Death of Elvina Roloff

January 30, 2001, before 0859 (8:59 AM).
Southwest Washington Medical Center
Progress Record.
MD: David A. Smith.
Patient: ROLOFF, ELVINA M

Dr. David A. Smith says "Unable to discuss with patient, as she is confused.
Will return to discuss with daughter. ...

Would Hold narcotic analgesics (i.e. morphine) for now....

Plan: MRI Brain
D/C Vicodin
tylenol / tandol for pain."

Note: Tandol is also known as "Tramadol hydrochloride 50mg".
The chemical name is
(�)cis-2- [(dimethylamino)methyl]-1-(3-methoxyphenyl) cyclohexanol hydrochloride.