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Neuroleptic malignant syndrome (NMS) is even worse: It is a life-threatening neurological disorder most often caused by an adverse reaction to neuroleptic or antipsychotic drugs. NMS typically consists of muscle rigidity, fever, autonomic instability, and cognitive changes such as delirium, and is associated with elevated plasma creatine phosphokinase. The incidence of neuroleptic malignant syndrome has decreased since it was first described, due to changes in prescribing habits, but NMS is still a potential danger to patients being treated with antipsychotic medication."We all glared at the doctor and the doctor said, "Well, your knowledge of pharmaceuticals is like having a PDR (Physicians' Desk Reference – a commercially published compilation of manufacturers' prescribing information {package inserts}on prescription drugs, updated annually) in my hands, but I still feel this is the best course of treatment for this patient."I smiled at the doctor and related, "Thank you. I have. When Nancy poked me I knew it was time to move back behind the bushes. I looked over to see Carl stirring, and Magda giving us a big thumbs up.Magda had a big smile when I saw her next."Nice one, David."Magda and I were having coffee after breakfast the following morning."You were pretty hot yourself, Magda."I decided I'd go for it."Is Carl always that quick?"Magda's laugh answered my question."Yeah, mostly. He's a hair-trigger kind of guy."She shook her head."I'm trying to teach him, but it's slow going. Haven't decided how much longer I'm going to work on it, either."She reached across the table and took my hand."How was Nancy?" Oh, man." I know she's not ready. Did that work out?" Of course it did. I know you say I'm a creep, but I'm a sensitive creep."Magda half-rose and stretched across the table far enough to kiss me."I know you are, sweetie. You're my sweetie, too."She sat back down."I'll tell you something else, David. You're pretty hot yourself, you know? I was even a little.
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