He admits to increased alcohol which he attributes to difficulty getting to sleep because he constantly thought about the broken promise. He promised his wife that he would return to Mexico to get married in the church but he always delayed the return because although he was willing to return, he did not completely accept the need to get married in Mexico. I see her in the house especially when I go to the kitchen or go to bed, so I've been sleeping in the chair. This is my punishment for breaking my promise (tearful).
He was discharged 24 hours after evaluation, his headache continued and his dizziness persisted but significantly decreased. It was thought that since his CT Scan, lab, neuro findings were inconclusive he should be given a follow-up appointment in 2 weeks. He was also referred to the psychiatrist to R/O hallucinations because of his reports of seeing the face of his deceased wife in his house and to R/O somaticization versus depression. He was referred to an Alcoholics Anonymous meeting to address the alcohol use. One of the providers stated he is probably responding to the death of his wife via physical symptoms. It is known that Latinos somaticize grief or depression. The patient did not follow up and was lost to treatment until one month ago he was found down by a colleague in the airline bathroom.