EMERGENCY INFORMATION Marilee J. Layman 9468 Scarlet Oak Dr. Manassas, VA 20110-5658 703-330-1370 marilee@mjlayman.com Diagnoses: Renal Failure due to ibuprofen poisoning, Focal Glomerulosclerosis, Asthma, Glaucoma, Depression, Hypertension, Two Strokes -- one caused by nifedipine sublingual, other vasculitis with bleeding, Fibromyalgia, Gout, Osteopena, Vocal Cord Paresis, Late Effect of Stroke, Shortness of Breath, Benign Essential Tremor Allergies: Sulfa, NSAIDs, Tapes and Adhesives Date of Birth: 3/10/55 Insurance: Primary: Kaiser Mid-Atlantic Region, Manassas ID: 01053082 Secondary: Medicare Parts A, B, & D ID: 230-76-4154-A Eff. Date: 7/1/92 Primary MD: Seraphine A. Soosaimanickam, Kaiser Manassas 703-257-3000 Regular Multivitamin QD PRN: Tylenol #3 Medications: Lisinopril 40mg QD Levothroid 50mcg QD Allopurinal 150mg QD Colchicine 0.6mg QoD Glucosamine 750mg BID Albuterol Inhaler 1 puff BID Qvar Inhaler 2 puffs BID Simvastatin 80mg HS Fish Oil Capsules 1200mg TID Flexeril 2.5mg HS Silvadene Depakote 500mg ET BID BuPROpion 200mg QD + 100mg five hours later Predisone 5mg QD until 3/9, then more taper Restasis one ampoule for BID Atenolol 114.5mg QD Vitamin D 2000IU QD Calcium 600mg QD Glucosamine 750mg BID Effexor 37.5mg ER three QD