It is unlikely that any health care expert would have required hospital-setting monitoring or even daily check-ups on medication. There wouldn't, based on this neuropsych eval, have been any apparent need for keeping you in the hospital beyond this evaluation period. My guess is that they would have released you but determined to have follow up appointments on a regular basis, as an outpatient. What would be the extent of the monitoring and outpatient appointments? I think it would have been normal for them to have you walk away from this evaluation with a definite follow-up appointment to check on you and any meds you were on---maybe a few weeks or month---I can't specify when. However, they would have viewed someone with the description presented in the neuropsych eval you presented in this evaluation
to be capable of self-care, able to function with many daily activities (though fulfilling a full time job at the time of the eval would be questionable).
They'd believe they could send you on your way from the appointment with the simple instruction to alert them ASAP if any new symptoms arose, and particularly, if they had any serious side effects began due to the medications. So, if asked now, they would likely claim that they told you they'd set up an appointment immediately or ASAP if you experienced new symptoms, or they would assess the problems immediately as you reported them over the phone and suggest a medication dosage adjustment during the phone conversation. I wouldn't have expected to have daily monitoring as an outpatient in this case, however, based on the profile of symptoms you report in the neuropsych eval. There would have to be other symptoms or problems missed by the neuropsychologist, but detected your physician for this to occur.
They wouldn't have checked up on you daily but would have expected that you would check with them if you were having any problems. You would have almost certainly been told to not drive while on these medications. Now, these days, the other health care providers e.g., physical therapist, occupational therapists, counselors, nurses, would not have cautioned you about the drugs but whoever prescribed them would have, especially if they were the sole prescriber. If the were one of several doctors prescribing they may not have had a clear picture of all of the meds you were taking at once, and might not have assessed possible drug interaction effects. With this list of drugs you cited in your post however, one wouldn't expect significant interactions. Your physician will probably claim that he/she told you about possible side effects during your consultations with them (and did
so verbally) and that you received all of the needed dosage and side effect information about the medications when you got the prescriptions filled---from the pharmacist. These usually come in written form on a print out with each prescription, or might be printed on the container itself. I suspect if you read the drug information you received when you got the prescriptions, they'll specifically say things such as 'don't drive while or use machinery or equipment while taking this medication' or 'do not consume alcohol if taking this medication'.
I would not expect the physical therapist or occupational therapist to have the level of expertise needed to really evaluate your overall psychiatric and physical status. They just do not have the training to do this. They function in their limited specialty and are able to see just a 'slice' of your overall status. The psychiatrist, being a physician, should have the best overall perspective of your cognitive functioning, physical functioning, brain injury status, and mental health, of the people you mention. He or she would have been the primary provider, or perhaps the neurologist. They would have made the major decisions about how to treat you going forward.
I interpret the final lines of the neuropsychology report as suggesting that your cognitive functioning would be expected to improve over time, as would your overall functioning, as the PTSD and other problems are treated, and (presumably) improve. Now treating PTSD and associated depression with medication alone is not the preferred route. Forms of cognitive behavioral therapy plus medication would be what I'd normally recommend. This is because situational cues in the environment and conditioning/learning factors play a huge role in maintaining the symptoms of these problems. Pills can't teach skills, to put it simply.
I hope this information is helpful to you. It may not be what you hoped to read, but I do see a lot of social security disability case appeals for example, that involve serious health problems combined with mental disorder issues and I think I know how physicians and other health care providers think and plan and try to allocate the resources they have a their disposal, their time, etc. This is what I think they'd be considering or thinking about you, given the neuropsych report.
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