9/24 Arg

09/24/2007 Firefly Coffeehouse History and Physical

Willard K. Cupp 21 M 0001298321

Chief Complaint: Generalized Headache, Anxiety, Restlessness

History of Present Illness: Patient arose at around noon today after working until 3 AM. Upon waking, the patient immediately was assailed with the triple threat: headache, anxiety, and restlessness. He planned on taking some Ibuprofen and eating something delicious to relieve his symptoms per his usual routine. Upon finding that he had no snacks in the house and forgetting to take his meds, he was forced to carry on without relief. He proceeded to put away laundry and pack up the laptop under the crushing weight of his ailments. The patient managed to complete these tasks and drive himself to the firefly for treatment without incident, except for forgetting his cell phone. Upon arrival, the patient self medicated with a ham and cheese sandwich and a Jone's soda, in an attempt to avoid his usual "unhealthy" choice of a brownie and coffee. This mistake cost him $4 more than he usually pays, with no relief from any of his symptoms.

Family History: Significant for being awesome, but maybe a bit neurotic.

Personal/Social History: See HPI. RN at Parkview hospital, AKA he works like a dog. Also, everything on his unit is being changed as they merge with another unit. He is also a full time college student. Married: his wife will probably kill him if he spends another five bucks at this place.

Review of systems: Negative. As in: I don't feel like writing all this stuff out.

Impression:

1. HEADACHE DUE TO CAFFEINE DEPRIVATION
2. ANXIETY DUE TO VARIOUS SOCIAL/PERSONAL SITUATIONS

Plan:

We will attempt to proceed with internet, time wasting treatment. If this does not lead to resolution, then we will proceed with coffee therapy. If anxiety continues we will look into brownie options. As he needs to get started on his homework soon, time is of the essence and we may need to initiate treatment very soon.

Thank you for allowing me to participate in the care of this patient.

Your Mom, MD