Fictional Patient Information Medical History: • Hypertension: Under treatment • Depression: Under treatment • Diabetes: Under management • Substance Use: Intoxicated upon arrival but denies substance use • Speech: Slurred • Injuries: Result of fall, unknown severity Current Medications: • Hypertension: Lisinopril 20 mg daily • Depression: Sertraline 50 mg daily Allergies: • Penicillin: Causes hives Previous Surgeries: • Hip Replacement: 10 years ago • Cataract Surgery: 5 years ago Vitals: • Blood Pressure: 160/90 mmHg • Heart Rate: 88 bpm • Respiratory Rate: 18 breaths/min • Oxygen Saturation: 95% on room air • Temperature: 98.6°F (37°C) Blood Work: • Blood Alcohol Level: 0.18% (above legal limit) • Blood Sugar: 200 mg/dL (elevated) • CBC, CMP, Other Labs: Not provided Next Steps: • Medical Evaluation: Full workup to assess injuries and intoxication level • Consult Psychiatry: For depression and potential substance use • Consult Endocrinology: For diabetes management • Social Work Consult: To explore social support and other services • Addiction Medicine Referral: Despite denial, consider further assessment for potential substance issues Table of contents DISCLAIMER: The content of this medical podcast, including all patient names, health records, and case studies, is purely fictional and has been created solely for educational purposes. Any resemblance to actual persons, living or dead, or to any real-life medical situations, is entirely coincidental. This podcast is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment. Never disregard professional medical advice or delay seeking it because of something you have heard on this podcast. The hosts and producers of this podcast disclaim any liability, loss, or risk, personal or otherwise, that may be incurred as a result, directly or indirectly, of the use or application of any of the information, advice, or discussions presented on this podcast. This is a mock patient role-play. JP is playing the case worker, and Wiplove is playing the psychiatrist, collaborating on a mock case that was presented to the emergency department. Chapters: 0:00 - Introduction 0:57 - Case Presentation: 77-Year-Old Female with Alcohol Use Disorder 2:37 - Dr. Wip’s Clinical Recommendations 5:59 - Ethical Reminder: “Do No Harm” 8:21 - Evaluating Morning Intoxication: Is it a Symptom? 10:20 - Case Manager’s Recommendations 12:59 - Resource Guide for Family, Physicians, and Elder Care Providers 15:08 - The Role of Societal Respect for Elders in Providing Candid Advice Resources https://cep.health/media/uploaded/20191003-CEP_AUD-rev.12_UPDATED.pdf https://ccsmh.ca/wp-content/uploads/2019/12/Final_Alcohol_Use_DisorderV6.pdf https://ccsmh.ca/substance-use-addiction/ ABOUT THE CHANNEL: Join addiction psychiatrist Dr. Wiplove (Wip) Lamba, addiction case manager and former addict Jean-Paul (JP) Michael, and their guests as they explore topics related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment, and recovery. Wip and JP share their passion and curiosity for their field, with JP working daily in a renowned inner-city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic endeavours.