A current patient is a 20+ year old male who is trying to recover from a heroin addiction.
Having been on the methadone program for the last 7 months and only having ‘used’ once or twice during this time, he is doing well. He has managed to get down to just 25mg/d of methadone which is typically the final dose before stopping altogether.
Recently I started seeing an 8 year old girl diagnosed with ODD and ADHD as well as impaired IQ at 6yo.
Notable features include:
- She has variable bowel and bladder control – often coming home from school with wet pants and a Bristol type 1 stool in her underwear. She increasingly complains of abdominal pain and an itchy bottom in spite of being ‘wormed’. (more…)