56y F. 1week ago twisted ankle - fracture tip lateral malleolus . For conservative management. Struggling with pain. Taking paracetamol 1g BD (weight 50kg) Has purchased pregabalin illegally but wants to be safe and do things ' right'. Under NTRP for methadone maintenance. Not used non prescribed drugs for over 10y prior to this. PMH PE (rivaroxaban) Hep B &C COPD , 68y m chronic sinusitis for ' years'. Under ENT - recent CT awaiting results. Recurrent flares of sinusitis- has had 6 courses Augmentin in last 12m (given by primary care). On Nasonex. Wants a 'just in case' prescription of Augmentin, 12y with mum. struggling with anxiety. wants CAMHS referral. School aware but manages anxiety ok in school so mum feels they aren't taking seriously. On waiting list for some counselling in school, 86 f recent in patient stay with GI bleed. Frusemide stopped and ACE reduced due to AKI2. On frusemide for longstanding dependant oedema (prev fully Ix )Ankles more swollen since discharge. Wants to restart both drugs at original dose and wont take no for an answer. Also on felodipine for Bp and wont consider stopping., 32y m recently had bloods for TATT (normal) came for results. Has been feeling tired for 2m and has been told can claim benefits if gets a back dated sick note, You have been scheduled for a late extended hours clinic (without discussion) on a day you already have plans and need to speak with the PM about this.

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