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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Borderline Personality Disorder, Hypothyroidism. Have Dizziness, Difficulty Talking, Muscle Spasms, Shaky, Chest Pain

Should she go to the hospital?
Patient is female, 36 years old
Pre-existing:
Borderline Personality Disorder - taking antipsychotic, antidepressants, antianxiety;
RLS - taking magnesium potassium aspartate;
hypothyroidism - taking levothyroxin;
chronic migraines - narcotic medications prescribed but non taken today;
gluten sensitivity and lactose intolerance - affects diet and doesn't like to eat much, has had breakfast and only blueberries for lunch.
SYMPTOMS: after getting home from work and driving in hot weather:
said she feels like passing out, this morning she felt like she didn't get much sleep;
wobbly on her feet;
since saying she feels like passing out, she hasn't been able to formulate intelligible speech, the words come out jumbled vowels and consonants, garbled sounds;
she wrote down these:
shaky,
nausea,
dizzy,
muscle spasms,
blood all in head,
pass out,
shallow breathing,
chest hurts a little,
spotty vision.
MY QUESTION does she need rest the ER?
Tue, 25 Jun 2013
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Psychiatrist 's  Response
Hi,
Thanks for using healthcare magic.

I have gone through your available history.

Her symptoms might be due to
- Psychological worsening of illness- which is more likely
- Overdose of drug if any
- Physical causes

You may take her to your doctor to confirm the reason for her symptoms.

I hope it will help you.

Thanks.
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Have Borderline Personality Disorder, Hypothyroidism. Have Dizziness, Difficulty Talking, Muscle Spasms, Shaky, Chest Pain

Hi, Thanks for using healthcare magic. I have gone through your available history. Her symptoms might be due to - Psychological worsening of illness- which is more likely - Overdose of drug if any - Physical causes You may take her to your doctor to confirm the reason for her symptoms. I hope it will help you. Thanks.