Hcs spouse exhibited elevated hepatic enzymes hepititis elev glucose rigid seizures xtraparidmal seizures diff than the usual dyscrasia in speech language pattern ,dehydration renal stones reappeared from removal in 2009 renal failure loss of 1 kidney confusion wandering repeatedly counting change. Has ptbrain syndrome with encylopathy Hx HIN last one 5 mo ago with cardiac irr and inubated due to injury , he has gallbladder full of stones that wa suspose to be removed but place says hosp would have when he was ther at trauma cntr he had broken bones renal failure no blood cells and the worked 4days on transfusions so they could take care of the broken arm, leg ribs ets and concussion. Elavil and depakote long time attending neurologist d /c but place he is INSISTS and PERSISTS in adm al so showed undesired effects to depakote. Dr say looks like renal damage from lithium . He has prev hx long ago of elavil dekakote and lithium and Resperdol melaril and thorizine. He was doing fine just on Resperdol as a shot .Elavil was added for arthric pain (severe) depakote was for headaches from enceopathy he was also on keppa he continues on. HEexhibited colitis ulcerative colitis and he still has diarehia he is thankfully on lactolose to extend bowels he again shows now discoloration of iris and sclera not yellow yet. All of hhi rbc previously were gone barely protein traces his wbc highly compromised immune sys dowm maco and bacteria seeking and he had cdiff andnow again his breath from gut not mouth (no teeth) smells like rotten raw hamburger putrified. Could elavil be the culprit for spiking off his immune supression he was getting better he has pellegra but his B12 went to virtually nill prior to accident. In hospital the had me refuse the elavil an depakote till could get to the Rx dr he now co r rear flank pain andpain around radiating to lower ribs.