Transcript of Telephone Conversation between Charles Balis, M.D. and Ms. Cassandra Evans, Friday, September 13, 1996 at 10:30 am.

Ms. Evans: Hello Doctor Balis. I hope I am not disturbing you.
Dr. Balis: Not at all Cassie. How are you doing today?
Ms. Evans: Not so great. I think I may be having a reaction to the Prozac pills you prescribed. I am very dizzy, light-headed, nauseated, and my speech is somewhat slurred. It almost feels like I am drunk or intoxicated. Is this normal?
Dr. Balis: Sometimes the body needs to adjust to the introduction of these types of drugs, but I'm concerned about the side effects that you're mentioning. Have you been able to eat and hold food down?
Ms. Evans: I haven't been too interested in food since I started the medicine. My stomach reels whenever I think about eating. I do force down toast and some basic light foods. I have dry- retched several times, especially in the morning. I had to leave work early today, too.
Dr. Balis: I wrote the prescription on Tuesday. When did you start on the medication?
Ms. Evans: I started Wednesday morning.
Dr. Balis: Okay. So you've only taken three doses so far. Try one more dose, and let's see how you do. Often there is a short adjustment period with some of the side effects that you've mentioned but they can go away quickly and aren't serious as long as you're keeping food down. I'd like to see if your body will adjust to the Prozac. Is that okay with you?
Ms. Evans: Oh goodness. I can't say I am exactly jumping for joy, but if you think there is some hope here, then I will continue with it. For an antidepressant, this really hasn't done too much for my spirits!
Dr. Balis: It will take some time before you notice a difference. I want you to call me tomorrow if these symptoms continue, all right? If I am not in, the service will beep me and I will get right back to you. If you feel bad on Saturday, we will discontinue the drug on Sunday morning.
Ms. Evans: Okay. I'm concerned about missing work. I really have to be able to go to work on Monday. I am afraid of the consequences, especially given that letter in my personnel file.
Dr. Balis: If you like, I can write a letter to your supervisors explaining why you're missing some work. You have a perfectly valid medical excuse.
Ms. Evans: I like the idea of having some documentation from an authority figure on my absences, to counterbalance that letter in my file. However, I don't want to alarm SII about some sort of medical condition. What if they cut off my health insurance? I can't have that. I don't know, Doc. I think I am too wary of rocking the ship right now.
Dr. Balis: I don't think a company can fire you because you have a medical condition. But this is your call Cassie. Just know you have my support if you should need or want it.
Ms. Evans: Thanks.
Dr. Balis: Don't forget to call me if these side effects continue or get worse. If things improve, then I will speak to you by telephone next Tuesday at 5:30 pm, isn't that what we decided?
Ms. Evans: Yes, that's okay. Thanks again, Doctor. I really hope things do get better. I don't know what I am going to do with myself if it doesn't.
Dr. Balis: Hang in there Cassie. I'm here to help you face whatever comes, okay? Goodbye Cassie.
Ms. Evans: Goodbye.
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Button to Dr. Balis' Notes Doctor Balis' Notes on this Telephone Call

Button to Cassandra Evan's Transcripts Transcripts of Cassandra Evans' Therapy Sessions
Button to Cassandra Evan's Patient File Cassandra Evans' Patient File

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