Patient Suffers Mental Side-Effects From Anesthesia
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Case Overview
This case takes place in New York and involves a male patient who presented to an urgent care facility with complaints of severe pain in his right leg. The patient’s leg was examined, and it was determined that he was suffering from a torn ACL. The patient was then taken to the hospital, where he was worked up for surgery. According to the patient, he had a past medical history of adverse outcomes subsequent to anesthesia use, including severe disorientation and hallucinations. The patient communicated his concerns to the surgical staff, but since no underlying psychiatric conditions were noted, no additional work up was offered or considered. The patient was cleared for surgery which was completed without complication. Immediately following surgery the patient was noted as suffering from an altered mental status consistent with delirium. However, nursing notes suggest that her condition was likely the result of anesthesia. At the time of his surgery, the patient had been prescribed a host of significant medications, including anti depressants and other psychoactive drugs. It is believed that the combination of drugs that the patient had been given, combined with the anesthesia, contributed to his development of enduring mental damage following the surgery.
Questions to the Forensic Science expert and their responses
Do you routinely manage prescription regimens for patients requiring numerous medications?
It seems that the patient in this instance was being over-prescribed to a significant degree, and it is not unlikely that the combination of drugs and anesthesia could have caused his mental illness.
About the expert
This expert has more than 15 years of experience as a full-time psychiatrist, performing consultations on more than 1500 patients a year in his busy clinical practice. Currently this expert is a clinical assistant professor a major medical school and attending psychiatrist at a local area hospital and private practice. This expert is board certified in Psychiatry and Neurology. He earned his DO at the New York College of Osteopathic Medicine, completed residency training in psychiatry at the Long Island Jewish Medical Center, and fellowship training in psycho-oncology at Memorial Sloan Kettering Cancer Center.

E-009157
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