Doctor Appointment: June 19th, 2012

Date and Time

• Date: June 19th, 2012
• Time: 10:15 AM

Provider and Location

• Provider: Dr. James E. Leedy, MD
• Department: Kadlec Clinic Richland, Primary Care

Patient Information

• Patient: Me
• Age: 36 years old

Purpose of Visit

• Follow-up regarding sleep study results (PSG and MSLT)
• Discussion of ongoing symptoms and possible diagnosis

Diagnoses

• Narcolepsy
• Cataplexy

Medications and Orders

• Current Medication: Armodafinil 250 mg tablet
  • Take 1 tablet by mouth daily

Prescription Details

• Pharmacy: Rite Aid, 1329 Lee Blvd, Richland, WA 99352
• Start Date: 6/19/12
• Quantity: 30 tablets
• Refills: 0

Allergies and Immunizations

• Allergies: No known allergies (as of 6/19/2012)
• Immunization History: No immunizations on file

Additional Notes

• No instructions or upcoming administrations
• No goals listed

Key Discussion Points

• Review of MSLT results: average sleep latency of 4 minutes, 45 seconds; no REM detected during naps
• Review of PSG results: good sleep efficiency, normal REM onset, no SOREMPs
• Discussion of clinical symptoms: excessive daytime sleepiness, any cataplexy, sleep paralysis, hallucinations
• Consideration of additional diagnostic criteria for narcolepsy (CSF hypocretin, genetic markers, exclusion of other causes)

Doctor’s Assessment

• (To be filled in after appointment)

Recommendations / Next Steps

• (To be filled in after appointment)

Notes

• (Any additional notes or questions for the doctor)