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hi dr. Feldman yes this is Amy from - West I've been taking photos ever well she's an 82 year old woman she was admitted three days ago with DBT she's on telemetry and oxygen she's been alert and pleasant with no problems other than urinary retention she has a Foley in place but tonight she appeared confused she's awake and oriented to person but she thinks that she's at her aunt's house and that Ronald Reagan is president yeah well no I checked with her nurse from the last few nights and confirmed that she doesn't sundown and she's normally very sharp her heart rate has increased to 110 her blood pressure is down to 110 over 60 yeah her systolic usually runs 150 yes her temperature is 37 Celsius she looks pale but not uncomfortable her coag's studies are within the parameters and her blood gas is normal all other a.m. labs are normal she's not putting up much urine and it looks cloudy to me I'm worried about her I think she needs to be seen let me to order some labs maybe send her uri

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