Post ED Followup
Mr. Hake returns to your office for a follow up from his hospital visit. He looks disheveled and unwell. His vital signs again revealed marked hypertension and a pulse of 102. He is afebrile. His exam reveals bilateral upper extremity intention tremor and some inattentiveness on his mental status testing but is otherwise unremarkable. When you ask him when his last drink of alcohol was, he states he went on “a bender” drinking “more than I can remember” after he was released from the hospital. But he notes that he decided 3 days ago he “just can’t go on this way” so he stopped drinking altogether.