cope with stress with/by Painting gardening. They rate their sense of purpose and meaning in life as 1/5.  They use They currently are active in the following activities Gardening [5478] for Less than 1 hour  hours per week. They spend 6 hours/night in bed and rate their sleep quality as Perfect. Issues they experience are Staying asleep, Waking feeling unrested, Restless legs . They consume 5-6 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  7 units per week.  Other current substance use: . Previous substance use:

Current cannabis use

Current cannabis use Never

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

15/11/2022 at 01:20, LH, Female  – heard about us: From my Consultant Dr Iveson

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of Deep Chronic Intractable Pain, associated with 6 spine, & 1 right SI fusion surgeries.. Their current diagnoses include Lumber spine Degenerative discs L1-L2 bulging disc, emergency surgery Spine fusion L4/L5, removal of part Facet joint. 3 further surgeries, clip removed from facet joint July 2011; Scar tissue removal from L4/5 area; two ruptured discs L3/4 & L5/S1; IS joint fusion June 2020.

HPI

[3615]

Medications and Past Medical History

Their current medications are: Morphine Sulphate 15ml per day for pain as needed   Gabapentin 2000mg   Diazepam 5mg morning & evening  400mg Celecoxib; Cannabis flower – Pedanios 8/8 DNK; Aurora 20/1 DNK; Noidecs T18 Current supplements include Osteocare calcium, Pro Bio 7, Alfacalcidol 0.75, Vit B supplements, Omega 3. They have previously tried the following treatments: Acupuncture; Hydro therapy; Physo therapy; Pain management. Their past medical/surgical history is significant for:     .

Rating scales

PHQ9: 17 – Moderate/Severe
GAD: 14 – Moderate
Fatigue Symptom Severity Score (FFS):  56 – Significant
OPIOID RISK: 0 – Low  
PAIN:  107 
R Score: 15 – Mood: 1, Energy: 1, Mental Clarity: 3, Calm: 1

Mental Health Risk Assessment

They have previously been diagnosed with the following: OCD, Depression . No past history of self harm or suicide.  Recent thoughts about self harm. No history of alcohol abuse, no history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, Anti depressants, Anti inflammatories, Physiotherapy As above As above.They previously  tried cannabis to help their symptoms and found it helpful. . No history of cardiac problems, Yes active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

Very little to nothing due to level of pain brings them joy, main sources of stress are Pain, stress, anxiety, cope with stress with/by PTSD therapy, Tapping Meditation, Praying.. They rate their sense of purpose and meaning in life as 1/5.  They use They currently are active in the following activities [5478] for   hours per week. They spend I am unable to do any physical activities & spend most of my time in bed due to pain hours/night in bed and rate their sleep quality as Perfect. Issues they experience are Staying asleep, Restless / disrupted sleeping, Waking feeling unrested . They consume 0 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  None units per week.  Other current substance use: Medical Cannabis. Previous substance use: No

Current cannabis use

Current cannabis use Everyday Vaporizing 1/8th of a gram Noidecs T18 as mentioned above causes some neuropathy and make me very sleepy

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

12/11/2022 at 02:55, SO, Female  – heard about us: Recommendation

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of Autoimmunity (thyroid , skin, atopy/allergy)fertility. Their current diagnoses include Hypothyroidism (Hashimoto’s) Eczema Alopecia areata Uterine fibroid (2017) ,, PTSD ,.

HPI

[3615]

Medications and Past Medical History

Their current medications are: Levothyroxine 175mcg   Fexondenadine 2-3x recommended dose   Ceterizine hydrochloride Upto 40mg/day  Current supplements include Circum Evail (Turmeric), Invivo BioMe Femme probiotic mix, Invivo probiotic mix for gut health, CoQ10,Omega3+6, Viridian Fertility for Women, They have previously tried the following treatments: Steroid creams 12/11/1993 15/08/2020 Tacrolimus 16/03/2018 15/08/2020 Equine therapy. Their past medical/surgical history is significant for: Myomectomy 07/07/2019  ACL repair 01/05/2005  Concussions19/04/2019. Health problems in the family include Late Father -rheumatoid, coeliac, , allergy.

Rating scales

PHQ9: 8 – Mild
GAD: 2 – Low
Fatigue Symptom Severity Score (FFS):  36 – Significant
OPIOID RISK: 4 – Moderate  
PAIN:  22 
R Score: 47.5 – Mood: 6, Energy: 4, Mental Clarity: 4, Calm: 5

Mental Health Risk Assessment

They have previously been diagnosed with the following: Depression . No current or recent thoughts about self harm. There is history of past self harm or suicide attempts.  No history of alcohol abuse, no history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, Anti depressants, Anti inflammatories, Other psychotherapy, Physiotherapy Acupuncture.. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

The sea, nature, my donkeys, feeling well, tiny humans, food, creating, dancing brings them joy, main sources of stress are My health (skin especially), finances, fertility, relationship, cope with stress with/by Journaling, painting, exercise, Friend,s, my donkeys, nature, therapy, meditation, writing, Sensate. They rate their sense of purpose and meaning in life as 5/5.  They use They currently are active in the following activities Walking, Running / cardio exercises, Yoga, Pilates, Strength exercises, Gardening [5478] for Less than 1 hour, Less than 1 hour, Less than 1 hour, Less than 1 hour, Less than 1 hour  hours per week. They spend 8-10 hours/night in bed and rate their sleep quality as Perfect, Perfect, Perfect, Perfect. Issues they experience are Falling asleep, Staying asleep, Restless / disrupted sleeping, Waking feeling unrested, Nightmares . They consume 0 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  0. Occasionally I might have one drink, rarely units per week.  Other current substance use: No. Previous substance use: No

Current cannabis use

Current cannabis use Never Tried some CBD cream on my skin -it irritated it

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

07/11/2022 at 17:16, AK, Female  – heard about us: From a friend

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of Depression, chronic fatigue, chronic headaches, joint pain,. Their current diagnoses include Depression Chronic Fatigue Syndrome Anxiety .

HPI

[3615]

Medications and Past Medical History

Their current medications are: Venlafaxine 75mg          Current supplements include Vitamin D They have previously tried the following treatments: Fluoxetine 01/11/2019 04/05/2020 Mirtazapine 14/06/2020 04/05/2020 Sertraline 09/05/2020 18/02/2022 CBT, therapy. Their past medical/surgical history is significant for:     .

Rating scales

PHQ9: 22 – Severe
GAD: 8 – Mild
Fatigue Symptom Severity Score (FFS):  55 – Significant
OPIOID RISK: 3 – Low  
PAIN:  51 
R Score: 37.5 – Mood: 4, Energy: 5, Mental Clarity: 3, Calm: 3

Mental Health Risk Assessment

They have previously been diagnosed with the following: Depression . Recent thoughts about self harm. There is history of past self harm or suicide attempts.  No history of alcohol abuse, no history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, Anti depressants, Anti inflammatories, Sleep medication, CBT .. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

Art brings them joy, main sources of stress are Being unable to cope with school/work, cope with stress with/by Art, journaling, antidepressants. They rate their sense of purpose and meaning in life as 1/5.  They use They currently are active in the following activities Walking, Other [5478] for Less than 1 hour  hours per week. They spend 5-10 hours/night in bed and rate their sleep quality as Perfect. Issues they experience are Staying asleep, Restless / disrupted sleeping, Waking feeling unrested, Nightmares, Restless legs . They consume 1-2 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  0 units per week.  Other current substance use: . Previous substance use:

Current cannabis use

Current cannabis use Never

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

04/11/2022 at 17:05, JLW, Male  – heard about us: Project 21

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of Long Covid symptoms of headaches, brain fog, fatigue and myalgia. Their current diagnoses include Long Covid Long Covid .

HPI

[3615]

Medications and Past Medical History

Their current medications are: Various Supplements from the Optimum Health Clinic           They have previously tried the following treatments: Amnitryptaline Nutrition, meditation, cold showers, therapy, recreational cannabis. Their past medical/surgical history is significant for:     .

Rating scales

PHQ9: 8 – Mild
GAD: 6 – Mild
Fatigue Symptom Severity Score (FFS):  57 – Significant
OPIOID RISK: 4 – Moderate  
PAIN:  71 
R Score: 45 – Mood: 6, Energy: 3, Mental Clarity: 4, Calm: 5

Mental Health Risk Assessment

This patient does not have uncontrolled bipolar, Schizophrenia, history of psychosis . No current or recent thoughts about self harm. No past history of self harm or suicide.  No history of alcohol abuse, there is history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, Other psychotherapy .They previously  tried cannabis to help their symptoms and found it helpful. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

socialising, having a purpose, teaching myself skills, playing sport brings them joy, main sources of stress are health, cope with stress with/by meditation, walking, seeing friends. They rate their sense of purpose and meaning in life as 4/5.  They use They currently are active in the following activities Walking, Other [5478] for Less than 1 hour  hours per week. They spend 7-9 hours/night in bed and rate their sleep quality as Perfect. Issues they experience are Falling asleep, Waking feeling unrested . They consume 0 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  0 units per week.  Other current substance use: recreational cannabis. Previous substance use: yes

Current cannabis use

Current cannabis use Every other day Smoking eg. joints, Vaporizing unsure, but a weaker dose mostly hash

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

31/10/2022 at 21:27, MJL, Male  – heard about us: Doctor’s Kitchen podcast

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of Depression, pain, ADHD. Their current diagnoses include Major Recurrent Depression Herniated Disc L5/S1 ADHD .

HPI

[3615]

Medications and Past Medical History

Their current medications are: Fluoxetine 60mg daily   Amitryptaline 30mg daily   Methylphenidate 15mg 3 x daily  Bupropion 150mg daily, Cannabis (prescribed by TMCC) – Spectrum Red 4 & Pedianos 8/8 – both 0.2g as required <1g/day Current supplements include Krill Oil, Multivitamin They have previously tried the following treatments: Sertraline 01/06/2015 01/07/2015 Gabapentin Naproxen Diazepam, Various NSAIDs, physiotherapy, yoga, pilates,. Their past medical/surgical history is significant for: Parklands Hospital 01/05/2016  2 x steroid injections over last two years 24/09/2021  Priory Roehampton10/04/2022. Health problems in the family include Mother – Fibromyalgia. Father – Diabetes, obesity, high blood pressure. Wife – Remitting Relapsing MS..

Rating scales

PHQ9: 20 – Severe
GAD: 20 – Severe
Fatigue Symptom Severity Score (FFS):  44 – Significant
OPIOID RISK: 0 – Low  
PAIN:  72 
R Score: 27.5 – Mood: 3, Energy: 3, Mental Clarity: 3, Calm: 2

Mental Health Risk Assessment

They have previously been diagnosed with the following: ADD, Depression . Recent thoughts about self harm. There is history of past self harm or suicide attempts.  No history of alcohol abuse, no history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, Anti depressants, Anti inflammatories, Sleep medication, CBT, Other psychotherapy, Physiotherapy .They previously  tried cannabis to help their symptoms and found it helpful. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

My daughter brings them joy, main sources of stress are Pain, inability to function at work, difficulties with home life, cope with stress with/by Meditation/reading. They rate their sense of purpose and meaning in life as 2/5.  They use They currently are active in the following activities Walking, Pilates [5478] for Less than 1 hour  hours per week. They spend ~8 hours/night in bed and rate their sleep quality as Perfect, Terrible. Issues they experience are Falling asleep, Staying asleep, Restless / disrupted sleeping, Waking feeling unrested, Nightmares . They consume 3-4 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  10 units per week.  Other current substance use: . Previous substance use:

Current cannabis use

Current cannabis use Everyday Vaporizing ~0.15-0.5

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

31/10/2022 at 06:37, YN, Male  – heard about us: A freind

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of Anxiety and Depression,. Their current diagnoses include .

HPI

[3615]

Medications and Past Medical History

Their current medications are:           They have previously tried the following treatments: . Their past medical/surgical history is significant for:     .

Rating scales

PHQ9: 18 – Moderate/Severe
GAD: 13 – Moderate
Fatigue Symptom Severity Score (FFS):  26 –
OPIOID RISK: 7 – Moderate  
 
R Score: 25 – Mood: 2, Energy: 3, Mental Clarity: 3, Calm: 2

Mental Health Risk Assessment

They have previously been diagnosed with the following: Depression . Recent thoughts about self harm. There is history of past self harm or suicide attempts.  No history of alcohol abuse, there is history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Other psychotherapy, Physiotherapy Talk therapy, attachment therapy HOmeopothy.They previously  tried cannabis to help their symptoms and found it helpful. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

Reading brings them joy, main sources of stress are Work, relationships, cope with stress with/by Prayer, exercise. They rate their sense of purpose and meaning in life as 3/5.  They use They currently are active in the following activities Walking, Running / cardio exercises, Strength exercises [5478] for Less than 1 hour  hours per week. They spend 6-8 hours/night in bed and rate their sleep quality as Perfect. Issues they experience are Falling asleep, Staying asleep, Restless / disrupted sleeping, Waking feeling unrested, Nightmares, Restless legs . They consume 1-2 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  0 units per week.  Other current substance use: Cannabis. Previous substance use: Yes

Current cannabis use

Current cannabis use Everyday Smoking eg. joints .5

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

19/10/2022 at 15:57, AF, Female  – heard about us: Integative personalised medicine conference

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of Insomnia, anxiety, rhumatoid arthiritis. Their current diagnoses include .

HPI

[3615]

Medications and Past Medical History

Their current medications are:           They have previously tried the following treatments: . Their past medical/surgical history is significant for:     .

Rating scales

PHQ9: 9 – Mild
GAD: 13 – Moderate
Fatigue Symptom Severity Score (FFS):  39 – Significant
OPIOID RISK: 12 – High 
PAIN:  36 
R Score: 40 – Mood: 3, Energy: 4, Mental Clarity: 5, Calm: 4

Mental Health Risk Assessment

This patient does not have uncontrolled bipolar, Schizophrenia, history of psychosis and they do have a first degree relative who has been diagnosed with Bipolar / Mania. No current or recent thoughts about self harm. No past history of self harm or suicide.  No history of alcohol abuse, no history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, Sleep medication, Other psychotherapy cranio sacral, herbs, anxiety clinic osteopathy.They previously  tried cannabis to help their symptoms and found it helpful. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

peace, family, friends brings them joy, main sources of stress are life in general, cope with stress with/by exercise. They rate their sense of purpose and meaning in life as 3/5.  They use They currently are active in the following activities Walking, Yoga [5478] for Less than 1 hour  hours per week. They spend 7 hours/night in bed and rate their sleep quality as Terrible. Issues they experience are Falling asleep, Staying asleep, Restless / disrupted sleeping . They consume 1-2 caffeinated drinks and 1-2 sweetened drinks per day. Currently smoking: No  . Alcohol:  0 units per week.  Other current substance use: no. Previous substance use: no

Current cannabis use

Current cannabis use Never

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

16/10/2022 at 21:14, JLR, Female  – heard about us: Referral from Ms Margie Wright

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of Acute mid-back chest pain around to sides of breast due to chronic, severe cough, triggered when swallowing liquid, and intereferring with sleep. General pain due to hEDS in big joints, shoulders, right hip/knee, lower back, leading to disrupted sleep. Seeking pain relief to promote restorative deep sleep which is one of the first main treatments with hEDS. Anxiety about recent breast cancer reoccurrence, especially future pain and discomfort.. Their current diagnoses include Breast cancer cells in neck, upper lymph, lung and T5; lump in right clavicular and chronic cough. Hypermobile Ehlers-Danlos Syndromes, dignaosed April 2020 Breast cancer (right breast): lumpectomy, radiotherapy, chemotherapy Automimmune: Episcleritis (Mar’04); Psoriasis (Apr’13, but had skin problams lifelong).

HPI

[3615]

Medications and Past Medical History

Their current medications are: Ceterizine, 10mg 1-4 per day depending on urticaria, rhinitis   Omeprizole, 20mg To be taken with NSAIDs; only taken 4 tablets   Femara, 2.5mg i per day–yet to start  Current supplements include Vit. D3 drops, Fish oil, Vit. B,, Aswaghanda They have previously tried the following treatments: Ayurvedic treatments in India and UK. Their past medical/surgical history is significant for: Appendicitis (when 16 yrs)   R. breast lumpectomy 25/08/2009  Chemotherapy (Dec’09-Apr’10). Health problems in the family include Father (89): multiple-heart, kidney, teeth, deafness, cognitive/memory loss, depression; Mother (87): high blood pressure, chronic constipation; Brothers (61, 46): heart issues..

Rating scales

PHQ9: 10 – Moderate
GAD: 4 – Low
Fatigue Symptom Severity Score (FFS):  63 – Significant
OPIOID RISK: 0 – Low  
PAIN:  97 
R Score: 60 – Mood: 4, Energy: 4, Mental Clarity: 8, Calm: 8

Mental Health Risk Assessment

This patient does not have uncontrolled bipolar, Schizophrenia, history of psychosis . No current or recent thoughts about self harm. No past history of self harm or suicide.  No history of alcohol abuse, no history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, Anti inflammatories, Other psychotherapy Acupuncture, Cranio-Sacral therapy.. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

This is something I need to address–I need to find more joy in my life! brings them joy, main sources of stress are Managing my EDS on a daily basis, pain. Certain things that I need to get done, eg my accounts due soon. I closed my clincial practice in July because of possible breast cancer reoccurrence., cope with stress with/by Mindfulness, reading, watching TV/learning. They rate their sense of purpose and meaning in life as 2/5.  They use They currently are active in the following activities Other [5478] for Less than 1 hour, Less than 1 hour, Less than 1 hour, Less than 1 hour, Less than 1 hour  hours per week. They spend 8-10 hrs hours/night in bed and rate their sleep quality as Perfect, Perfect, Perfect, Perfect. Issues they experience are Staying asleep, Restless / disrupted sleeping, Waking feeling unrested, Periodic limb movement . They consume 0 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  None, I am allergic to alchohol. My ancestral hertigae is Chinese, Indian and Portuguese. units per week.  Other current substance use: No. Previous substance use: No

Current cannabis use

Current cannabis use Never

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

11/10/2022 at 11:26, CE, Female  – heard about us: Synthesis

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of I have stage 4 HGSOC. Their current diagnoses include High Grade serous ovarian cancer stage 4b .

HPI

[3615]

Medications and Past Medical History

Their current medications are: Bevacizumab 500mg every 2 weeks   Melatonin 60mg per day   Metformin 500mg x 2 per day  Mistletoe Alba), Atorvastatin 40mg,, aspirin 100mg, loratidine 10mg Current supplements include Vit D, Honokiol, magnesium, zinc, pine bark, bromelian, boswellian, digestive enzymes ,Chinese granules, They have previously tried the following treatments: Carboplatin, paclitaxol 14/03/2021 27/10/2021 Low dose paclitaxol with Bevacizumab 21/12/2021 04/10/2022 . Their past medical/surgical history is significant for: Debulk 27/07/2021    .

Rating scales

PHQ9: 4 – Low
GAD: 0 – Low
Fatigue Symptom Severity Score (FFS):  49 – Significant
OPIOID RISK: 1 – Low  
 
R Score: 75 – Mood: 8, Energy: 6, Mental Clarity: 8, Calm: 8

Mental Health Risk Assessment

This patient does not have uncontrolled bipolar, Schizophrenia, history of psychosis . No current or recent thoughts about self harm. No past history of self harm or suicide.  No history of alcohol abuse, no history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Sleep medication .. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

Walking my dogs, horse riding, friends & family brings them joy, main sources of stress are My disease, cope with stress with/by Breathing, stretching, exercise. They rate their sense of purpose and meaning in life as 4/5.  They use They currently are active in the following activities Walking, Other [5478] for Less than 1 hour  hours per week. They spend 8-10 hrs hours/night in bed and rate their sleep quality as Perfect. Issues they experience are Staying asleep . They consume 1-2 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  2 max units per week.  Other current substance use: No. Previous substance use: No

Current cannabis use

Current cannabis use Never

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

08/10/2022 at 11:17, SH, Female  – heard about us: Healthpath

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of IBS Perimenopause fibromyalgia, NAFLD, possible adhesions from previous laparoscopic, migraines. Their current diagnoses include NAFLD Fibromyalgia Peri menopause IBS C since birth.

HPI

[3615]

Medications and Past Medical History

Their current medications are: Paracetamol As & when          Current supplements include Magnesium They have previously tried the following treatments: Acupuncture. Their past medical/surgical history is significant for: 3 x laparoscopic for GYN issues adhesions found, polyp & fibroid removed 15/10/2015    .

Rating scales

PHQ9: 10 – Moderate
GAD: 16 – Severe
Fatigue Symptom Severity Score (FFS):  60 – Significant
OPIOID RISK: 0 – Low  
PAIN:  81 
R Score: 22.5 – Mood: 2, Energy: 2, Mental Clarity: 2, Calm: 3

Mental Health Risk Assessment

They have previously been diagnosed with the following: Depression . No current or recent thoughts about self harm. No past history of self harm or suicide.  No history of alcohol abuse, no history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, CBT Acupuncture.. . No history of cardiac problems, Yes active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

Nature / the sea / animals /coffee brings them joy, main sources of stress are My health, cope with stress with/by Meditation. They rate their sense of purpose and meaning in life as 2/5.  They use They currently are active in the following activities Walking [5478] for Less than 1 hour  hours per week. They spend 10 hours/night in bed and rate their sleep quality as Perfect. Issues they experience are Staying asleep, Restless / disrupted sleeping, Waking feeling unrested . They consume 3-4 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  0 units per week.  Other current substance use: 0. Previous substance use: 0

Current cannabis use

Current cannabis use

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

04/10/2022 at 14:54, NC test, Male  – heard about us:

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of . Their current diagnoses include .

HPI

[3615]

Medications and Past Medical History

Their current medications are:           They have previously tried the following treatments: . Their past medical/surgical history is significant for:     .

Rating scales

PHQ9: 0 – Low
GAD: 0 – Low
Fatigue Symptom Severity Score (FFS):  0 –
OPIOID RISK: 0 – Low  
 
R Score: 50 – Mood: 5, Energy: 5, Mental Clarity: 5, Calm: 5

Mental Health Risk Assessment

This patient does not have uncontrolled bipolar, Schizophrenia, history of psychosis . Recent thoughts about self harm. There is history of past self harm or suicide attempts.  There is history of alcohol abuse, there is history of illegal drug use, there is history of alcohol abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and to treatment. have tried at least 2 treatments to solve their symptoms before trying medical cannabis including .. . history of cardiac problems,  active liver disease, history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

brings them joy, main sources of stress are , cope with stress with/by . They rate their sense of purpose and meaning in life as /5.  They use They currently are active in the following activities [5478] for   hours per week. They spend hours/night in bed and rate their sleep quality as . . They consume caffeinated drinks and sweetened drinks per day. Currently smoking:   . Alcohol:  units per week.  Other current substance use: . Previous substance use:

Current cannabis use

Current cannabis use

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

01/10/2022 at 20:13, K.H, Male  – heard about us: Project Twenty21

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of mood swings and trouble sleeping. Their current diagnoses include depression post traumatic stress disorder insomnia none.

HPI

[3615]

Medications and Past Medical History

Their current medications are: none none   none none   none none  none Current supplements include none They have previously tried the following treatments: citalopram sertraline cbt , counselling. Their past medical/surgical history is significant for:     . Health problems in the family include diabetes.

Rating scales

PHQ9: 26 – Severe
GAD: 19 – Severe
Fatigue Symptom Severity Score (FFS):  52 – Significant
OPIOID RISK: 7 – Moderate  
 
R Score: 22.5 – Mood: 3, Energy: 2, Mental Clarity: 3, Calm: 1

Mental Health Risk Assessment

They have previously been diagnosed with the following: Depression . Recent thoughts about self harm. There is history of past self harm or suicide attempts.  There is history of alcohol abuse, there is history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Anti depressants, CBT none none.They previously  tried cannabis to help their symptoms and found it helpful. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

nothing at the moment brings them joy, main sources of stress are mental, cope with stress with/by none at the moment. They rate their sense of purpose and meaning in life as 1/5.  They use They currently are active in the following activities Walking, Strength exercises [5478] for Less than 1 hour, Less than 1 hour, Less than 1 hour, Less than 1 hour, Less than 1 hour  hours per week. They spend 4-6 hours/night in bed and rate their sleep quality as Perfect, Perfect, Perfect, Perfect. Issues they experience are Falling asleep, Staying asleep, Restless / disrupted sleeping, Waking feeling unrested, Nightmares, Restless legs . They consume 1-2 caffeinated drinks and 1-2 sweetened drinks per day. Currently smoking: Yes  per day. Alcohol:  0 units per week.  Other current substance use: no. Previous substance use: yes

Current cannabis use

Current cannabis use Everyday Smoking eg. joints, Vaporizing 0.5 to 1 gram currently taking a break while looking into legal routes

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

27/09/2022 at 10:24, BH, Female  – heard about us: Integrative oncology

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of Breast cancer, detox, immune upbuilding. Their current diagnoses include Breast Cancer ER PR+ Her- Breast Cancer Er Pr+ Her- Breast Cancer TNBC, BRCA .

HPI

[3615]

Medications and Past Medical History

Their current medications are: None           They have previously tried the following treatments: . Their past medical/surgical history is significant for: Lumpectomy 01/12/2019  Lumpectomy 04/08/2014  .

Rating scales

PHQ9: 3 – Low
GAD: 9 – Mild
Fatigue Symptom Severity Score (FFS):  39 – Significant
OPIOID RISK: 0 – Low  
 
R Score: 57.5 – Mood: 5, Energy: 3, Mental Clarity: 10, Calm: 5

Mental Health Risk Assessment

This patient does not have uncontrolled bipolar, Schizophrenia, history of psychosis . No current or recent thoughts about self harm. No past history of self harm or suicide.  No history of alcohol abuse, no history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, Sleep medication .They previously  tried cannabis to help their symptoms and found it helpful. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

My family and playing the piano, visit to the theatre brings them joy, main sources of stress are Cancer, cope with stress with/by Breathing and joga. They rate their sense of purpose and meaning in life as 3/5.  They use They currently are active in the following activities Walking, Yoga [5478] for Less than 1 hour  hours per week. They spend 8 hours/night in bed and rate their sleep quality as Perfect. Issues they experience are Falling asleep, Restless / disrupted sleeping, Waking feeling unrested . They consume 1-2 caffeinated drinks and 0 sweetened drinks per day. Currently smoking: No  . Alcohol:  0 units per week.  Other current substance use: 0. Previous substance use:

Current cannabis use

Current cannabis use Never

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

20/09/2022 at 14:32, AP, Male  – heard about us: Via the Kitchen Doctor podcast

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of Epilepsy sleep, anxiety. Their current diagnoses include Epilepsy ASD/Social Communication difficulties Learning Difficulties .

HPI

[3615]

Medications and Past Medical History

Their current medications are: Lamotrigine 250mg twice daily   Brivaracetum 100mg twice daily   Melatonin 4mg nightly  Current supplements include Omega 3 oil They have previously tried the following treatments: Cranial osteopathy. Their past medical/surgical history is significant for:     .

Rating scales

PHQ9: 5 – Mild
GAD: 2 – Low
Fatigue Symptom Severity Score (FFS):  63 – Significant
OPIOID RISK: 0 – Low  
 
R Score: 65 – Mood: 8, Energy: 5, Mental Clarity: 6, Calm: 7

Mental Health Risk Assessment

This patient does not have uncontrolled bipolar, Schizophrenia, history of psychosis . No current or recent thoughts about self harm. No past history of self harm or suicide.  No history of alcohol abuse, no history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Sleep medication, CBT Osteopathy, aromatherapy/crystals.. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

Routine brings them joy, main sources of stress are Life, cope with stress with/by Keeping a routine. They rate their sense of purpose and meaning in life as 3/5.  They use They currently are active in the following activities Walking [5478] for Less than 1 hour, Less than 1 hour, Less than 1 hour, Less than 1 hour, Less than 1 hour  hours per week. They spend 12 hours/night in bed and rate their sleep quality as Perfect, Perfect, Perfect, Perfect. . They consume 3-4 caffeinated drinks and 1-2 sweetened drinks per day. Currently smoking: No  . Alcohol:  0 units per week.  Other current substance use: o. Previous substance use: o

Current cannabis use

Current cannabis use Never

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

14/09/2022 at 11:27, P, Male  – heard about us: Referral

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of ADHD Concentration and Procrastination issues. Their current diagnoses include ADHD (hyperactive) .

HPI

[3615]

Medications and Past Medical History

Their current medications are: Ramipril 5mg Daily          Current supplements include Vitamin supplements They have previously tried the following treatments: Therapy ongoing and rewarding. Their past medical/surgical history is significant for:     .

Rating scales

PHQ9: 6 – Mild
GAD: 10 – Moderate
Fatigue Symptom Severity Score (FFS):  25 –
OPIOID RISK: 14 – High 
PAIN:  32 
R Score: 85 – Mood: 8, Energy: 10, Mental Clarity: 8, Calm: 8

Mental Health Risk Assessment

They have previously been diagnosed with the following: ADD . No current or recent thoughts about self harm. No past history of self harm or suicide.  No history of alcohol abuse, there is history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, CBT, Physiotherapy .They previously  tried cannabis to help their symptoms and found it helpful. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

A smile on my childrens faces brings them joy, main sources of stress are Family issues, cope with stress with/by ermm .. THC. They rate their sense of purpose and meaning in life as 5/5.  They use They currently are active in the following activities Walking, Pilates, Other [5478] for Less than 1 hour  hours per week. They spend 7 hours/night in bed and rate their sleep quality as Perfect. . They consume 1-2 caffeinated drinks and 1-2 sweetened drinks per day. Currently smoking: No  . Alcohol:  25 units per week.  Other current substance use: THC edibles. Previous substance use: THC

Current cannabis use

Current cannabis use Everyday Vaporizing, Ingestion

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

14/09/2022 at 11:05, nc, Male  – heard about us: zxc

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of . Their current diagnoses include zxczx zxc zxc zxc.

HPI

[3615]

Medications and Past Medical History

Their current medications are: zxc 30mg   xcv 30mg   xcv 30mg  xcv Current supplements include xcv They have previously tried the following treatments: xcv xcv xcv xcv. Their past medical/surgical history is significant for: zxc 05/09/2022  zxc 19/09/2022  zxc21/09/2022. Health problems in the family include zxc.

Rating scales

PHQ9: 1 – Low
GAD: 1 – Low
Fatigue Symptom Severity Score (FFS):  4 –
OPIOID RISK: 0 – Low  
PAIN:  49 
R Score: 60 – Mood: 7, Energy: 6, Mental Clarity: 7, Calm: 4

Mental Health Risk Assessment

This patient does not have uncontrolled bipolar, Schizophrenia, history of psychosis . No current or recent thoughts about self harm. No past history of self harm or suicide.  No history of alcohol abuse, no history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Pain killers, Anti depressants .They previously  tried cannabis to help their symptoms and found it helpful. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

kids brings them joy, main sources of stress are work, cope with stress with/by meditation. They rate their sense of purpose and meaning in life as 3/5.  They use They currently are active in the following activities Walking, Yoga [5478] for Less than 1 hour  hours per week. They spend 9 hours/night in bed and rate their sleep quality as Perfect. Issues they experience are Staying asleep . They consume 1-2 caffeinated drinks and 1-2 sweetened drinks per day. Currently smoking: No  . Alcohol:  1 units per week.  Other current substance use: . Previous substance use:

Current cannabis use

Current cannabis use Vaporizing 1g

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

13/09/2022 at 11:57, ,   – heard about us:

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of . Their current diagnoses include .

HPI

[3615]

Medications and Past Medical History

Their current medications are:           They have previously tried the following treatments: . Their past medical/surgical history is significant for:     .

Rating scales

PHQ9: 0 – Low
GAD: 0 – Low
Fatigue Symptom Severity Score (FFS):  0 –
 
 
R Score: 57.5 – Mood: 7, Energy: 5, Mental Clarity: 6, Calm: 5

Mental Health Risk Assessment

This patient does not have uncontrolled bipolar, Schizophrenia, history of psychosis . Recent thoughts about self harm. There is history of past self harm or suicide attempts.  There is history of alcohol abuse, there is history of illegal drug use, there is history of alcohol abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and to treatment. have tried at least 2 treatments to solve their symptoms before trying medical cannabis including .. . history of cardiac problems,  active liver disease, history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

brings them joy, main sources of stress are , cope with stress with/by . They rate their sense of purpose and meaning in life as /5.  They use They currently are active in the following activities [5478] for   hours per week. They spend hours/night in bed and rate their sleep quality as . . They consume caffeinated drinks and sweetened drinks per day. Currently smoking:   . Alcohol:  units per week.  Other current substance use: . Previous substance use:

Current cannabis use

Current cannabis use

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed. 

 

13/09/2022 at 09:06, nc, Male  – heard about us:

[Patient First Name] is a [Patient Age] year old [Patient Gender] today who came to me for symptoms of anxiety and depression. Their current diagnoses include depression HIV.

HPI

[3615]

Medications and Past Medical History

Their current medications are: Dolutegravir 50mg   Emtricitabne 200mg      They have previously tried the following treatments: . Their past medical/surgical history is significant for:     .

Rating scales

PHQ9: 0 – Low
GAD: 0 – Low
Fatigue Symptom Severity Score (FFS):  0 –
OPIOID RISK: 4 – Moderate  
 
R Score: 0 – Mood: , Energy: , Mental Clarity: , Calm:

Mental Health Risk Assessment

They have previously been diagnosed with the following: Depression . No current or recent thoughts about self harm. No past history of self harm or suicide.  No history of alcohol abuse, there is history of illegal drug use, no history of prescription medication abuse.

Medical Cannabis Assessment

The patient has been informed about the status of medical cannabis as an unlicensed medication in the UK and Yes to treatment. Yes have tried at least 2 treatments to solve their symptoms before trying medical cannabis including Anti depressants, Other psychotherapy .They previously  tried cannabis to help their symptoms and found it helpful. . No history of cardiac problems, No active liver disease, No history of anaphylaxis to cannabis.

Habits/Lifestyle, Stress and Nutrition

brings them joy, main sources of stress are , cope with stress with/by . They rate their sense of purpose and meaning in life as /5.  They use They currently are active in the following activities Walking, Strength exercises [5478] for Less than 1 hour  hours per week. They spend hours/night in bed and rate their sleep quality as Perfect. Issues they experience are Falling asleep, Staying asleep, Nightmares . They consume 1-2 caffeinated drinks and sweetened drinks per day. Currently smoking: No  . Alcohol:  8 units per week.  Other current substance use: . Previous substance use:

Current cannabis use

Current cannabis use Every other day Smoking eg. joints 0.5 – 1

Summary

This [Patient Age] year old [Patient Gender] patient suffering from difficult to treat         . All treatment options and benefits/risks were discussed.