Occupation (BIQ, intake, participant)
student, equipment manager at paramedic school
medical consulting--under the table (cash)
Research technician/Counselor 40hrs, TSS 10hrs

Source of income (BIQ, intake, participant)
student loans, contract writing for ed. Text
DPW & some allowance from parents $30 week
research studies, temp work, food stamps
savings, tutoring, apply for dis. And grad school
parents, some money saved from past jobs
applied for public assistance,now barrowing money
borrow from boyfriend and mother. No public assist
also, parents pay rent and spending money
also receives public assistance & alimony
also receives $50 from aunt & uncle monthly
money from mother, last PT Sept, last FT 2 yrs ago
dad - lives w him, assit from state medicaid $205
just got SSD, was on work comp, took settlement
going on medical assistance,terminating w/workstud

Major health problems (BIQ, intake, participant)
degenerative arthritis and disc disease, GERD
polycystic ovarian syndrome, asthma, obesity
removed tumors in abdomen, benign lumps in breast.
PLMS, lower back pain, degenerative disc disorder
asthma, con. Heart defect, GERD, IBS, Eczema, SVT
swollen salivary glands, jaw pain, enlarged liver
borderline diabetic, nerve prob. On left side
dislocated shoulder, fractured wrist, broken ribs
diabetes, fibromyalgia, arthritis, asthma, anemia
lupus - blue feet, aching hands, skin rash, hives,
chronic pain, right wrist and neck, HBP, edema
half of thyroid removed for goiter June 2002
borderline, diabetes, high blood pressure
Diabetes, High BP, Coronary Heart Disease
depression and anxiety, diabetic, high bp
chronic back pain, past was diabetic (had gastic b
overweight (and concerned about developing diabete
deaf in right ear, dep., anxiety attacks

Current medications (BIQ, intake, participant)
Prenatal Plue, Trazodone, Caraferte Sucralfate, Medroxprogesterone, Prozac
depakote allegra prozac trazadone lamictal synthroid
Celxa, Wellbutrin, Prilosec, Zerex, Neurontin, Clonapir, Advil
Depakote, Topomax, Lithium, Wellbutin, Seroquel
Topamox, Effexor, Lo-oval, Lexapro, Albuterol, Abiliphi, Advair, Restoril, Allegra, Prevacid, Singulair, detrol LA
lexapro, clonopin, lodine, advir, synthroid, lisprolin, hydrocorthysine
Atrovent, Albterol, Azoraocrt, lipitor, vitamins
wellbutrin 200mg 2x/day, seroquel 200mg 2x/day
Prozac 80mg, Ativan 2mg, Ritilan 10mg, Prilosec 40mg
BP med- diuretic, oxycontin, paxil, valium
depakote 750mg/day, clonipin 0.5mg/day, abiliphi 10/day, prozac 80mg/day, trazodone lowest dose, PRN
synthroid, Li++, ibiliphy, lamictal, abiliphy
advar, singular, allegra, protonix, pepcid, Xanax, visterol, cardizem, zoloft
prozac, ibiliphi, antibiotic for skin, birth control
imiprimine, seroquel, zoloft, trazodone, nexium, ranidane, zelcor, detropan, lipitor
Norvas (BP), welbutrin, tomazepm (sleep), multivitamins, motrin, celebrex
lithium, prozac, synthroid, klonipin, hydroxazine
wellbutrin, Armour Thyroid, Ritalin, Ativan
allbuteral, Prozac, Triliptol, risperdal, trazadone, klonipin
levothyroxine, estrodiol, topical progesterone, klonopin, abilify, seroquel
lexapro 20 mg lamictal 150mg synthroid 125 micorg trazodone 100-200mg PRN, ativan 4mg PRN
excedrin for sinus or tension headache and occassional allergy meds
celexa 20mg, wellbutrin 100mg, clonopin 0.5mg PRN
eluvoxamine 300mg xanax 3mg bupropion 200mg dextraamphetamine 25mg
inhaler as needed (asthma), Singulair 10mg, Prozac 40mg, Wellbutrin XL 300 mg
Trazadone, Topamax, Seroquel, Xanax, klonopin, Cymbalta
birth control, Paxil 40mg, Lamictal 100 mg (will go to 200), Klonopin 2mg (will go off when Lamictal up to 200)
will see psychiatrist on Friday 10/7/05 for medication evaluation. No other meds.
Effexor, Trazodone, Metformin, Prilosec, Detrol LA, Ibuprofen 800
Levathroid 100 mg, Celexa 40 mg, Klonopin 1 mg, Trazadone (small amount)
lamictal 400 mg qhs or bid trazodone 500 mg bid welbutrin 150 mg qd MVI 400c b complex
Wellbutrin 300mg/daily klonopin .5mg BID PRN Trazodone 75mg PRN (sleep)
effecor 300mg, wellbutrin 200mg, ambien 5-10mg, alleve or tylenol PRN, benadryl PRN allergies & sleep
effexor 300mg lamictal, ativan thorazine 300mg plus 9 others for pain and medical symptoms
Geodon 250mg, Depakote 750mg, Trazodone 1/2 per night
Effexor 300mg, Klonopin 3mg, Trazodone as needed 75mg
Nitroglycerin, Plendil, Neurontin, Aspirin, Oxybutin, Metaprolol, Diovary, HCTZ, Glucophage, Celexa, Flexaril
Lithium, Seroquel, Restoril, Klonopin, Zyprexa
Klonopin 1mg/day, Abilify 5mg/day, Effexor 300mg/day
Lamictil 200mg, Neurontin 800mg, Xantac 150mg
Deodon, Ativan, Tripetel, Tenox, Effexor
Cymbalta- since Feb 06 - depression, BCP
oxycontin, flexeril, vicodin, prozac, klonopin, b12, visteral